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Lessons from Biomedical Informatics for Nutrition Informatics. James J. Cimino, M.D. Laboratory for Informatics Development NIH Clinical Center. Biomedical Informatics is. Biomedical Informatics is.
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Lessons from Biomedical Informatics for Nutrition Informatics James J. Cimino, M.D. Laboratory for Informatics Development NIH Clinical Center
Biomedical Informatics is... “The field that concerns itself with the cognitive, information processing and communication tasks of medical practice, education and research, including the information science and the technology to support these tasks.” Greenes RA. Shortliffe EH. JAMA 1990 Feb 23; 263(8):1114-20.
Biomedical Informatics is... • The art and science of organizing knowledge of human health and disease, and making it useful for problem solving
The Spectrum of Problem Solving • Science base of biology and medicine • Collection and interpretation of signals • Application of science and data in clinical care • Extension of clinical care to populations
What’s in a Name? • Bioinformatics • Really biomolecular informatics • Medical informatics • Really clinical informatics • Biomedical informatics • Covers both and more
Technologies • Computers and storage • Graphical user interfaces • Signal processing • Artificial intelligence • Telecommunications • Internet and the World Wide Web • Electronic knowledge resources
Concepts • Evidence-based practice • Standards for naming and coding • User interface design for biomedical and healthcare professionals • Expert systems • Decision analysis
Domains • Bioinformatics • Clinical information systems • Computer assisted learning • Public health information systems • Electronic knowledge resources • Nutrition
Data, Information and Knowledge Knowledge Resources Health Record Research Expert System Guidelines
Data Types Standard Coded Numeric Coded Manual NLP Symbols Text Structured Interpretation Image Signal Blobs
Controlled Terminologies Food allergies Milk Eggs Seafood Cherries … Drug allergies Infant formula Vaccines Iodine contrast Cough medicine …
Ontologies Has ingredient Foods Formula Vaccines Eggs Milk Cough Medicine Iodine Contrast Seafood Cherries Substances Drugs
Nutrition Informatics • Inventory management systems • Nutrient analysis • Nutrition research • Clinical nutrition care • Foodservice system management • Educational/instructional/data intake • Reimbursement • Communication • Food-supply surveillance Hoggle LB, Michael MA, Houston SM, Ayres EJ. Nutrition Informatics. Journal of the American Dietetic Association, 2006; 106(1):134-139
American Medical Informatics Association www.amia.org
NLM-Sponsored “Woods Hole” Course at the Marine Biological Laboratory www.mbl.edu
National Library of Medicine Training Programs http://www.nlm.nih.gov/ep/GrantTrainInstitute.html
Biomedical Informatics is... Building Blocks Building Blocks Building Blocks Issues Information Resources Skills Skills Application Areas