The document provides an overview of the Estonian Health Information System and Health and Welfare Information Systems Centre. It discusses HWISC's responsibilities in developing information systems and ensuring information security. It also outlines some of the main eHealth services in Estonia like the electronic health record, e-prescription, and digital imaging. The document highlights how Estonia's eHealth system copies the model of its e-government system in using the X-Road secure communication network and ID cards for authentication.
CARESOFT an Information technology company offering Computer software, IT services and IT consulting to our clients worldwide.
Health Industry being our prime domain CARESOFT provides Intelligent Healthcare Solutions to healthcare Verticals such as Hospitals, Specialty Clinics, Nursing Homes , Diagnostic Centers and Research Care Institutes among others.
We have 8 + years of domain expertise in healthcare processes & software systems and a huge satisfied client base of 300 + Healthcare organizations who have benefited from our solutions.
An exclusive presentation by Mr. Imam Hoque, General Manager, Advanced Analytics BU, Advanced Analytics Sales - EMEA AP BU, SAS Software Ltd (United Kingdom)on ‘Maximising The Value of Analytics in Tax Compliance’ The presentation was made at Government Analytics & Information Summit 2013.
CARESOFT an Information technology company offering Computer software, IT services and IT consulting to our clients worldwide.
Health Industry being our prime domain CARESOFT provides Intelligent Healthcare Solutions to healthcare Verticals such as Hospitals, Specialty Clinics, Nursing Homes , Diagnostic Centers and Research Care Institutes among others.
We have 8 + years of domain expertise in healthcare processes & software systems and a huge satisfied client base of 300 + Healthcare organizations who have benefited from our solutions.
An exclusive presentation by Mr. Imam Hoque, General Manager, Advanced Analytics BU, Advanced Analytics Sales - EMEA AP BU, SAS Software Ltd (United Kingdom)on ‘Maximising The Value of Analytics in Tax Compliance’ The presentation was made at Government Analytics & Information Summit 2013.
Uncovering the impact of incorrectly designed equipotential equalisation systems.
Typically in network installations such as PROFIBUS, a functional earth facility is provided by a direct connection to the protective earth of the installation and is not evaluated separately. Appropriate standards and guidelines such as EN 60204, DIN EN 50310 and VDE 0100-444 describe the goals of a functional earth system yet problems still arise.
Using practical examples, this workshop will uncover the impact of incorrectly designed equipotential equalisation systems and will also demonstrate how to evaluate the level of interference within the potential equalisation system.
In this full-day tutorial, you will learn basic overview of electronic medical records systems, health data management and how you can use the OpenMRS system for data and information management. We will cover basics of installation, user management, location management, patient dashboards and some interesting features that are provided by different modules. You can see how OpenMRS can be customized with different modules that are suitable for different contexts. This tutorial is helpful for new users and developers who would like to know the features of OpenMRS. Individuals who would like to evaluate and try to see if OpenMRS fits their healthcare needs will also benefit from this tutorial.
Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 2, 2019
The potential of a digital health ecosystemVelametis
Our idea of digital health ecosystems and their potential to deliver value to all stakeholders involved, is changing. The COVID-19 pandemic accelerated the need to improve remote care, engagement tools and interconnectivity, which are all necessary to support a functioning digital ecosystem.
In this opinion piece, we touch upon the basic components of a Digital Health Ecosystem and how it can be optimised with health technology.
Content overview:
What is a Digital Health Ecosystem?
Why Do We Need Digital Health Ecosystems?
The Pros and Cons
The Potential
Digital Health Ecosystems to Watch
Download here:
https://velametis.com/the-potential-of-a-digital-health-ecosystem/
Life Sciences Commercial Services | Accentureaccenture
Accenture Life Sciences commercial services bring insights, design thinking and human ingenuity together to reimagine your customer experiences and commercial growth. Visit https://accntu.re/2me47gO to learn more.
