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 Doctor Colleagues Media Guidelines Medical school Patients Institution

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

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

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

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

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

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

13. 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....

15. Electronic information management InformationIn Keyboard Scanner Network E-mail/Internet Floppy/CD drives RAM Hard disc

16. 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

17. Computer Networks

18. Internet diagram

19. Spread sheet packages

20. Database packages

21. Word-processor packages

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

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

24. Human information management ABCD