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“Victor Babes” UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA

“Victor Babes” UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA. DEPARTMENT OF MEDICAL INFORMATICS AND BIOPHYSICS Medical Informatics Division www.medinfo.umft.ro/dim 2007 / 2008. HEALTH INFORMATICS MEDICAL INFORMATION SYSTEMS (II). COURSE 14. 3. CLINICAL INFORMATION SYSTEMS.

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“Victor Babes” UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA

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  1. “Victor Babes” UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA DEPARTMENT OF MEDICAL INFORMATICS AND BIOPHYSICS Medical Informatics Division www.medinfo.umft.ro/dim 2007 / 2008

  2. HEALTH INFORMATICSMEDICAL INFORMATION SYSTEMS (II) COURSE 14

  3. 3. CLINICAL INFORMATION SYSTEMS • 3.1 STRUCTURE OF CLINICAL SPECIALISED HEALTHCARE: • CLINICAL DEPARTAMENTS : • INTERNAL MEDICINE (… … …) • SURGERY (… … …) • PEDIATRICS (…) • MONITORING (…) • PSYCHIATRY • NEUROLOGY • … … …

  4. PARACLINICAL DEPARTAMENTS AND SERVICES • RADIOLOGY AND IMAGING (…) • NUCLEAR MEDICINE • FUNCTIONAL INVESTIGATIONS (…) • CLINICAL LABORATORY • ENDOSCOPY • PATHOLOGY • THERAPY (…) • PHARMACY

  5. 3.2. GENERAL OBJECTIVES • a. MANAGERIAL - ADMINISTRATIVE • healthcare and interventions planning • b. PATIENT DATA • data acquisition, storing and retrieval (anamnesis, laboratory, images, biosignals) • data verification and coding • data processing • integrated (multimedia) presentation

  6. c) DECISION • diagnosis and therapy assistance • intervention simulation on models • advice for patients • d) MONITORING • therapy follow-up • intensive care monitoring

  7. e) REPORTS • data centralization • statistical analysis • report generating • f) ASSESSMENT • disease evolution follow-up (chronic, congenital etc) • healthcare quality assessment (for planning, research etc)

  8. 3.3. SPECIFIC OBJECTIVES IN CLINICAL AND PARACLINICAL DEPARTAMENTS • a) INTERNAL MEDICINE • CARDIOLOGY (accurate investigations, num. data) • METABOLICAL DISEASES (follow-up, patient education, diabcard) • HAEMATOLOGY (haemophilia registers) • NEPHROLOGY (transplant planning, dialysis monitoring) • GASTROENTEROLOGY • ENDOCRINOLOGY

  9. Health Card- “smart card” – chip 32 k- magnetic card - laser card = combined identity and health card

  10. b) SURGERY • OPERATION PLANNING • SURGICAL INTERVENTIONS PREPARETION AND CONTROL • SIMULATIONS (virtual reality) • MONITORING, ANESTESY • c) PEDIATRICS • PREMATURES FOLLOW-UP • CONGENITAL DISEASES • OTHER: similar to internal medicine and surgery

  11. VIRTUAL REALITY • Imersion • Interactivity • TELEMEDICINE • Tele-consultation • Video presentation • Medical consultation • Tele-surgery • Surgical robots

  12. d) OBSTETRICS • PREGNANCY FOLLOW-UP • PATIENT EDUCATION • e) PSYCHIATRY • LARGE VARIABILITY IN DIAGNOSIS • f) MONITORING • CORONARY UNITS • INTENSIVE CARE, REANIMATION • PRE/POSTOPERATORY MONITORING • PERINATAL NURSING • ORGAN BANKS, TRANSPLANT

  13. g) FUNCTIONAL INVESTIGATION • RESPIRATORY TESTS • ECG, EEG, EMG etc • EXERCISE • h) RADIOLOGY • RADIOGRAPHY, RADIOSCOPY • CT (computer-tomography) • NMR (nuclear magnetic resonance), PET • ECHOGRAPHY • i) PATHOLOGY • j) CLINICAL LABORATORY

  14. PHARMACY • MEDICATION RECORDS • RECEIT VERIFICATION • PROVIDING INFORMATION FOR: • DOCTORS, NURSES • CENTRAL LEVEL • PROVISIONING • STOCK RECORDS, VALIDITY • PREPARATION • SUPPLIERS

  15. 4. HOSPITAL INFORMATION SYSTEM (HIS) • 4.1. DATA TYPES: • PATIENT or HOSPITAL oriented • 4.2. H.I.S. CONCEPT • a) SCOPE: computer use for information collecting, storing and processing for patient care and management in all hospital activities and for functional requirements. • b) COMPONENTS: • 1. DATA BASE • 2. APPLICATIONS (programs) • 3. COMMUNICATION LAYER • 4. WORKING TERMINALS

  16. 4.3. HIS ARCHITECTURE • a) TYPES: • MONOLITIC SYSTEMS • EVOLUTIVE SYSTEMS • DISTRIBUTED SYSTEMS • b) STRUCTURE: • SCHEME 1 • 4.4. INTEGRATED SYSTEM • SCHEME 2 • 4.5. Examples of H.I.S.: • HISCOM (The Netherlands) • DIOGENE (Switzerland)

  17. H.I.S. STRUCTURE ParaClinical Dep. PC Clinical Dep. - CD Laboratory Cardiology Radiology Nefrology Hospital Network Funct.Investig. Surgery Pharmacy Obstetrics-Gynecology Manager ICU Manag. Dept.s. ADM Pediatrics Psychiatry Account. Supply. Gateway PACIENT oriented data HOSPITAL oriented data

  18. INTEGRATED H.I.S. Academic Network Documentation Server Library Network Network Administrator Gateway Class rooms Users CD PC Hospital Network ADM. Primary Care Network Research Network Family doctors (Gen.Pract.) Research Laboratories Internet, Email Connections

  19. 4.6. ACCESIBILITY AND PROTECTION • 4.7. MANAGEMENT • 4.8. RESEARCH • 4.9. FUTURE DEVELOPMENT TRENDS

  20. 5. CENTRAL LEVEL HEALTH INFORMATION SYSTEMS • 5.1. DEPARTMENTAL HEALTHCARE OFFICES • 5.2. MINISTERIAL LEVEL • HEALTHCARE MINISTERY • OTHER MINISTERIES, CENTRAL INSTITUTIONS • 5.3. INTERNATIONAL LEVEL COMPATIBILITY

  21. 6. STANDARDISATION • standard attributes • 7. DATA PROTECTION • a) CONFIDENTIALITY - limited, leveledaccessibility • b) PROTECTION - against accidental deterioration / access / loss • c) SECURITY - intendedd/a • 8. RESPONSIBILITIES • ethical and legal aspects in medical informatics

  22. We wish you a successful exam session!

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