Medical Informatics: Information Management A User’s Guide Dr Peter Cantillon Mr Ben Kanagaratnam.

Medical Informatics: Information Management

A User’s Guide

Dr Peter Cantillon

Mr Ben Kanagaratnam

Outline

•Organising and categorising medical information

•Libraries, Catalogues, Indexes etc.

•Electronic information

•Electronic records

•Electronic networks

•Human information management

Organising medical information

Doctor

Colleagues

Media

Guidelines

Medical school

Patients

Institution

Classification

Sore throat

Throat pain

Tonsillitis

Pharyngitis

URTI

Clinical coding

•Read coding

•ICD 10 coding

•WHO classification

Misclassification

Patient-doctor interaction

Consultation

Examination

Investigation

Medical record

•Misinterpreted

•Misinformation

•Misinterpreted

•Misrecorded

•Misidentified

•Misanalysed

•Misfiled

•Misleading

•Misreading

•Missing altogetherDe Dombal ‘96

Library information

Categorisation

Journals and periodicals

Books, Texts etc.

Archive material

Dewey system

616=medicine

616.0757 = radiology

Smi. = smith

Books on a topic

are shelved

together

There are many aspects contributing to a typical EMR.

G E N E R A LP R A C TITIO N E R

H O S P ITA LA D M IS S IO N

D IA G N O S IS L A B O R A TO R YR E S U L TS

P R O G R E S SN O TE S

TR E A TM E N TS

D E C IS IO N S

P A TIE N T

A Centralised Record can be accessed easily by various hospital departments as illustrated below.

L ab ora to ryP ath o log y

B ac te rio log y

R ad io log y P h ys io th erap yU n it

P h arm acy

C are /Trea tm en t U n itH osp ita l W ard

P atien t L oca tion

MEDICATION MANAGER

Patient Name : CURRENT DRUG HISTPORTI.D. No. :

DIAGNOSIS : Urinary Tract Infection

OTHER ACTIVE PROBLEMS

ASTHMA

Drugs Available for Diagnostic Profile : CODEAMPICILLINAMPICILLIN-SODIUM

SELECT CANCEL

Consultant :

CURRENT DRUG HISTORY

Include : All current and expired drugs.

DRUG DOSEBecotide 250 2/day

Drug Allergies : NONE KNOWN

PRESCRIBE RESULTS....

Electronic information management

Information In

Keyboard

Scanner

Network

E-mail/Internet

Floppy/CD drives

RAM

Hard disc

Bits and Bytes

8 Bits = 1 Byte (one character on a page)

1024 Bytes = one kilobit (1-2Kb = page of text)

1024 kilobits = 1 megabit (Mb)

1024 megabits = 1 Gigabit (Gb)

Bandwidth

Computer Networks

Internet diagram

Spread sheet packages

Database packages

Word-processor packages

Human information management

Learning

Rational / logical

Emotional

•Primacy

•Recency

•Association

•Emphasis

•Interest

•> 1 sense

More likely to remember

Human information management

50%

75%

100%

Recall over time

Human information management

A B C D