Study Books Used in Class:
Carefully read through the following material which describes the fundamental of databases, their structure and function. Fundamental Database Characteristics 1
Eric McCreath provides well illustrated and concise overview of database fundamentals in following presentation. Database Basics Presentation 2
The following slide presentation identifies various types of medical data and records. Presentation by Peter Szolovits, MIT (February, 2003). Nature of Medical Data 3
There are many standards guiding the format and use of healthcare related information. The following is a comprehensive list and review of these standards. It is not necessary to memorize every one of them. Instead, just get a sense for the vast number of standards that exist. Pay particular attention to those standards that reference Health Level Seven (HL7) and Unified Medical Language System (UMLS). Review of Healthcare Information Standards 4
The following is a list of Standards Organizations. Standards Development Organizations 5
Read through this overview of the Unified Medical Language System. UMLS 6
Jiang Bo provides a good overview of Health Level Seven (HL7) in this presentation. HL7 7
Sources Referenced Above
1. Beaumont, R. (2000). Database and Database Management Systems. Retrieved May 2, 2012, from http://www.fhi.rcsed.ac.uk/rbeaumont/virtualclassroom/chap7/s2/dbcon1.pdf
2. McCreath, E. (2002). Lecture Notes for COMP1200: Perspectives on Computing, Information Systems Database Basics. Retrieved May 2, 2012 from http://cs.anu.edu.au/student/comp1200/lectures/10.2-1up.pdf
3. Szolovits, P. (2003). Nature of Medical Data. MIT, Intro to Medical Informatics: Lecture-2. Retrieved on May 2, 2012 from http://groups.csail.mit.edu/medg/courses/6872/2003/slides/lecture2-print.pdf
4. Blair, J. S. (1999). An Overview of Healthcare Information Standards, IBM Healthcare Solutions. Retrieved May 2, 2012 from http://lists.essential.org/med-privacy/msg00186.html
5. Health Level Seven: Links to Standards Developers.
6. Unified Medical Language Fact Sheet. (2003). National Library of Medicine: Office of Communications and Public Liaison. Retrieve May 2, 2012 from http://www.nlm.nih.gov/pubs/factsheets/umls.html
7. Bo, J. (2003). Health Level Seven Overview Presentation. Bioinformatics Institute.
For this case assignment, you will be assuming the role of a lead person on a technology review committee at a multi-facility regional hospital. Your committee has been tasked with evaluating the plausibility and possible selection of a new health information system that will enable the hospital to electronically collect and share patient medical history information among its various hospital centers and departments.
Currently, each hospital center maintains paper copies and files of patient records, which are separately managed and stored at each facility. Very few of the electronically based information system are integrated between the various centers and locations.
To add to the challenge, the CIO informs you that most of the members on the committee have very limited experience with information systems and databases. However, the CIO is aware that you are studying health informatics, so she has asked you to help familiarize the committee with fundamental concepts related to databases systems and relevant health information standards. Specifically, the CIO (and your professor) request that you prepare sa cholarly paper for presentation to the committee that clearly addresses each of the following items:
Fundamentals of database characteristics and structure.
Various types of medical data and information records relevant to this project.
The importance of uniform terminology, coding and standardization of the data.
Various information standards and organizations that may be applicable, and possibly required, for this project.
Remember, your committee is mostly comprised of clinicians and other healthcare practitioners. Accordingly, they do not have a great deal of technical knowledge related to information systems.
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