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Presentation on Industrial Visit,Mini
Project and Main Project(phase 1)

   Guide : Asst. Prof.Anju S.S   presented By,
                                   Asha Yeldose
                                   M.Tech-CSE
                                   Roll.No: 406003
Overview of Work Done:
     Industrial Visit
           -Location : JMMC Trichur
           -Period : 2012 December 22 to 2013 february28
     Mini Project
           -Preparation of As Is Document
           -Preparation of To Be Document
           -IEEE Technical Paper - ―Integration of ICU data into
      Electronic Medical Records- Issues and Solutions ”
           -Work on Android Applications – ongoing
     Main Project
           -Problem identification –complete
           -literature Survey –partially complete
           -Solution Strategy –partially complete
2          -Implementation –Pending
Overview of presentation:
     About the Industrial training in JMMC
     Mini Project : ICU Automation for JMMC –
      ―Architectural Design‖
     About our IEEE conference paper ―Integration of ICU
      data into Electronic Medical Records – Issues and
      Solutions‖.
     Main Project : Input Techniques in ICUAS




3
JMMC – The Poor man's Hospital
JMMC – The industry
     Normally known by the name ―Poor man’s
      hospital‖.
     It is a healthcare industry—with intensive form of
      services for the well being of human beings.
     The major inputs of this health care industry are:
            Hospital
            Medical insurance
            Medical Software
            Health Equipments.



5
A satellite view…(just a glimpse)




6
The major services…
     Hospital
        35 departments running successfully in the 4
         blocks.The major blocks include.
           Golden Jubilee Block
           Hridayalaya
           St. Thomas Block
           Medical College Block




7
The major services…
     Registration       Cardiology        Registration    Administrative
     Pharmacy I          Registration
                                            Pharmacy         Wing
     OPD                Emergency
                                            OPD             Principals
     Surgical ICU       OPD                                 Room
                                            ATM
     Medical ICU        Cardiac Care                       Lecture
                                            Nurses
     Neuro               Unit                                Complex
                                             council
      Surgery            Computer                           Biomedical
                                            cafe
      Recovery ICU        Services                            wing
     Multidisciplina    Management                         Cafeteria
      ry CCU              group
                                                             Laboratory.
     Auditorium         Dietician
                                                             Biochemistry
     Council hall        center
                                                              laboratory.
     Head nurse         Fitness center
                                                             Pg block
      station
                                                             Research
     cafe                                                    centre
     Golden                                   St. Thomas     Medical
                                                              Medical
                             Hridayalaya      Block
8    Jubilee Block                                            record Block
                                                              College
                                                              storage wing
Health Equipments:
      Multipara Monitor     Centrifuges
      Pulse oximeter        Clinical analyzer
      Ventilator            Calipers
      Nebulizer                (Ultrasonic)
      Infusion Pump           Caloric Apparatus
      UniCelDxI 600           Cardiac pacemaker
      UniCelDxC 860i          Mammography
                                System
      LH 750 analyzer
                               M-mode ultrasonic
      Ortho Vitros 250
                                scanner
      Roche Hitachi 912
                               Gastric Pump
       Chemistry Analyzer
                                   etc.,


9
Medical Software:
      The entire JMMC runs on a software developed
       and maintained by MUZIRIS softech.
      Different modules are controlled by them with in
       the JMMC network.
      Some of the modules include:
           -Administration
           -lab Proceedings.
           -PMR tracking etc.,

     Further details are given in the IV report.

10
ICU Automation for JMMC –
  ―Architectural Design‖.
Existing System in Medical Neuro
     ICU of JMMC
      A desktop based system.
      Nurses has to walk around so as to update the
       patient’s medical record.
      Not possible for doctors to have the latest
       updations.




12
Health Equipments:
      Multipara Monitor
      Pulse oximeter
      Ventilator
      Centrifuges
      Clinical analyzer etc.,




13
Proposed System
      A Tablet based System.
      Portable.
      Updations can be performed at the bed side
      Wifi enabled.
      Application based system.
      Better feel




14
The overall system architecture…




15
ICUAS—Architectural design…..
      Different modules come under this :
           The important modules are :
             Log in
             Log out
             Lab request
             Medication
             Temperature, Pressure and Respiration
             Billing
              Nurses Record etc.,


       All these modules are treated as separate
       android apps and are separately developed.
       Finally these apps will be made interactive with
16
       each other.
A Sample running on Emulator….




17
A Sample running on
       Emulator….
      A simple app may contain a series of inner
       operations.
      A sample login app will be like this.




