Session - 26 MULTIDATABASE CASE Electronic Health Matakuliah: M0184 / Pengolahan Data Distribusi Tahun: 2005 Versi:

OBJECTIVE To implement distributed database design in real case  Electronic Health The demand of computerized information systems in health network with regard to hardware and software

Some Sites and Database in Health care network (electronic health) Community care unit for schools and the community General practitioner or health centre unit providing a first contact point for patient Casualty unit within hospitals for treating accidents or other emergency stuff Laboratories, usually within hospital Patient records offices for administration of medical record Wards for treatment of in-patient within hospital

Some Sites and Database in Health care network (electronic health) Cont’d Each site will be defined in Static schema, dynamic schema and distribution schema The example given if for community care database.

STATIC SCHEMA Objects related to care facilities C1 Service (service#, serve type, serve description, authority required, cost) C2Professional (professional#, name, address, phone, TU, car reg, professional type, clinic/region, duties, grade) C2Clinic/Unit (unit#, name, address, head, phone no, residential details) Object related population C4patient (patient#, DOB, address, job, next-of-kin, financial detail) C5 Ailment (ailment#, code, professional type needed) C5household (house#, surname of head, address, phone, no in household, shared accommodation) C6school (school#, name, address, phone, headmaster, no of children)

Operation related to administration of facilities C8patient-serv (patient#, service#, dates, problem, no of contact/treatments, comment) C9patient-prof-contact (patent#, professional#, date, reason, location, comments) C10patient-ailment (patient#, ailment#, date of diagnosis, date of discover, comments) C11school-service (school#, service#, date, comments) C12patient-clinic (patient#, clinic#, date, comments) STATIC SCHEMA Cont’d

Dynamic Schema Function related to provision of a service FC1Service is requested at a school or home or clinic FC2Professional attendance is scheduled FC3Appointments are made FC4Services are rendered FC5Documentation is completed FC6Documentation is distributed/received by user

Dynamic Schema Cont’d Function related to administration and management FC7 financial and statistical reports are made FC8 Allowance and welfare service are developed, refined and adjusted FC9 Professionals activities are monitored and man power planned FC10 professional procedures are defined, develop and evaluate FC11 Preventative services are defined, develop and evaluate FC12 Clinic/unit procedures are defined, develop and evaluate FC13 Records are maintained FC14 details of patient records are accessed by interested parties FC15 details held at other site

Distribution Schema Site where functions are performed SC1admin centre FC2, FC3, FC7-FC15 SC2Clinic/Unit FC2, FC3-FC6, FC15 SC3School/Home FC1, FC3, FC6 SC4Professionals FC3, FC5, FC6, FC14 SC5Other enquiry site FC14 Site where objects are held SC1admin centre C1-C8, C11 SC2Clinic/Unit C12 SC3Professionals C10