Scaling Digital Health Information Systems: Reviewing Lessons and Looking int...MEASURE Evaluation
Presented at a February 2019 webinar. Access additional webinar resources at https://www.measureevaluation.org/resources/webinars/scaling-digital-systems-lessons-from-measure-evaluation2019s-digital-health-information-systems-strengthening
The Three Essential Responsibilities of a Nurse InformaticistHealth Catalyst
With data driving decisions at every level of a health system, healthcare organizations must have data experts who can understand and communicate the technological processes and the reasons behind them to clinical staff. Nurse informaticists bridge the gap between data and nursing practice by combining clinical experience and data expertise. They fulfill three pivotal responsibilities:
Understand and communicate the “why” behind new processes.
Implement new processes.
Validate data quality.
With a nurse informaticist guiding data-driven processes, educating nurses, and validating data quality, health systems advance data beyond the data platform so it reaches the nursing workforce to inform decisions at the frontlines of healthcare delivery.
Hi! Take a look at this article with a list of health informatics capstone project ideas. https://www.capstoneproject.net/choosing-a-great-topic-for-your-healthcare-informatics-capstone-project/
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
This PPT explains about how Singapore is using IT in healthcare, Integrated Health Information Systems, Singapore's Shifting Demographics and 2020 Master Plan. For more information visit: http://www.transformhealth-it.org/
TechTalks | Digital Transformation in Healthcare: Opportunities and Trendsrmcsoft
Of all the industries out there, healthcare has perhaps the most to gain from digital transformation. Technology can decrease wait times, reduce medical errors and increase collaboration across providers — all of which helps people find their way to better health and healthcare businesses achieve a better bottom line.
The problem is, healthcare has struggled more than pretty much any other industry out there to keep up with the times. Why is that? How do we buck the trend and begin to embrace the tremendous opportunity of digital transformation in healthcare? And who out there is already doing it really, really well?
RMCSoft and Advent Coworking brought together a panel of experts to dig into all of that at their TechTalks event on Tuesday, Jan. 22.
This fascinating conversation highlighted not only the challenges facing health care in the digital age, but also ideas and vision for a path forward.
About TechTalks: TechTalks series is a chance for you to improve your knowledge regarding new technology and technology-related issues. Brought by RMCSoft and Advent Coworking, TechTalks target tech startups as well as all other companies utilizing software & digital products in their day-to-day operations.
We cover a wide variety of tech-related topics, offer valuable insights on the best practices, discuss the most common issues, review the tech trends and provide plenty of opportunities to enhance your tech knowledge.
For more information, please write back to us at info@rmcsoft.com
Digital Health Market has exploded in the last few years. Will that continue? What are the main areas of growth in digital days and what the future will bring us.
Uncovering the impact of incorrectly designed equipotential equalisation systems.
Typically in network installations such as PROFIBUS, a functional earth facility is provided by a direct connection to the protective earth of the installation and is not evaluated separately. Appropriate standards and guidelines such as EN 60204, DIN EN 50310 and VDE 0100-444 describe the goals of a functional earth system yet problems still arise.
Using practical examples, this workshop will uncover the impact of incorrectly designed equipotential equalisation systems and will also demonstrate how to evaluate the level of interference within the potential equalisation system.
In this full-day tutorial, you will learn basic overview of electronic medical records systems, health data management and how you can use the OpenMRS system for data and information management. We will cover basics of installation, user management, location management, patient dashboards and some interesting features that are provided by different modules. You can see how OpenMRS can be customized with different modules that are suitable for different contexts. This tutorial is helpful for new users and developers who would like to know the features of OpenMRS. Individuals who would like to evaluate and try to see if OpenMRS fits their healthcare needs will also benefit from this tutorial.
Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 2, 2019
The potential of a digital health ecosystemVelametis
Our idea of digital health ecosystems and their potential to deliver value to all stakeholders involved, is changing. The COVID-19 pandemic accelerated the need to improve remote care, engagement tools and interconnectivity, which are all necessary to support a functioning digital ecosystem.
In this opinion piece, we touch upon the basic components of a Digital Health Ecosystem and how it can be optimised with health technology.
