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Ahmed Alharthi42304687
Supervisor Dr. Peter Busch
Skin Cancer Information System - SCIS
11 November 2011 Skin Cancer Information System 1
ITEC 808: Major Information Technology Project
Presentation Outline
IntroductionIntroduction
Electronic Electronic Health RecordHealth Record
Software Software
Requirement Requirement SpecificationSpecification
Software Design Software Design SpecificationSpecification
Future Work Future Work
Conclusion and Conclusion and
QuestionQuestion
11 November 2011 Skin Cancer Information System 2
Introduction
Project Aims, Significance, Expected Outcomes and Approach
11 November 2011 Skin Cancer Information System 3
1. Introduction
Project Aimso Problem: Difficulty of following:
• The flow of a normal examination• Procedural visit
o Develop web-based systemo Have clinical model and effortless entering data o Generate: Reports, Bills and formsSignificanceo Skin cancer is an increasing problemo Help doctors to diagnose without significant diagnoses being missed o Government is putting a lot of money into e-Health
11 November 2011 Skin Cancer Information System 4
1. Introduction
Expected Outcomes o Clinical software - Web-based system o Report documents Approach o ITEC808: 2011 Semester 2
o Literature Reviewo Software Requirements Specification.o Software Design Specification
o ITEC809 2012 Semester 1:o Implementation and testing.o Installation.
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Literature Review: Electronic Health Record
The Definition, Characteristics, Barriers and solution
11 November 2011 Skin Cancer Information System 6
2. Literature Review: Electronic Health Record
The Definition and Characteristics of Electronic Health
Record o Electronic Health Record (EHR):“a repository of information regarding the health status of a
subject of care in computer processable form, stored and transmitted securely, and accessible by multiple authorised users..” (ISO/TR 20514:2005)
1. Personal Health Record (PHR)
2. Electronic Medical Record (EMR)
http://youtu.be/2ikjOSmqpyo
11 November 2011 Skin Cancer Information System 7
Electronic Health Record
11 November 2011 Skin Cancer Information System 8
Healthelink (NSW health, 2008)
Personal Health Record
11 November 2011 Skin Cancer Information System 9
Partners Patient Gateway (Partners 2011)
Electronic Medical Record
11 November 2011 Skin Cancer Information System 10
General System Architecture of EMR (source: iMDsoft 2011)
2. Literature Review: Electronic Health Record
Barriers of Electronic Health Record 1. PHR’s Barriers
• Usability and complexity• Familiarity and Comfort • Terminology • Ensuring Accurate Data • Privacy, Security, and Trust
2. EMR’s Barriers • Usability • Integration issues • Structure of information
11 November 2011 Skin Cancer Information System 11
2. Literature Review: Electronic Health Record
Solutions of Electronic Health Record o Designers could improve the accuracy of the datao Familiar interfaces need to be designed o Education and research o Security
• Encrypt data• Different keys that implement varying access
restrictions • Health record wallet card
11 November 2011 Skin Cancer Information System 12
Software Requirement Specification
Product Overview and Functional, and Non-Functional Requirements
11 November 2011 Skin Cancer Information System 13
3. Software Requirement Specification
Product Overview
1. Product Perspective• EMR specifying skin cancer centres• Web based
2. Product Features • Patient information • Clinical model• Patient history
3. User: Physicians and Nurses, Receptionists and Managers
4. Constraints: Resource limitation and Scope 11 November 2011 Skin Cancer Information System 14
Product Perspective
11 November 2011 Skin Cancer Information System 15
The aims of Australian Governments in e-health (source: Reinecke 2005 p.6)
3. Software Requirement Specification
Functional Requirements
1. Use Case Diagram
2. Use Case Table
3. Requirement Dependency Matrix
11 November 2011 Skin Cancer Information System 16