18
How two apps communicate…
      Consider two apps login and medicine.
      Medicine also contains a series of operations.
         Lets consider the medicine app…
     It has the following operations:
      Viewing a patient by his ID
      Provide Medicine
      View medication details




19
Operations under medicine app:




20
How two apps
     communicate…
     • If there is an effective communication the
     logged in nurse’s name will be displayed.
     •To make the communication effective
     intents are used.
     •Intents are asynchronous messages which
     allow Android components to request
     functionality from other components of the
     Android system
21
Advantages of New system.
      Easy development of apps.
      Easy replacement.
      Better organization.
      Provides a standard view.




22
IEEE Conferenc Paper:"Integration of ICU
 data into Electronic Medical Records-Issues and
                     Solutions"
About the Conference Paper:
      Got a chance to prepare a paper based
       on the idea said above.
      The paper titled as ―Integration of ICU
       data into Electronic Medical Records-
       Issues and Solutions‖ got acceptance in
       2013 IEEE conference on information
       and communication technologies.


24
About the Conference Paper….
      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 : Anju S.S
      Authors : Dhanyaja . N, Josmy T Jose, Asha
      Yeldose

25
Abstract
      The Intensive Care Unit (ICU) is the arena in
     which many succeed and many others perish in the
     intense battle between life and death. The
     systematic documentation of all events here will be
     invaluable for research purposes. Traditionally
     these are written on case sheets and maintained in
     paper form in the Medical Records Department.
     The advent of electronic medical records (EMR)
     has not only changed the format of medical records
     but also increased accessibility of information
     contained in the repository, especially for research
     purposes. Unfortunately, in most implementations
     of Hospital Information Management System, many
     major pieces of information from the ICU fail to find
26
     a place in the EMR. Even in cases where the EMR
Abstract (Cntd.)
ICU is characterized by periods of heavy load of urgent
   tasks to be finished within precious time and manual
   entry of information into the medical record will be
   either postponed or dropped. This creates a statistical
   skew in the information captured that will affect the
   analysis based on them. On the other hand, an ICU
   automation system can alleviate the severity of above
   problem to a large extent, since it can ubiquitously
   capture all important information from the ICU and
   store it in the EMR. We are currently implementing a
   Tablet PC based system for automation of the
   workflows in an ICU. This paper presents the working
   of the system in capturing the pertinent information so
   that it may be stored in the EMR. The issue of
27
   integration of the ICU management system with the
MAIN
          PROJECT
Input Techniques in ICUAS
Problem Statement
      To develop the complete Android Application Suite for
         ICU Nursing Station wherein EMR gets captured
         ubiquitously
        The proposed work will consider input from nurse’s
        Extension of Mini Project
        Uses the UI and Use Case Diagrams created as part of
         Mini Project
        The system should become operational in JMMC



29
Input Techniques in ICUAS…
      Keyboard entry
        Touch screen k/b
        External k/b
      Voice input
      Camera mode




30
In our scenario ICUAS:
      We have an aakash tablet.
      Have to connect an external wired keyboard.
      The mounting and un-mounting of keyboard
       should be performed based on the click in the
       front end.
      A power hub is provided to connect the keyboard
       as our tablet don’t have a USB port.




31
Touch Screen Keyboard
     touch sensitive inbuilt keys
      most doctors are more comfortable         with
      pen and paper
      It takes some time to practice in order to type
      quickly and accurately.




32
Voice Input:
      Helps in saving the doctor’s order.
      A click on record button should start the recorder
       in the background.
      It could be possible for long time recording.
      The recorded file should be saved properly to the
       database.
      It should be possible to hear it in a later period.




33
Camera Mode:
      Used to take the photo of the newly admitted
       patient in the ICU.
      As said before the camera should be activated
       with in a single click.
      The generated picture size should be reduced
       considerably and should be stored.




34
Camera mode for taking handwritten
     notes…
     • Inbuilt camera takes pictures of handwritten

      notes.

     • Tablet is fixed in a frame that can be tilted as

      needed,in an angle most suitable for reading.

     • The paper slip whose Image need be taken is

      kept behind and one click is all that needed.


35
Development Methodology:
      Here we will see how an android application can
      be developed .




36
Development Methodology……




37
Testing Strategy.




38
Testing Strategy…..




39
Testing Strategy……




40
Testing Strategy…..
      A sample speech recording system




41
System Integration:




42
Activity Chart :



                                                              Writing a
                                                              Paper

                                                     Prepairing
                                                     Thesis
                                             Implementing + integrating
                                             with other modules
                                   Testing
                     Collecting    with
                     information   aakash

          FEBRUARY       MARCH          APRIL      MAY      JUNE
43
Impact Analysis:
      Even in a ―touch‖ environment the user can work
       with an external keyboard (to which they are used
       with)
      Single button clicks will bring exciting applications
       in the background.
      No need to worry about the booting of a particular
       app.
      Brings different inputting techniques under a
       single platform.