Content overview:
What is a Digital Health Ecosystem?
Why Do We Need Digital Health Ecosystems?
The Pros and Cons
The Potential
Digital Health Ecosystems to Watch
Download here:
https://velametis.com/the-potential-of-a-digital-health-ecosystem/
Life Sciences Commercial Services | Accentureaccenture
Accenture Life Sciences commercial services bring insights, design thinking and human ingenuity together to reimagine your customer experiences and commercial growth. Visit https://accntu.re/2me47gO to learn more.
Scaling Digital Health Information Systems: Reviewing Lessons and Looking int...MEASURE Evaluation
Presented at a February 2019 webinar. Access additional webinar resources at https://www.measureevaluation.org/resources/webinars/scaling-digital-systems-lessons-from-measure-evaluation2019s-digital-health-information-systems-strengthening
The Three Essential Responsibilities of a Nurse InformaticistHealth Catalyst
With data driving decisions at every level of a health system, healthcare organizations must have data experts who can understand and communicate the technological processes and the reasons behind them to clinical staff. Nurse informaticists bridge the gap between data and nursing practice by combining clinical experience and data expertise. They fulfill three pivotal responsibilities:
Understand and communicate the “why” behind new processes.
Implement new processes.
Validate data quality.
With a nurse informaticist guiding data-driven processes, educating nurses, and validating data quality, health systems advance data beyond the data platform so it reaches the nursing workforce to inform decisions at the frontlines of healthcare delivery.
Hi! Take a look at this article with a list of health informatics capstone project ideas. https://www.capstoneproject.net/choosing-a-great-topic-for-your-healthcare-informatics-capstone-project/
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
This PPT explains about how Singapore is using IT in healthcare, Integrated Health Information Systems, Singapore's Shifting Demographics and 2020 Master Plan. For more information visit: http://www.transformhealth-it.org/
TechTalks | Digital Transformation in Healthcare: Opportunities and Trendsrmcsoft
Of all the industries out there, healthcare has perhaps the most to gain from digital transformation. Technology can decrease wait times, reduce medical errors and increase collaboration across providers — all of which helps people find their way to better health and healthcare businesses achieve a better bottom line.
The problem is, healthcare has struggled more than pretty much any other industry out there to keep up with the times. Why is that? How do we buck the trend and begin to embrace the tremendous opportunity of digital transformation in healthcare? And who out there is already doing it really, really well?
RMCSoft and Advent Coworking brought together a panel of experts to dig into all of that at their TechTalks event on Tuesday, Jan. 22.
This fascinating conversation highlighted not only the challenges facing health care in the digital age, but also ideas and vision for a path forward.
About TechTalks: TechTalks series is a chance for you to improve your knowledge regarding new technology and technology-related issues. Brought by RMCSoft and Advent Coworking, TechTalks target tech startups as well as all other companies utilizing software & digital products in their day-to-day operations.
We cover a wide variety of tech-related topics, offer valuable insights on the best practices, discuss the most common issues, review the tech trends and provide plenty of opportunities to enhance your tech knowledge.
For more information, please write back to us at info@rmcsoft.com
Digital Health Market has exploded in the last few years. Will that continue? What are the main areas of growth in digital days and what the future will bring us.
Health & Social Care Event in Scotland bringing world-leading digital health experts and technologists from Scotland, Estonia and Finland as they gather for FutureScot's Health & Social Care 2017 - a one-day conference focusing on how advances in digital technology can help deliver better outcomes for adults and children as we chart our own course towards health and social care integration in Scotland. Join the conversation: #HSCSCOT
eHealth Summit: "Case Study: How Finland became a leader in eHealth adoption"...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Maritta Korhonen, head of development, Ministry of Social Affairs and Health, Finland.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
Digital Health in Context - Insights from Denmark, USA, China, South Korea an...Till Winkler
Slides from the workshops on Digital Health in Context at Copenhagen Business School (CBS) June 28, and the Hamburg Center of Health Economics (CHE) July 4, 2018.