3. Software Requirement Specification
Non-Functional Requirements
1. Security Requirements
2. Usability Requirements
3. Privacy Requirements
4. Performance Requirements
11 November 2011 Skin Cancer Information System 18
Software Design Specification
System Design and Data Design
11 November 2011 Skin Cancer Information System 19
4. Software Design Specification
System Design
1. System Description
2. System Architecture
11 November 2011 Skin Cancer Information System 20
Portal-Oriented Application (source: Linthicum 2004 p. 20)
4. Software Design Specification
Data Design
1. Data Definition
2. Logical Data Model
11 November 2011 Skin Cancer Information System 21
Logical Data Model
11 November 2011 Skin Cancer Information System 22
Role_access
Role_access
Access_regist
Access_regist
Bi l l_patient_Relationship
Bi l l_i tem
Bil l_i tem
Bil l_i tem
Prescription
Prescription
Prescription
Visit2Visit2
Visit2
Al lergy_Relationship
Family_history_Relationship
Family_history_Relationship
Previous_history_Relationship
Medications_Relationship
specialist_Relationship
specialist_Relationship
Spot_doc_Relationship
Spot_doc_Relationship
has
have
work
Waiting_list
Waiting_list
Waiting_list
Relationship_5
Clinical_Relationship
Clinical_diagnosis
Spot_clinical_Relationship_9
Clinical_Bibosy_Relationship
Clinical_Crythearapy_Relationship
Pathology_requested_Relationship2
(D)
Pathology_requested_Relationship
(D)
procedure_Clinicall_Relationship
Procedure_Doc_Relationship
antibiotics
Cl inical_Wond_Relationship
antibiotics
Cl inical_Therapy_Relationship
clinical_referral_RELATIONSHIP
Clinical_diagnosis
Pathology_inbox_Relationship
Pathology_inbox_patient
Pathology_inbox_staff
Biopsy table coverd:1.Skin Biopsy
2.Shave biopsy3.Currette of skin lesion4.Excision of skin lesion
Cryotherapy table coverd:1.Cryotherapy of skin cancer
2.Cryotherapy of benign lesion3.Cryotherapy of solar keratoses
Wound table coverd:1.Removal of sutures2.Wound care/check
Therapy table coverd:1.Topical therapy
2.Photodynamic therapy
Business
Bus_name Variable characters (100)
Branch
branch_idBus_nameb_namedeManagerb_unitb_street_nob_street_nameb_postcodeb_suburbb_phone1b_phone2b_phone3b_faxb_email...
Number (3)Variable characters (100)Variable characters (100)Variable characters (30)Number (3)Number (4)Variable characters (30)Number (4)Variable characters (30)Number (10)Number (10)Number (10)Number (10)Variable characters (80)
Department
department_idbranch_idd_named_manager...
Number (2)Number (3)Variable characters (30)Variable characters (30)
Staff
s_Iddepartment_idpathology_in_nos_titles_fnames_lnames_DOBs_ PlaceOBs_passwords_genders_positions_levelf_photoid_typestatusblood_typesalarys_units_street_nos_street_names_postcodes_suburbs_phones_mobiles_emails_websites_note
Number (10)Number (2)Number (10)Variable characters (5)Variable characters (15)Variable characters (15)DateVariable characters (15)Variable characters (15)Variable characters (6)Variable characters (15)Variable characters (15)ImageVariable characters (15)Variable characters (15)Variable characters (3)MoneyNumber (3)Variable characters (4)Variable characters (30)Number (4)Variable characters (30)Number (10)Number (10)Variable characters (80)Variable characters (100)Variable characters (500)
Patient
p_Idp_titlep_fnamep_lnamep_genderp_DOBp_ placeOBoccupationMedicare_idMedicare_noMedicare_exp_dateinsurance_noinsurance_companyinsurance_exp_datep_f_photop_blood_typeemergency_nameemergency_phonep_unitp_street_nop_street_namep_postcodep_suburbp_phonep_mobilep_emailp_note
Number (10)Variable characters (5)Variable characters (30)Variable characters (20)Variable characters (6)DateVariable characters (15)Variable characters (15)Number (10)Number (2)DateVariable characters (15)Variable characters (30)DateImageVariable characters (4)Variable characters (30)Number (10)Number (3)Number (4)Variable characters (30)Number (4)Variable characters (30)Number (10)Number (10)Variable characters (80)Long characters (500)
Waiting_list
p_Ids_Idbranch_idwaiting_datecheck_in_timecheck_out_timewaiting_accesswaitin_note...
