1. ELECTRONIC PATIENT RECORD system AT THE DEPARTEMENT OF BIOINFORMATICS macedonian academy of sciences and arts
Biljana Gjoneska1 and Sofija Pop-Jordanova2
1 Macedonian Academy of Sciences and Arts, Skopje, R . Macedonia
2 South East European University, Skopje, R. Macedonia

2. department of bioinformatics: The profile
Location
- Macedonian Academy of Sciences and Arts (MANU)
- Research Center for Energy, Informatics and Materials (ICEIM)
- Skopje, R. Macedonia
Foundation
- ICEIM: 1986
- Department of Bioinformatics: 2001 as result of the “Zafir Sarafov” donation
Personnel
- 2 Academicians, 2 Professors, 4 Researchers
Macedonian Academy of Sciences and Arts
Department of Bioinformatics

3. department of bioinformatics: The profile
Purpose
To perform research activities in the field of fundamental as well as applied neuroscience.
Projects
Currently, the Department is involved in 6 international and 1 domestic project. Since 2005 the Center has been the residence of the multi-disciplinary EU COST Action “Electrical Neuronal Oscillations and Cognition”, with participation of more then 80 scientific institutions from 27 countries from all continents, being the first such European project managed outside the EU.
International Summer School in Health Informatics (ISSHI 2008)
20-24 June 2008 Ohrid, Macedonia

4. department of bioinformatics: The main research lines
Examining the correlation between the brain electric oscillations and the mental state indexes as quantitative indicators of different cognitive and behavioral disorders
Exploring the specific role of mental arousal, as a background state of consciousness related to short-range long-time neuronal activations, including application of spectrum-weighted frequency (brain-rate), as arousal indicator and neurofeedback parameter
Investigating the mechanism and properties of synchronization in mutually coupled periodic and/or chaotic oscillators within networks with different topologies and forms of clustering and defining the main features that characterize neuronal synchronization

5. department of bioinformatics: ORGANIZATION OF WORK
FUNDAMENTAL
RESEARCH ACTIVITIES
EXPLORING SCIENTIFIC PHENOMENA OF INTEREST
PARTICIPATING IN ONGOING RESEARCH PROJECTS
PREPARING SCIENTIFIC PAPERS AND PROJECT PROPOSALS.
APPLIED
RESEARCH ACTIVITIES
WORKING WITH VARIOUS PROFILES OF PEDIATRIC PATIENTS IN COLABORATION WITH PSYCHOPHYSIOLOGY DEPARTMENT - PEDIATRIC CLINIC,
SKOPJE, R. MACEDONIA.
SUBJECT OF INTEREST AND FURTHER ANALYSIS IN THIS PRESENTATION

6. INCEPTION APPLIED RESEARCH ACTIVITIES: DECRIPTION
Involved Professionals
Pediatrician
General Practitioners
Clinical Psychologist
Senior and Junior Research Investigator
Medical Nurses
Involved Pathologies:
Psychosomatic, behavioral, elimination and eating disorders
Anxiety/phobic, sleeping and post-traumatic stress disorders
Ticks and stuttering
Attention deficit hyperactivity disorders

7. INCEPTION APPLIED RESEARCH ACTIVITIES: DECRIPTION
Procedures:
Diagnostics: Basic medical investigation (patient history and physical examination), psychological assessment (patient interviews and tests), neurological evaluation (quantitative EEG, evoked potentials and event related potentials).
Treatment: Psychotherapy, drug Therapy, Individually adjusted neurofeedback protocols.
Equipment:
Quantitative electroencephalograph (EEG), electromyograph (EMG), as well as tools for monitoring of blood volume pulse, body surface temperature and skin conductance.
Pop-Jordanova S., Gjoneska B., Electronic Patient Record System
August, 2008