Governmental and private eHealth and telemedicine initiatives in LithuaniaCARRE project
R. Kizlaitis, Governmental and private eHealth and telemedicine initiatives in Lithuania, East Europe eHealth Innovation Summit, Warsaw, 15 January 2015
Eu presidency estonia_for_dh _ MEDxCare for EU Digital Health SocietyMEDx eHealthCenter
We are also involved at the EU level in digital health and this through the digital health society driven by the determined Estonia Startup Like Ran country……..
National Kanta Services Support Clinical Work in FinlandTHL
National Kanta Services Support Clinical Work in Finland. Vesa Jormanainen, Finnish Institute for Health and Welfare Webinar on Kanta Services
30 October 2019
How Sweden improved patient self service with ehealthJohan Eltes
Since 2006, a national Health Advice Line – 1177 - has been Swedish residents first point of contact with healthcare. In 2006, a national patient portal was set up to facilitate form based, secure information exchange between patients and Swedish care providers. The next step was to introduce fully digitalized self-service e-services. These services offload health care personnel from manual registration tasks and improves the service to the patients. As an example, 1177 provides a national e-service for online appointment management with primary care providers across the country. Another e-service of the national patient portal provides online access to electronic health records from the majority of the EHR systems of Sweden’s 21 county councils and 300 municipalities. The appointment e-service has had a linear increase in patient transactions, starting at 25 000 per year with a current rate of 1,2 million per year. The current development is focused on tele medicine services (a national platform for remote treatment programs), the ability for the patient to share EHR data with apps and services and a national architecture for personal connected health (home monitoring). The presentation gives an overview of e-services offered to patients, their adoption and share some lessons learned.
Digital Health & Wellness Summit @ Mobile World Congress 20163GDR
"Building European Digital Health Environment: View from an open eSociety - Estonia" Presentation by Ain Aaviksoo MD MPH, Chief Information & Innovation Officer, Ministry of Social Affairs, Estonia
The PPT describes about the healthcare issues in Europe and how eHealth is becoming a solution for those issues. Also the policy for eHealth in Europe. For more information visit: http://www.transformhealth-it.org/
Similar to Overview of Estonian Health Information System (20)
The presentation talks about the components of FHIR, its distribution and use. Scenarios for the introduction of FHIR in the country using HL7 V3 are also offered.
Доклад рассказывает об поиске фантастическое устройства гравицапы, с помощью которого можно было бы перемещать данные между модулями больничной системы. И как гравицапой стал стандарт FHIR.
FHIR Developer Days 2015. Study on db implementations for FHIR serverIgor Bossenko
Presentation describes different approaches for implementing database for FHIR server, that were considered during implementation of Nortal National Healthcare System (NHS) for Lithuania.
Presentation describes different authentication ways to protect web application. It shows difference between custom approach and authentication with OAuth1 and OAuth2.
Данный доклад был представлен в Московской Медицинской Академии Наук в сентябре 2011 года. Доклад рассказывает он этапах внедрения ЭМЗ (NHR) в Эстонии, об успехах и неудачах, и архитектурном подходе состовления медицинских электронных документов
This presentation was made on 17.12.2013 in Vilnius (Lithuania) at the Centre of Registers. The purpose of the presentation create interest to the new HL7 FHIR standard to decision-makers, and then take it to use in the NHR project instead of HL7 V3
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
2. HWISC is a ICT competence center
founded on 1st of January 2017 which
consolidates the roles and
responsibilities of former ICT department
of Ministry of Social Affairs and Estonian
eHealth Foundation.
Health and Welfare Information
Systems Centre (HWISC)
3. Main responsibilities
• Development of
information
systems,
databases and
e-services
• Maintenance of
services and
infrastructure
• Providing
information
security
• Data analysis to
support policy
making,
reporting,
productivity
monitoring and
supervision
4.
