laboratory linkage for nicu automation in jmmc

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

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

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

INDUSTRIAL TRAINING

@ JMMC Thrissur

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 HospitalsMedical insuranceMedical softwareHealth equipments

The service marketing structureCompanyCustomerProvider

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

Departments.. Anesthesiology Anatomy Biochemistry Blood Bank Cardiology Cardiovascular Science Community Medicine Dentistry Maxillofacial Surgery • Ophthalmology • Orthopedics • Pediatrics

Cont..• Forensic Medicine • Gastroenterology • General Surgery • Laboratory Medicine • Microbiology • Neonatology • Nephrology • Neurology • Obstetrics & Gynecology Dermatology Endocrinology ENT Head & Neck Surgery

Cont.. Pathology Pharmacology Physiology Physiotherapy & Rehabilitation Psychiatry Pulmonary Medicine Radiology Urology and Vascular Surgery

Working Model of JMMC

Golden Jubilee Block

Hridayalaya

St.Thomas Block Medical

College Block

Central Server

Laboratory

Intranet

Administration,

Emergency

Biomedical unit

Internet

Further Details are Given in the Industrial Visit Report

Mini project

Laboratory Linkage For ICU Automation in JMMC

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.

ICU Proceedings.. New patient admission to ICU

Primary diagnosis and Test prescriptions

Lab Tests

Patient Care

Updating PMR

Discharge/Death

PMR moved to MRD

Workflow –Nurse’s Perspective

Workflow –Patient Perspective

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

Lab proceedings-Proposed Architecture

ICU SERVE

RTablet

LAB SERVE

R

Response

Request

wi-fi

Hospital LAN

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.

UI Design for the lab request

UI design for the lab result

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

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,

MAJOR PROJECT(PHASE 1)

Server Side Architecture For ICU Automation System

Problem Statement Develop the Server Side Architecture most optimum for ICU

Automation System with Tablet PCs Tablet PC communication is characterised by:

Limited band widthSmall packetsUnpredictable delay between consecutive packetsExistence 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

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

Hardware Architecture

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

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

Solution Strategy

Literature Survey Examination of Different architectural plans

Client-Server n-Tier SoA HTML 5

Trial Implementation Finalization of Selected architecture Final Implementation

Development Process

Development

Running

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

Integration Issues

The problem of connecting with the central hospital server

Modifications in Central DBMSLow signal strength of Wi-Fi Malware Staff training and system acceptanceChange Management and version control

THANKYOU

QUESTIONS