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
COURSE 13 HEALTH INFORMATICS MEDICAL INFORMATION SYSTEMS
1. MEDICAL INFORMATION • 1. 1. TYPES OF ACTIVITY – a. MEDICAL ACTIVITIES (CONSULTATIONS, VISITS) • DIAGNOSING – DATA - MEDICAL OBSERVATION, INVESTIGATIONS – KNOWLEDGE - EDUCATION, ETC • THERAPY / FOLLOW-UP • NURSING
• b. LOGISTIC SUPPORTT – ADMINISTRATION – ACCOUNTING • c. SOCIAL CONTEXT FRAME – MEDICAL DATA CENTRALISATION • d. MEDICAL EDUCATION (CME) – STAFF – PATIENTS • e. MEDICAL DOCUMENTATION • f. MEDICAL RESEARCH
• 1. 2. INFORMATION FLUX STRUCTURE – a. SCHEME – b. DATA TYPES – c. LEVELS: • • PRIMARY CARE SECONDARY (SPECIALISED) CARE HEALTHCARE UNITS CENTRAL LEVELS : – COUNTY HEALTH DEPARTMENTS – NATIONAL LEVEL: HEALTH MINISTERY – INTERNATIONAL BODIES: WHO
CYCLES OF MEDICAL INFORMATION FLOW
“Allied” Professionals in Healthcare
• 1. 3. DEFINITIONS – a. INFORMATIONAL SYSTEM = ensemble of structural units exchanging information between them – b. INFORMATION SYSTEM = that part of the informational system which comprises computer use
2. PRIMARY CARE INFORMATION SYSTEMS • 2. 1. ACTIVITIES: – PROFESSIONAL PRACTICE • • • CONSULTATIONS, HOME VISITS, CHRONIC PACIENTS FOLLOW-UP EMERGENCIES – MEDICAL DOCUMENTATION – MANAGEMENT
MODULES - PRIMARY CARE • • Basic module Medical module Programming module Pharmacy module Financial module Communication module Future development
2. 2. PRIMARY CARE I. S. MODULES • 1) BASIC MODULE: – a. DATA: • ALL PATIENTS RECORDS • “DEMOGRAPHIC” DATA (including insurance data) • DATA GROUPING ON “FAMILIES” (households)
– b. ADMINISTRATION • REGISTERS: visits, consultations, laboratory tests, etc • SIMPLE FINANCIAL DATA (bills) • VARIOUS CENTRALIZED RECORDS (drugs, supplies, etc) – c. COMPUTER OPERATIONS • DATA PROTECTION • PARTITION WORK • DATA BACK-UP
2) MEDICAL MODULE CPR – COMPUTER-BASED PATIENT RECORD EPR - ELECTRONIC PATIENT RECORD EHR - ELECTRONIC HEALTH RECORD
PACIENT HEALTH RECORD • a. PAPER BASED – ADVANTAGES / DISADVANTAGES • • EASY TO CARRY, EASY TO “BROWSE” LOW COST, HIGH FIABILITY (NO “SYSTEM FAILURE”…) FAST FILLING IN LIMITED ACCESIBILITY (ONE PLACE) • b. ELECTRONIC FILE – ADVANTAGES / DISADVANTAGES • • • ACCESIBILITY: FROM SEVERAL PLACES, BY SEVERAL PERSONS EASY TO READ, FAST INFORMATION RETRIEVAL GOOD SUPPORT FOR DATA ANALYSIS AND DECISION REQUIRES SPECIALIZED PERSONNEL SLOWER FILLING IN HIGHER COST
EHR STRUCTURE • IDENTIFICATION DATA • EVENTS: consultation, admission, surgery, radiography… – (time function) – COMPONENTS – ACTIONS • OBSERVATIONS: anamnesis, lab results, investigations – signals, images • DECISIONS: diagnosis • INTERVENTIONS, THERAPY: prescriptions, referrals • RELATIONS -------- • ENCODING – NOMENCLATURES: WHO, ICD 9 -10, ICPC, SNOMED
• 3) SCHEDULING MODULE (integrated in medical module) – SCHEDULE REGISTER – LETTER EDITING • 4) PHARMACY MODULE (rural / remote health units etc) – DRUG RECORDS – SUPPLIES – SPECIFIC FEATURES (free treatments)
• 5) FINANCIAL MODULE – PATIENT BILLS – PAYROLLS – EXPENSES BILLS – FINANCIAL CORRESPONDENCE • 6) COMMUNICATION MODULE (Internet, fax, e-mail, hospital comm. etc) • 7) FUTURE DEVELOPMENTS (expert systems etc)
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