Agenda

• Hospital Information System (HIS)

Computer Application in • PC based Medical Instrumentation
Biomedical Engineering • Bioinformatics
• Telemedicine
Achmad Rizal
BioSPIN IT Telkom

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Hospital Information System HIS Business & Administration

(HIS) Components
• Support of Clinical and Medical Patient Care
Activities in the Hospital • Material Services
• Accumulate payments
• Administration of the Hospital’s Daily • Recharge
Business transactions (financial, personnel, • Budgeting
payroll, bed census etc.)
• General ledger
• Patient ADT/Billing/Account receivable
• Evaluation of Hospital Performance and Cost
, and projection of the long-term forecast • Payroll
• Cost accounting

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HIS Operation Components

HIS Operation Components (Cont.)
• OR scheduling • Pathology system
• Nursing management • Patient ADT
• Clinical appointment • Pharmacy system
• Dietary • Radiology system
• Doctor ID system • Referring doctor system
• Employee health system • Cancer registry system
• Medical record system
• Pathology system
• Patient ADT
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 Radiology Information System
(RIS)
• Process patient and film folder records
• Monitor the status of patients, examinations,
and examination resources.
• Schedule examinations
• Create, format and store diagnostic reports
with digital signature
• Track film folders
• Maintain timely billing information
• Perform profile and statistic analysis
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S/W in HIS
• HL7
• CARE2X
• ESTER 3.4
• Medisoft Hospital
• MediC+
• DREAM EMR
• INTERACTANT
• ICANotes
• HipaxTM Medical Imaging
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Area in Bioinformatics
• Sequence analysis
The term "sequence analysis" in biology
implies subjecting a DNA or peptide
sequence to sequence alignment, sequence
databases, repeated sequence searches, or
other bioinformatics methods on a computer.
• Genome annotation
In the context of genomics, annotation is the
process of marking the genes and other
biological features in a DNA sequence
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Hospital Information System
(HIS)
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Bioinformatics
• Bioinformatics is the application of information
technology to the field of molecular biology
• Bioinformatics nowadays entails the creation
and advancement of databases, algorithms,
computational and statistical techniques, and
theory to solve formal and practical problems
arising from the management and analysis of
biological data
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Area in Bioinformatics
Computational evolutionary biology
• Evolutionary biology is the study of the origin and descent of
species, as well as their change over time. Informatics has assisted
evolutionary biologists in several key ways; it has enabled
researchers to:
• trace the evolution of a large number of organisms by measuring
changes in their DNA, rather than through physical taxonomy or
physiological observations alone,
• more recently, compare entire genomes, which permits the study of
more complex evolutionary events, such as gene duplication,
horizontal gene transfer, and the prediction of factors important in
bacterial speciation,
• build complex computational models of populations to predict the
outcome of the system over time
• track and share information on an increasingly large number of
species and organisms
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 Area in Bioinformatics
• Measuring biodiversity
• Analysis of gene expression
• Analysis of regulation
• Analysis of protein expression
• Analysis of mutations in cancer
• Prediction of protein structure
• Comparative genomics
• Modelling biological systems
• High-throughput image analysis
• Protein-protein docking
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S/W in Bioinformatics
• AAT - Analysis and Annotation Tool from
Michigan Tech University is used to identify
genes by comparing cDNA and protein
sequence databases.
• BioinformatiX is an enterprise software which
provides an environment for the analysis of
microarray data
• DNPTrapper is a shotgun sequencing assembly
editing tool, specifically designed for finishing
and analysis of repeated regions
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• Medicine as we know it from practice,
education e.t.c. using information -
communication technology in all forms
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S/W in Bioinformatics
• Peptool is a software program which assists in
the identification of protein function. The
program provides for alignment, homology
building, structure prediction, etc
• NAMOT(Nucleic Acid MOdeling Tool) is a tool
developed at Los Alamos National Laboratory
for the structural manipulation of single or
double stranded, RNA or DNA.
• FGENEH from the Baylor College of Medicine
predicts a single complete gene and the
corresponding amino acid sequence.
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Telemedicine
• Telemedicine is a rapidly developing
application of clinical medicine where
medical information is transferred via
telephone, the Internet or other networks
for the purpose of consulting, and
sometimes remote medical procedures or
examinations.
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Benefits of telemedicine
• better access to health care for the
geographically or socially isolated
• lower costs for both hospital and patient
• fewer referrals to consultants
• improved medical education
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What makes telemedicine possible?
computer technology
– digital imaging
– videoconferencing
– remote monitoring
networking and telecommunications
– local networks
– Internet
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Non-technical obstacles to
telemedicine development
• reluctance to adopt new technology
• FDA regulation of telemedicine networks
as medical devices
• interstate licensing and credentials
• malpractice and liability (especially
telecommunication providers)
• reimbursement policies
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Telemedicine´s History
• Telegraph (1850)-Telephone (1875)-
Telex-
• Radio –Telegraph wireless (1890-1916)
• Television and Video (1950’s)
• Telefax-Computer (1970-80’s)
• Internet-Mobil phone-Palm (1990’s)
• GPRS, Treo, P800 (2002),
• UMTS 3G (2003)
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Telemedicine Today
• Telemedicine in developed countries
• Telemedicine in developing countries
• Telemedicine in Sea–Air and Spacecrafts
• Telemedicine to other ”remote areas” e.g.by
Satellite
• Telesurgery (robots and simulators)
• Telemedicine Home Care (TelHoC)
• Telemedicine and ethical aspects
• Telemedicine and legal aspects
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Technical obstacles to telemedicine
development
• security and confidentiality concerns
• telecommunication regulation and costs
• speed of communication (especially in
rural areas)
• reliability and accessibility of information
on WWW
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 10 Theses in Telemedicine (1)
http://www.medrecinst.com/resources/ehealth2k/manual/clinician/10TTma 10 Theses in Telemedicine (2)
as.pdf

4. The flow of medical information must be user

1. The responsibility for development within
telemedicine must lie upon health care
professionals.
2. Intelligent systems for automated medical
information management and analysis must
continue to be developed.
friendly.
5. The flow of medical information must be mobile.
6. The right medical information must be made
available to the right decision maker at the right time
and in the right place.
7. Patient integrity must be preserved without
jeopardizing the access to information.

3. All health care information that can be digital

must be.
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10 Theses in Telemedicine (3) Telemedicine and the Future

8. We must take advantage of information

technology as a tool for educating our patient. • Education (Virtual University)
• Clinically in everyday practice, education,
remote
9. We must take advantage of information
• Patient oriented, in practise, education and
technology as a tool for (continuing) medical
monitoring at home
education.
• Network, between doctor ,pt., pharmacy and
all health personnel
10. We must think globally as we work locally. • Disasters, catastrophes,e.g.earth quake
• Telesurgery
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Conclusive Remarks

• The technique is here to stay

• That's why we need to use the technique

• BUT, only when relevant and better than

other methods (appropriate)

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