3. Definitions
Medical Information Science is the science of
using system-analytic tools to develop procedures
(algorithms) for management, process control,
decision making and scientific analysis of medical
knowledge
-Ted Shortliffe
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4. 4
Medical Informatics comprises the theoretical and
practical aspects of information processing and
communication, based on knowledge and
experience derived from processes in medicine and
health care
- Jan van Bemmel
5. Introduction
Medical informatics is the application of
computers-all fields of medicine
It is rapidly developing scientific field
It deals with resources, devices and formalized
methods
Branch of science-concerned with use of
computers and communication technology
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6. 6
Acquisition of data from patients
Processing and storage of data
Transformation of data
Information
7. History
Earliest use of computation for medicine - dental
projects
1950-United States National Bureau of Standards
by Robert Ledley
Mid 1950s -development of expert systems such
as MYCIN and INTERNIST-I
1965-National Library of Medicine - MEDLINE and
MEDLARS
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8. 8
In India-IAMI-Indian Association for Medical
Informatics
IAMI was registered in September 1993
Its Registered Office-Department of Clinical
Pharmacology, Nizam’s Institute of Medical
Sciences, in Hyderabad, India.
9. IAMI has conducted many beginner courses
In 2001, it started a discussion group for
Medical Informatics.
IAMI got its own web site in 2002.
Its Journal "Indian Journal of Medical
Informatics" was started in May 2004 .
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10. Health Informatics consists of
Information Technology
◦ Health care
◦ Research
◦ Education
Fundamentals
◦ Communication
◦ Knowledge Management
◦ Decision support
◦ Clinical Information Management
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11. Uses of Medical Informatics
Communication
◦ Telemedicine
◦ Tele-radiology
◦ Patient e-mail
◦ Presentations
Knowledge management
◦ Journals
◦ Consumer Health information
◦ Evidence-based medical information
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12. Decision Support
◦ Reminder systems
◦ Diagnostic Expert Systems
◦ Drug Interaction
Information Management
◦ Electronic Medical Records
◦ Billing transactions
◦ Ordering Systems
12
13. Computer makes the Diagnostic-Therapeutic Cycle,
Simplified
Patient
Data collection:
-History
-Physical examinations
-Laboratory and other tests
Decision
making
Planning
Information
Diagnosis/assessment
Theraphyia
n
Data
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14. Examples of Medical Informatics
Areas
Hospital information systems
◦ Electronic medical records & medical
vocabularies
◦ laboratory information systems
◦ pharmaceutical information systems
◦ radiological (imaging) information systems
◦ Patient monitoring systems
Clinical decision-support systems
◦ Diagnosis/interpretation
◦ Therapy/management
14
19. References
AFMC textbook of public health and community
medicine
Indian Association for Medical Informatics-article
(://en.wikipedia.org/wiki/IndianAssociationforMedicalI
nformatics)
19
Representation and Computation on Medical and Health Care Information
1)Medical informatics is the application of computers, communications and information technology and systems to all fields of medicine – medical care, medical education and medical research
2)Medical informatics is the rapidly developing scientific field that deals with resources, devices and formalized methods for optimizing the storage, retrieval and management of biomedical information for problem solving and decision making.
3)It is the branch of science concerned with the use of computers and communication technology to acquire,store, analyze, communicate and display medical information and knowledge to facilitate understanding and improve the accuracy, timeliness and reliability of decision-making.
It deals with the acquisition of data from patients, processing and storage of data in computers and the transformation from data into information data. Some topics pertain to methodological aspects of medical informatics and others are intended to be used for more advanced or specialised education. They contain the methodology for information systems and their processing.
The earliest use of computation for medicine was for dental projects in the 1950s at the United States National Bureau of Standards by Robert Ledley. The next step in the mid 1950s were the development of expert systems such as MYCIN and INTERNIST-I. In 1965, the National Library of Medicine started to use MEDLINE and MEDLARS. MUMPS (Massachusetts General Hospital Utility Multi-Programming System) was developed at Massachusetts General Hospital in Boston.
2) Mycin (1970): Ph.D. thesis by Ted Shortliffe,MD evaluating a software program which ‘suggested’ antibiotic choices based on clinical information
IAMI was registered in September 1993 with its Registered Office being the Department of Clinical Pharmacology, Nizam’s Institute of Medical Sciences , in Hyderabad, India.
It has been organising a conference every two years on roles and applications of informatics in medicine, health and allied fields in various states of India
The first biennial conference was held in 1995 at Hyderabad 2nd one IISC banglore,
IAMI has conducted many beginners’ courses for doctors, nurses, paramedical personnel and computer professional class. This enabled the association in enrolling many hospitals
In 2001, it started a discussion group for Medical Informatics. Which has now grown as the de facto information source for medical informatics related activities in India both for its members as well as non-members.
time-The lack of time is at the top of their list as the obstacle most often mentioned. This includes time to plan, collaborate with peers,prepare lessons and materials, explore, practice and evaluate, as well as develop, maintain and expand skills
2) Expertise-Expertise is another potential barrier to technology integration. Technology training for teachers must be available. Effective technology training
must be hands-on, systematic and ongoing. Additionally, a variety of models and approaches should be available to accommodate different needs, schedules and learning styles
3)Access-Teachers must have uninterrupted, on-demand access to the technologies they intend to use, both while inside and outside of the classroom. Hardware and software availability is a potential barrier.
4) resources-This includes resources to purchase, maintain and upgrade hardware and software; to provide training and support; and for auxiliary costs, such as coordinating technology access and continuing costs, such as purchasing printer ink. They also note a relationship where time, expertise and access are dependent on resources.
5)support-Support is their fifth barrier category, both administrative and technical. Administrative leadership and support may be the most critical factor. In addition to providing the needed financial resources, the administration can set expectations, develop a vision and plan for technology integration and
provide incentives and encouragement. Technical support not only includes the personnel for maintaining the technology, but it also includes personnel who are knowledgeable about pedagogical issues, such as appropriate instructional methods or media.