Overview ofKU MEDINFO team
Tomohiro KuordaVice CIO / Assoc. Prof.Kyoto University Hospital
1
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
2
Kyoto University Hospital
3
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
4
The Team
5
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
6
+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
7
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
8
EHR Development
9
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
10
2100 Terminals at ward/clinic
1500 Barcode readers
Personal PCs at labs
Snapshots: KING5 Portal
11
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
13
Dolphin Project
14
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
15
NLP: knowledge from text
16
Text Mining
report
fallinginfection
medical equipment
classifier
machinelearning
???
given report
using SVM
category
n rgiveenDocument Retrieval
CISAanonymize
Multi-hosp Analysis
Hospital Management
17
Simulation & Gamification
Income
Cost Day
Income
Cost
a patient
Performance analysis
Medical Virtual Reality
18
Virtual Anatomy
MR Display
VR Surgical Planner
UBICOMP
19
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...
20
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
21
Ok, Let’s call B!TOILET
A
BA: somewhere else .B: at the waiting room.
Oh my turn !
Shorter waiting time. No anger.
Automatic task segmentation
22E-nightingale Project
Lifelog Application
24Gait / GPS assessment
Gait training
Chronic disease management
Information
Monitor/record
Personal
ontologynnnnnnnnnnnnnnnnnntotooooooooootooooooooooooooooooooottoollllllloloolooooooolloooloooololllooooololollllooolloloooooolooolooooollooogyggygygygyyyyyyyyyyyygygggyyyyyygygyyyyyyyyyyyyyyyyyyyyyyyyyyygyyyyygyyyyyyyygyyyyyyyygyyggggyyyyyyyyyyggyyygygygygggyyyyyggyyyyyyyygyyyyggggygyygggggggyyy
Peerrrsrsrsrsr ononnonononononnaalalalalaalalalalPePeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeersrrrrsrrrrrssrrrrsrrrsrsrrsonoonnonononnonoon llllalalaalaalalal
Elderly Support
Telemedicine
25
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
26
Summary