Skin Cancer Information System - SCIS

Ahmed Alharthi42304687

Supervisor Dr. Peter Busch

Skin Cancer Information System - SCIS

11 November 2011 Skin Cancer Information System 1

ITEC 808: Major Information Technology Project

Presentation Outline

IntroductionIntroduction

Electronic Electronic Health RecordHealth Record

Software Software

Requirement Requirement SpecificationSpecification

Software Design Software Design SpecificationSpecification

Future Work Future Work

Conclusion and Conclusion and

QuestionQuestion


Introduction

Project Aims, Significance, Expected Outcomes and Approach


1. Introduction

Project Aimso Problem: Difficulty of following:

• The flow of a normal examination• Procedural visit

o Develop web-based systemo Have clinical model and effortless entering data o Generate: Reports, Bills and formsSignificanceo Skin cancer is an increasing problemo Help doctors to diagnose without significant diagnoses being missed o Government is putting a lot of money into e-Health


1. Introduction

Expected Outcomes o Clinical software - Web-based system o Report documents Approach o ITEC808: 2011 Semester 2

o Literature Reviewo Software Requirements Specification.o Software Design Specification

o ITEC809 2012 Semester 1:o Implementation and testing.o Installation.


Literature Review: Electronic Health Record

The Definition, Characteristics, Barriers and solution


2. Literature Review: Electronic Health Record

The Definition and Characteristics of Electronic Health

Record o Electronic Health Record (EHR):“a repository of information regarding the health status of a

subject of care in computer processable form, stored and transmitted securely, and accessible by multiple authorised users..” (ISO/TR 20514:2005)

1. Personal Health Record (PHR)

2. Electronic Medical Record (EMR)

http://youtu.be/2ikjOSmqpyo


http://youtu.be/2ikjOSmqpyo

Electronic Health Record


Healthelink (NSW health, 2008)

Personal Health Record


Partners Patient Gateway (Partners 2011)

Electronic Medical Record


General System Architecture of EMR (source: iMDsoft 2011)


Barriers of Electronic Health Record 1. PHR’s Barriers

• Usability and complexity• Familiarity and Comfort • Terminology • Ensuring Accurate Data • Privacy, Security, and Trust

2. EMR’s Barriers • Usability • Integration issues • Structure of information



Solutions of Electronic Health Record o Designers could improve the accuracy of the datao Familiar interfaces need to be designed o Education and research o Security

• Encrypt data• Different keys that implement varying access

restrictions • Health record wallet card


Software Requirement Specification

Product Overview and Functional, and Non-Functional Requirements


3. Software Requirement Specification

Product Overview

1. Product Perspective• EMR specifying skin cancer centres• Web based

2. Product Features • Patient information • Clinical model• Patient history

3. User: Physicians and Nurses, Receptionists and Managers

4. Constraints: Resource limitation and Scope 11 November 2011 Skin Cancer Information System 14

Product Perspective


The aims of Australian Governments in e-health (source: Reinecke 2005 p.6)


Functional Requirements

1. Use Case Diagram

2. Use Case Table

3. Requirement Dependency Matrix


Use-Case Diagram



Non-Functional Requirements

1. Security Requirements

2. Usability Requirements

3. Privacy Requirements

4. Performance Requirements


Software Design Specification

System Design and Data Design


4. Software Design Specification

System Design

1. System Description

2. System Architecture


Portal-Oriented Application (source: Linthicum 2004 p. 20)

4. Software Design Specification

Data Design

1. Data Definition

2. Logical Data Model


Logical Data Model


Role_access

Role_access

Access_regist

Access_regist

Bi l l_patient_Relationship

Bi l l_i tem

Bil l_i tem

Bil l_i tem

Prescription

Prescription

Prescription

Visit2Visit2

Visit2

Al lergy_Relationship

Family_history_Relationship


Previous_history_Relationship

Medications_Relationship

specialist_Relationship


Spot_doc_Relationship


has

have

work

Waiting_list

Waiting_list

Waiting_list

Relationship_5

Clinical_Relationship

Clinical_diagnosis

Spot_clinical_Relationship_9

Clinical_Bibosy_Relationship

Clinical_Crythearapy_Relationship

Pathology_requested_Relationship2

(D)

Pathology_requested_Relationship

(D)

procedure_Clinicall_Relationship

Procedure_Doc_Relationship

antibiotics

Cl inical_Wond_Relationship

antibiotics

Cl inical_Therapy_Relationship

clinical_referral_RELATIONSHIP

Clinical_diagnosis

Pathology_inbox_Relationship

Pathology_inbox_patient

Pathology_inbox_staff

Biopsy table coverd:1.Skin Biopsy

2.Shave biopsy3.Currette of skin lesion4.Excision of skin lesion

Cryotherapy table coverd:1.Cryotherapy of skin cancer

2.Cryotherapy of benign lesion3.Cryotherapy of solar keratoses

Wound table coverd:1.Removal of sutures2.Wound care/check

Therapy table coverd:1.Topical therapy

2.Photodynamic therapy

Business

Bus_name Variable characters (100)

Branch

branch_idBus_nameb_namedeManagerb_unitb_street_nob_street_nameb_postcodeb_suburbb_phone1b_phone2b_phone3b_faxb_email...

