1. Lessons from Biomedical Informatics for Nutrition Informatics James J. Cimino, M.D. Laboratory for Informatics Development NIH Clinical Center

2. Biomedical Informatics is...

3. “The field that concerns itself with the cognitive, information processing and communication tasks of medical practice, education and research, including the information science and the technology to support these tasks.” Greenes RA. Shortliffe EH. JAMA 1990 Feb 23; 263(8):1114-20.

4. Biomedical Informatics is... The art and science of organizing knowledge of human health and disease, and making it useful for problem solving

5. The Spectrum of Problem Solving Science base of biology and medicine Collection and interpretation of signals Application of science and data in clinical care Extension of clinical care to populations

6. What’s in a Name? Bioinformatics Really biomolecular informatics Medical informatics Really clinical informatics Biomedical informatics Covers both and more

7. Computers and storage Graphical user interfaces Signal processing Artificial intelligence Telecommunications Internet and the World Wide Web Electronic knowledge resources Technologies

8. Evidence-based practice Standards for naming and coding User interface design for biomedical and healthcare professionals Expert systems Decision analysis Concepts

9. Bioinformatics Clinical information systems Computer assisted learning Public health information systems Electronic knowledge resources Nutrition Domains

10. Data, Information and Knowledge Health Record Knowledge Resources Guidelines Research Expert System

11. Data Types Text Numeric SignalStructuredCodedStandard Coded NLP Interpretation Image Blobs Symbols Manual

12. Food allergies Milk Eggs Seafood Cherries … Controlled Terminologies Drug allergies Infant formula Vaccines Iodine contrast Cough medicine …

13. Ontologies Substances Foods Drugs Formula Iodine Contrast Vaccines Cough Medicine Has ingredient Eggs Cherries Milk Seafood

14. Inventory management systems Nutrient analysis Nutrition research Clinical nutrition care Foodservice system management Educational/instructional/data intake Reimbursement Communication Food-supply surveillance Nutrition Informatics Hoggle LB, Michael MA, Houston SM, Ayres EJ. Nutrition Informatics. Journal of the American Dietetic Association, 2006; 106(1):134-139

15. American Medical Informatics Association www.amia.org

16. American Medical Informatics Association

17. NLM-Sponsored “Woods Hole” Course at the Marine Biological Laboratory www.mbl.edu

18. National Library of Medicine Training Programs http://www.nlm.nih.gov/ep/GrantTrainInstitute.html

19. Building Blocks Biomedical Informatics is... Building Blocks Application Areas Building Blocks Information Resources Skills Issues Skills