Number (10)Number (10)Number (3)DateTimeTimeVariable characters (3)Variable characters (800)
Document
doc_idp_Iddoc_namedoc_typedoc_datereceived_bydoc_descriptiondoc_path...
Number (10)Number (10)Variable characters (30)Variable characters (4)DateVariable characters (30)Variable characters (800)Variable characters (100)
Cl inical
cl inical_nop_Idduration_dduration_mduration_yclinical_statusprob_statusdermodcopy_usedvessels_typevessels_distributionpigment_networkpigment_vei lpigment_regressionpigment_scarclinical_note
Number (15)Number (10)Number (2)Number (2)Number (2)Variable characters (20)Variable characters (15)Variable characters (3)Variable characters (15)Variable characters (500)Variable characters (3)Variable characters (3)Variable characters (3)Variable characters (50)Variable characters (800)
Cl inical_diagnosis
clinical_nocryotherapy_nodiagnosis_name
Number (15)Number (6)Variable characters (15)
Spot
spot_noclinical_nospot_namespot_arealocation_xlocation_ylocation_zsize_lsize_wsize_dspot_statusspot_note
Number (10)Number (15)Variable characters (15)Variable characters (15)IntegerIntegerIntegerIntegerIntegerIntegerIntegerVariable characters (800)Biopsy
biopsy_noclinical_nobiopsy_namebiopsy_typesize_biopsydisposablelocal_anaestheticamountbicarbonate_usedhaemostatscreamdressingsutures_useddeep_suture_useddeep_suture_typedeep_suture_diameterdeep_no_suture_packs_openeddeep_no_suturedeep_suture_commentskin_suture_usedclosure_typeskin_suture_typeskin_suture_diameterskin_no_suture_packs_openedskin_no_sutureskin_suture_commentsteri le_usedno_sterl izationprophylactic_antibioticsflapflap_typegraftgraft_typegraft_specific_typegraft_1st_dressinggraft_2nd_dressinggraft_topical_ointment
Number (6)Number (15)Variable characters (30)Variable characters (30)Number (4)Variable characters (3)Variable characters (50)Number (4)Variable characters (3)Variable characters (30)Variable characters (30)Variable characters (30)Variable characters (3)Variable characters (3)Variable characters (30)Number (2)Number (2)Number (2)Variable characters (300)Variable characters (3)Variable characters (30)Variable characters (30)Number (2)Number (2)Number (2)Variable characters (300)Variable characters (3)Number (67)Variable characters (3)Variable characters (3)Variable characters (15)Variable characters (3)Variable characters (30)Variable characters (15)Variable characters (30)Variable characters (30)Variable characters (30)
Cryotherapy
cryotherapy_noclinical_nocryotherapy_namecryotherapy_typecryotherapy_performed
Number (6)Number (15)Variable characters (30)Variable characters (30)Variable characters (3)
Pathology_inbox
pathology_in_nop_Idpathology_in_datepathology_in_textpathology_in_completedpathology_in_notepathology_in_allocatedverification
Number (10)Number (10)DateText (1000)Variable characters (3)Variable characters (800)Variable characters (3)Variable characters (3)
Procedure
procedure_nopathology_out_noclinical_nodoc_idpathology_in_noproce_statuspro_created_dateprocedure_codeprocedure_priceconsentprocedure_noteprocedure_final izelast_action_datereminder_datereminder_dreminder_mreminder_yreminder_typereminder_note
Number (6)Number (6)Number (15)Number (10)Number (10)Variable characters (15)DateNumberMoneyVariable characters (3)Variable characters (800)Variable characters (3)DateDateNumber (3)Number (2)Number (2)Variable characters (15)Variable characters (18)
antibiotics
biopsy_nowound_noantibiotics_idantibiotics_typequantityanti_timeanti_frequenter...
