Lessons from Biomedical Informatics for Nutrition Informatics

James J. Cimino, M.D.Laboratory for Informatics Development

NIH Clinical Center

Biomedical Informatics is...

Biomedical Informatics is...

“The field that concerns itself with the cognitive, information processing and communication tasks of medical practice, education and research, including the information science and the technology to support these tasks.”

Greenes RA. Shortliffe EH.JAMA 1990 Feb 23; 263(8):1114-20.

Biomedical Informatics is...

• The art and science of organizing knowledge of human health and disease, and making it useful for problem solving

The Spectrum of Problem Solving

• Science base of biology and medicine• Collection and interpretation of signals• Application of science and data in clinical care• Extension of clinical care to populations

What’s in a Name?

• Bioinformatics• Really biomolecular informatics

• Medical informatics• Really clinical informatics

• Biomedical informatics• Covers both and more

• Computers and storage• Graphical user interfaces• Signal processing• Artificial intelligence• Telecommunications• Internet and the World Wide Web• Electronic knowledge resources

Technologies

• Evidence-based practice• Standards for naming and coding • User interface design for biomedical

and healthcare professionals• Expert systems• Decision analysis

Concepts

• Bioinformatics• Clinical information systems• Computer assisted learning• Public health information systems• Electronic knowledge resources• Nutrition

Domains

Data, Information and Knowledge

HealthRecord

Knowledge Resources

Guidelines

Research

ExpertSystem

Data Types

Text

Numeric

Signal

Structured

CodedStandard

CodedNLP

Interpretation

Image

Blobs

Symbols

Manual

Food allergiesMilkEggsSeafoodCherries…

Controlled Terminologies

Drug allergiesInfant formulaVaccinesIodine contrastCough medicine

…

Ontologies

Substances

Foods

Drugs

Formula

IodineContrast

Vaccines

CoughMedicine

Hasingredient

Eggs

Cherries

Milk

Seafood

• Inventory management systems• Nutrient analysis• Nutrition research• Clinical nutrition care• Foodservice system management• Educational/instructional/data intake• Reimbursement• Communication• Food-supply surveillance

Nutrition Informatics

Hoggle LB, Michael MA, Houston SM, Ayres EJ. Nutrition Informatics. Journal of the American Dietetic Association, 2006; 106(1):134-139

American Medical Informatics Association

www.amia.org

American Medical Informatics Association

NLM-Sponsored “Woods Hole” Course at the Marine Biological Laboratory

www.mbl.edu

National Library of Medicine Training Programs

http://www.nlm.nih.gov/ep/GrantTrainInstitute.html

BuildingBlocks

Biomedical Informatics is...

BuildingBlocks

Application Areas

BuildingBlocks

Information Resources Skills

Issues

Skills