sea fa Sstata

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??s???µe?a?? ?????f???a?? S?st?µata

• ????? ?a???aß??a?, PhD
• ??ap?. ?a????t?? ?at????? ?????f?????? ??T

2
?? e??a? ??a p????f???a?? s?st?µa

• ??a s?st?µa a?t?µat? ? µ?, p?? ap?te?e?ta? ap?
  a????p???, µ??a??? ?a? µe??d??? p?? ?????
  ???a???e? ?a ?ata???f???, epe?e??????ta?,
  µetad?d??? ?a? µeta?aµpade???? ded?µ??a ta ?p??a
  a?apa??st??? p????f???a ???st?? µe t?? µ??f? p?
  ß?se?? ded?µ???? ? ??t??????? p?? ßas????ta? se
  µ?a s???e???µ??? a???te?t????? ????sµ????

3
?as??? p??ß??µata

• ?????t?? a???te?t?????? se ??a ta ep?peda
  (ep????????a, ded?µ??a, ?p??es?e?)
• ?a?? ep????????a µe as?e?e?? (???s? standards,
  e????st?? p?atf??µa?, e?a??st?p????ta? ????)
• T?µata ?????????-te????? ?a? ???a??t??? (asf??e?a
  ded?µ????, ap?d??? ???st??, f?????t?ta
  s?st?µ?t??)
• ???sµ?? µ?t??s?? ap?te?esµ?t?? ?a? p?st?p???s??
  p???t?ta? (???s? standards ??a ep????????a,
  monitoring e?e??e??? t?? ???st??, pa?a????
  te?µ????µ???? ?at????? ???s??

4
European Union of 15 Member States
Population 375 millions
Nurses 2.200.000 Physicians 1.200.000 Pharmacie
s 273.000 Dentists 200.000 (WHO)
Hospitals 13.880 Hospital beds 2.7
Mill. (HOPE)
Total GDP of EU Countries 8,585 Bill.
Total Health Expenditure 744 Bill.
(8.7) (OECD 96)
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Vision Person-Centered Health systems
HOSPITAL
MEDICALDOCUMENTATION
DOCTOR
ARCHIVES
PHARMACY
DIETETICS
LABORATORIES
PATIENT ADMISSION
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Towards Person-Centered Health Systems
What Person-Centred care (Continuity of care)
Across all the points of care, including home,
work, outdors,..
HShared care (collaborative work, patient
participation)
Health Care Professionals, Health Managers
Authorities, Researchers, Epidemiologists,
service providers, PATIENTS
Tools Health Information Networks
Electronic Healthcare Records Telemedicine
systems and services - teleconsultation,
tele-education, telecare/telemonitoring
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EHR Present Situation in Hospitals
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Communications

IT-EDUCTRA
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Current situation in EU hospitals
100 Patient Administration Systems Hospital
administration Pharmacy 50 -
80 Laboratory Information System Radiology
Information System Different medical
applications (operation theater, nursing
systems, ...) lt 50 Clinical Patient
Record Management Information Systems IT
investments by European hospitals 1,2 of budget
(2,5 in the USA)
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Usage of Internet EU Averages Consult
professional databases 73 Consult
doctor-to-doctor information 70 Search clinical
cases 57 Consult (official) guidelines
50 Searching for new drugs 29 Receiving
analyses results 27 Consult alternative
treatment sites 23 Transfer administrative
data 15 Transfer patient data 19
Interacting with patients 12 Eurobarome
ter 2000
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Major challenges for wider implementation of EHR
systems
1. Organizational, cultural 2.
National/regional strategies 3. Industrial
issues 4. Legal - confidentiality and security
of data 5. Technological, Standardization 6.
User acceptance
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Distance Health Status Monitoring Support
PC Workstation
VIDEOTELEPHONY
Person weight, ECG, blood pressure, glucose,
sounds
Case Manager(general practitioner, specialist,
pharmacist, nurse)
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???????S F??????S ?ST????S

• ????? ?a???aß??a?, PhD
• ??ap????t?? ?a????t?? ?at????? ?????f??????

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???? ?st???a .. (s????e?a)

• SOAP
• Subjective complaints phrased by patient
• Objective findings of physicians/nurses
• Assessment test results/conclusions
• Plan medical plan (treatment/policy)
• St???? ?a??te?? ß?s? ??a t?? ?????? t??
  e?e??e??? t?? ?at???

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??s?d?? ded?µ???? st?? ??F?

• Natural language processing (NLP)
• NLP µp??e? ?a efa?µ?ste? se ?p????? e?e??e??
  ?e?µe??
• ?? ?e?µe?? µp??e? ?a ?ata??afe? µe s?st?µata
  a?a?????s?? f????
• ??e?a??µaste s??ta?t??? ?a? e??????????? ???s?
  ??a NLP

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?a??de??µa ??F? - ORCA

• Structured data entry
• Clinical narratives
• Administrative data
• Browsing capabilities
• Medication

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?? µ??t??? t?? I4C s?et??? µe t?? s????e?a st??
pa???? ?p??es??? ??e?a?
All health care levels have to communicate among
them
Actions and data can be produced in all health
care levels
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ORCA ??????t??? ded?µ??a
19
ORCA ??µ?µ??? e?s?d?? ded?µ????
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ORCA ??????? pe????af?
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ORCA ??s?d?? ded?µ???? se ??????? pe????af?
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ORCA - S??ta????af?a
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ORCA F??µe? ?p?st?????? d?????s??
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ORCA ?pt???p???s? ß??s?µ?t??
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ORCA ?pt???p???s? ß??e??????