Medical Social Informatics Framework in the Progress of - - PDF document

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Medical Social Informatics Framework in the Progress of Telemedicine in Bandung, Indonesia Agung Budi Sutiono, MD, PhD; Ahmad Faried, MD, PhD Department of Neurosurgery and

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 1

ASIA Telemedicine, Bangkok 1

Medical Social Informatics Framework in the Progress of Telemedicine in Bandung, Indonesia

Agung Budi Sutiono, MD, PhD; Ahmad Faried, MD, PhD Department of Neurosurgery and Telemedicine Laboratory, Faculty of Medicine, Universitas Padjadjaran-

  • Dr. Hasan Sadikin Hospital, Bandung, Indonesia

ASIA Telemedicine, Bangkok 2

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 2

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Ohta T, et al.

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 3

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Japan Association for Social I nformatics

  • Vol. 25 (2010) Released: March 26, 2011

ASIA Telemedicine, Bangkok 6

  • 1. I CT for medical assistance in

disaster affected area: Design user interface

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 4

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I CT for critical patient evacuation in disaster

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Network configuration

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 5

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Physiology data Supporting medical care data

Emergency medical record

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Demography interface Tagging interface

Demography & tagging interface

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 6

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Vital sign Supporting Medical Care Outcome

Vital sign and medical care interface

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 Front

– Head – Chest – Abdomen – Extremity

 Back

– Spine – Waist

Wound location

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 7

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EMCI S device

Source: Agung Budi Sutiono’s document APT EMCI S research project, 2006

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I mplementation & evaluation

 Allocated in Garut county,

because:

– Kadungora village, 20 km from Garut city, potentially subject to landslides and – Cilawu village, 7.5 km from Garut city and prone to flooding – Challenging geographically mountainous area – Front medical post (Kadungora & Cilawu), referral hospital (Garut)

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 8

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I mplementation activity

Trans-receiver in Cilawu Cilawu mountain Garut hospital Trans-receiver in Garut Hospital Gate Garut hospital

Source: Agung Budi Sutiono’s document APT EMCI S research project, 2006

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Time evaluation

 Time average in 20 times

trial:

– Demography interface (34.6 second) – Physical examination interface (47.15 second) – Transmission time (44.45 second) – Average vital sign assessment (60-90 second) – Total time needed = 186.2 – 216.2 second (3.10 - 3.60 minutes)

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 9

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User interface training and simulation

EMCIS training for medical personnel Telkom instructor EMCIS system explanation to

  • Dr. Trimayu (head ER Garut Hospital)

User trial and evaluation

Source: Agung Budi Sutiono’s document APT EMCI S research project, 2006

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  • 2. I CT for traumatic brain

injury referral assistance

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Network configuration

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Login interface

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Demography and anamnesis

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Follow up interface

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Teleneurosurgery interface

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Treatment interface

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Time average needed

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Received signal variation from measurement

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  • 3. Other activities in

telemedicine

 Distance seminar between USA

(Vanderbilt University Hospital) and Japan (Aichi University) for Neurosurgery and Neuroanatomy

 Neurosurgical case discussion between

Indonesia and Japanese medical student

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Neurosurgery and neuroanatomy telemedicine seminar 2012

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Neurosurgery case discussion for medical student 2012 Padjadjaran University and Aichi Medical University

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  • 4. DigiMaps for maternal

and postnatal care systems

 DigiMAPS is a system consist of electronic

medical record for mother & infant called

“KIA Online” and tele-consultation facility

called “Tele-Obgyn”.

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 17

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Neonatus Mortality Factors in I ndonesia (a) during 0-6 days care (b) during 7-28 days care (source: I ndonesia Riskesdes 2007)

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Project in Halu mountain

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Condition

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Cloud-Based Server Tele-Obgyn and Tele-Patient System

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Spontania Telkom

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 20

ASIA Telemedicine, Bangkok 39 ASIA Telemedicine, Bangkok 40

Trial DigiMAPS

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Biomolecular Cloud Systems Planning

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Standalone chromosome computing

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Integrated Medical Service

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UDoctor Development

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Connect to telesurgery by using microscope

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Challenges

 Internet access stabilization  Engineers in Medical School UNPAD  Collaboration with R&D Telkom

Co.Ltd.

 Wide spreading telemedicine for all over

Indonesia

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Bangka Belitung I slands

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Referral Hospital

TELKOM Network

Cloud-based video conference platform SMS/USSD Gateway

2G/3G BTS Rural Area

Local Clinic Puskesmas DSLAM/ BRAS

Public Health Officer/Doctors 3G BTS City Centre Posyandu

WiFi Outdoor

USG image & KIA viewed remotely Compact- WiFi Midwives VSAT IP Access Mother Alert System 3G BTS Rural

Tele-Consultation Tele-Consultation (Obgyn)

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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital The 7th Asia Telemedicine Symposium, 2013 26

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Thank you very much

1923 2001

  • Dr. Hasan Sadikin Hospital Padjadjaran University Faculty of Medicine