Number (3)Variable characters (100)Variable characters (100)Variable characters (30)Number (3)Number (4)Variable characters (30)Number (4)Variable characters (30)Number (10)Number (10)Number (10)Number (10)Variable characters (80)

Department

department_idbranch_idd_named_manager...

Number (2)Number (3)Variable characters (30)Variable characters (30)

Staff

s_Iddepartment_idpathology_in_nos_titles_fnames_lnames_DOBs_ PlaceOBs_passwords_genders_positions_levelf_photoid_typestatusblood_typesalarys_units_street_nos_street_names_postcodes_suburbs_phones_mobiles_emails_websites_note

Number (10)Number (2)Number (10)Variable characters (5)Variable characters (15)Variable characters (15)DateVariable characters (15)Variable characters (15)Variable characters (6)Variable characters (15)Variable characters (15)ImageVariable characters (15)Variable characters (15)Variable characters (3)MoneyNumber (3)Variable characters (4)Variable characters (30)Number (4)Variable characters (30)Number (10)Number (10)Variable characters (80)Variable characters (100)Variable characters (500)

Patient

p_Idp_titlep_fnamep_lnamep_genderp_DOBp_ placeOBoccupationMedicare_idMedicare_noMedicare_exp_dateinsurance_noinsurance_companyinsurance_exp_datep_f_photop_blood_typeemergency_nameemergency_phonep_unitp_street_nop_street_namep_postcodep_suburbp_phonep_mobilep_emailp_note

Number (10)Variable characters (5)Variable characters (30)Variable characters (20)Variable characters (6)DateVariable characters (15)Variable characters (15)Number (10)Number (2)DateVariable characters (15)Variable characters (30)DateImageVariable characters (4)Variable characters (30)Number (10)Number (3)Number (4)Variable characters (30)Number (4)Variable characters (30)Number (10)Number (10)Variable characters (80)Long characters (500)

Waiting_list

p_Ids_Idbranch_idwaiting_datecheck_in_timecheck_out_timewaiting_accesswaitin_note...

Number (10)Number (10)Number (3)DateTimeTimeVariable characters (3)Variable characters (800)

Document

doc_idp_Iddoc_namedoc_typedoc_datereceived_bydoc_descriptiondoc_path...

Number (10)Number (10)Variable characters (30)Variable characters (4)DateVariable characters (30)Variable characters (800)Variable characters (100)

Cl inical

cl inical_nop_Idduration_dduration_mduration_yclinical_statusprob_statusdermodcopy_usedvessels_typevessels_distributionpigment_networkpigment_vei lpigment_regressionpigment_scarclinical_note

Number (15)Number (10)Number (2)Number (2)Number (2)Variable characters (20)Variable characters (15)Variable characters (3)Variable characters (15)Variable characters (500)Variable characters (3)Variable characters (3)Variable characters (3)Variable characters (50)Variable characters (800)

Cl inical_diagnosis

clinical_nocryotherapy_nodiagnosis_name

Number (15)Number (6)Variable characters (15)

Spot

spot_noclinical_nospot_namespot_arealocation_xlocation_ylocation_zsize_lsize_wsize_dspot_statusspot_note

Number (10)Number (15)Variable characters (15)Variable characters (15)IntegerIntegerIntegerIntegerIntegerIntegerIntegerVariable characters (800)Biopsy

biopsy_noclinical_nobiopsy_namebiopsy_typesize_biopsydisposablelocal_anaestheticamountbicarbonate_usedhaemostatscreamdressingsutures_useddeep_suture_useddeep_suture_typedeep_suture_diameterdeep_no_suture_packs_openeddeep_no_suturedeep_suture_commentskin_suture_usedclosure_typeskin_suture_typeskin_suture_diameterskin_no_suture_packs_openedskin_no_sutureskin_suture_commentsteri le_usedno_sterl izationprophylactic_antibioticsflapflap_typegraftgraft_typegraft_specific_typegraft_1st_dressinggraft_2nd_dressinggraft_topical_ointment

