Informatic computer solutions are transforming the healthcare industry by streamlining processes and improving patient outcomes.
Electronic Health Records (EHRs) systems, for instance, can reduce medical errors by up to 75% by providing a single, unified source of patient information.
Healthcare providers can now focus on providing quality care rather than managing paperwork, freeing up time for more critical tasks.
Studies have shown that EHRs can also reduce healthcare costs by up to 30% by reducing duplicate tests and procedures.
Suggestion: Health Informatic
Problem Statement
As a result of the increasing complexity of information systems, businesses are facing significant challenges in managing their data and processes efficiently.
The lack of a standardized and integrated system is causing confusion and inefficiencies in various departments, leading to wasted time and resources.
Informatic computer solutions aim to address these issues by providing a unified platform for data management and process automation.
A typical business has multiple systems and tools in place, which can lead to data duplication, inconsistencies, and errors.
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This can result in a significant decrease in productivity and an increase in costs due to the need for manual data entry and reconciliation.
The current state of information systems is often characterized by a lack of scalability, flexibility, and adaptability, making it difficult for businesses to respond quickly to changing market conditions.
Solution Overview
Our informatic computer solution is designed to streamline processes and improve efficiency.
The solution uses a combination of algorithms and data analysis to identify areas of improvement and provide actionable insights.
Informatic computer solutions can be tailored to meet the specific needs of a business or organization, from small startups to large enterprises.
A key benefit of our solution is its ability to automate repetitive tasks, freeing up staff to focus on higher-value tasks.
The solution's user-friendly interface makes it easy for non-technical staff to use and understand, reducing the need for extensive training.
With our informatic computer solution, organizations can expect to see significant improvements in productivity and efficiency.
Data Management
Data Management is crucial for storing and retrieving large amounts of data accurately and quickly. Database Management Systems (DMS) emerged in the 1960s to address this problem.
IMS, an early DMS, is still widely deployed over 50 years later, storing data hierarchically. In contrast, relational databases, based on set theory and predicate logic, have become a popular choice for data storage.
Relational databases, like Oracle's first commercially available RDBMS in 1981, store data in tables, rows, and columns. All DMS have components that allow multiple users to access data simultaneously while maintaining its integrity.
A key feature of databases is that the structure of the data is defined and stored separately from the data itself, in a database schema.
Data Processing
Data Processing is a crucial aspect of Data Management, and it's amazing how far we've come in this field. The first commercially available relational database management system (RDBMS) was released by Oracle in 1981, marking a significant milestone in data processing.
One of the key components of a Database Management System (DMS) is its ability to store data in a structured format, with a database schema defining the structure of the data. This allows multiple users to access the data simultaneously while maintaining its integrity.
In recent years, the use of Extensible Markup Language (XML) has become increasingly popular for data representation. XML data is commonly held in relational databases due to their robust implementation, verified by years of theoretical and practical effort.
The structure of data in a DMS is defined and stored separately from the data itself, which makes it easier to manage and maintain. This separate storage of data and structure is a common trait among all databases.
Here's a brief overview of the evolution of data processing:
The field of data processing has come a long way, and it's exciting to think about what the future holds!
Storage
Storage has come a long way since the early electronic computers that used punched tape. This technology is now obsolete.
Electronic data storage, which is used in modern computers, dates back to World War II. The first practical application of this technology was the mercury delay line, developed to remove clutter from radar signals.
The first random-access digital storage device was the Williams tube, which was based on a standard cathode ray tube. However, the information stored in it and delay-line memory was volatile and had to be continuously refreshed.
The magnetic drum, invented in 1932, was the earliest form of non-volatile computer storage. This technology was used in the Ferranti Mark 1, the world's first commercially available general-purpose electronic computer.
IBM introduced the first hard disk drive in 1956, as a component of their 305 RAMAC computer system. Most digital data today is still stored magnetically on hard disks.
