1. Session - 25 MULTIDATABASE CASE Electronic Health Matakuliah: M0184 / Pengolahan Data Distribusi Tahun: 2005 Versi:

2. 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

3. Overview some problem in medical informatics Each hospital or even each department in a hospital keeps its own patient records and it is difficult to access them, even if they are computerized The access might perhaps be required years after the acquisition of the information There’s general lack of coordination, integration and direction in current efforts to applying computing in health networks.

4. Some Dichotomies of medical informatics The cost of an approach must always be compared with the value of applying it System must avoid being impersonal, demands the management of a large amount of detailed information It’s costly added value to obtain case- oriented entities such as patients in more detailed representation

5. The Electronic Health The ability to provide accurate, timely information to authorized health providers will improve health care delivery Such system, will be dependent on accurate linking of data from disparate healthcare database Where multiple database at different location are involved, integrity of content is difficult to achieve.

6. The Health information Network The objective : Reduce the need for and duration of, treatment of patients by good prevention method and early diagnoses Increase the effectiveness of treatment Relieve professionals and other workers in care unit of information processing Enhance the exploitation of resources available Archive clinical data, facilitate the compilation of medical statistics, support research for the diagnosis and treatment of disease.

7. Information flow in health care network Advances in medical science and management have created an entirely new system of health care based on managed care model. Within this model, care is provided by a collective process, such as nursing professionals, consulting physicians, clinician, lab technician, diagnostic technology and administrative staff Health care is “wholistic” in approach encompassing many health care organization both public and private

8. Information flow in health care network Regions Sub Regions Districts Health care information gathering. In a typical network composed of such a collections of care units, quite extensive collections of computerized information processing systems are to be found running on variety of computer configuration with variations between their system software : DBMS, OS, file handling, etc