Medical Social Informatics Framework in the …...Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 1 ASIA Telemedicine,

Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital

The 7th Asia Telemedicine Symposium, 2013 1

ASIA Telemedicine, Bangkok 1

Medical Social Informatics Framework in the Progress of

Telemedicine in Bandung, Indonesia

Agung Budi Sutiono, MD, PhD; Ahmad Faried, MD, PhD

Department of Neurosurgery and Telemedicine Laboratory, Faculty of Medicine, Universitas Padjadjaran-

Dr. Hasan Sadikin Hospital, Bandung, Indonesia





Ohta T, et al.





Japan Association for Social Informatics Vol. 25 (2010) Released: March 26, 2011


1. ICT for medical assistance in disaster affected area: Design user interface




ICT for critical patient evacuation in disaster


Network configuration




Physiology data

Supporting medical care data

Emergency medical record


Demography interface

Tagging interface

Demography & tagging interface




Vital sign

SupportingMedical Care

Outcome

Vital sign and medical care interface


Front – Head– Chest– Abdomen – Extremity

Back – Spine – Waist

Wound location




EMCIS device

Source: Agung Budi Sutiono’s document APT EMCIS research project, 2006


Implementation & evaluation

Allocated in Garut county, because:– Kadungora village, 20 km

from Garut city, potentially subject to landslides and

– Cilawu village, 7.5 km from Garut city and prone to flooding

– Challenging geographically mountainous area

– Front medical post (Kadungora & Cilawu), referral hospital (Garut)




Implementation activity

Trans-receiver in Cilawu Cilawu mountain

Garut hospital

Trans-receiver in Garut Hospital Gate Garut hospitalSource: Agung Budi Sutiono’s document APT EMCIS research project, 2006


Time evaluation Time average in 20 times

trial:– Demography interface

(34.6 second)– Physical examination

interface (47.15 second)– Transmission time (44.45

second)– Average vital sign

assessment (60-90 second)– Total time needed =

186.2 – 216.2 second (3.10 - 3.60 minutes)




User interface training and simulation

EMCIS training for medical personnel Telkom instructor

EMCIS system explanation to Dr. Trimayu (head ER Garut Hospital)

User trial and evaluation

Source: Agung Budi Sutiono’s document APT EMCIS research project, 2006


2. ICT for traumatic brain injury referral assistance




Network configuration





Login interface


Demography and anamnesis




Follow up interface


Teleneurosurgery interface




Treatment interface


Time average needed




Received signal variation from measurement


3. Other activities in telemedicine Distance seminar between USA

(Vanderbilt University Hospital) and Japan (Aichi University) for Neurosurgery and Neuroanatomy

Neurosurgical case discussion between Indonesia and Japanese medical student




Neurosurgery and neuroanatomy telemedicine seminar 2012





Neurosurgery case discussion for medical student 2012Padjadjaran University and Aichi Medical University


4. DigiMaps for maternal and postnatal care systems DigiMAPS is a system consist of electronic

medical record for mother & infant called “KIA Online” and tele-consultation facility called “Tele-Obgyn”.




Neonatus Mortality Factors in Indonesia (a) during 0-6 days care (b) during 7-28 days care (source: Indonesia Riskesdes 2007)


Project in Halu mountain




Condition





Cloud-Based Server Tele-Obgyn and Tele-Patient System


Spontania Telkom





Trial DigiMAPS




Biomolecular Cloud SystemsPlanning


Standalone chromosome computing





Integrated Medical Service




UDoctor Development


Connect to telesurgery by using microscope




Challenges

Internet access stabilization Engineers in Medical School UNPAD Collaboration with R&D Telkom

Co.Ltd. Wide spreading telemedicine for all over

Indonesia





Bangka Belitung Islands


Referral Hospital

TELKOMNetwork

Cloud-based videoconference platform

SMS/USSDGateway

2G/3G BTSRural Area

Local Clinic Puskesmas

DSLAM/BRAS

Public Health Officer/Doctors

3G BTSCity

Centre

PosyanduWiFiOutdoor

USG image & KIA viewed remotely

Compact-WiFi

MidwivesVSAT IP Access

Mother Alert

System3G BTS

Rural

Tele-Consultation

Tele-Consultation(Obgyn)




Thank you very much 1923 2001

Dr. Hasan Sadikin Hospital Padjadjaran University Faculty of Medicine

Medical Social Informatics Framework in the …...Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 1 ASIA Telemedicine,

Documents