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Presentation on
        Industrial Visit
        Mini Project &
  Main Project-Thesis Phase 1

Presented By,
Dhanyaja N
M.Tech-CSE
Roll.No: 406005
Guide : Asst. Prof.Anju S.S
                                1
Overview-Work done
• Industrial Visit
        Location : Jubilee Mission Medical College & Research Centre
        Period : 22 December to 28 February
• Mini Project
        Preparation of As Is Document
        Preparation of To Be Document
        IEEE Technical Paper “Integration of ICU data into Electronic
          Medical Records- Issues and Solutions”
        Work on Android Applications – ongoing
• Main Project
        Problem identification – complete
        Literature Survey– partially complete
        Solution Strategy – partially complete
        Implementation - Pending

                                                                         2
Overview of Presentation
• Short description about the Industrial training in Jubilee
  Mission

• About Mini Project : ICU Automation for JMMC – “EMR-
  Method of Inputting in EMR:- In Doctor’s and Nurse
  Perspective”

• About our IEEE conference paper “Integration of ICU data
  into Electronic Medical Records- Issues and Solutions”

• Description about Main Project : Icon Based Text editor
  Inputting in ICUAS.                                          3
Introduction
• Healthcare industry is a wide and intensive form of services
  which are related to well being of human beings

• It is India's largest sectors in terms of revenue and employment
  and the sector is expanding rapidly

• Hospital sector which is the major component of the healthcare
  industry.




                                                                 4
Hospital and health care industry
                              Hospital




                   Doctor                Patient




• The major inputs of health care industries are as listed
  below:
      •   Hospitals
      •   Medical insurance
      •   Medical software
      •   Health equipment
                                                         5
Jubilee Mission

• Jubilee Mission Hospital -poor man’s hospital with its
  mission –”Service in love”

• JMMC has 35 departments running successfully in the 4
  blocks named
   •   Golden Jubilee Block
   •   Hridayalaya
   •   St. Thomas Block
   •   Medical College Block

                                                           6
Central Server




                 7
Server Connectivity


                             Central
                             Server
                    Hspt
      Block       lntranet




    ICU




    Ward




Nursing Station




                                       8
Biomedical Department
• As part of training familiarize with various
  health equipment
     Multipara Monitor -Schiller- TRUSCOPE mini
     Pulse oximeter - BPL-CLEO/ENDURA
     Ventilator-Taema
     Infusion pump-Terumo
     Clinical analyzer
Laboratory Equipment
     • UniCelDxI 600
     • UniCelDxC 860i
     • LH 750 analyzer etc.
                                                   9
Medical Software
• Medical software is designed for
  multispecialty hospitals, to cover a
  wide range of Hospital
  administration and management
  processes

• In JMMC entire hospital
  management software runs on
  software developed by MUZIRIS
  softech.


                                         10
Mini project
EMR-Method of Inputting in
EMR:- In Doctor’s and Nurse
        Perspective



                              11
PMR-Existing System
• PMR is the systematic
  documentation of a single
  patient's medical history and
  care across time within one
  particular    health     care
  provider's

• Is PMR system is efficient
  enough???


                                  12
EMR-Proposed System
• An electronic medical record is a
  digital version of a paper chart that
  contains all of a patient’s medical
  history from one practice

• The EMR can be accessed conveniently
  by appropriate health professionals to
  ensure ultimate maximum and optimal
  patient care.


                                           13
Input Method in EMR

                Keyboard




                            Icon based
  Voice Entry
                               Editor

                  EMR

                            Handwriting
   Camera
                            recognition
    Mode




                 Database




                                          14
Input Modules

• Different modules in input

      •   Admission
      •   Doctors order
      •   Medicine
      •   Nurse’s Record
      •   Intake and output chart
      •   TPR chart


                                    15
Designs-Temperature Measurement




                              16
Designs-Doctor’s Order




                         17
Design-Intake and output Chart




                                 18
Conclusion

• This implementation helps in easy inputting in Tablet based
  systems

• EMR system ensures some good features to health industry

   o Records accessible to many people at remote sites at the same
     time

   o Information retrieval is almost immediate

   o Customized views of information for specialists

                                                                     19
IEEE Conference Paper:
   Integration of ICU data into
Electronic Medical Records- Issues
           and Solutions


                               20
About the Conference

•   Paper Submitted on : February 12
•   Paper get accepted on : February 27
•   To be presented on : April 11 or 12
•   Venue : Kanyakumari
•   Category : Networks – e-health
•   Co-ordinator : Dr.George Varkey
•   Authors : Dhanyaja . N, Josmy T Jose,Asha Yeldose
•   Guide : Anju S.S