8. INCEPTION APPLIED RESEARCH ACTIVITIES: analysis
Weaknesses
Time-consuming, manual administrative procedures (appointment registration, creation and maintenance of patient record files) Lack of effective interaction between involved professionals
Lack of coordination between involved professionals
Lack of results integration and integrated approach
Result
SLOW, INEFFECTIVE, UNPRODUCTIVE AND EXPENSIVE WORK WITH PATIENTS
Useful Modifications
REPLACEMENT OF MANUAL PROCEDURES WITH AUTOMATED ONES.
CREATION OF SYSTEM FOR CREATION AND MAINTENANCE OF PATIENT RECORD

9. ELABORATION APPLIED RESEARCH ACTIVITIES: OVERVIEW OF USE-CASES
 
   
   
  
PATIENT MAKES APPOINTMENT
FOR INITIAL CHECK
Patient
Operator
Nurse
Pediatrician
N URSE REGISTERES THE PATIENT
Patient
Nurse
DOCTOR SETS LIST OF FURTHER
INVESTIGATIONS AFTER INITIAL
Patient
Nurse
Pediatrician
PATIENT MAKES APPOINTMENT
AT THE PSYCHOLOGIST
Patient
Operator
Psychologist
Nurse

10. ELABORATION APPLIED RESEARCH ACTIVITIES: OVERVIEW OF USE-CASES
   
  
    
PSYCHOLOGIST SETS
DIF. DIAGNOSIS AFTER EXAMINTAION
Patient
Nurse
Psychologist
PATIENT MAKES APPOINTMENT
WITH THE RESEARCH INVESTIGATORS
Patient
Operator
Senior Res. Investigator
Junior Res. Investigator
RESEARCH INVESTIGATORS SETS
DIF. DIAGNOSIS AFTER EXAMINATION
Patient
Junior Res. Investigator
Senior Res. Investigator
DOCTOR SETS FINAL DIAGNOSIS
Patient
Pediatrician
THIS CONCLUSIVE USE CASE IS CHOICE FOR FULL ELABORATION

11. ELABORATION USE CASE: DOCTOR SETS FINAL DIAGNOSIS
Description
This use-case presents all actions necessary for conclusion of the final diagnosis by the responsible pediatrician, systematized in chronological order as an event flow.
Pre-conditions
- Finalizing initial interview as well as physical examination and formulating list of further investigations by various specialists
- Finalizing investigations by the specialists, registering obtained results into the system
- Registering given differential diagnosis from the specialists into the system
Post-condition
The responsible pediatrician will set the final diagnosis.
Pop-Jordanova S., Gjoneska B., Electronic Patient Record System
August, 2008

12. DESIGN CLASS DIAGRAM: DOCTOR SETS FINAL DIAGNOSIS
PEDIATRICIAN ID
Name
Date of Birth
Address
PATIENT ID
Name
Date of Birth
Address
DOCTOR ID
Name
Date of Birth
Address
NURSE ID
Name
Date of Birth
Address
1 1
1 1
* 1
* *
GENERAL PRACTICIONER ID
Name
Date of Birth
Address 1 * 1 * 1 * 1 *
1 1
TESTS ID
Name
Date
Duration
Investigator
RESULTS ID
Name
Date
Investigator
APPOINTMENT ID
Name
Date
Duration
Investigator
OPERATOR ID
Name
Date of Birth
Address
RESEARCH INVESTIGATOR ID
Name
Date of Birth
Address

13. DESIGN SEQUENCE DIAGRAM: DOCTOR SETS FINAL DIAGNOSIS
PATIENT RECORD SEARCH FORM
LIST WITH PATIENT RECORDS
THE PATIENT RECORD
RECORD SCREEN
PRINTER 
GET FILE (X)
GET RECORD
CREATE
GET ANAMNESIS
PRINT ANAMNESIS
GET RESULTS FROM PHYSICAL EXAMINATION
PRINT PHYS. RESUL
GET RESULTS FROM PSYCHOLOGICAL TESTING
PRINT PSY. RESUL.
GET RESULTS FROM EGG INVESTIGATION
PRINT EEG RESUL.
Pop-Jordanova S., Gjoneska B., Electronic Patient Record System
August 2008
SET FINAL DIAGNOSIS