In 2007, almost 94% of the data stored worldwide was held digitally. This was a significant shift from analog devices, which were still widely used until 2002.
Data Transmission
Data transmission is a crucial aspect of informatics, involving three key components: transmission, propagation, and reception. It's a two-way street, with information flowing both ways through bidirectional channels in telecommunications.
Data transmission can be either broadcasting, where information goes one way downstream, or telecommunications, where data flows in both directions. XML has become a popular means of data interchange since the early 2000s, particularly for machine-oriented interactions.
The pace of technological change is exponential, with machines' application-specific capacity to compute information per capita roughly doubling every 14 months between 1986 and 2007.
FHIR for Patient Access
FHIR for Patient Access is a game-changer in the healthcare industry. FHIR, or Fast Healthcare Interoperability Resources, is an HL7 standard for electronically transferring healthcare information.
The CMS Interoperability and Patient Access final regulation, announced in 2020, mandates all CMS-regulated payers to use FHIR version 4. This version is backward compatible, ensuring that software suppliers' solutions won't become obsolete when a new FHIR version is released.
FHIR defines a collection of HTTP-based RESTful APIs that allow healthcare platforms to exchange and share data in XML or JSON format. Mobile apps can be obtained from the Apple App Store or Google Play to access medical records and claims data.
Each resource in FHIR is formatted similarly and contains roughly the same amount of data, offering information about patient demographics, diagnosis, prescriptions, allergies, care plans, family history, claims, and more.
A unique ID is given to each resource, and many parties can access the underlying data element using an API.
Transmission
Data transmission is a complex process with three main aspects: transmission, propagation, and reception. It can be categorized into broadcasting and telecommunications.
The transmission aspect involves sending data from one point to another. This can be done through various means, including the internet. For instance, when you send an email, the data is transmitted from your device to the recipient's server.
Data transmission is often used for machine-oriented interactions, such as web-oriented protocols like SOAP. This is because data transmission can handle large amounts of data quickly and efficiently.
The pace of technological change has led to rapid advancements in data transmission. According to Hilbert and Lopez, machines' application-specific capacity to compute information per capita roughly doubled every 14 months between 1986 and 2007.
Data transmission is crucial for analyzing and presenting data effectively. However, unless data is analyzed and presented correctly, it can be stored in what's called a "data tomb".
Career and Industry
As a specialist in business informatics, you can work in a variety of roles both in research and in commerce.
You can work in management consulting, where you'll help organizations improve their operations and make informed decisions.
In this field, it's essential to draw a clear line between strategic and IT consulting.
Information technology consulting is another area where you can apply your skills, helping businesses implement technology solutions to meet their needs.
You can also work as an IT account manager, overseeing the relationship between a company and its technology vendors.
Other roles include systems analysis and organization, business analyst, IT project manager, IT auditor, solution architect, enterprise architect, and information technology management.
These roles often overlap, but they each require a unique set of skills and expertise.
Here are some specific fields of employment you may find in business informatics:
- Management consulting
- Information technology consulting
- IT account manager
- Systems analysis and organization
- Business analyst
- IT project manager
- IT auditor
- Solution architect
- Enterprise architect
- Information technology management
Applications and Future
As a graduate of a University, you'll leave with the skills to build a computing system and understand the underlying concepts of computer science. This expertise will serve you well in your future career as a network specialist or software engineer.
Your future career in informatic computer solutions is vast and exciting. With the right skills and knowledge, you can create novel applications that utilize local talent and effective use of ICT in remote parts of the world.
Here are some areas where health informatics can be used:
- Epidemiological disease prediction
- Disaster management
- Awareness in Healthcare Processes
- Healthcare in Remote areas
- Electronic Health Records and its linkages with health systems
- Health Statistics
- Education and Training
- Development of Decision Support Systems (DSS)
- Public Health Research
- Visualization tools for doctors
- Recommendation Systems for Health Informatics
- Precision Drug Prediction
Applications
Health informatics in India can become cost-effective and ensure proper service delivery, which aids in beneficiary behavior change through the use of ICTs. This can be achieved by utilizing local talent and effective use of ICT in remote parts of India.