                                                        21
Abstract

• The Intensive Care Unit (ICU) is the arena in which many succeed and
  many others perish in the intense battle between life and death. The
  systematic documentation of all events here will be invaluable for research
  purposes. Traditionally these are written on case sheets and maintained in
  paper form in the Medical Records Department. The advent of electronic
  medical records (EMR) has not only changed the format of medical records
  but also increased accessibility of information contained in the repository,
  especially for research purposes. Unfortunately, in most implementations of
  Hospital Information Management System, many major pieces of
  information from the ICU fail to find a place in the EMR. Even in cases
  where the EMR has the fields corresponding to important information like
  exact time of delivery of medicines and food, notes by duty nurse, etc.,
  these information are either not entered or incorrectly entered.

                                                                            22
Main project –Thesis phase I
  Icon Based Text Editor for
  Entry of Nurse’s Record in
            ICU

                               23
Problem statement

• As a requirement analysis the proposed work will
  consider input from nurse’s record

• Extension of Mini Project

• Uses the UI and Use Case Diagrams created as part of
  Mini Project



                                                         24
Introduction-Tablet based system

• For Tablet PCs, text input using key-board and mouse is
  practically unviable

• To reduce this discomfort in inputting, developed an icon
  based text editor

• Using this icon based text editor, user construct the text
  by depressing appropriate icons


                                                               25
Brief Overview- iED

• Define a reasonable set of good icons and associate a
  sentence or phrase with it

• Pressing multiple icons will generate the edited message

• Number of keystrokes needed to create a note reduces by
  one order of magnitude



                                                             26
How to Implement???
• Analyse the nurses record

• Determine the common phrases

• Develop the good icons associate with the above

• Develop the message aggregator

• Develop the post editor

• Save and clean up

                                                    27
iED

• In icon based text editor mainly two phases

      • Set-up phase
      • Edit phase




                                                28
iED Structure




                29
iED Structure…
• Main packages are

      • iEd phrase generator

      • iEd Icon Editor

      • iEd Phrase editor

      • iEd Configurator

      • iEd Draft

      • iEd Fair

                                     30
Design-Screen of iED




                       31
Development Methodology




                          32
Testing strategy




                   33
Activity Chart




                 34
Extension and Future Work

• Expandable for different application

      • Assessment report entered by managers working under
        him
      • Sale deeds entered by document writers

• It will be modifiable according to user needs



                                                              35
Impact Analysis &Conclusion
• Idea is novel for an intensive care unit

• Once accepted will become the simplest form of message
  entry

• Easy to implement can be made quite artistic

• The system has been deployed as an Android application

• This idea is submitted as a project in seventh I²U Contest
                                                               36
37
38

