ComRAD Via ANAMNESIS

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ComRAD

e-TOOL FOR APPLICATION IN

COMPUTERIZED

RECOVERY ADVISOR

ComRAD

HEALTH CARE


ComRAD

UKB

CoSMoS

Medical Treatment Advisory Information

ComRADClinical, Research for Medical knowledge

ODB

Patient ANAMNESIS

GeneralPractitioner

CaseInformation

TreatmentInformation

General Practitioner

EHR

Clinical LaboratoryTests

X-Ray MRI, CT Scan Blood Test, etc.

Request

Test Result

TestsResult

s

PatientHealt

hHistor

y

ComRAD Chart


ComRAD

Computerized Recovery Advisor - ComRAD© & ANAMNESIS©

SINGLE SYSTEM SERVER

First visit

3

4

1

4

5. Refer to Lab

GP

ODB

PatientAnamnesis

Monitoring

Prescriptions

5

4

MS optimal decision

1. Lab Results

Patient

Next visit

1. LabResults 2. Advice

Monitoring

3

SINGLE SYSTEM SERVER

UKB – Universal Knowledge Base© contains: a). Medical Science Information, - all factors has to be taking into account in optimal medical treatment design; b). Resources for testing & examination c.) Resources for treatment ODB – Operating Data Base contains Electronic Health Records (EHR) with complete secure patient’s data.CoSMoS – Managing and Designing Program GP – General Practitioner.Anamnesis – Test for definition of a Patient’s body systems that require immediately attention.First visit: before visit a patient use an Anamnesis to provide GP with information which patient’s body system require immediately attention and what testes and examinations has to be done. Next visit: after getting results of tests and examinations, system provides GP with several sub optimal variants of medical treatments. GP selects the best one (optimal variant).Server with a Variable Logic Processor – Monitoring will be done with a Pulse-Medic-Analytics device, for control patient’s pulse, blood pressure, sugar level.

SCIENCE

CoSMoS

UKB© LAB

DRAG

LAB


ComRAD

What is ComRAD© (Computerized Recovery Advisor)?

ComRAD is…

an Intelligent Information and Expert (Designing) System© in field of Health Care,

based on…

the universal methodology of computerized system analysis and design (MCAD)©

developed as part of…

the nation wide intelligent information & expert system (II&ES)©


ComRAD

a decision support system that provides medical specialists with advises for the optimal decision making.

presented as ..

a unified system integrated with a lab (includes diagnostic devices), pharmaceutical, office assistance and other systems with complete interoperability between them by the intersystem software.

ComRAD© (Computerized Recovery Advisor) also is:


ComRAD

MCAD© is…

The universal methodology of computerized system analysis and design (MCAD) is an innovative theoretical and methodical basis for development of interoperable intelligent information & expert systems (II&ES)© and it has a wide variety of applications


ComRAD

What is II&ES according to MCAD© ?

According to MCAD any II&ES system consists with:

Universal Knowledge Base (UKB)©

Operating Data Base

CoSMoS© software complex (managing & designing)


ComRAD

What is UKB according to MCAD?

What is different in II&ES UKB?

It is not a specific architecture for each applied knowledge domain, -

it is unified

It is not a regular architecture, -

it reflects the universal algorithm of “design”

It is not a library of articles, -

it is ontology consisting of standard modules of information

It is a specific architecture for all kind of knowledge domains – it is actually an universal KB


ComRAD

Pharmaceutical and other recourses for cure

Knowledge: what has to be taken into account in the process of treatment

Normal characteristics of body systems and inner organs function

F R N

Knowledge Base – KB

KB includes scientific knowledge about human body systems, environment, treatment recourses, safety and other standards, office management, system development and costs of treatment.

What is ComRAD KB?

Why is ComRAD KB different?

Consist only scientifically approved information computerized system analysis intended to create a unified knowledge base with specific ontology based on MCAD©

Computerized system analysis also allows to reveal gaps in knowledge and determine areas for future study


ComRAD

ComRAD KB AS A PART OF UNIVERSAL KB

C

SCIENCE

User’s Portal

1. Interactive process of filling professional (scientific and standard) information to the UKB using computerized Systems Analysis

3. Interactive process of getting and filling necessary information from/ to Patient’s file in ODB

4. Population of new information to the KB as results of practical experience and scientific research

2. Query and Generation of a necessary professional & standard related to the case (specific Forms) from the KB 2

ComRAD ODB AS A PART OF REGION ODB3

44Developers

1

2


ComRAD

ComRAD ODB

What is specific in II&ES ODB?

