Electronic Health and Medical Information Technology


 Since Paveh has been designated and introduced as one of the three pilot cities for the implementation of the e-health plan in the country, and due to this situation and the allocation of special funds (more than one billion Tomans) in addition to medical, health and treatment equipment in accordance with the needs The day of innovation and equipping, but also the possible shortages of health houses in rural areas will be eliminated.

One of the determining factors in choosing the city as a national pilot is the cultural growth of the people of this country.

Undoubtedly, creating a culture of how to implement the plan requires the relative knowledge and awareness of honorable citizens of the details of the plan.

And now the following collected material from: Seyed Shahabuddin Abhari, a master's degree student in IT health at Shiraz University of Medical Sciences, entitled  Electronic Health and Medical Information Technology, is  one of those cases.

 Information and communication technology has brought about great changes in all economic, political, cultural and security sectors of the countries. One of these changes is in the field of health and medicine, where patient information storage systems, drug information systems, treatment follow-up systems, telemedicine systems and patient reception systems are examples of these applications  .

Search services in the field of health, to help virtual space, new concepts such as medical Dora   (Tele-Health)  and mobile health services  (M-Health)  and ...  create. Accordingly, the provision of broadband-based services  involves the transfer of various devices and data exchange. Patients and physicians connect to a wide range of information through their mobile phones and exchange information with each other. When the patient arrives at the doctor, he presents his smart card to the doctor, provides his electronic file to the doctor, and the doctor reads the card information through a special device  .

 

Electronic health systems

In 2003, the World Health Organization defined e-health as “the influence of information and communication technology to connect providers, patients, and governments; to educate and inform health care professionals, managers, and recipients; "In order to stimulate innovation in the care and management of the health system and to improve the health care system," he explains. A more comprehensive definition of e-health includes the provision of health services and health information via the Internet and other related e-commerce technologies.

One of these is the electronic health record. Increasing expertise in health care and immigration and travel (for whatever reason, medical, work, tourism, etc.) has led to increased segregation and disintegration of traditional health records and records. The electronic health record contains health care information that is stored electronically throughout a person's lifetime to support better quality ongoing care, education and research. In fact, the electronic health record covers all the functions of a traditional record with better quality .

The most active countries in the field of e-health are primarily Canada, the United States and the United Kingdom, and secondarily Austria, Cuba, Finland, France, Germany, Italy and China.

Also, the most topics that have been invested in the e-health discussion in the world and are planned to promote it include the following in order of priority :

Primarily Electronic Health  Record (EHR)  and  Telemedicine (Telemedicine) ,

 Secondly, the discussion of education and disease monitoring systems  (DSS)  and

 Thirdly, the Clinical Information System  (CIS)  and information exchange standards

Electronic health records are the most important and fundamental part of e-health  that has been worked on in almost all countries. (Specific diseases), principles and rules, electronic version, insurance information system, laboratory information system, health smart card and drug information system .

 

Smart health card, history of diseases in the patient's pocket

Today, patients' health records are stored in computer systems and are referred to as electronic health records, in which the patient's health information is stored throughout his life from the time of embryo to death .

A smart health card is known as one of the tools of electronic health record,  which is a kind of card  (Smart Card) the  size of a credit card and contains a silicon chip that contains the patient's personal and identity information, his medical history, medications he has recently received. Allergies, vaccinations, illnesses and other essential information are required for medical decisions. Currently, the use of this card is common in developed countries and everyone has one of these cards with them  .

The card, which is used in emergency centers, hospitals, offices, clinics and pharmacies, stores and stores medical, vital and essential information so that doctors can access the information of each patient as soon as possible. And use them. These cards allow doctors and patients to get through the paperwork stage and get to the patient's primary care much faster .

 

Telemedicine and live and visual communication between patient and physician

One of the types of electronic health services is Dora Medicine. Telemedicine refers to the knowledge and communication tools that connect health centers and physicians to the patient. In fact, telemedicine is the use of electronic and digital technology to provide medical and health care to patients living far from the medical center. Establishing a telemedicine network in large areas with low population density, as well as in mountainous and difficult areas, especially during emergencies, will be essential. Chronic disease control, diagnosis, treatment, control, follow-up and counseling and training are other benefits of these methods .

Remote examination with the help of sending radiological images,  sending vital signals and textual and audio reports of the patient's history on the one hand and providing instructions in the form of text or audio or in special cases such as remote surgery as mechanical orders by the doctor, cycle one Constitutes telemedicine operations .

In this method, the doctor receives the patient's instantaneous information through various devices such as vital signs, blood pressure information, respiratory tests, ECG information, heart sound, lung, abdomen, etc., and can even use radiographs and radiographs and live images. MRI, view the image of the mouth and teeth of the ear and the image of his skin diseases. In these methods, all health-related components such as the patient will be connected to the medical center, the medical center to the hospital and also the hospital to the specialized hospital, and even before the patient arrives at the hospital and in the ambulance, physical conditions such as heart rate can be Informed the hospital  .

 

The types of telemedicine services are as follows  :

 . Remote consulting :  Currently, the main application of this technology is medical consulting, which is easily done both in Iran and in other parts of the world .

 . E-learning :  In fact, distance education is the use of information technology tools in education and training, which include the benefits of this method of reducing the cost of time and the cost of accommodation and educational space .

 . Remote monitoring :  Sending medical images  online  or  offline  , patient's vital signals via video conferencing, is one of the main methods of remote monitoring .

 . Providing medical services at home :  Most people with cardiovascular disease and chronic respiratory disorders need such care .

 . Remote surgery :  Medical surgery is performed without direct contact between the doctor and the patient during the operation. This surgery can be performed in different ways for various purposes, including the use of remote surgery in cardiac surgery. Observed .

. Remote Imaging  :  Imaging technologies play a major role in diagnosis, treatment, and recovery . Ultrasound scanners, small cameras used in joint surgery and diagnostic equipment, pathology and radiology tests, and brain scans are just some of the imaging technologies that can be performed remotely .

 

 

 

UP