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1.Industrial Training 2.Mini Project 3. Major Project(Phase 1) Guide: Asst.Prof Anju S.S Presented By Josmy T Jose S3-Mtech CSE Roll No:09
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Overview of work done Industrial visit -Location: Jubilee Mission Medical College & Research Institute, Thrissur -Period: Dec 22 to Feb 22 Mini project -As Is document -To be document - IEEE paper: Integration of ICU data into electronic medical records-Issues & solutions - Android applications: Working on it Major Project - Problem definition -Literature Survey -Solution Strategy -Implementation
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Contents Industrial training @ JMMC Mini Project : Laboratory Linkage for NICU Automation in JMMC. IEEE conference paper “Integration of ICU data into Electronic Medical Records- Issues and Solutions” Main Project : Server side architecture for ICU automation system
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INDUSTRIAL TRAINING @ JMMC Thrissur
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Health Care Industry The healthcare industry is one of the world’s largest industry and India is emerging as a major player in this industry, because of its high population. The major inputs of health care industries Hospitals Medical insurance Medical software Health equipments The service marketing structure Company Customer Provider
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JMMC- Introduction JMMC, a Christian Minority Institution, established in the year 1952 makes the modern medical facilities available to common man 35 departments running successfully in the 4 blocks Golden Jubilee Block Hridayalaya St. Thomas Block Medical College Block Super specialty departments Medical education and research. Hospital Information Management System Biomedical Department MRD Laboratories
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Departments.. Anesthesiology Anatomy Biochemistry Blood Bank Cardiology Cardiovascular Science Community Medicine Dentistry Maxillofacial Surgery Ophthalmology Orthopedics Pediatrics
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Cont.. Forensic Medicine Gastroenterology General Surgery Laboratory Medicine Microbiology Neonatology Nephrology Neurology Obstetrics & Gynecology Dermatology Endocrinology ENT Head & Neck Surgery
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Cont.. Pathology Pharmacology Physiology Physiotherapy & Rehabilitation Psychiatry Pulmonary Medicine Radiology Urology and Vascular Surgery
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Working Model of JMMC Golden Jubilee Block Hridayalaya St.Thomas Block Medical College Block Central Server Laboratory Intranet Administrat ion, Emergency Biomedical unit Internet
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Further Details are Given in the Industrial Visit Report
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Mini project Laboratory Linkage For ICU Automation in JMMC
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Introduction ICU patients is having need of constant monitoring and support using specialized equipments and medication Patients are transferred to the ICU either from a ward, casuality,or immediately after a surgery The interactions among doctors, nurses,equipments and the patients constitutes the ICU workflow Even though hospital automation is present in other departments, ICU still operates on paper and pen. JMMC is no exception. The current system study done here brought out the necessity of automation of ICUs for PMR to EMR transition.
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ICU Proceedings.. New patient admission to ICU Primary diagnosis and Test prescriptions Lab Tests Patient Care Updating PMR Discharge/Death PMR moved to MRD
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Workflow –Nurse’s Perspective
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Workflow –Patient Perspective
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Laboratory- Present scenario Nurses updates Investigation laboratory record Test request is forwarded to the laboratory with the test code and category name using system Sample collection. Transfer samples and request form to the lab Results are available from the central server in the lab A barcode indicating result is stamped in the request form and returned back to ICU
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Lab proceedings-Proposed Architecture ICU SERVER Tablet LAB SERVER Response Request wi-fi Hospital LAN
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Proposed System Nurses can submit the request queries by selecting the patient id The prescribed tests will be available in the selection box The corresponding test codes are also selected and request is submitted The laboratory of JMMC is fully automated So the results are available in the ICU tablet Results are notified with some notifications or alerts. Integration of ICU and Lab databases need to be done for the proper working.
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UI Design for the lab request
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UI design for the lab result
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Advantages Avoids the bidirectional transfer of request forms Thus avoids the barcode sticking process in the request form Print out of the result can be directly taken from the ICU Alerts and Notifications simplifies the process The result will be automatically added to the EMR of patient
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IEEE Conference Paper: Integration of ICU data into Electronic Medical Records- Issues and Solutions Paper Submitted on : February 12 Paper get accepted on : February 27 To be presented on : April 11 or 12 Venue : Kanyakumari Category : Networks – e-health Co-ordinator : Dr.George Varkey Guide : Ast.Prof Anju S.S Authors : Dhanyaja. N, Asha Yeldose,Josmy T Jose,
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MAJOR PROJECT(PHASE 1) Server Side Architecture For ICU Automation System
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Problem Statement Develop the Server Side Architecture most optimum for ICU Automation System with Tablet PCs Tablet PC communication is characterised by: Limited band width Small packets Unpredictable delay between consecutive packets Existence of alternate channels with differing priority values Server Side Architecture Should Account for these Extension of Mini Project The system should become operational in JMMC
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ICU Automation System. There is a central server in the ICU,which is responsible for all the information flows among the tablets and the server. The ICU sever is connected to the hospital central server The information stored in the central server is available everywhere Each nurse in the ICU will have a tablet PC connected to the ICU server through Wi-Fi
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Hardware Architecture
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Representative software Architecture Tablet Platform – Android (Ginger Bread or above) Java Framework-Spring Technology-Hibernate Database – PostgreSQL Server OS-Ubuntu Server – JBoss Developing Environment –Eclipse
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Constraints Selection of server side architecture depends mainly on the nature of our application requirement Architecture that supports tablet platform is the prime concern Cost of Implementation
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Solution Strategy Literature Survey Examination of Different architectural plans Client-Server n-Tier SoA HTML 5 Trial Implementation Finalization of Selected architecture Final Implementation
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Development Process Development Running
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Test Plan Applications can be tested in the android emulator by creating an AVD The ADT pluggin will automatically create a default run configuration for the project The Android framework includes an integrated testing frame work Following this we will use testing systems like “Load Runner” to decide on load performance The above will decide on the design to be used for final product
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Integration Issues The problem of connecting with the central hospital server Modifications in Central DBMS Low signal strength of Wi-Fi Malware Staff training and system acceptance Change Management and version control
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THANKYOU
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QUESTIONS
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