5. HWISC main clients
in the area of Ministry of Social Affaires
HEALTH
SOCIAL
SECURITY
LABOUR
HEALTH BOARD
AGENCY OF MEDICINES
NATIONAL INSTITUTE
FOR HEALTH
DEVELOPMENT
SOCIAL INSURANCE BOARD LABOUR INSPECTORATE
ASTANGU VOCATIONAL
REHABILITATION CENTRE
AREA
ICT
CONSOLIDATED
NON-
CONSOLIDATED
MINISTRY OF SOCIAL AFFAIRS
6. • Gender Equality and Equal
Treatment Commissioner
Agency
• Official Mediator Agency
• Estonian Health Insurance Fund
• Estonian Unemployment
Insurance Fund
Other clients and parties of HWISC
• Other ministries and agencies
• Estonian and EU habitants
• Estonian enterprises
• Local government
• Healthcare providers/hospitals
• ...
8. 90-s. Local systems, focus on
insurance invoices
1992 1994 1996 2000
Restoration of
Estonian
independence
1998
HIS ESTER in
Mustamäe
hospital
HIS ESTER2
by social
ministry
AS Medisoft
program for
family doctors
2002
Mandatory
electronic bills to
insurance fund
Central health
insurance fund
HIS ESTER3
by social
ministry
9. 2000 – 2010 health information
exchange, focus on health data
2000 2002 2004 2008
Planning of
health data
exchange started
Project
preparation
(2003-2005)
2006
Funding decision by Ministry
of Economic Affairs
Electronic
Health Record
Digital
Prescription
Digital
Registration
Digital
Images
eHealth
Foundation
established
eHealth
Projects
(2006-2008)
National HIS
18.12.2008
2010
ePrescription
01.01.2010
X-road first
services
12. Key features of
Estonian healthcare
Area - 45 000 km2
1.33 mlj. Inhabitants
Member of EU since 2004
Euro-zone since 2011
Earmarked social insurance tax
13% flat rate top-up to all salaries
State responsibility for insurance coverage
Single public purchaser of services (Health Insurance
Fund)
2014 94% of population covered
2019 budget 1,45 bln €
Decentralized provider network
Private operators governed mostly by public entities
Strong primary care
Universal free access
>50% of outpatient contacts
Health care expenditures
2014 6.3% from GDP
(EU 10%)
Life expectancy at birth (years)
2015 77,1 years
(EU 81,1)
13. Facts about e-services in Estonia
• 100% of schools and government organizations have
broadband connection
• 99% of bank transfers are performed electronically
• 96% of income tax declarations made in E-Tax Board
(2014)
• 31,7% of votes were cast over the internet on (2017)
• 62% of persons have completed the e-census (2012)
• E-residency program (started 2014)
https://e-estonia.com/
14. Laws that regulate eHealth area
1. Health Care Services Organisation Act;
2. Statute of Health Information System (governments Statute no 131
August 14th 2008);
3. The Statute no 53 September 17th 2008 of Ministry of Social Affairs on
The Composition of Data, Conditions and Order of Maintaining of the
Documents Forwarded to the Health Information System;
4. Data protection law; GDPR;
5. Public Information Act.
• All healthcare providers must send data to Health Information System
• Access only to licensed medical professionals (other persons have access to
personal data in the HIS if such right arises from law)
• ID card for authentication and digital signature
• Patient has the right to close his/her own data collected in the central
database (opt out)
• Patient can access their own data (Patient’s Portal )
• Patient can declare their intentions and preferences
• Patient can monitor visits to their HIS. (All actions will leave secure trail).
