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Medical Informatics: Information Management

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.

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Medical Informatics: Information Management

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

  2. Outline • Organising and categorising medical information • Libraries, Catalogues, Indexes etc. • Electronic information • Electronic records • Electronic networks • Human information management

  3. Organising medical information Media Guidelines Colleagues Doctor Institution Medical school Patients

  4. Classification Sore throat Throat pain Tonsillitis Pharyngitis URTI • Clinical coding • Read coding • ICD 10 coding • WHO classification

  5. Misclassification Patient-doctor interaction • Misinterpreted • Misinformation Consultation • Misinterpreted • Misrecorded Examination • Misidentified • Misanalysed • Misfiled Investigation Medical record • Misleading • Misreading • Missing altogether De Dombal ‘96

  6. Library information Journals and periodicals Categorisation Books, Texts etc. Archive material

  7. Dewey system Books on a topic are shelved together 616=medicine 616.0757 = radiology Smi. = smith

  8. There are many aspects contributing to a typical EMR.

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

  10. MEDICATION MANAGER Patient Name : CURRENT DRUG HISTPORT I.D. No. : DIAGNOSIS : Urinary Tract Infection OTHER ACTIVE PROBLEMS ASTHMA Drugs Available for Diagnostic Profile : CODE AMPICILLIN AMPICILLIN-SODIUM SELECT CANCEL Consultant : CURRENT DRUG HISTORY Include : All current and expired drugs. DRUG DOSE Becotide 250 2/day Drug Allergies : NONE KNOWN PRESCRIBE RESULTS....

  11. Electronic information management Keyboard Scanner RAM Network Information In E-mail/Internet Floppy/CD drives Hard disc

  12. 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

  13. Computer Networks

  14. Internet diagram

  15. Spread sheet packages

  16. Database packages

  17. Word-processor packages

  18. Human information management Rational / logical Learning Emotional • Primacy • Recency • Association • Emphasis • Interest • > 1 sense More likely to remember

  19. Human information management 100% 75% 50% Recall over time

  20. Human information management A B C D

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