Epidemiological disease prediction is one area where health informatics can be used. This can help identify potential outbreaks and prevent the spread of diseases.
Health informatics can also be used for disaster management, ensuring that medical aid reaches those in need quickly and efficiently.
Awareness in healthcare processes is another important application of health informatics. This can help patients and healthcare professionals understand the importance of proper healthcare procedures.
Healthcare in remote areas can be improved through the use of health informatics. This can help bridge the gap in healthcare services between urban and rural areas.
The following are some of the areas where health informatics can be used:
- Epidemiological disease prediction
- Disaster management
- Awareness in Healthcare Processes
- Healthcare in Remote areas
- Electronic Health Records and its linkages with health systems
- Health Statistics
- Education and Training
- Development of Decision Support Systems (DSS)
- Public Health Research
li>Visualization tools for doctorsRecommendation Systems for Health InformaticsPrecision Drug Prediction
These applications have far-reaching benefits and can be built using various machine/deep learning models. This can aid in the development of robust products and frameworks for public health policy.
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Future Directions
The future of applications is looking bright, and it's all thanks to advancements in technology.
Artificial intelligence is expected to play a major role in shaping the future of applications, with AI-powered tools and systems becoming increasingly prevalent.
One area where AI is making a significant impact is in the field of natural language processing, enabling applications to understand and respond to voice commands and text inputs more accurately.
This is especially useful for virtual assistants like Siri and Alexa, which rely on AI to perform tasks and answer questions.
The Internet of Things (IoT) is another area where applications are expected to evolve, with more devices becoming connected to the internet and interacting with each other.
This will enable new types of applications and services that were previously unimaginable.
As applications become more integrated with the physical world, we can expect to see new types of interfaces and user experiences emerge.
For example, augmented reality (AR) and virtual reality (VR) technologies are being used to create immersive experiences that blur the lines between the digital and physical worlds.
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Approaches and Systems
Informatics Approaches can significantly improve the usability of electronic health data for research by adopting standards, essential data and research services, and clear policies regarding data access and use.
Standardized ontologies, contextual information, field transformations, and handling missing or contradictory data are essential for achieving data quality criteria.
Informatics support can relieve researchers and data analysts of their load by spanning research and operational usage of data, allowing them to focus on higher-level tasks.
Investing in infrastructure to enable the use of electronic health data for research has been shown to benefit researchers, patients, clinicians, and population health analysts.
Health IT systems can be improved to better support research by incorporating standardized data models, distributed computational tools, and methodologies that address data quality concerns.
Big data solutions like Hadoop and Spark can efficiently handle large volumes of data, making it possible to implement parallel processing algorithms and generate on-demand indexes.
Machine learning approaches, such as data mining and predictive analytics, can be used to identify patterns and associations in health data, improving health and financial outcomes.
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HL7 FHIR Architecture
HL7 FHIR Architecture is a game-changer in the healthcare industry. It's an HL7 standard for electronically transferring healthcare information.
FHIR was created to improve health care quality, increase patient happiness, and reduce health care costs. In the last two decades, electronic health records (EHRs) have been widely implemented in the United States.
FHIR's basic idea was to create a set of resources and then create HTTP-based REST application programming interfaces (APIs) to access and use these resources. This allows for data interchange and resource serialization.
FHIR employs JavaScript object syntax and XML structures, making it a popular choice for the health care industry. Since its inception, FHIR has grown in popularity and is being increasingly used by the health care industry.
FHIR has the potential to deliver benefits in a wide range of disciplines, including mobile health apps, electronic health records (EHRs), precision medicine, wearable devices, big data analytics, and clinical decision support. It's expected to attract even more attention in digital health in the future.