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Icon Based text Editor

  • 1. Presentation on Industrial Visit Mini Project & Main Project-Thesis Phase 1 Presented By, Dhanyaja N M.Tech-CSE Roll.No: 406005 Guide : Asst. Prof.Anju S.S 1
  • 2. Overview-Work done • Industrial Visit  Location : Jubilee Mission Medical College & Research Centre  Period : 22 December to 28 February • Mini Project  Preparation of As Is Document  Preparation of To Be Document  IEEE Technical Paper “Integration of ICU data into Electronic Medical Records- Issues and Solutions”  Work on Android Applications – ongoing • Main Project  Problem identification – complete  Literature Survey– partially complete  Solution Strategy – partially complete  Implementation - Pending 2
  • 3. Overview of Presentation • Short description about the Industrial training in Jubilee Mission • About Mini Project : ICU Automation for JMMC – “EMR- Method of Inputting in EMR:- In Doctor’s and Nurse Perspective” • About our IEEE conference paper “Integration of ICU data into Electronic Medical Records- Issues and Solutions” • Description about Main Project : Icon Based Text editor Inputting in ICUAS. 3
  • 4. Introduction • Healthcare industry is a wide and intensive form of services which are related to well being of human beings • It is India's largest sectors in terms of revenue and employment and the sector is expanding rapidly • Hospital sector which is the major component of the healthcare industry. 4
  • 5. Hospital and health care industry Hospital Doctor Patient • The major inputs of health care industries are as listed below: • Hospitals • Medical insurance • Medical software • Health equipment 5
  • 6. Jubilee Mission • Jubilee Mission Hospital -poor man’s hospital with its mission –”Service in love” • JMMC has 35 departments running successfully in the 4 blocks named • Golden Jubilee Block • Hridayalaya • St. Thomas Block • Medical College Block 6
  • 8. Server Connectivity Central Server Hspt Block lntranet ICU Ward Nursing Station 8
  • 9. Biomedical Department • As part of training familiarize with various health equipment Multipara Monitor -Schiller- TRUSCOPE mini Pulse oximeter - BPL-CLEO/ENDURA Ventilator-Taema Infusion pump-Terumo Clinical analyzer Laboratory Equipment • UniCelDxI 600 • UniCelDxC 860i • LH 750 analyzer etc. 9
  • 10. Medical Software • Medical software is designed for multispecialty hospitals, to cover a wide range of Hospital administration and management processes • In JMMC entire hospital management software runs on software developed by MUZIRIS softech. 10
  • 11. Mini project EMR-Method of Inputting in EMR:- In Doctor’s and Nurse Perspective 11
  • 12. PMR-Existing System • PMR is the systematic documentation of a single patient's medical history and care across time within one particular health care provider's • Is PMR system is efficient enough??? 12
  • 13. EMR-Proposed System • An electronic medical record is a digital version of a paper chart that contains all of a patient’s medical history from one practice • The EMR can be accessed conveniently by appropriate health professionals to ensure ultimate maximum and optimal patient care. 13
  • 14. Input Method in EMR Keyboard Icon based Voice Entry Editor EMR Handwriting Camera recognition Mode Database 14
  • 15. Input Modules • Different modules in input • Admission • Doctors order • Medicine • Nurse’s Record • Intake and output chart • TPR chart 15
  • 19. Conclusion • This implementation helps in easy inputting in Tablet based systems • EMR system ensures some good features to health industry o Records accessible to many people at remote sites at the same time o Information retrieval is almost immediate o Customized views of information for specialists 19
  • 20. IEEE Conference Paper: Integration of ICU data into Electronic Medical Records- Issues and Solutions 20
  • 21. About the Conference • Paper Submitted on : February 12 • Paper get accepted on : February 27 • To be presented on : April 11 or 12 • Venue : Kanyakumari • Category : Networks – e-health • Co-ordinator : Dr.George Varkey • Authors : Dhanyaja . N, Josmy T Jose,Asha Yeldose • Guide : Anju S.S 21
  • 22. Abstract • The Intensive Care Unit (ICU) is the arena in which many succeed and many others perish in the intense battle between life and death. The systematic documentation of all events here will be invaluable for research purposes. Traditionally these are written on case sheets and maintained in paper form in the Medical Records Department. The advent of electronic medical records (EMR) has not only changed the format of medical records but also increased accessibility of information contained in the repository, especially for research purposes. Unfortunately, in most implementations of Hospital Information Management System, many major pieces of information from the ICU fail to find a place in the EMR. Even in cases where the EMR has the fields corresponding to important information like exact time of delivery of medicines and food, notes by duty nurse, etc., these information are either not entered or incorrectly entered. 22
  • 23. Main project –Thesis phase I Icon Based Text Editor for Entry of Nurse’s Record in ICU 23
  • 24. Problem statement • As a requirement analysis the proposed work will consider input from nurse’s record • Extension of Mini Project • Uses the UI and Use Case Diagrams created as part of Mini Project 24
  • 25. Introduction-Tablet based system • For Tablet PCs, text input using key-board and mouse is practically unviable • To reduce this discomfort in inputting, developed an icon based text editor • Using this icon based text editor, user construct the text by depressing appropriate icons 25
  • 26. Brief Overview- iED • Define a reasonable set of good icons and associate a sentence or phrase with it • Pressing multiple icons will generate the edited message • Number of keystrokes needed to create a note reduces by one order of magnitude 26
  • 27. How to Implement??? • Analyse the nurses record • Determine the common phrases • Develop the good icons associate with the above • Develop the message aggregator • Develop the post editor • Save and clean up 27
  • 28. iED • In icon based text editor mainly two phases • Set-up phase • Edit phase 28
  • 30. iED Structure… • Main packages are • iEd phrase generator • iEd Icon Editor • iEd Phrase editor • iEd Configurator • iEd Draft • iEd Fair 30
  • 35. Extension and Future Work • Expandable for different application • Assessment report entered by managers working under him • Sale deeds entered by document writers • It will be modifiable according to user needs 35
  • 36. Impact Analysis &Conclusion • Idea is novel for an intensive care unit • Once accepted will become the simplest form of message entry • Easy to implement can be made quite artistic • The system has been deployed as an Android application • This idea is submitted as a project in seventh I²U Contest 36
  • 37. 37
  • 38. 38