44
Extension and Future Work
        As far as the inputting techniques are
       considered, still there are some questions yet to
       be answered. We are searching for the same with
       the help of some forums like Android Forums etc.,
      Android and postgres connectivity is a issue that
       should be sorted out.
      Once the proper solution of deploying is obtained
       we have to try it in the aakash model.




45
46

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Architectural Design

  • 1. Presentation on Industrial Visit,Mini Project and Main Project(phase 1) Guide : Asst. Prof.Anju S.S presented By, Asha Yeldose M.Tech-CSE Roll.No: 406003
  • 2. Overview of Work Done:  Industrial Visit -Location : JMMC Trichur -Period : 2012 December 22 to 2013 february28  Mini Project -Preparation of As Is Document -Preparation of To Be Document -IEEE Technical Paper - ―Integration of ICU data into Electronic Medical Records- Issues and Solutions ” -Work on Android Applications – ongoing  Main Project -Problem identification –complete -literature Survey –partially complete -Solution Strategy –partially complete 2 -Implementation –Pending
  • 3. Overview of presentation:  About the Industrial training in JMMC  Mini Project : ICU Automation for JMMC – ―Architectural Design‖  About our IEEE conference paper ―Integration of ICU data into Electronic Medical Records – Issues and Solutions‖.  Main Project : Input Techniques in ICUAS 3
  • 4. JMMC – The Poor man's Hospital
  • 5. JMMC – The industry  Normally known by the name ―Poor man’s hospital‖.  It is a healthcare industry—with intensive form of services for the well being of human beings.  The major inputs of this health care industry are: Hospital Medical insurance Medical Software Health Equipments. 5
  • 7. The major services…  Hospital 35 departments running successfully in the 4 blocks.The major blocks include.  Golden Jubilee Block  Hridayalaya  St. Thomas Block  Medical College Block 7
  • 8. The major services…  Registration  Cardiology  Registration  Administrative  Pharmacy I Registration  Pharmacy Wing  OPD  Emergency  OPD  Principals  Surgical ICU  OPD Room  ATM  Medical ICU  Cardiac Care  Lecture  Nurses  Neuro Unit Complex council Surgery  Computer  Biomedical  cafe Recovery ICU Services wing  Multidisciplina  Management  Cafeteria ry CCU group  Laboratory.  Auditorium  Dietician  Biochemistry  Council hall center laboratory.  Head nurse  Fitness center  Pg block station  Research  cafe centre Golden St. Thomas  Medical Medical Hridayalaya Block 8 Jubilee Block record Block College storage wing
  • 9. Health Equipments:  Multipara Monitor  Centrifuges  Pulse oximeter  Clinical analyzer  Ventilator  Calipers  Nebulizer (Ultrasonic)  Infusion Pump  Caloric Apparatus  UniCelDxI 600  Cardiac pacemaker  UniCelDxC 860i  Mammography System  LH 750 analyzer  M-mode ultrasonic  Ortho Vitros 250 scanner  Roche Hitachi 912  Gastric Pump Chemistry Analyzer etc., 9
  • 10. Medical Software:  The entire JMMC runs on a software developed and maintained by MUZIRIS softech.  Different modules are controlled by them with in the JMMC network.  Some of the modules include: -Administration -lab Proceedings. -PMR tracking etc., Further details are given in the IV report. 10
  • 11. ICU Automation for JMMC – ―Architectural Design‖.
  • 12. Existing System in Medical Neuro ICU of JMMC  A desktop based system.  Nurses has to walk around so as to update the patient’s medical record.  Not possible for doctors to have the latest updations. 12
  • 13. Health Equipments:  Multipara Monitor  Pulse oximeter  Ventilator  Centrifuges  Clinical analyzer etc., 13
  • 14. Proposed System  A Tablet based System.  Portable.  Updations can be performed at the bed side  Wifi enabled.  Application based system.  Better feel 14
  • 15. The overall system architecture… 15
  • 16. ICUAS—Architectural design…..  Different modules come under this : The important modules are :  Log in  Log out  Lab request  Medication  Temperature, Pressure and Respiration  Billing  Nurses Record etc., All these modules are treated as separate android apps and are separately developed. Finally these apps will be made interactive with 16 each other.
  • 17. A Sample running on Emulator…. 17
  • 18. A Sample running on Emulator….  A simple app may contain a series of inner operations.  A sample login app will be like this. 18
  • 19. How two apps communicate…  Consider two apps login and medicine.  Medicine also contains a series of operations. Lets consider the medicine app… It has the following operations:  Viewing a patient by his ID  Provide Medicine  View medication details 19
  • 21. How two apps communicate… • If there is an effective communication the logged in nurse’s name will be displayed. •To make the communication effective intents are used. •Intents are asynchronous messages which allow Android components to request functionality from other components of the Android system 21
