医学信息学导论医学信息学导论医学信息学导论医学信息学导论 医学部医学信息中心医学部医学信息中心医学部医学信息中心医学部医学信息中心 一、起源一、起源 • • 2020世纪世纪6060年代年代 医学医学 信息科学信息科学 管理学管理学 目标：目标：目标：目标：医学数字化管理医学数字化管理 覆盖：覆盖：覆盖：覆盖： • • 医学信息采集医学信息采集 • • 数据编码数据编码 • • 数据存储与传输数据存储与传输 • • 生物医学信号处理生物医学信号处理 • • 医学图形和图像医学图形和图像 • • 医学信息获取医学信息获取 • • 医学知识库医学知识库 • • 智能专家系统智能专家系统 • • 人体生理统计系统人体生理统计系统 • • 计算机仿真和医药信息工程计算机仿真和医药信息工程 • • 2020世纪世纪7070年代：年代： 临床决策支持系统；临床决策支持系统； • • 2020世纪世纪8080年代：年代： 医院管理信息系统医院管理信息系统(HMIS)(HMIS) 医院信息系统医院信息系统(HIS)(HIS) 临床信息系统临床信息系统(CIS)(CIS) 医学文献服务信息系统医学文献服务信息系统 目前我国的 医学信息学研究 目前我国的 医学信息学研究 ？ ？ ？ 二、近十年的发展二、近十年的发展 WebWeb的出现的出现———— 带来了系列带来了系列带来了系列带来了系列革命性革命性革命性革命性的变化。
的变化 三三、国际医学教育要求、国际医学教育要求、国际医学教育要求、国际医学教育要求 • • 1. 20031. 2003年年- -（（Global Minimum Essential Global Minimum Essential Requirements in Medical EducationRequirements in Medical Education，， GMERGMER）） 四四、科学能力要求、科学能力要求、科学能力要求、科学能力要求 • • 2. 20092. 2009年年6 6月月- - (Howard Hughes Medical (Howard Hughes Medical Institute, Association of American Medical Institute, Association of American Medical Colleges, AAMCColleges, AAMC- -HHMI )HHMI ) Scientific Foundations Scientific Foundations forfor future Physiciansfuture Physicians “ “science competencyscience competency” ” (learner performance), (learner performance), rather than academic courses.rather than academic courses. AAMCAAMC- -HHMIHHMI 1. Principles1. Principles (4)(4)- - Modern medicine requires the ability to Modern medicine requires the ability to synthesize information and collaboratesynthesize information and collaborate across disciplines.across disciplines. (5)(5)- - Effective clinical problem solving and the Effective clinical problem solving and the ability to evaluate completing claims in the ability to evaluate completing claims in the medical literature and by those in medical medical literature and by those in medical industries depend on the acquisition, industries depend on the acquisition, understanding, and application of scientific understanding, and application of scientific knowledge and scientific reasoning based on knowledge and scientific reasoning based on evidence.evidence. AAMCAAMC- -HHMIHHMI (6)(6)- -It is essential not only to read the medical and It is essential not only to read the medical and scientific literature of onescientific literature of one’ ’s discipline, but to s discipline, but to examine it critically to achieve lifelong learning.examine it critically to achieve lifelong learning. 2. Competency M82. Competency M8 Apply quantitative knowledge and Apply quantitative knowledge and reasoningreasoning——including integration of data, including integration of data, modeling, computation, and analysismodeling, computation, and analysis——and and informatics tools to diagnostic and therapeutic informatics tools to diagnostic and therapeutic clinical decision making.clinical decision making. AAMCAAMC- -HHMIHHMI 3. Learning Objectives3. Learning Objectives (3)(3)- -Apply the basic principles of information Apply the basic principles of information systems, their design and architecture, systems, their design and architecture, implementation, use, and limitations, to implementation, use, and limitations, to information retrieval, clinical problem solving, and information retrieval, clinical problem solving, and public health and policy.public health and policy. ? ? - -Perform a search of Perform a search of PubMedPubMed or other bibliographic databases (such as or other bibliographic databases (such as PSYCHINFO, INSPEC, or Sociological Abstracts), using at leastPSYCHINFO, INSPEC, or Sociological Abstracts), using at least two Boolean connectors, on a clinical topic.two Boolean connectors, on a clinical topic. ? ? - -Explain the difference between an electronic medical record systExplain the difference between an electronic medical record systemem and a computerized provider order entry system and their roland a computerized provider order entry system and their roles ines in patient safety.patient safety. ? ? - -Describe the uses and limitations of a clinical data warehouse aDescribe the uses and limitations of a clinical data warehouse as as a research tool.research tool. AAMCAAMC- -HHMIHHMI (4)(4)- -Explain the importance, use, and limitations of Explain the importance, use, and limitations of biomedical and health informatics, including data biomedical and health informatics, including data quality, analysis, and visualization, and its quality, analysis, and visualization, and its application to diagnosis, therapeutics, and application to diagnosis, therapeutics, and characterization of populations and characterization of populations and subpopulations.subpopulations. ? ? - -Explain the difference between biomedical informatics and Explain the difference between biomedical informatics and healthcare information technology.healthcare information technology. ? ? Provide examples of how informatics can contribute to health carProvide examples of how informatics can contribute to health care e quality.quality. ? ? Expla。