Unified Architecture of Operating Data Base (ODB) reflects of Unified Architecture of ComRAD KB

Data structurization provides highest level of security for patent’s health information (EMR)

Intrasystem communication between KB, ODB, medical specialists, pharmacy and laboratories provides with CoSMoS software complex


ComRAD

What is ComRAD ODB could be:

The ComRAD ODB can be used as a source for Data Warehouse (DW).

Accumulating aggregated information in DW will allow system to perform statistical analysis on the different levels of complexity.

That is cluster analysis, regression analysis and so on could be implemented to produce true statistical picture of the decease / treatment results.


ComRAD

What is II&ES CoSMoS© is?

utilizes algorithms of the method of computerized systems analysis in creation of UKB ontology

utilizes designing algorithms (by the intersystem's interfaces)

generation of users portals (standard form-documents)

generation of suboptimal variants of design

CoSMoS is a managing and design software complex, which provides the following:


ComRAD

What is different in CoSMoS?

IT IS NOT A SOFTWARE FOR THE SYSTEMS INTEROPERABILITY BY THE NETWORK, - BUT BY THE INTRASYSTEM COMMUNICATION BETWEEN KB, ODB, MEDICAL SPECIALISTS, PHARMASY AND LABORATORIES, HOSPITALS SOFTWARE

IT IS NOT A SOFTWARE THAT REALIZED ONLY SEARCH ALGORITHMS, - BUT

ALGORITHMS OF CREATION KB ONTOLOGY USING SYSTEM ANALYSIS AND

ALGORITHMS OF OPTIMAL DESIGN

IT IS NOT A SPECIAL SOFTWARE FOR EACH APPLIED SYSTEM, BUT UNIFIED

FOR ALL OF THEM


ComRAD

What makes ComRAD different?

What its NOT..

It is not just a network between medical specialists, it is interoperability between medical records and scientific knowledge

It is not a forum for discussion of medical issues, but could be one

It is not an educational course, but could be one

What it IS…

An intelligent information & expert system that also is a part of nation-wide info-environment©

The basic principle of ComRAD: “to normalize the patient’s body systems functioning in whole, not only to treat a specific disease by its name”

The decision making will be done by a medical doctor based on several sub-optimal variants designed by the ComRAD


ComRAD

ComRADThe general scheme of ComRAD workstation configuration

• Medical Specialist (End User) works only with Operating Data Base (ODB)

•Work station for Medical Specialist serviced by CoSMoS Design Programs

USER

• VLP – innovative variable logic computer adapted to data base operating

Design Program (Operating Data Base Managing Program)

Server UKB

Server with Variable Logic Processor (VLP)

VLP

Server ODB

Server with Variable Logic processor (VLP)

VLP


ComRAD

ComRAD KB


ComRAD

TO ODBPRE-DIAGNOSTIC TESTS

BS – IMMEDIATE SUPPORT

REQUIRED

BS – NO SUPPORT REQUIRED

BS – SUPPORT REQUIRED

CASE REGISTRATIONSTRUCTURAL STRATUM FUNCTIONAL STRATUM

KB LEVELS: BODY SYSTEMS - BS

TO LOWER LEVEL

TO ODB

MEDICAL HISTORY:

• SYMPTOMS

• ETC.

EXAMINATIONS:

LAB, DEVICES, ETC.

TO SCIENCE

TO LOWER LEVEL

ComRAD Specification


ComRAD

Pre-diagnostic test – ANAMNESIS©

Presented by:

Alliance of Technology and Science Specialists of Toronto Inc. andDesign of Intelligent Systems Knowledge Co.

═════════════════════════════════════════════════ T E S T V.1

_____________________________________________________

║ SYSTEMS MIGHT NEEDS SUPPORT ║ ----------------------------

║ Circulatory 17 ║ Digestive 16 ║ Urinary 15 ║ Structural 14 ║ Glandular 13 ║ Immune 11

║ SYSTEMS PROBABLY DOESN'T NEEDS SUPPORT

║ --------------------------------------- ║ Intestinal 8 ║ Nervous 7 ║ Respiratory 4

Do you want printing result ? (y/n)


ComRAD


Result of pre-diagnostic test done

for: Mr. First Last

date: 08-05-2011

BODY SYSTEMS THAT REQUIRE EMERGENCY ATTENTION:

- DIGESTIVE

- CIRCULATORY

- NERVOUS

- GLANDULAR

BODY SYSTEMS THAT DEFINITELY REQUIRE ATTENTION:

- INTESTINAL

- IMMUNE

- RESPIRATORY

- URINARY

- STRUCTULAR PRINT

Thank you for your time

Dear Patient, There is recommendation to check yours INTESTINAL system if you’re Colon

at Risk? AGREED


ComRAD

Result of pre-diagnostic test done

for: Mr. First Last

date: 08-05-2011

BODY SYSTEMS THAT REQUIRE EMERGENCY ATTENTION:

- DIGESTIVE

- INTESTINAL

- CIRCULATORY

- NERVOUS

- IMMUNE

- RESPIRATORY

- URINARY

- GLANDULAR

- STRUCTULAR

Thank you for your time PRINT

Dear Patient, There is recommendation to check yours INTESTINAL system if you’re Colon at Risk?