Number (6)Number (6)Number (6)Variable characters (30)Variable characters (30)Variable characters (30)Variable characters (30)
Wound
wound_noclinical_nowound_action_namewound_statusinfectionno_of_sutures_removedno_of_sutures_remainingdressing_creamdressing_type
Number (6)Number (15)Variable characters (30)Variable characters (20)Variable characters (20)Number (2)Number (2)Variable characters (15)Variable characters (15)
Therapy
therapy_noclinical_notherapy_nametherapy_typetherapy_oftentherapy_whentherapy_amounttherapy_add_info...
Number (6)Number (15)Variable characters (30)Variable characters (30)Variable characters (20)Variable characters (20)Number (4)Variable characters (300)
Referral
referral_noclinical_noreferral_datereferral_return_date
Number (6)Number (15)DateDate
Pathology_requested
pathology_out_noprocedure_nopathology_out_datepathology_out_textpathology_out_completedpathology_out_note
Number (6)Number (6)DateText (1000)Variable characters (3)Variable characters (800)
Role_access
s_Idpage_noinsertdeleteupdateview
Number (10)Number (4)BooleanBooleanBooleanBoolean
Pages
page_nopage_namepage_link...
Number (4)Variable characters (30)Variable characters (300)
Access_regist
s_Idpage_noaccess_dateaccess_start_timeaccess_end_time
Number (10)Number (4)DateTimeTime
Bil l
bi l l_idbi l l_datep_Idbi l l_statusbi l l_totalbi l l_discount...
Number (10)DateNumber (10)Variable characters (20)MoneyMoney
Bil l_i tem
bil l_idbi l l_dates_Idprocedure_noitem_noitem_codeitems_nameitem_pricebi l l_item_note...
Number (10)DateNumber (10)Number (6)Number (6)Number (6)Variable characters (30)MoneyVariable characters (150)
Prescription
p_Ids_Idprocedure_noprescription_nameprescription_noprescription_dateprescription_doseprescription_whenprescription_oftenprescription_add_infoprescription_noteprescription_where
Number (10)Number (10)Number (6)Variable characters (150)Number (10)DateVariable characters (30)Variable characters (20)Variable characters (20)Variable characters (150)Variable characters (500)Variable characters (150)
Visit2
p_Idprocedure_nobranch_idvisit_novisit_datevisit_timevisit_note
Number (10)Number (6)Number (3)Variable characters (10)DateTimeVariable characters (800)
Al lergy
al lergy_namep_Idal lergy_typeal lergy_note
Variable characters (30)Number (10)Variable characters (30)Variable characters (800)
Family_history
person_nameperson_genderrelationshipperosn_problemperson_whenperson_duration
Variable characters (30)Variable characters (6)Variable characters (15)Variable characters (800)TimeVariable characters (15)
Previous_history_SC
prev_problem_namep_Idprev_procedureprev_whenprev_durationprev_where...
Variable characters (30)Number (10)Variable characters (30)TimeVariable characters (30)Variable characters (80)
Medications
medi_namep_Idmedi_typemedi_dosemedi_startmedi_endmedi_note...
Variable characters (30)Number (10)Variable characters (30)Variable characters (30)DateDateVariable characters (800)
Suture_type
suture_name Variable characters (30)
Closure_type
closure_name Variable characters (30)
Item_number
code_item_typecode_item_namecode_item_85Medicarecode_item_100Medicarecode_item_150Medicarecode_item_sizecode_item_size_less10code_item_size_more10code_item_size_more20code_item_price
Variable characters (30)Variable characters (30)BooleanBooleanBooleanNumberNumberNumberNumberMoney
Referral_text
referral_text_no Number (6)
Specialist
specialis_nospecialist_Lnamespecialist_Fnamespecialist_practise_namespecialist_titlespecialist_DOBspecialist_phonespecialist_email
Number (6)Variable characters (30)Variable characters (15)Variable characters (30)Variable characters (15)DateNumber (10)Variable characters (50)
Family_history_Relationship
person_namep_Id
Variable characters (30)Number (10)
specialist_Relationship
specialis_noreferral_no
Number (6)Number (6)
Spot_doc_Relationship
doc_idspot_no
Number (10)Number (10)
Future Work
Continuing the project, Implementations and Testing
11 November 2011 Skin Cancer Information System 23
5. Future Work
Continuing Software Design Specification
Implementations and Testing
Conclude the Project
11 November 2011 Skin Cancer Information System 24
6. Conclusion and Question
1. Introduction
1. Project Aims
2. Significance
3. Expected Outcomes
4. Approach
2. Literature Review: Electronic Health Record
1. The Definition, Characteristics, Barriers and Solutions of
EHR including PHR and EMR
11 November 2011 Skin Cancer Information System 26
6. Conclusion and Question
3. Software Requirement Specification
1. Product Overview
2. Functional Requirements
3. Non-functional Requirements 4. Software Design Specification
1. System Design
2. Data Design
5. Future Work
11 November 2011 Skin Cancer Information System 27
You have been such an appreciative audience
Thank You
11 November 2011 Skin Cancer Information System 28
References (1)
11 November 2011 Skin Cancer Information System 30
Bartlett, C, Boehncke, K, Haikerwal, H (2008), ‘E-Health: Enabler for Australia’s Health Reform’, National Health & Hospitals Reform Commission, 27 November 2008, Department of Health and Ageing.
