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16 February, 2003 medXchange© 2003 Private & Confidential 1
INTEGRATED ELECTRONIC MEDICAL RECORDIEMR
AND MEDICAL KNOWLEDGE BASE
16 February, 2003 medXchange© 2003 Private & Confidential 2
Continuity of healthcare
Consulting Physician
DispensedMedication
Laboratories
Second Opinion
Medical Call Center
Hospital & Clinic
Therapists
Patient CentricIntegrated Electronic
Medical Record
Physician
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Patient Centric Meta Database
MetaDatabase
Implant Register
PhysicianMedical Record
Health Cards
Medical Information& Images
Output
Input
Output
Input
Clinical MedicalRecords
Health Profile
DispensedMedication
Disease Profile
LaboratoryResults
MedicalCall Center
I E M R
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Continuity of Healthcare
The treating physician, consulting physician, hospital and clinic, dentist, optician, laboratory, therapist and pharmacist can share relevant patient information and documentation.
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Continuity of Healthcare
Enabling the rationalisation of the healthcare process Reducing unnecessary medical examinations Eliminate redundancy of prescriptions Reduce risk of medication interactions and negative reactions Optimizing the hospital process and reducing hospitalization Avoiding delays in diagnosis and treatments Faster and better medical care at reduced costs Reduce risk of malpractice
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Management of "Risk Patients"
Case – Disease management Using Evidence Based Medecin, EBM
and good medical practiceInterface or data migration out of other medical information systems Bio-sensors, laboratories, hospitals Specialised medical documentation
(Orthopedic, cardiology, nephrology, radiology)
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IEMR:Integrated Electronic Medical Record
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IEMR: Intuitive to understand and work with
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IEMR: Multi-language
English
German
French
Other as required
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IEMR: Stucture to physicians’ working methods
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IEMR: Easy to consult by patient
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IEMR: Personalized according to patient data
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IEMR: Patient data & documentation
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IEMR: Disease related data
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IEMR: Physician chart notes
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IEMR: Physician letters
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IEMR: Laboratory tests Examination Results
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IEMR: X-Rays, Scans, ECG Medical imaging
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IEMR: Data entry Measurements and values
Structured IEMR data
Measurement and value templates
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IEMR: Data entry Evaluation
Structured IEMR data
Library of templates
Evaluation templates
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IEMR: Data entry Yes / No Questions
Structured IEMR dataLibrary of templatesYes / No question templates
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Disease related profile:Diabetes
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Disease related profile:Cardiology
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Monitoring a diabetes patient
Key diabetes indicators monitored with daily / monthly profiles
Each of 5 key values entered in simple numeric format
Glucose Ketone Insulin dosage Calory intake Activity level
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Diabetes profile
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Risk Analysis: Disease
Analysis of key medical risks Supports case – disease management Evaluation of patients with high health risks
or chronic illnesses Clinical studies
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Risk Analysis: Health
Analysis of overall health risks Occupational health programs Pro-active health programs Behaviour support programs Clinical studies
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Knowledge Base: Rules
Defined by experts
Formulas applied to patient data
Library of rules and formulas
Publication Based FormulaResult of a Research
(L-Eye + R-Eye + L-Eye * R-Eye / 10 ) / 30
Formula Interpretation
Normalized Score (1 is 100 %)
Example Vision Score
Formula Specification
L-EyeVision out of 10, 10 bestR-EyeVision out of 10, 10 best
Publication Based FormulaResult of a Research
(L-Eye + R-Eye + L-Eye * R-Eye / 10 ) / 30
Formula Interpretation
Normalized Score (1 is 100 %)
Example Vision Score
Formula Specification
L-EyeVision out of 10, 10 bestR-EyeVision out of 10, 10 best
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Patient support applications:Examples
General patient support Optic-Card Dental-Card Audio-Card Allergy-Card Cardio-Card Diabetes-Card Nephro-Card Orthopedic-Card
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MyHabit: Human Ability Building
Evidence based guidelines for
healthier lifestyle
Behaviour support tailored to
individual health profile
Online support and feedback
Monitoring and feedback of
treatment adherence
Human Ability BuildingInformation Technology
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Healthcare sectors
Medical Registers
Integrated ElectronicMedical Record
Healthcare ConsumerProtection Clinical Studies
PersonalHealth Management
OccupationalHealth
Risk Patients
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Designed by physicians for physicians
Complete patient medical data and documentation
Follows physician working methods
Patient disease support and profile
Patient pro-active health support and profile
Disease and health risk analyis
The IEMR & Medical Knowledge Base