AGREED



ComRAD

TO LOWER LEVEL

FROM SCIENCE

FROM UPPER LEVEL

KB LEVEL: ORGANS

STRUCTURAL MODEL OF ORGANS

FROM UPPER LEVER

FUNCTIONAL MODEL OF ORGANS

TO LOWER LEVEL

COMPARISON

CURRENT HEALTH CHARACTERISTICS

NORMS

ODB

FROM UPPER LEVER

ComRAD SpecificationContinued…


ComRAD

to science

from science

from upper level

KB level: terminal elements

functional model of terminal elements

norms

from kb resources

medications

diet

physiotherapy

exercises

psychotherapy

etc.

prescriptions

recommendations

from upper level

current health characteristics

ODB

comparison

ComRAD SpecificationContinued…


ComRAD

Symptoms/F-1HC

John Smith

Mr. Birthday: 03/24/1965

Health History F-HH

Date: 07/04/2007

Date: 04/16/2007

Statistic FD-5HS

Patient’s Personal Data

Patient’s Family Data

Doctor’s ID

Examinations by Lab/F-2HC

Examinations by Devices /F-2HC

Recommendations/F-3HC

Consultations/F-4HC

Results of Consultations/F-4HC

Prescriptions/F-3HC

Office Statistic/FD-1HO

Images


ComRAD

CASE EXAMPLE

Patient’s Complains

Fever 39 °CRespiration cough outRespiration noiseRespiration coughHeadache strong…. ….

….….

crepitatingRespiration

X-Ray

60/secPulse

90/140Blood Pressure

Mucus

Tests & Exams

Antibiotic T 3p/dayTylenol Cold/ Night 1p/dayLiquid A 2c/dayVitamin C 1000 mGr/dayTea A lot

Prescriptions

ComRAD KB

39 °C in the morningcough out difficultnoise breathing permanentcough oftenHeadache strong

PermanentMucus green

AnamnesisComRAD KB

Natural Habitat … …..

Professional Data… …..

Personal Data… …..

Life style… …..

Body Systems… …..

ComRAD KB

Normal characteristicsTemperature 37 °CBreathing Cough out in the morningBreathing no noiseBreathing no coughBreathing coughHeadache Middle


ComRAD

Diagnosis

ComRAD will generate for medical specialists necessary information (factors) that must be taken into account in the diagnostic and treatment process

Medical specialists will have access to the relevant information about the particular patient’s EMR in the ComRAD ODB

Access rules will protect the patient’s information from unauthorized access

Only family physician will have access to information on the distinct patient in whole from the CoSMoS ODB

The updated information on the patient’s health examination will be available in the ODB/EMR during the visit


ComRAD

Treatment

ComRAD will design several sub-optimal variants of treatment for the distinct patient by taking into account all factors, their relations and current characteristics a patient’s health state

Each variant will contain the whole set of resources, such as medications, diet, exercises, life style, etc., which will be defined to optimize treatment, minimize side effects and treatment expenses

General Practitioner might select the most appropriate treatment option and monitor treatment dynamics

ComRAD will provide information to the medical scientists for further research and development corrections of existing recommendations


ComRAD

Advantages

For Patient:

preventing serious disorders

faster recovery

improved interaction with medical specialists by decrease language barriers

For General Practitioner:

optimal treatment solution based on scientific information and availability of all necessary data about the patient’s health state

maximum reduction of medical errors

proper decision making in emergency situations

improved medical knowledge / information management

For Government (society):

keeping population healthy

considerable reduction of medicare expenses

minimizing the doctors’ shortage factor


ComRAD

What is necessary for implementation

Government funding for the ComRAD project implementation

Experience exchange between Canadian and international health care organizations (Australia, Israel, USA, etc.)

Establishing an experimental “treatment and educational centre” for pilot project implementation

Coordination with nation-wide information system development

ComRAD Via ANAMNESIS

Documents

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