Fhir education in India through the pandemic

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Presentation made during HL7 Workgroup meeting May 2021 on topic : FHIR Education Around the World. This slide talks about FHIR Training scenario before Covid and post Covid.

Healthcare

FHIR EDUCATION AROUND THE WORLD
India
24-May-2021
Presentation by Kumar Satyam

About Me
Kumar Satyam
• Chair Technical Committee @ HL7 India
• Member Education Advisory Committee @ HL7 International
• Senior Architect – Interoperability @ Philips India
• Mail:- tc@hl7india.org
• LinkedIn :- https://www.linkedin.com/in/kumarsatyam/
• Twitter:- https://twitter.com/kr_satyam
24-May-2021
Presentation by Kumar Satyam

FHIR Distribution Map 2020
24-May-2021
Presentation by Kumar Satyam
http://www.healthintersections.com.au/?p=3046

2019 BC
• Preferred training mode In-Person.
• A few had move to Virtual/Digital.
• Interpersonal touch.
• Offline chats/dinner with trainers.
• Bonding.
• In – Control.
• Typical full day sessions
24-May-2021
Presentation by Kumar Satyam

2019 BC
24-May-2021
Presentation by Kumar Satyam

2020 - Disruption
•No Travel, Offline ruled out.
•Orders cancelled or put on hold.
•Business impacted.
24-May-2021
Presentation by Kumar Satyam

2020 - Adaptation
•Transition to Online.
•Customers Skeptical
•Hunt for Tools
•Investment ( Time + money )
•Revamp course delivery.
• Innovation
• Maturity and continuous improvement
24-May-2021
Presentation by Kumar Satyam

2020 – Highlights
•300+ participants trained on FHIR
•1000+ strong community
•8 community events in 2020
•~100 FHIR certifications
•1st FHIR India Connectathon
24-May-2021
Presentation by Kumar Satyam

24-May-2021
Presentation by Kumar Satyam
FHIR India Connectathon – July 2020
• Pre-Connectathon – Started from 30 May, 2020 -2nd July 2020
• Connectathon – 3rd to 5th July 2020
Key Highlights
A Teleconsultation platform on FHIR exchange. Read the
whitepaper & Grahame’s blog
Brought together Indian Industry, academia, govt.
institutions and global FHIR community.
Provided FHIR Immersion to 100+ Healthcare veterans.
Draft Profiles based in NDHM – published for review and
adoption
Blockchain based Connectathon participation certificates.

Online mode
24-May-2021
Presentation by Kumar Satyam
http://clipart-library.com/

Beyond Pandemic
•Online to Stay
•Preference to Offline , in person trainings.
•Hybrid mode may evolve.
•Engaging multi-media rich content.
24-May-2021
Presentation by Kumar Satyam

Questions ?
24-May-2021
Presentation by Kumar Satyam
http://clipart-library.com/question-face-cliparts.html

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The connection between genetics and kidney disease lies in the role of inherited genetic factors that can increase the risk of developing various kidney diseases. Certain kidney diseases, such as Polycystic Kidney Disease (PKD) and Alport Syndrome, have a clear genetic component where mutations in specific genes contribute to the development of these conditions. Understanding these genetic basis is vital for assessing the risk of kidney disease in individuals with family history and for advancing personalized medicine approaches in prevention, diagnosis and treatment. Genetic testing plays a significant role in identifying these predispositions and guiding healthcare strategies.

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LFT stands for liver function test, which is a blood test that measures the levels of proteins and enzymes in the blood to provide information about the state of the liver. LFTs are also known as hepatic panels. LFT stands for liver function test, which is a blood test that measures the levels of proteins and enzymes in the blood to provide information about the state of the liver. LFTs are also known as hepatic panels. Contents Overview Test Details Results and Follow-Up Contents Overview Test Details Results and Follow-Up Overview What are liver function tests? Liver function tests are blood tests that measure different substances produced by your liver. These measurements give your healthcare provider important information about the overall health of your liver and how well it’s working. A liver panel will often measure several substances in one blood sample. It may include various enzymes, proteins and byproducts. What are the five primary liver function tests? The most common liver tests include: Liver enzymes test. Your liver enzymes include alkaline phosphatase (ALP), alanine transaminase (ALT), aspartate aminotransferase (AST) and gamma-glutamyl transferase (GGT). These are elevated when there’s liver injury. Total protein test.A total protein test measures levels of protein in your blood. Your liver makes protein, and low protein levels may indicate that your liver isn’t functioning optimally. Bilirubin test. Bilirubin is a waste product that your liver deposits in bile. LDH test. Lactate dehydrogenase (LDH) is an enzyme found in many of your body’s tissues, including your liver. Prothrombin Time (PT) test. This test measures how long it takes for a sample of your blood to clot, a process that involves proteins that your liver produces. These tests are all part of a routine blood panel called a comprehensive metabolic panel. When are tests done to check liver function? Your healthcare provider might want to check these values to screen you for possible hepatitis or other liver diseases. If they already know that you have liver disease, they might want to check how it’s progressing or whether a treatment is working. You may also have a liver test to monitor the side effects of certain medications that are known to affect your liver. What kinds of things can a liver panel tell you? Different values and ratios of different substances may tell your healthcare provider: If you have liver inflammation (hepatitis). Whether the inflammation is alcohol-related or nonalcoholic (metabolic). Whether you have a problem in your liver itself or in your bile ducts. If your liver function is impaired, and if so, how much. If your bile flow is impaired, and if so, how much. Whether your medications are affecting your liver, and if so, how much. Test Details How do liver function tests work? A healthcare provider draws a small amount of blood from a vein in your arm to test in the lab. They’ll look for abnormally high or low levels of different subs

