Overview ofKU MEDINFO team

Tomohiro KuordaVice CIO / Assoc. Prof.Kyoto University Hospital

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Kyoto UniversitySince 1897Second Univ. of JP5 novel prizes2 fields prizes

Sketch at 20106900 staffs1082 Profs

22819 students13537 under grad 9282 post grads

139.2 billion JPY18% from outer source21% from hospital

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Kyoto University Hospital

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Founded in 18991121 beds33 main clinics and departments2727 staffs @2011.4773MD 1017Ns3660 patients/day @2010992 patients admitted/day2668 out-patients/day

MEDINFO UNIT

BusinessUnit

ResearchUnit

EducationUnit

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The Team

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Prof Hiroyuki Yoshihara MD Ph.D.(Surg)

Assist ProfKazuya Okamoto Ph.D.(Inf)

Assist ProfNaoto Kume Ph.D.(Inf)

LecturerTadamasa Takemura Ph.D.(Health Sci)

Assoc ProfTomohiro Kuroda Ph.D. (Comp Eng)

MEDINFO : as business unit

HospitalManagement

EMROperation

IT Support

Hospital ManagementAnalysis/advice

Economy/quality

EMR OperationDesign/intro./operation

Anal. 4 R&D/Management

IT supportNet/Web/Mail/Teleconf.

Care/surgery/educate

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+1 Vice President+2 MD+5 officer

+5 officer+3 support staff+3 staff of developer

+3 support staff

MEDINFO : as education unit

Hospital

School ofMedicine

School ofInformatics

For medical studentIT literacy

Advanced medical IT

For informatics studentBasics of clinics

Applied informatics

For hospital staffIT literacy

IT literacy

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2~3 Lecture / Year

1 Bachelor Lecture Course0.5 Ph.D Lecture Course

1 Bachelor Lecture Course1 Master Lecture Course

MEDINFO : as research unit

ClinicalActivitySupport

NetworkedMedicine

Medical EducationSupport

Activity Support

Clinical DSSManagement DSS

Networked MedicineTelemedicine

HIS : ubicomp

Education SupportVR Surgical Education

Hosp. Manag. Game

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EHR Development

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Prof. Akina HirakawaHandmade accounting systems by M lang.

1970~1989

Custom made CPOE

Full EMR and EHR

Prof. Takashi Takahashi1990~2001

2003~ Prof. Hiroyuki Yoshihara

KING5 SBC-based EMR

IBM-CIS

SBC servers

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2100 Terminals at ward/clinic

1500 Barcode readers

Personal PCs at labs

Snapshots: KING5 Portal

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LoginNews

Application Launcher

D&D frequently used application

Snapshot : using KING5

PACS viewer : on a local PC (FAT Client)

EMR Application: on a SBC server12

Clinical Data is controlled by Patient

Kyoto University Hospital

Patients

Reffering Clinical Data(mainly text data)

Maiko Net(iDolphin)

AffiliatedHosipitals

Clinica data

Clinical Dataincluding medical imageRich Contents Service

Via Webients Service

ForProviders

Another UniversityHospitals

EHR of KUHP

Research

Near Future...

Available

Available

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Dolphin Project

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Attempt to develop EHR/PHR since 2001Based-on MML (Medical Markup Language) since 1994

Kyoto Tokyo

by Google Earth

MiyazakiKumamoto

Sapporo

Prof. H YoshiharaCIO

Kyoto Univ Hospital

Higo-med (2002) Haniwa (2002)

HOT (2003)

Maiko (2006)

EHR: Dolphin Project

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NLP: knowledge from text

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Text Mining

report

fallinginfection

medical equipment

classifier

machinelearning

???

given report

using SVM

category

n rgiveenDocument Retrieval

CISAanonymize

Multi-hosp Analysis

Hospital Management

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Simulation & Gamification

Income

Cost Day

Income

Cost

a patient

Performance analysis

Medical Virtual Reality

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Virtual Anatomy

MR Display

VR Surgical Planner

UBICOMP

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bluetooth

WLAN

Clinical Net-DigicamA BA

BT-AP / BT-ID

BT-AP BT-ID

PositionData

BarcodeReader

OutpatientGuide

Vital Sensors

4W Data

Ubi-Echo

1aLifelog

Outpatient Management

Conventional beeper solution causes...

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I’m waiting 15 minutes!What the f***ing patient is!

TOILETDo not call me know!

I’m busy!It’s already my turn!What the f***ing hospital!

Nobody becomes happy

Solution : Position

Position tells a lot

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Ok, Let’s call B!TOILET

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BA: somewhere else .B: at the waiting room.

Oh my turn !

Shorter waiting time. No anger.

Automatic task segmentation

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Lifelog Application

24Gait / GPS assessment

Gait training

Chronic disease management

Information

Monitor/record

Personal

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Peerrrsrsrsrsr ononnonononononnaalalalalaalalalalPePeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeersrrrrsrrrrrssrrrrsrrrsrsrrsonoonnonononnonoon llllalalaalaalalal

Elderly Support

Telemedicine

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Tele robotic surgery

Tele ausculatation

Tele-Echo5225

Non-constraint Monitoring

Research TopicsSys. Implement. > Analysis > Modeling > App.Text / Account / Image / Position etc

Budget and TaskMain Appointment: HOSPITALAdministration Management First

Second Appointment: Schools (Medicine / Informatics)Lecture Duties and Students Intake

Small outsource research fundNo time for research

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Summary