Number (6)Number (15)Variable characters (30)Variable characters (30)Number (4)Variable characters (3)Variable characters (50)Number (4)Variable characters (3)Variable characters (30)Variable characters (30)Variable characters (30)Variable characters (3)Variable characters (3)Variable characters (30)Number (2)Number (2)Number (2)Variable characters (300)Variable characters (3)Variable characters (30)Variable characters (30)Number (2)Number (2)Number (2)Variable characters (300)Variable characters (3)Number (67)Variable characters (3)Variable characters (3)Variable characters (15)Variable characters (3)Variable characters (30)Variable characters (15)Variable characters (30)Variable characters (30)Variable characters (30)

Cryotherapy

cryotherapy_noclinical_nocryotherapy_namecryotherapy_typecryotherapy_performed

Number (6)Number (15)Variable characters (30)Variable characters (30)Variable characters (3)

Pathology_inbox

pathology_in_nop_Idpathology_in_datepathology_in_textpathology_in_completedpathology_in_notepathology_in_allocatedverification

Number (10)Number (10)DateText (1000)Variable characters (3)Variable characters (800)Variable characters (3)Variable characters (3)

Procedure

procedure_nopathology_out_noclinical_nodoc_idpathology_in_noproce_statuspro_created_dateprocedure_codeprocedure_priceconsentprocedure_noteprocedure_final izelast_action_datereminder_datereminder_dreminder_mreminder_yreminder_typereminder_note

Number (6)Number (6)Number (15)Number (10)Number (10)Variable characters (15)DateNumberMoneyVariable characters (3)Variable characters (800)Variable characters (3)DateDateNumber (3)Number (2)Number (2)Variable characters (15)Variable characters (18)

antibiotics

biopsy_nowound_noantibiotics_idantibiotics_typequantityanti_timeanti_frequenter...

Number (6)Number (6)Number (6)Variable characters (30)Variable characters (30)Variable characters (30)Variable characters (30)

Wound

wound_noclinical_nowound_action_namewound_statusinfectionno_of_sutures_removedno_of_sutures_remainingdressing_creamdressing_type

Number (6)Number (15)Variable characters (30)Variable characters (20)Variable characters (20)Number (2)Number (2)Variable characters (15)Variable characters (15)

Therapy

therapy_noclinical_notherapy_nametherapy_typetherapy_oftentherapy_whentherapy_amounttherapy_add_info...

Number (6)Number (15)Variable characters (30)Variable characters (30)Variable characters (20)Variable characters (20)Number (4)Variable characters (300)

Referral

referral_noclinical_noreferral_datereferral_return_date

Number (6)Number (15)DateDate

Pathology_requested

pathology_out_noprocedure_nopathology_out_datepathology_out_textpathology_out_completedpathology_out_note

Number (6)Number (6)DateText (1000)Variable characters (3)Variable characters (800)

Role_access

s_Idpage_noinsertdeleteupdateview

Number (10)Number (4)BooleanBooleanBooleanBoolean

Pages

page_nopage_namepage_link...

Number (4)Variable characters (30)Variable characters (300)

Access_regist

s_Idpage_noaccess_dateaccess_start_timeaccess_end_time

Number (10)Number (4)DateTimeTime

Bil l

bi l l_idbi l l_datep_Idbi l l_statusbi l l_totalbi l l_discount...

Number (10)DateNumber (10)Variable characters (20)MoneyMoney

Bil l_i tem

bil l_idbi l l_dates_Idprocedure_noitem_noitem_codeitems_nameitem_pricebi l l_item_note...

Number (10)DateNumber (10)Number (6)Number (6)Number (6)Variable characters (30)MoneyVariable characters (150)

Prescription

p_Ids_Idprocedure_noprescription_nameprescription_noprescription_dateprescription_doseprescription_whenprescription_oftenprescription_add_infoprescription_noteprescription_where

Number (10)Number (10)Number (6)Variable characters (150)Number (10)DateVariable characters (30)Variable characters (20)Variable characters (20)Variable characters (150)Variable characters (500)Variable characters (150)

Visit2

p_Idprocedure_nobranch_idvisit_novisit_datevisit_timevisit_note

Number (10)Number (6)Number (3)Variable characters (10)DateTimeVariable characters (800)

Al lergy

al lergy_namep_Idal lergy_typeal lergy_note

Variable characters (30)Number (10)Variable characters (30)Variable characters (800)

Family_history

person_nameperson_genderrelationshipperosn_problemperson_whenperson_duration

Variable characters (30)Variable characters (6)Variable characters (15)Variable characters (800)TimeVariable characters (15)

Previous_history_SC

prev_problem_namep_Idprev_procedureprev_whenprev_durationprev_where...

Variable characters (30)Number (10)Variable characters (30)TimeVariable characters (30)Variable characters (80)

Medications

medi_namep_Idmedi_typemedi_dosemedi_startmedi_endmedi_note...