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Catheterization of the bladder involves introducing a latex or plastic tube through the urethra and into the bladder. The catheter provides a continuous flow of urine in patients unable to control micturition or those with obstructions. It also provides a means of assessing urine output in hemodynamically unstable patients. Because bladder catheterization carries the risk of UTI, blockage, and trauma to the urethra, it is preferable to rely on other measures for either specimen collection or management of incontinence. Types of Catheterization. Intermittent and indwelling retention catheterizations are the two forms of catheter insertion INTERMITTENT CATHETERIZATION introduce a straight single-use catheter long enough to drain the bladder (5 to 10 minutes When the bladder is empty, you immediately withdraw the catheter. COMPLICATION- increases risk of trauma and infection. INDICATION- It is common for people with spinal cord injury or other neurological problems such as multiple sclerosis to perform self– intermittent catheterization up to every 4 hours daily for months or years. UTI rate is lower than for patients with long-term indwelling catheters. INDWELLING CATHETERIZATION- remains in place for a longer period, until a patient is able to void voluntarily or continuous accurate urine measurements are no longer needed The straight single-use catheter has a single lumen with a small opening about 1.3 cm ( 1 2 inch) from the tip. . Urine drains from the tip, through the lumen, and to a receptacle. An indwelling Foley catheter has a small inflatable balloon that encircles the catheter just above the tip. When inflated the balloon rests against the bladder outlet to anchor the catheter in place. The indwelling retention catheter often has two or three lumens within the body of the catheter . One lumen drains urine through the catheter to a collecting tube. A second lumen carries sterile water to and from the balloon when it is inflated or deflated. A third (optional) lumen is sometimes used to instill fluids or medications into the bladder. It is easy to determine the number of lumens by the number of drainage and injection ports at the end of the catheter A second type of intermittent catheter has a curved tip A Coudé catheter is used on male patients who may have enlarged prostates that partly obstruct the urethra. It is less traumatic during insertion because it is stiffer and easier to control than the straight-tip catheter Plastic catheters are suitable only for intermittent use because of their inflexibility Latex catheters are recommended for use up to 3 weeks. Be aware of allergies. Pure silicon or Teflon catheters are best suited for long-term use (2 to 3 months) because of less encrustation at the urethral meatus Balloon sizes range from 3 mL (pediatric) to large postoperative volumes (75 mL). In adults the 5-mL and 30-mL sizes are the most common: The 5-mL size allows for optimal drainage, whereas the 30-mL size is used after pros

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Fhir education in India through the pandemic

1. FHIR EDUCATION AROUND THE WORLD India 24-May-2021 Presentation by Kumar Satyam

2. About Me Kumar Satyam • Chair Technical Committee @ HL7 India • Member Education Advisory Committee @ HL7 International • Senior Architect – Interoperability @ Philips India • Mail:- tc@hl7india.org • LinkedIn :- https://www.linkedin.com/in/kumarsatyam/ • Twitter:- https://twitter.com/kr_satyam 24-May-2021 Presentation by Kumar Satyam

3. FHIR Distribution Map 2020 24-May-2021 Presentation by Kumar Satyam http://www.healthintersections.com.au/?p=3046

4. 2019 BC • Preferred training mode In-Person. • A few had move to Virtual/Digital. • Interpersonal touch. • Offline chats/dinner with trainers. • Bonding. • In – Control. • Typical full day sessions 24-May-2021 Presentation by Kumar Satyam

5. 2019 BC 24-May-2021 Presentation by Kumar Satyam

6. 2020 - Disruption •No Travel, Offline ruled out. •Orders cancelled or put on hold. •Business impacted. 24-May-2021 Presentation by Kumar Satyam

7. 2020 - Adaptation •Transition to Online. •Customers Skeptical •Hunt for Tools •Investment ( Time + money ) •Revamp course delivery. • Innovation • Maturity and continuous improvement 24-May-2021 Presentation by Kumar Satyam

8. 2020 – Highlights •300+ participants trained on FHIR •1000+ strong community •8 community events in 2020 •~100 FHIR certifications •1st FHIR India Connectathon 24-May-2021 Presentation by Kumar Satyam

9. 24-May-2021 Presentation by Kumar Satyam FHIR India Connectathon – July 2020 • Pre-Connectathon – Started from 30 May, 2020 -2nd July 2020 • Connectathon – 3rd to 5th July 2020 Key Highlights A Teleconsultation platform on FHIR exchange. Read the whitepaper & Grahame’s blog Brought together Indian Industry, academia, govt. institutions and global FHIR community. Provided FHIR Immersion to 100+ Healthcare veterans. Draft Profiles based in NDHM – published for review and adoption Blockchain based Connectathon participation certificates.

10. Online mode 24-May-2021 Presentation by Kumar Satyam http://clipart-library.com/

11. Beyond Pandemic •Online to Stay •Preference to Offline , in person trainings. •Hybrid mode may evolve. •Engaging multi-media rich content. 24-May-2021 Presentation by Kumar Satyam

12. Questions ? 24-May-2021 Presentation by Kumar Satyam http://clipart-library.com/question-face-cliparts.html

Fhir education in India through the pandemic

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