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Health Informatics The big picture Laeequz Zaman –Dr.
This Presentation What is health informatics?  The difference between health Informatics and Medical Informatics The clinical analogy for Medical Informatics Variety of areas in Health Informatics The advantages of technology shift
Health Informatics  Medical Informatics / Bio Informatics  / Computer Medicine
Health Informatics The difference between health informatics and medical informatics is as much as the difference between the words  health  and  medicine .  Medicine is thus a  subset  of health with other subsets like health care delivery, health care management, telemedicine techniques, patient education, etc.
Therefore Health Informatics Medical Informatics is  semantically different from, but  often considered the same as
Medical Informatics "Medical informatics is the rapidly developing scientific field that deals with  resources ,  devices  and formalized methods for optimizing the  storage ,  retrieval  and  management  of biomedical information for problem solving and decision making." - Edward Shortliffe
The background  French word  informatique  (mid 70’s) Processing the clinical information  May be recognized as  technological parallel   to   biological sequences   A long list of advantages
The clinical scenario  Cognition Action Presentation Recall  Memory/ Knowledge Base Previous Observation(s) Teaching / Training  Assessment  Reasoning Action The patient presents
The MI analogy Second Opinion Telemedicine  Retrieval  Knowledge base  Data Base Virtual Tutoring / Distance Edu. Assessment   Artificial intelligence Machine integration The patient presents
The new to it… To many, it is merely the new way of doing the old things… To others, it is too advanced  The realm of fact is not a debate of new or old… The paradigm shift is the set of gathered advantages!
Electronic Patient Records / Computerized Medical Records  /  Patient Archive Systems
EPR
Telemedicine
This is how it works Physical Connectivity Channels : Telephone lines, ISDN, Fiber Optic Cables, Coaxial cables, etc. Virtual Channels : Satellite Transmission (radio waves), Terrestrial Transmission and reception (radio and infra red waves), etc.
Real-Time Synchronized The clinician can also …. View the patient on the screen  Hear and talk,  Access details of medical record,and  Zoom in / zoom out of the images of lesions,  etc. How are you feeling  today, Mr. Patient Definitely better!!  Thanks to  your telemedicine !!
Advantages of Telemed Time saving  Very cost effective Increases breadth of clientele  Greater clinical variety of cases  Distances have no meanings  Support to clinical research Case study: World Care
Home Based Clinical Care Ease of use,  Cost effectiveness, Timely decision making, Life saving
As in Fetal Monitoring in high risk mothers, for early diagnosis and alarming 24 x 7 VC monitoring of elderly, bed ridden patients and disabled persons Post Operative home care Biometric Signal monitoring of cardiac patients
Specialized Software Artificial Intelligence,  Rule Based Systems,  Reporting Systems,  Research Solutions
As in Neural Network AI applications for clinical and operational decision making Rule based Decision Support Systems for clinical and operational management  Specialized solutions for research management activities Performance indicator applications for individuals and departments
Cyber Medicine Email and WWW based HealthCare support
As in Question answer sessions for common diseases  Web based, often store and forward, primary or second opinions  Well known - Web MD, Medline and TeleMedPak  Articles of general interest on the WWW  Can cost more, unless financially superior to conventional healthcare services
Distance Medical / Health Education For students and general population
As in Virtual Medical University – US Virtual Hospital – US Virtual Medical Library – WHO EMRO Various Patient Web e-groups – Thalassemia Society Various Health Information Dissemination initiatives – NHS Net Countless email based list-serves
Future trends Not too distant
Future trends HIS towards artificial intelligence  DSS  Neural Networks Mobile health care support  Tele surgery through movement sensitive equipment  Direct biomedical signals’ transfer  Reverse telemedicine
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Health Informatics - The Big Picture

  • 1.  
  • 2. Health Informatics The big picture Laeequz Zaman –Dr.
  • 3. This Presentation What is health informatics? The difference between health Informatics and Medical Informatics The clinical analogy for Medical Informatics Variety of areas in Health Informatics The advantages of technology shift
  • 4. Health Informatics Medical Informatics / Bio Informatics / Computer Medicine
  • 5. Health Informatics The difference between health informatics and medical informatics is as much as the difference between the words health and medicine . Medicine is thus a subset of health with other subsets like health care delivery, health care management, telemedicine techniques, patient education, etc.
  • 6. Therefore Health Informatics Medical Informatics is semantically different from, but often considered the same as
  • 7. Medical Informatics "Medical informatics is the rapidly developing scientific field that deals with resources , devices and formalized methods for optimizing the storage , retrieval and management of biomedical information for problem solving and decision making." - Edward Shortliffe
  • 8. The background French word informatique (mid 70’s) Processing the clinical information May be recognized as technological parallel to biological sequences A long list of advantages
  • 9. The clinical scenario Cognition Action Presentation Recall Memory/ Knowledge Base Previous Observation(s) Teaching / Training Assessment Reasoning Action The patient presents
  • 10. The MI analogy Second Opinion Telemedicine Retrieval Knowledge base Data Base Virtual Tutoring / Distance Edu. Assessment Artificial intelligence Machine integration The patient presents
  • 11. The new to it… To many, it is merely the new way of doing the old things… To others, it is too advanced The realm of fact is not a debate of new or old… The paradigm shift is the set of gathered advantages!
  • 12. Electronic Patient Records / Computerized Medical Records / Patient Archive Systems
  • 13. EPR
  • 15. This is how it works Physical Connectivity Channels : Telephone lines, ISDN, Fiber Optic Cables, Coaxial cables, etc. Virtual Channels : Satellite Transmission (radio waves), Terrestrial Transmission and reception (radio and infra red waves), etc.
  • 16. Real-Time Synchronized The clinician can also …. View the patient on the screen Hear and talk, Access details of medical record,and Zoom in / zoom out of the images of lesions, etc. How are you feeling today, Mr. Patient Definitely better!! Thanks to your telemedicine !!
  • 17. Advantages of Telemed Time saving Very cost effective Increases breadth of clientele Greater clinical variety of cases Distances have no meanings Support to clinical research Case study: World Care
  • 18. Home Based Clinical Care Ease of use, Cost effectiveness, Timely decision making, Life saving
  • 19. As in Fetal Monitoring in high risk mothers, for early diagnosis and alarming 24 x 7 VC monitoring of elderly, bed ridden patients and disabled persons Post Operative home care Biometric Signal monitoring of cardiac patients
  • 20. Specialized Software Artificial Intelligence, Rule Based Systems, Reporting Systems, Research Solutions
  • 21. As in Neural Network AI applications for clinical and operational decision making Rule based Decision Support Systems for clinical and operational management Specialized solutions for research management activities Performance indicator applications for individuals and departments
  • 22. Cyber Medicine Email and WWW based HealthCare support
  • 23. As in Question answer sessions for common diseases Web based, often store and forward, primary or second opinions Well known - Web MD, Medline and TeleMedPak Articles of general interest on the WWW Can cost more, unless financially superior to conventional healthcare services
  • 24. Distance Medical / Health Education For students and general population
  • 25. As in Virtual Medical University – US Virtual Hospital – US Virtual Medical Library – WHO EMRO Various Patient Web e-groups – Thalassemia Society Various Health Information Dissemination initiatives – NHS Net Countless email based list-serves
  • 26. Future trends Not too distant
  • 27. Future trends HIS towards artificial intelligence DSS Neural Networks Mobile health care support Tele surgery through movement sensitive equipment Direct biomedical signals’ transfer Reverse telemedicine