Variable characters (30)Number (10)Variable characters (30)Variable characters (30)DateDateVariable characters (800)

Suture_type

suture_name Variable characters (30)

Closure_type

closure_name Variable characters (30)

Item_number

code_item_typecode_item_namecode_item_85Medicarecode_item_100Medicarecode_item_150Medicarecode_item_sizecode_item_size_less10code_item_size_more10code_item_size_more20code_item_price

Variable characters (30)Variable characters (30)BooleanBooleanBooleanNumberNumberNumberNumberMoney

Referral_text

referral_text_no Number (6)

Specialist

specialis_nospecialist_Lnamespecialist_Fnamespecialist_practise_namespecialist_titlespecialist_DOBspecialist_phonespecialist_email

Number (6)Variable characters (30)Variable characters (15)Variable characters (30)Variable characters (15)DateNumber (10)Variable characters (50)


person_namep_Id

Variable characters (30)Number (10)


specialis_noreferral_no

Number (6)Number (6)


doc_idspot_no

Number (10)Number (10)

Future Work

Continuing the project, Implementations and Testing


5. Future Work

Continuing Software Design Specification

Implementations and Testing

Conclude the Project


Conclusion and Question

Conclusion and Question


6. Conclusion and Question

1. Introduction

1. Project Aims

2. Significance

3. Expected Outcomes

4. Approach


1. The Definition, Characteristics, Barriers and Solutions of

EHR including PHR and EMR


6. Conclusion and Question


1. Product Overview

2. Functional Requirements

3. Non-functional Requirements 4. Software Design Specification

1. System Design

2. Data Design

5. Future Work


You have been such an appreciative audience

Thank You



References (1)


Bartlett, C, Boehncke, K, Haikerwal, H (2008), ‘E-Health: Enabler for Australia’s Health Reform’, National Health & Hospitals Reform Commission, 27 November 2008, Department of Health and Ageing.

Caligtan, C & Dykes, P (2011), ‘Electronic Health Records and Personal Health Records’, Seminars in Oncology Nursing, 27(3) Augusts, pp. 218-228.

Do, N, Barnhill, R, Do, K, Salzman, K, Gimbel, R (2011), ‘The military health system’s personal health record pilot with Microsoft HealthVault and Google Health’, Journal of the American Medical Informatics Association, 18(2) March-April, pp. 118-124.

Ebadollahi, S, Chang, S, Syeda-Mahmood, T, Coden, A , Amir, A, Tanenblatt, M (2006), ‘Concept-Based Electronic Health Records: Opportunities and Challenges’, In proceedings of the 14th annual ACM international conference on Multimedia (2006), pp. 997-1006.

International Organization for Standardization, (2005), ISO/TR 20514 - Health informatics, 22-01-2005.

iMDsoft (2011), System Architecture, accessed 13/9/2011, <http://www.imd-soft.com/it-professionals>.

References (2)


Linthicum, D (2004), Next generation application integration: from simple information to Web services, 9th Edition, Addison-Wesley, Boston, MA, USA.

Liu, L, Shih, P, Hayes, G (2011), ‘Barriers to the Adoption and Use of Personal Health Record Systems’,In proceedings of the 2011 iConference, pp.363-370.

NEHTA (2006), ‘Web Services Standards Profile’, National E-Health Transition Authority (NEHTA), 31 January 2006.

NSW Health (2008), Summary Report: An Evaluation of the Healthelink Electronic Health Record Pilot, September, KPMG, Australia.

Partners (2011), Patient Gateway, accessed 25/9/2011, < https://www.patientgateway.org>.

Patrick, J (2009), ‘A Critical Essay on the Deployment of an ED Clinical Information System - systemic failure or bad luck?’, University of Sydney, Australia.

Reinecke, I (2005), ‘Global Health Information Technology Standards Summit : Interoperable Standards for an EHR’, National E-Health Transition Authority (NEHTA), 20 September 2005.

References (3)


Saugeon, P, Guillod, J & Thiran, J (2003), ‘Towards a computer-aided diagnosis system for pigmented skin lesions’, Computerized Medical Imaging and Graphics, 27(1) pp. 65-78.

Sommerville, I (2010), Software Engineering, 9th Edition, Addison-Wesley, Harlow, England.

Tang, P, Ash, J, Bates, D, Overhage, M & Sands, D (2006), Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption, Journal of the American Medical Informatics Association, 13(2) March-April, pp.121-126.

The Public Health Association of Australia (2009), ‘Skin Cancer Prevention Policy’, Australia, accessed 12/8/2011, <http://www.phaa.net.au>.

Yee,W & Trockman, B (2006), ‘Bridging a Gap in the Proposed Personal Health Record”, In proceedings of the international workshop on Healthcare information and knowledge management (2006), pp. 49-56.

Documents

Skin Cancer Information System - SCIS