| University of Texas Health Science center |
School of Medicine | Department of Medicine | Medical Informatics |
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| Course home | Bioinformatics | EHRs | Keeping up | Knowledge Management: Individual |
Knowledge Management: Institution |
Informatics principles | Patients | Quality Improvement |
Structured information
Data + knowledge = information
Reusing data and the need for automated data aquisition and communication and indepedence
A patient has a ABG performed, it shows a PO2 of 45 and a hypercholemic metabolic alkalosis.
Who needs to know about this; what do they need to know and when?
| Who | Why |
|---|---|
| Doc and patient | Clinical care |
| IT staff | Highlight the results in red font to prevent oversight. Create context-sensitive decision support. |
| Billing | the code and whether it supports the instensity of service (eg the doc had to interpret this and spend time responding) claimed |
| Quality Assurance | the result in order to monitor the care given by the hospital to hypoxic patients |
| Medical Researcher | to report on the causes and outcomes of patients with hypoxia |
How to represent thes results of the system successfully understands:
The patient has drug adverse effect
Solution - controlled vocabularies and terminologies
How should a researcher query medical records to retrieve all patients with tuberculosis?
Now, consider how well information resources represent relatioships among facts? Does better representation improve usefullness?
Is uric acid a risk factor for coronary disease?
So what is the chance of coronary disease for: 60 yo male with SPB=130, t chol = 210 and HDL = 40?
So is it worth taking statins?
Lastly, even more structure to the knowledge