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Victor Babes UNIVERSITY OF MEDICINE AND
PHARMACY TIMISOARA

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

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HEALTH INFORMATICSMEDICAL INFORMATION SYSTEMS
(II)

• COURSE 14

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3. CLINICAL INFORMATION SYSTEMS

• 3.1 STRUCTURE OF CLINICAL SPECIALISED HEALTHCARE
• CLINICAL DEPARTAMENTS
• INTERNAL MEDICINE ( )
• SURGERY ( )
• PEDIATRICS ()
• MONITORING ()
• PSYCHIATRY
• NEUROLOGY

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• PARACLINICAL DEPARTAMENTS AND SERVICES
• RADIOLOGY AND IMAGING ()
• NUCLEAR MEDICINE
• FUNCTIONAL INVESTIGATIONS ()
• CLINICAL LABORATORY
• ENDOSCOPY
• PATHOLOGY
• THERAPY ()
• PHARMACY

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3.2. GENERAL OBJECTIVES

• a. MANAGERIAL - ADMINISTRATIVE
• healthcare and interventions planning
• b. PATIENT DATA
• data acquisition, storing and retrieval
  (anamnesis, laboratory, images, biosignals)
• data verification and coding
• data processing
• integrated (multimedia) presentation

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• c) DECISION
• diagnosis and therapy assistance
• intervention simulation on models
• advice for patients
• d) MONITORING
• therapy follow-up
• intensive care monitoring

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• e) REPORTS
• data centralization
• statistical analysis
• report generating
• f) ASSESSMENT
• disease evolution follow-up
• (chronic, congenital etc)
• healthcare quality assessment
• (for planning, research etc)

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3.3. SPECIFIC OBJECTIVES IN CLINICAL AND
PARACLINICAL DEPARTAMENTS

• a) INTERNAL MEDICINE
• CARDIOLOGY (accurate investigations, num. data)
• METABOLICAL DISEASES (follow-up, patient
  education, diabcard)
• HAEMATOLOGY (haemophilia registers)
• NEPHROLOGY (transplant planning, dialysis
  monitoring)
• GASTROENTEROLOGY
• ENDOCRINOLOGY

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Health Card- smart card chip 32 k-
magnetic card - laser card combined identity
and health card
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• b) SURGERY
• OPERATION PLANNING
• SURGICAL INTERVENTIONS PREPARETION AND CONTROL
• SIMULATIONS (virtual reality)
• MONITORING, ANESTESY
• c) PEDIATRICS
• PREMATURES FOLLOW-UP
• CONGENITAL DISEASES
• OTHER similar to internal medicine and surgery

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• VIRTUAL REALITY
• Imersion
• Interactivity
• TELEMEDICINE
• Tele-consultation
• Video presentation
• Medical consultation
• Tele-surgery
• Surgical robots

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• d) OBSTETRICS
• PREGNANCY FOLLOW-UP
• PATIENT EDUCATION
• e) PSYCHIATRY
• LARGE VARIABILITY IN DIAGNOSIS
• f) MONITORING
• CORONARY UNITS
• INTENSIVE CARE, REANIMATION
• PRE/POSTOPERATORY MONITORING
• PERINATAL NURSING
• ORGAN BANKS, TRANSPLANT

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• g) FUNCTIONAL INVESTIGATION
• RESPIRATORY TESTS
• ECG, EEG, EMG etc
• EXERCISE
• h) RADIOLOGY
• RADIOGRAPHY, RADIOSCOPY
• CT (computer-tomography)
• NMR (nuclear magnetic resonance), PET
• ECHOGRAPHY
• i) PATHOLOGY
• j) CLINICAL LABORATORY

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• PHARMACY
• MEDICATION RECORDS
• RECEIT VERIFICATION
• PROVIDING INFORMATION FOR
• DOCTORS, NURSES
• CENTRAL LEVEL
• PROVISIONING
• STOCK RECORDS, VALIDITY
• PREPARATION
• SUPPLIERS

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4. HOSPITAL INFORMATION SYSTEM (HIS)

• 4.1. DATA TYPES
• PATIENT or HOSPITAL oriented
• 4.2. H.I.S. CONCEPT
• a) SCOPE computer use for information
  collecting, storing and processing for patient
  care and management in all hospital activities
  and for functional requirements.
• b) COMPONENTS
• 1. DATA BASE
• 2. APPLICATIONS (programs)
• 3. COMMUNICATION LAYER
• 4. WORKING TERMINALS

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• 4.3. HIS ARCHITECTURE
• a) TYPES
• MONOLITIC SYSTEMS
• EVOLUTIVE SYSTEMS
• DISTRIBUTED SYSTEMS
• b) STRUCTURE
• SCHEME 1
• 4.4. INTEGRATED SYSTEM
• SCHEME 2
• 4.5. Examples of H.I.S.
• HISCOM (The Netherlands)
• DIOGENE (Switzerland)

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INTEGRATED H.I.S.
Internet, Email Connections
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• 4.6. ACCESIBILITY AND PROTECTION
• 4.7. MANAGEMENT
• 4.8. RESEARCH
• 4.9. FUTURE DEVELOPMENT TRENDS

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5. CENTRAL LEVEL HEALTH INFORMATION SYSTEMS

• 5.1. DEPARTMENTAL HEALTHCARE OFFICES
• 5.2. MINISTERIAL LEVEL
• HEALTHCARE MINISTERY
• OTHER MINISTERIES, CENTRAL INSTITUTIONS
• 5.3. INTERNATIONAL LEVEL COMPATIBILITY

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• 6. STANDARDISATION
• standard attributes
• 7. DATA PROTECTION
• a) CONFIDENTIALITY - limited, leveled
  accessibility
• b) PROTECTION - against accidental deterioration
  / access / loss
• c) SECURITY - intended d/a
• 8. RESPONSIBILITIES
• ethical and legal aspects in medical informatics

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We wish you a successful exam session!

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