1
Victor Babes UNIVERSITY OF MEDICINE AND
PHARMACY TIMISOARA

• DEPARTMENT OF
• MEDICAL INFORMATICS AND BIOPHYSICS
• Medical Informatics Division
• www.medinfo.umft.ro/dim
• 2007 / 2008

2
HEALTH INFORMATICSMEDICAL INFORMATION SYSTEMS

• COURSE 13

3
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

4

• b. LOGISTIC SUPPORTT
• ADMINISTRATION
• ACCOUNTING
• c. SOCIAL CONTEXT FRAME
• MEDICAL DATA CENTRALISATION
• d. MEDICAL EDUCATION (CME)
• STAFF
• PATIENTS
• e. MEDICAL DOCUMENTATION
• f. MEDICAL RESEARCH

5

• 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

6
CYCLES OF MEDICAL INFORMATION FLOW
7
Allied Professionals in Healthcare
8

• 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

9
2. PRIMARY CARE INFORMATION SYSTEMS

• 2.1. ACTIVITIES
• PROFESSIONAL PRACTICE
• CONSULTATIONS, HOME VISITS,
• CHRONIC PACIENTS FOLLOW-UP
• EMERGENCIES
• MEDICAL DOCUMENTATION
• MANAGEMENT

10
MODULES - PRIMARY CARE

• Basic module
• Medical module
• Programming module
• Pharmacy module
• Financial module
• Communication module
• Future development

11
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)

12

• 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

13
2) MEDICAL MODULE

• CPR COMPUTER-BASED PATIENT RECORDEPR -
  ELECTRONIC PATIENT RECORDEHR - ELECTRONIC
  HEALTH RECORD

14

• 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

15
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, ICD9-10, ICPC, SNOMED

16
(No Transcript)
17

• 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)

18

• 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)

19
E N D