15. eHealth services in Estonia Health Insurance Fund
HWISC
Picturebank
Ø EHR services for physician and patient
2008
Ø Cross-border Patient Summary (epSOS)
2013
Ø Health status summary for Social Insurance Board
2012
Ø Digital referrals and registration services
2008
Ø eConsultation services 2012
Ø Digital picture archiving services
2005
Ø Medical certificate services 2014
Ø Health insurance information to healthcare providers
~2000
Ø Collecting health service reimbursement invoices
~1995
Ø Statistics services 2013
Ø ePrescription Services 2010
16. eHealth services in Estonia Health Insurance Fund
HWISC
Picturebank
Ø Drug-drug adverse reactions detection 2016
Ø Health status summary for medical commission of Minstry of Defence
2017
Ø Cross-border e-prescription
2019
Ø Death certificates
2019
Ø Digital registration 2019
Ø Laboratory services management
2019
Ø eAmbulance services 2015
Ø Services for dental care 2015
Ø Services for cancer screening registry
2015
17. Major architectural decisions of
Health Information System
• Integration through Central system
• Opt-out policy in form „patient can close data from
doctors“
• XML based HL7 v3 (extended) messages
• Documents are kept in XML format (HL7 CDA R2)
• All identifiers have OID-s
• Only final versions of clinical documents are sent into
central system after case is closed
• Reuse of national infrastructure
• ID card for authentication and digital signature
• X-road for secure communication
• Personal identification number to identify a person and connect
data in different information systems
18. Estonian Personal Identification Code
ID-code is public
Form: GYYMMDDSSSC
• G - shows sex and century of birth (odd number
male, even number female, 1-2 19th century, 3-
4 20th century, 5-6 21st century)
• YYMMDD - date of birth
• SSS - serial number separating persons born
on the same date
• C - a checksum
19. PHARMACIES
AND FAMILY
DOCTORS
X-Road, ID-card, State IS Service Register
HEALTHCAREBOARD
-Healthcareproviders
-Healthprofessionals
-Dispensingchemists
STATEAGENCYOFMEDICINES
-CodingCentre
-Handlersofmedicines
POPULATIONREGISTER
BUSINESSREGISTER
HOSPITALS
2009
FAMILYDOCTORS
2009
SCHOOLNURSES
2010september
ANONYMIZED
HEALTH DATA
FOR STATISTICS
2013NATION- WIDE
HEALTH
INFORMATION
SYSTEM
2008 december
PRESCRIPTION
CENTRE
2010january
DOCTOR
PORTAL
2013
X-ROAD
GATEWAY
SERVICE
2009
Estonian eHealth architecture
PATIENT
PORTAL
2009 v1
2013 v2
SOCIAL
INSURANCE
BOARD
PORTAL
2012
HEALTHINSURANCE
FUNDREGISTER
AMBULANCE
SERVICES
APPLICATION
2014
STATISTICS
PORTAL 2013
EMERGENCY
SERVICE MOBILE
WORKSTATIONS
Drug-drug
Interaction
database
2016
NATION-WIDE
PICTUREARCHIVE
2005(national2014)
VPN
QUALITYREGISTERS
Cancer.HIV.Myocardialinfarction.
Tuberculosis.etc.
21. Message layers on X-Road
HL7
interaction
HL7 CDA
document
X-Road message
National Central HIS
Digidoc
Healthcare provider IS
22. Lab notice
Üldandmed
Mari-Liis
47595064059
Männi 1-2
Tallinn
Diagnoos
punetised
Allergia
õietolm
Swineflu notice
Üldandmed
Mari-Liis
47595064059
Männi 1-2
Tallinn
Diagnoos
punetised
Allergia
õietolm
Agents
Timecritical reports
Demographics
Medical events
Infection notice
Üldandmed
Mari-Liis
47595064059
Männi 1-2
Tallinn
Diagnoos
punetised
Allergia
õietolm
Discharge letter
Demographics
Mari-Liis
47595064059
Männi 1-2
Tallinn
Diagnosis
chickenpox
Allergy
pollen
Demographics agent
Address: Männi 1-2, Tallinn
Infection disease agent
Diagnosis: chickenpox
Timecritical report agent
Allergy: pollen
Health record agent
Event: Medication, Diagnosis,
Procedure
Document processing
Patient index
Medical documents
Medical documents receiver agent
Document: Lab notice, Discharge
letter
Patient coding agent
Find or create patient
internal code
23. Data in Health Information System
Document
registry
Patient index
Patient
identity
Subject
Identity 1
Medical documents
Consultation
note
Version 2
Image
reference
Epicrisis
Version 2
Referral Referral answer
Identity 2
Identity 3
Demographics (alternative sources)
Patient
portal
Version 1
Version 2
Version 3
Population
registry
Medical
documents
Lasting care, diagnosis, observation
Pregnacy Diagnosis Blood group Allergy
Status 1
Status 2
Status 3
Status 4
Medical events
Diagnosis
Version 2
Operation Visit
Version 2
Prescription Procedure
Status 1
Status 2
Status 3
Status 4
Status 1
Status 2
Status 3
Status 4
Status 1
Status 2
Status 3
Version 1 Version 1
Version 1 Version 1 Version 1
Version 1 Version 1 Version 1
24. AgentsQuery
Patient
Mari-Liis
47595064059
Record type
Diagnosis
Health record agent
Find all diagnosis type
records
Security agent
Document open?
