Web based informatics system ,

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Web based informatics system ,
decision support in
medicine
Roxana Antohi 1, Cristina Ogescu 1, Daniel
Bistriceanu 1,Livia Stefan 2, Silviu Dumitru 2,
Mircea Onofriescu 3 ,Dragos Nemescu 3 1 -The
Company for Research, Development, Engineering
and Manufacturing for Automation Equipment an
Systems -IPA SA,169 Calea Floreasca street
Bucharest Romania 2 -Institute for Computers-
ITC SA, Bucharest Romania 3- University of
Medicine of Iassy Romania.
The project is financed by the CEEX - National
Program
Web based informatics
system decision support in medicine EMMIT
2007
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- Currently, in the Romanian Medical System, the
patient information is stored only as written
records.
- These records are kept in many places from the
family physician to the consulting physician and
in the hospital.
- The patient does not take these records with
him.
- The physician has access only to patient
records from hospital or from polyclinic.
Web based informatics
system decision support in medicine EMMIT
2007
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The Informatic System removes all this drawback
- The patient is able to see his complete record
with all registering (from Family physician, from
consulting physician and from hospital)
- The Physician can ask the patient to
present his record to understand the medical
history of the patient and so he is able to
determine quickly and correctly the diagnosis
of the patient
Web based informatics
system decision support in medicine EMMIT
2007
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2. General description of the Informatics System

• The Informatics System is implemented as a web
  portal application, supporting
• creation and management of the electronic patient
  records by hospitals and ambulatory healthcare
  providers
• visualization of the electronic patient records
  by the patient
• health statistics and medical research
• healthcare providers directory lists
• medical discussion forum for exchanging
  healthcare information among healthcare
  professionals
• assistance for system users.

For emergency situations the system is able to
provide and transmit the vital patient
information through a wireless communication
service respectively the blood group, the rhesus
factor, allergies, chronic diseases, health risks.
Web based informatics
system decision support in medicine EMMIT
2007
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The web portal application contains the following
functional modules/services - The
Authentication module - The Electronic
Patient Record Management module with three sub
modules -The Patient module - The
Physicians module with 2 submodules Hospital
Electronic Patient Record module and Primary
Care Electronic Patient module - Hospital
Emergency Room module. - The Health
resources module - The Medical statistics and
research module - The Emergency module -
The Forum module - The Help module
Web based informatics
system decision support in medicine EMMIT
2007
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3. Technical description of the Informatics
System
The Informatics System is developed under the
form of a WEB PORTAL which is able to record
groups of various information (administrative and
medical) and to allow the access of a large
number of users by means of their specific role
patients, hospital physicians, nurses, ambulatory
physicians, public health authorities, anonymous
users. The hardware architecture of the
Informatics System provides the support for all
the web portal modules and ensures the stability
of the main components the Database Server and
the Web Application Server.
The hardware specifications of the System refers
to high memory capacity, high processing
capabilities for the Database Server and the Web
Server. The Database Server is Oracle 10 g For
the application development we took the decision
to use PHP5 platform which integrates with Oracle
libraries (php_oci8.dll). The operating system
installed on the central server is Window 2003
Server, including IIS 6.0 web server.
Web based informatics
system decision support in medicine EMMIT
2007
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The hardware infrastructure of the
Multifunctional Platform
Web based informatics
system decision support in medicine EMMIT
2007
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3.1 Technical specifications of the application
program

• The technical specifications of the application
  were established by means of diagrams to point
  the main action for
• Authentication
• Security
• Data Saving and Retrieving.
• The diagnosis registered in the electronic
  patient medical record is compliant with
  ICD-10-AM (CIM the 10th OMS revision
  2/2001VOL1). The procedures for interventions in
  the health field are from ICD-10-AM (CIM 10AM)
  revision 3/2002 edited by The National Centre for
  Classification in Health Sydney, translated into
  Romanian.

Web based informatics
system decision support in medicine EMMIT
2007
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• The Informatics System web portal contains
  functional sections comprising a number of web
  pages for data viewing, recording or modifying.
  The main sections of the portal are accessible
  through the following menu items
• Patients
• Physicians
• Hospital Emergency Room
• Resources
• Statistics
• News
• Help.
• The "Emergency" module pages are designed for
  mobile devices and therefore is best viewed on
  such devices.

Web based informatics
system decision support in medicine EMMIT
2007
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The Informatics System web portal's URL is
www.rommed.ro/promed. A few screenshots are
shown below
Patient page
Web based informatics
system decision support in medicine EMMIT
2007
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The "Emergency Room" page
The "Physician" page
Web based informatics
system decision support in medicine EMMIT
2007
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HOME
Physicians
HELP
Emergency Room
Medical Patient Records
Resources
Statistics
Emergency (patient lists )
Patient details (administrative chronic
pathology allergies)
Patient details (administrative)
POLICLINIC (select policlinic)
FORUM
HOSPITAL (select hospital)
Rapports, Consultations policlinics
consultation, hospitalization
Usual Presentation
Usual hospitalization
Associate Patients
Consultations
The site map structure of the Informatics
System's portal
Web based informatics
system decision support in medicine EMMIT
2007
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• The portal will be accessed by four user
  categories
• Patients
• Medical personnel
• Health authorities
• Anonymous users.
• Each user from these categories will have
  distinct rights to access, view and modify
  various information from the database of the
  system

Web based informatics
system decision support in medicine EMMIT
2007
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4. Conclusions
The Informatics System represents an Internet
access point and a web healthcare information
system which provides various services for users
(authentication, authorization, data and
information management, reporting).
It will allow the interaction between the three
main actors in a health system

• the patients, who will actively track their own
  healthcare status and have an electronic patient
  record updated and available anytime and
  anywhere
• healthcare providers, who can find a patient and
  access its electronic patient record based on
  user access rights
• public health authorities, who will be able to
  view various reports about the population health
  status and to elaborate prevention and warning
  plans against diseases.

We consider that the healthcare System
informatics will eliminate many current problems
occuring in the national health system, ranging
from paper format healthcare records managing
problems to cooperation between healthcare
providers. The Informatics System will be tested
by physicians from two hospitals in Iassy and by
physicians from Bucharest, Romania.
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• Thank you

ITC SA
IPA SA
Roxana Antohi - roxanth_at_ipa.ro Cristina Ogescu -
cris_at_ipa.ro Daniel Bistriceanu -
dbistriceanu_at_ipa.ro
Livia Stefan - livias_at_itc.ro Silviu Dumitru -
sdumitru_at_itc.ro
UMF Iasi
Mircea Onofriescu - ono_at_mail.dnitis.ro Dragos
Nemescu - dnemescu_at_mail.dntis.ro
Web based informatics
system decision support in medicine EMMIT
2007