Caligtan, C & Dykes, P (2011), ‘Electronic Health Records and Personal Health Records’, Seminars in Oncology Nursing, 27(3) Augusts, pp. 218-228.
Do, N, Barnhill, R, Do, K, Salzman, K, Gimbel, R (2011), ‘The military health system’s personal health record pilot with Microsoft HealthVault and Google Health’, Journal of the American Medical Informatics Association, 18(2) March-April, pp. 118-124.
Ebadollahi, S, Chang, S, Syeda-Mahmood, T, Coden, A , Amir, A, Tanenblatt, M (2006), ‘Concept-Based Electronic Health Records: Opportunities and Challenges’, In proceedings of the 14th annual ACM international conference on Multimedia (2006), pp. 997-1006.
International Organization for Standardization, (2005), ISO/TR 20514 - Health informatics, 22-01-2005.
iMDsoft (2011), System Architecture, accessed 13/9/2011, <http://www.imd-soft.com/it-professionals>.
References (2)
11 November 2011 Skin Cancer Information System 31
Linthicum, D (2004), Next generation application integration: from simple information to Web services, 9th Edition, Addison-Wesley, Boston, MA, USA.
Liu, L, Shih, P, Hayes, G (2011), ‘Barriers to the Adoption and Use of Personal Health Record Systems’,In proceedings of the 2011 iConference, pp.363-370.
NEHTA (2006), ‘Web Services Standards Profile’, National E-Health Transition Authority (NEHTA), 31 January 2006.
NSW Health (2008), Summary Report: An Evaluation of the Healthelink Electronic Health Record Pilot, September, KPMG, Australia.
Partners (2011), Patient Gateway, accessed 25/9/2011, < https://www.patientgateway.org>.
Patrick, J (2009), ‘A Critical Essay on the Deployment of an ED Clinical Information System - systemic failure or bad luck?’, University of Sydney, Australia.
Reinecke, I (2005), ‘Global Health Information Technology Standards Summit : Interoperable Standards for an EHR’, National E-Health Transition Authority (NEHTA), 20 September 2005.
References (3)
11 November 2011 Skin Cancer Information System 32
Saugeon, P, Guillod, J & Thiran, J (2003), ‘Towards a computer-aided diagnosis system for pigmented skin lesions’, Computerized Medical Imaging and Graphics, 27(1) pp. 65-78.
Sommerville, I (2010), Software Engineering, 9th Edition, Addison-Wesley, Harlow, England.
Tang, P, Ash, J, Bates, D, Overhage, M & Sands, D (2006), Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption, Journal of the American Medical Informatics Association, 13(2) March-April, pp.121-126.
The Public Health Association of Australia (2009), ‘Skin Cancer Prevention Policy’, Australia, accessed 12/8/2011, <http://www.phaa.net.au>.
Yee,W & Trockman, B (2006), ‘Bridging a Gap in the Proposed Personal Health Record”, In proceedings of the international workshop on Healthcare information and knowledge management (2006), pp. 49-56.