1. Presentation on Industrial Visit,MiniProject 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 intoElectronic Medical Records- Issues and Solutions -Work on Android Applications ongoing Main Project -Problem identification complete -literature Survey partially complete -Solution Strategy partially complete2-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 ICUdata into Electronic Medical Records Issues andSolutions. Main Project : Input Techniques in ICUAS3 4. JMMC The Poor mans Hospital 5. JMMC The industry Normally known by the name Poor manshospital. It is a healthcare industrywith intensive form ofservices for the well being of human beings. The major inputs of this health care industry are:HospitalMedical insuranceMedical SoftwareHealth Equipments.5 6. A satellite view(just a glimpse)6 7. The major services Hospital35 departments running successfully in the 4 blocks.The major blocks include. Golden Jubilee Block Hridayalaya St. Thomas Block Medical College Block7 8. The major services Registration Cardiology Registration Administrative Pharmacy IRegistration Pharmacy Wing OPD Emergency OPD Principals Surgical ICU OPD Room ATM Medical ICU Cardiac Care Lecture Nurses Neuro UnitComplex councilSurgery Computer Biomedical cafeRecovery ICUServiceswing Multidisciplina Management Cafeteriary CCUgroup Laboratory. Auditorium Dietician Biochemistry Council hallcenterlaboratory. Head nurse Fitness center Pg blockstation Research cafecentre Golden St. Thomas MedicalMedical HridayalayaBlock8Jubilee Blockrecord BlockCollegestorage 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 MammographySystem LH 750 analyzer M-mode ultrasonic Ortho Vitros 250scanner 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 patients 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 feel14 15. The overall system architecture15 16. ICUASArchitectural design.. Different modules come under this : The important modules are : Log in Log out Lab request Medication Temperature, Pressure and Respiration BillingNurses Record etc., All these modules are treated as separate android apps and are separately developed. Finally these apps will be made interactive with16 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 details19 20. Operations under medicine app:20 21. How two apps communicate If there is an effective communication the logged in nurses 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 system21 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, AshaYeldose25 26. AbstractThe 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 find26 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 of27 integration of the ICU management system with the 28. MAINPROJECTInput 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 nurses Extension of Mini Project Uses the UI and Use Case Diagrams created as part of Mini Project The system should become operational in JMMC29 30. Input Techniques in ICUAS Keyboard entryTouch screen k/bExternal k/b Voice input Camera mode30 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 dont have a USB port.31 32. Touch Screen Keyboard touch sensitive inbuilt keys most doctors are more comfortable withpen and paper It takes some time to practice in order to typequickly and accurately.32 33. Voice Input: Helps in saving the doctors 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 handwrittennotes. Tablet is fixed in a frame that can be tilted asneeded,in an angle most suitable for reading. The paper slip whose Image need be taken iskept behind and one click is all that needed.35 36. Development Methodology: Here we will see how an android application canbe developed .36 37. Development Methodology37 38. Testing Strategy.38 39. Testing Strategy..39 40. Testing Strategy40 41. Testing Strategy.. A sample speech recording system41 42. System Integration:42 43. Activity Chart :Writing aPaper Prepairing Thesis Implementing + integrating with other modules Testing Collectingwith information aakashFEBRUARY MARCHAPRILMAYJUNE43 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