Consolidate records
Patsient
Mari-Liis
47595064059
Diagnosis
Diagnosis
Diagnosis
Diagnosis: chickenpox
Document no: 103
Hospital: PERH
Warning, some documents
are closed!
Query processing
Medical events
Patient index
Access rights
Patient coding agent
Find patient internal code
25. Technical solution
• Client systems – Hospital IS, GP
IS
• Patient portal Tomcat
• xRoad Gateway – Tomcat
• Activity Surveillance - Tomcat,
Sybase IQ, Webfocus
• Business Logic - Webmethods
Integration Server and Broker
• Data Services - Oracle DBMS
with Advanced Security and
Database Vault
• Monitoring - Zabbix
• Statistics – IWay Service
Manager, Sybase IQ, Webfocus
Segmented LAN
Client systems
X-road
X-road
security
Business
Logic
Data Services
Data Storage
Activity
Surveillance
Monitoring
VPN access
gate
Portals
Statistics
X-road
gateway
Validation and
surveillance data
collection
Client systems
without Xroad
server
27. The 6 main principles “6 whales” of security
of Estonian Health Information system
1. A secure authentication of all users with ID-card or Mobile ID
2. Digital signing or stamping of all medical documents
3. A maximum accountability (transparency): all actions will leave an
unchangeable (and unremovable) secure trail, protected by blockchain
4. Coding of personal data: separating of personal data from medical
data
5. Encrypted database that allows to remove the confidentiality risk
from the technical administrators
6. Monitoring of all actions together with the corresponding counter-
measures (both organizational and technical)
28. Acceptance
• ePrescription covers 100% of used
prescriptions. 98% are prescribed digitally,
remaining 2% are entered in pharmacy.
• 97% of Hospital discharge letters are sent to the
central DB.
• 60% of ambulatory case summaries
• 60% of dental care summaries are digital and
sent to the central DB
• 1,4 mln person have documents in cetral DB
32. European Hospital Survey:
Benchmarking Deployment of е-Health Services
2012
The Availability and Use Composite Indicator
https://ec.europa.eu/digital-single-market/news/european-hospital-survey-benchmarking-deployment-ehealth-
34. Health Information System’s financing
through eHealth Foundation
Ministry of
Social Affairs
Taxes
Health Insurance Fund
Healthcare Provider
eHealth Foundation
Ministry of
Economic Affairs and
Communication
EU Funds
64%12% 201324%
Without EU financing 1/3 from HCP-s and 2/3 from Social Ministry
Year Expenditure (€)
2005 6 853
2006 259 944
2007 462 193
2008 1 009 156
2009 1 178 362
2010 1 433 602
2011 1 834 204
2012 2 504 797
2013 2 863 162
2014 3 223 829
2015 3 647 354
2016 3 282 922
In total 21 706 378
35. Estonian eHealth Foundation
• Electronic Health Record (1.6 mln €)
• Digital Registration (0.2 mln €)
• Digital Images (0.2 mln €)
• Activity surveillance module (0.4 mln €)
• Statistics module (0.4 mln €)
• Authentication and authorization module (0.2 mln €)
• eLaboratory (0.2 mln €)
Health Insurance Fund
• Digital Prescription (0.24 mln €)
EU funded projects