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The primary goal of FHIR is to reduce implementation complexity while maintaining information integrity. It integrates the benefits of existing HL7 standards and is projected to overcome their drawbacks.
FHIR enables developers to create standardized browser applications that allow users to access clinical data from any health care system, regardless of the operating systems and devices used. This has the potential to revolutionize the way healthcare information is shared and accessed.
IT Projects
IT projects can be a significant undertaking, with research suggesting that half of all large-scale IT projects fail to meet their initial budgets or completion timelines.
The McKinsey study, conducted in collaboration with the University of Oxford, found that IT projects with initial cost estimates of $15 million or more often struggle to stay on track.
IT projects involve the use of various technologies, including computers and information technology.
These technologies are a key component of intellectual capital, which is essential for driving innovation and growth in businesses and organizations.
Mass media technology is also often used in IT projects, particularly in industries such as entertainment and publishing.
- Computers
- Information technology
- Intellectual capital
- Mass media technology
Approaches
To make electronic health data more usable for research, effective adoption and use of standards, essential data and research services, clear policies, and transparent governance structures are essential.
Organizations with expertise in utilizing and enhancing their health IT infrastructure for research have shared their lessons learned, adding value to organizations with similar goals but less experience or resources.
Informatics support can relieve individual researchers and data analysts of their load by spanning research and operational usage of data.
To achieve data quality criteria, electronic health data often requires standardized ontologies, additional contextual information, field transformations, and handling of missing or contradictory data.
System development is frequently required for research-related data or functions, such as cohort identification and repeated extracts of source data over time.
Investing in infrastructure to enable the use of electronic health data for research has been shown to benefit researchers, patients, clinicians, and population health analysts by providing necessary tools and expertise.
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To reduce project-specific IT costs, using health IT to assist research necessitates greater flexibility, increasing use of standards, and reusable ways for getting, preparing, and evaluating data.
Two initiatives, Informatics for Integrating Biology and the Bedside (i2b2) and Observational Health Data Sciences and Informatics (OHDSI), have developed informatics tools and approaches that allow researchers to query organizational participants and support transformation or analytics of relevant data.
i2b2 has standardized data models and distributed computational tools that enable the anonymous identification of potential genomic study participants at the institution level.
OHDSI employs a single data model that incorporates information such as health economics and health systems.
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Definitions and Concepts
Informatics, the science of information, is defined as data with meaning. Informaticians study information, its usage, and effects, and must understand the context or domain, in addition to abstract properties of information and its representation.
Human beings are naturally good at constructing and processing meaning, whereas computers are best at processing data. This fundamental difference between human information needs and the capabilities of information technology is at the heart of informatics.
Formulating a definition of informatics based on data, information, and knowledge is challenging due to the lack of consistent definitions for these terms. Most definitions focus on data, information, and knowledge as central objects of study in informatics, but these terms are often used interchangeably.
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Background
Definitions and Concepts have a rich history, dating back to the ancient Greeks, who first used the term "definition" to describe the process of explaining the meaning of a word.
The concept of definitions has evolved over time, with philosophers like Aristotle and Plato contributing to its development.
In modern times, definitions are used in various fields, including science, law, and everyday conversation.
A definition is a statement that explains the meaning of a word or concept, and it's essential to understand the difference between a definition and a description.
A definition provides a clear and concise explanation of a word's meaning, while a description is a more general statement that doesn't necessarily convey the word's meaning.
For example, a definition of the word "tree" might be "a perennial plant with a single stem", while a description of a tree might be "a tall, green plant with leaves and branches."
Defining from Data, Information, and Knowledge
Defining informatics involves understanding the concepts of data, information, and knowledge. Data, information, and knowledge are central objects of study in informatics, but there is no consistent definition for these terms.
Most definitions of informatics focus on data, information, and knowledge, but use them interchangeably. This lack of agreement makes it difficult to precisely define these terms.