  • 22. Advantages of New system.  Easy development of apps.  Easy replacement.  Better organization.  Provides a standard view. 22
  • 23. IEEE Conferenc Paper:"Integration of ICU data into Electronic Medical Records-Issues and Solutions"
  • 24. About the Conference Paper:  Got a chance to prepare a paper based on the idea said above.  The paper titled as ―Integration of ICU data into Electronic Medical Records- Issues and Solutions‖ got acceptance in 2013 IEEE conference on information and communication technologies. 24
  • 25. About the Conference Paper….  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 : Anju S.S  Authors : Dhanyaja . N, Josmy T Jose, Asha Yeldose 25
  • 26. Abstract The Intensive Care Unit (ICU) is the arena in which many succeed and many others perish in the intense battle between life and death. The systematic documentation of all events here will be invaluable for research purposes. Traditionally these are written on case sheets and maintained in paper form in the Medical Records Department. The advent of electronic medical records (EMR) has not only changed the format of medical records but also increased accessibility of information contained in the repository, especially for research purposes. Unfortunately, in most implementations of Hospital Information Management System, many major pieces of information from the ICU fail to find 26 a place in the EMR. Even in cases where the EMR
  • 27. Abstract (Cntd.) ICU is characterized by periods of heavy load of urgent tasks to be finished within precious time and manual entry of information into the medical record will be either postponed or dropped. This creates a statistical skew in the information captured that will affect the analysis based on them. On the other hand, an ICU automation system can alleviate the severity of above problem to a large extent, since it can ubiquitously capture all important information from the ICU and store it in the EMR. We are currently implementing a Tablet PC based system for automation of the workflows in an ICU. This paper presents the working of the system in capturing the pertinent information so that it may be stored in the EMR. The issue of 27 integration of the ICU management system with the
  • 28. MAIN PROJECT Input Techniques in ICUAS
  • 29. Problem Statement  To develop the complete Android Application Suite for ICU Nursing Station wherein EMR gets captured ubiquitously  The proposed work will consider input from nurse’s  Extension of Mini Project  Uses the UI and Use Case Diagrams created as part of Mini Project  The system should become operational in JMMC 29
  • 30. Input Techniques in ICUAS…  Keyboard entry Touch screen k/b External k/b  Voice input  Camera mode 30
  • 31. In our scenario ICUAS:  We have an aakash tablet.  Have to connect an external wired keyboard.  The mounting and un-mounting of keyboard should be performed based on the click in the front end.  A power hub is provided to connect the keyboard as our tablet don’t have a USB port. 31
  • 32. Touch Screen Keyboard touch sensitive inbuilt keys  most doctors are more comfortable with pen and paper  It takes some time to practice in order to type quickly and accurately. 32
  • 33. Voice Input:  Helps in saving the doctor’s order.  A click on record button should start the recorder in the background.  It could be possible for long time recording.  The recorded file should be saved properly to the database.  It should be possible to hear it in a later period. 33
  • 34. Camera Mode:  Used to take the photo of the newly admitted patient in the ICU.  As said before the camera should be activated with in a single click.  The generated picture size should be reduced considerably and should be stored. 34
  • 35. Camera mode for taking handwritten notes… • Inbuilt camera takes pictures of handwritten notes. • Tablet is fixed in a frame that can be tilted as needed,in an angle most suitable for reading. • The paper slip whose Image need be taken is kept behind and one click is all that needed. 35
  • 36. Development Methodology:  Here we will see how an android application can be developed . 36
  • 41. Testing Strategy…..  A sample speech recording system 41
  • 43. Activity Chart : Writing a Paper Prepairing Thesis Implementing + integrating with other modules Testing Collecting with information aakash FEBRUARY MARCH APRIL MAY JUNE 43
  • 44. Impact Analysis:  Even in a ―touch‖ environment the user can work with an external keyboard (to which they are used with)  Single button clicks will bring exciting applications in the background.  No need to worry about the booting of a particular app.  Brings different inputting techniques under a single platform. 44
  • 45. Extension and Future Work  As far as the inputting techniques are considered, still there are some questions yet to be answered. We are searching for the same with the help of some forums like Android Forums etc.,  Android and postgres connectivity is a issue that should be sorted out.  Once the proper solution of deploying is obtained we have to try it in the aakash model. 45
  • 46. 46