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  • E.H. ShortliffePage 1

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Asian Pacific Association for Medical InformaticsSymposium 2006

    Taipei, TaiwanOctober 27, 2006

    Biomedical Informatics: Computer Applications in Health Care and Biomedicine

    Edward H. Shortliffe, MD, PhDDepartment of Biomedical Informatics

    Columbia University

  • E.H. ShortliffePage 2

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

  • E.H. ShortliffePage 3

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Todays Topic

    Academic Biomedical Informatics Definitions and scope Terminology Textbook of Biomedical Informatics Education of Biomedical Informatics professionals Education of Biomedical Informatics researchersScientific papersDoctoral dissertations

    Education of health professionals about informatics Creation of new academic unitsGraduate training and recruitment of faculty

    Anticipating the future

    What is Biomedical Informatics?

    Is it a real academic discipline? Scientific base? Here to stay?

    Is it needed both in universities and in the world beyond? Job opportunities? Are people filling those roles now? Are there enough of them?

    How does it relate to other disciplines? Duplicative? Interdisciplinary?

  • E.H. ShortliffePage 4

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Historical Perspective

    Computers in medicine emerged as a young discipline in the 1960sMost applications dealt with clinical issues

    No consistency in naming the field for many years Computer applications in medicine Medical information sciences Medical computer science

    Emergence in the 1980s of a single, consistent name, derived from the European (French) term for computer science: informatiqueMedical Informatics

    The Last 25 Years

    US Govt-supported medical informatics training programs at several universities (now 18 programs)Application areas broadened in recent years to

    include biological sciences, imaging, and other biomedical domains

    Creation of professional societies, degree programs, quality scientific meetings, journals, and other indicators of a maturing scientific discipline

    Broadening of applications base, but with a growing tension between the fields service role and its fundamental research goals

  • E.H. ShortliffePage 5

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Issues For Academic Informatics

    Conveying the fundamental issues in the field to colleagues who equate true science with life-science discoveries, typically in the wet-bench laboratory

    Finding the right mix between research/training and service requirements

    Dealing with the challenges of an interdisciplinary field that demands peer relationships with individuals in the computer science and biomedical fields as well as in biomedical informatics itself

    Whats in a Name?

    Medical informatics is the scientific field that deals with the storage, retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making.

    Medical informatics touches on all basic and applied fields in biomedical science and is closely tied to modern information technologies, notably in the areas of computing and communication.

    Biomedical Informatics

    Biomedical

    Biomedical

  • E.H. ShortliffePage 6

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Biological and Clinical

    Applications of Interrelated

    Techniques and Methods

    Anticipation of their Future

    Clinical Interdependencies

    Relationship of Medical Informatics and Bioinformatics

    Bioinformatics Medical Informatics

    Biomedical Informatics in Perspective

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Bioinformatics Imaging InformaticsClinical

    InformaticsPublic Health Informatics

  • E.H. ShortliffePage 7

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Biomedical Informatics in Perspective

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Imaging Informatics

    Clinical InformaticsBioinformatics

    Public Health Informatics

    Molecular andCellular

    Processes

    Tissues andOrgans

    Individuals(Patients)

    PopulationsAnd Society

    Biomedical Informatics in Perspective

    Biomedical Informatics Methods, Techniques, and Theories

    Clinical Informatics

    Clinical Practice

    Contributes to.

    Draws upon.

    ComputerScience

    Draw upon.

    Contribute to...

    DecisionScience

    CognitiveScience

    InformationSciences

    ManagementSciences

    OtherComponent

    Sciences

  • E.H. ShortliffePage 8

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Biomedical Informatics in Perspective

    Bioinformatics

    Structural Biology,

    Genetics,Molecular Biology

    Contributes to.

    Draws upon.

    Draw upon.

    Contribute to...

    ComputerScience,DecisionScience,CognitiveScience,

    InformationSciences,

    ManagementSciencesand other

    ComponentSciences

    Biomedical Informatics Methods, Techniques, and Theories

    Biomedical Informatics Disciplines

    BiomedicalInformatics

    Cognitive Science& Decision Making

    ManagementSciences

    ClinicalSciences

    Basic BiomedicalSciences

    EpidemiologyAnd Statistics

    Bioengineering

    Computer Science

    (hardware)

    Computer Science

    (software)

  • E.H. ShortliffePage 9

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Biomedical Informatics in Perspective

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Imaging Informatics

    Clinical InformaticsBioinformatics

    Public Health Informatics

    Molecular andCellular

    Processes

    Tissues andOrgans

    Individuals(Patients)

    PopulationsAnd Society

    Math ModelingDatabaseTheoryCognitive ScienceStatisticsData Mining

    Natural Language Processing

    Education of Biomedical Informatics Professionals

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Bioinformatics Imaging InformaticsClinical

    InformaticsPublic Health Informatics

    Education and

    Experience at Both Levels

  • E.H. ShortliffePage 10

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Medical InformaticsTextbook

    (1stEdition)

    Addison-Wesley 1990

    Medical Informatics Textbook

    (2nd edition)

    Springer Verlag - 2000

  • E.H. ShortliffePage 11

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Springer - 2006

    Biomedical Informatics Textbook

    (3rdedition)

    Unit I: Recurrent Themes in Biomedical Informatics

    1. The Computer Meets Medicine and Biology:Emergence of a Discipline

    2. Biomedical Data: Their Acquisition, Storage, and Use3. Biomedical Decision Making: Probabilistic Reasoning4. Cognitive Science in Support of Biomedical Informatics5. Essential Concepts for Biomedical Computing6. System Design and Engineering7. Standards in Biomedical Informatics8. Natural Language and Text Processing in Biomedicine9. Imaging Informatics10. Ethics and Health Informatics:

    Users, Standards, and Outcomes11. Evaluation and Technology Assessment

  • E.H. ShortliffePage 12

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Biomedical Informatics

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Bioinformatics Imaging InformaticsClinical

    InformaticsPublic Health Informatics

    Unit I ofBiomedicalInformatics

    Unit II: Biomedical Informatics Applications

    12. Electronic Health Record Systems13. Management of Information in Healthcare

    Organizations14. Consumer Health Informatics and Telehealth15. Public Health Informatics and the Health Information

    Infrastructure16. Patient-Care Systems17. Patient Monitoring Systems18. Radiology Systems19. Information Retrieval and Digital Libraries20. Clinical Decision-Support Systems21. Computers in Health Science Education22. Bioinformatics

  • E.H. ShortliffePage 13

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Biomedical Informatics

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Bioinformatics Imaging InformaticsClinical

    InformaticsPublic Health Informatics

    Unit II ofBiomedicalInformatics

    Unit III: Biomedical Informatics in the Years Ahead

    23.Healthcare Financing and Information Technology:A Historical Perspective

    24.The Future of Computer Applications in Biomedicine

    Glossary

    References

    Name Index

    Subject Index

  • E.H. ShortliffePage 14

    An Overview of Biomedical Informatics Date 1/19/06

    2006 Columbia University

    Education of Biomedical Informatics Researchers

    Basic Research

    Applied Research

    Biomedical Informatics Methods, Techniques, and Theories

    Bioinformatics Imaging InformaticsClinical

    InformaticsPublic Health Informatics

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