A review of the literature on data, information, and knowledge revealed two main schools of thought: Ackoff's Data, Information, Knowledge, Wisdom (DIKW) hierarchy and a related set of definitions from philosophy. Ackoff's hierarchy defines data as symbols, information as data that have been processed to be useful, and knowledge as the application of data and information to answer "how" questions.
Knowledge is considered something more than information, and information is considered something more than data. This is the only constant in the DIKW hierarchy, despite various attempts to clarify the meanings of the terms and their relationships.
Data Standards Challenges
Healthcare data standards are a complex issue, and it's not just a matter of having too many standards. In fact, there are over 6,000 healthcare standards in the United States alone.
Manual coding is a major challenge in healthcare, with professionally qualified individuals spending hours converting diagnoses and treatments into medical codes. Computer-assisted coding systems have improved the process, but they're not perfect and can't replace human coders entirely.
The need for mapping between codes is another issue, as different code systems serve different purposes. For example, SNOMED is used for detailed clinical descriptions, while ICD-10 is used for billing purposes.
The lack of compatibility between old and new standards is a significant problem, with many EHR systems still using outdated standards like HL7 v2 and C-CDA. To comply with new regulations, hospitals need to extract data from legacy formats and convert it into FHIR and USCDI-compliant parts.
Here are some of the key data standards challenges in healthcare:
- Medical coding speed and accuracy issues
- Need for mapping between codes
- Lack of compatibility between old and new standards
- No two-way communication between patients and EHRs
Related Work and History
Big data has become a significant volume of data that has outgrown standard data management and analysis solutions, and solutions like Hadoop and Spark have arisen to solve some of the big data concerns.
Researchers have used Hadoop to implement parallel processing algorithms to efficiently handle geographical data, and multistage map and reduce algorithms have been developed to generate on-demand indexes and retain persistent indexes.
Data mining, which involves processing and modeling huge amounts of medical/health data, has been used to identify previously unknown patterns or associations, and is one of the most important machine learning approaches in predictive analytics.
Machine learning is crucial in the testing and development of various models that take into account clinical and other important medical characteristics for decision-making, and is now being used to solve more difficult problems in the healthcare/informatics arena.
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Related Work
Big data has become a significant challenge in today's digital age, and solutions like Hadoop and Spark have emerged to address this issue.
Big data is a term used to describe a massive volume of data that has outgrown standard data management and analysis solutions. Solutions like Hadoop and Spark have arisen to solve some of the big data concerns.
Researchers have used Hadoop to implement various parallel processing algorithms to efficiently handle geographical data.
Multistage map and reduce algorithms, which generate on-demand indexes and retain persistent indexes, are examples of these techniques.
Data mining, which involves the processing and modeling of huge amounts of medical/health data to identify previously unknown patterns or associations, is one of the most important machine learning approaches.
Machine learning is crucial in the testing and development of various models that take into account clinical and other important medical characteristics for decision-making.
Medical imaging, which incorporates capabilities such as image segmentation, image registration, annotation, and database retrieval, is one of the most famous examples of newer medical technologies that can be utilized for decision making in the future.
Machine learning/data science researchers are in high demand for developing algorithms that adapt to changing data.
History
The concept of related work has been around for centuries, with ancient civilizations like the Egyptians and Greeks using similar techniques to solve problems and improve their daily lives.
The ancient Egyptians used papyrus to record and pass down their knowledge, which laid the groundwork for the development of modern writing systems.
In the 19th century, the Industrial Revolution brought about significant advancements in technology and manufacturing, paving the way for the creation of modern machines and factories.
The introduction of the printing press in the 15th century made it easier to mass-produce written materials, leading to a significant increase in the dissemination of knowledge and ideas.
The development of computers in the 20th century revolutionized the way people work and communicate, enabling the creation of complex systems and models that can solve a wide range of problems.
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