Transcript Biosensors in Spatial Electronic Health Record

‫بسم هللا الرحمن الرحیم‬
Ali Yoonessi, MD, PhD
School of Advanced Medical Technologies
Tehran University of Medical Sciences
Scenario
 A 68 year old man suffering from
parkinson’s disease falls while
walking in the park.
 An accelerometer embedded in his
stick senses a fall and sends a help
signal
 A global network alerts the nearby
people of an emergency situation
Telemedicine and Telehealth
 Telehealth Practice Recommendations for Diabetic





Retinopathy, M Winchester, American Telemedicine … Telemedicine and e- …, 2011
Stroke telemedicine, BM Demaerschalk, ML Miley… Mayo Clinic …, 2009
Evaluating telemedicine in the ICU, EJ Yoo… - JAMA: the
journal of the American Medical …, 2009
Managing heart failure care using an internet-based
telemedicine system, A Kashem, MT Droogan, WP
Santamore… - Journal of Cardiac …, 2008
…
…
Combining technologies to achieve
a better health situation
 EHR
 Biosensors
 Space Technology
First Piece of Information
An electronic health record (EHR)
 an evolving concept defined as a systematic collection
of electronic health information about individual
patients or populations.
 It is a record in digital format that is capable of being
shared across different health care settings, by being
embedded in network-connected enterprise-wide
information systems.
A whole range of data










Demographics
Medical history
Medications
Allergies
immunization status
Laboratory test results
Radiology images
Vital signs
Personal stats like age and weight
Billing information.
Second Piece of Information
Biosensors
 A biosensor is an analytical device for the detection of
an analyte that combines a biological component with
a physicochemical detector component.
 Photometric
 Electrochemical
 Piezoelectric
 Thermometric
 Magnetic
Pulse oximeter
 A wrist mounted remote sensor pulse oximeter with plethysmogram.
Sesnors
 Optical
 Electrical
 Sound
Third Piece of Information
But….What about the role of space
technology?
 The Global Positioning System
(GPS) is a space-based global
navigation satellite system (GNSS)
that provides location and time
information in all weather,
anywhere on or near the Earth,
where there is an unobstructed
line of sight to four or more GPS
satellites. It is maintained by the
United States government and is
freely accessible by anyone with a
GPS receiver.
The Russian GLObal NAvigation Satellite
System (GLONASS) , European Union
Galileo positioning system, Chinese
Compass navigation system, and Indian
Regional Navigational Satellite System
The proposed system
Data
Device
Sensors
• Ground Data Storage and Processing Center integrated with
a GPS-like network
• A cell phone (-like) device that can connect to several types
of biosensors
• Spatial location
• Pulse oximeter, ECG, EEG, heart rate, accelerometer,
thermometer, glucometer, Heart and lung sounds, camera
A wearable sensor
 Portable wireless ECG monitor
 Wearable blood pressure
monitor
 Portable Spirometer
Current Situation
Electronic Health Record
 Electronic Health Record has been tried in several
countries, but none of them has achieved a national
system of EHR.
 Iran is in the process of embedding an EHR system,
particularly in the insurance industry (1392)
Current Situation
Biosensors
 Biosensors are widely available, are cheap and many
more types are in the development phase
 New models may also include nanosensors, sensors
based on protein and other biological materials, and
non-invasive chemical sensors
 Iran is heavily investing in nanosciences,
neuroscience, and other new medical technologies
Current Situation
Space Technology
 Iran is in a rapidly progressive phase
 Omid (hope): The launch of Omid made Iran the ninth country to develop an indigenous
satellite launch capability.
 Sinah-1
 Omid
 Rasad-1
 Mesbah
 Mesbah-2
 Navid-Elmo-Sannat
 Environment 1,
 Qaem
 Pars Sepehr
 Pars-2
 Zohreh
 Fajr,
 Zafar-1
 AUT-SAT
 Besharat
Scenario
 Heart section receives an automatic text message from
processing center that a suspicious activity in the ECG of
patient X is detected, which is different from his past-year
average ECG. On-call doctor looks at the data from his BP,
ECG and Oximeter and decides that it is fine.
 Thermometer from patient Y detects a higher-than-normal
temperature from around the surgery site of the last week.
Doctor calls the patient and asks him to take a picture and
decides that it is in the initial stage of infection and needs
immediate antibiotic.
Chronic Disorders




Diabetes
Heart Failures
Stroke
Other neurological conditions such as MS, parkinson,
and alzheimer
 High blood pressure
 Cancer
 Addictions (senses craving and alerts the patient to
evacuate from that environment)
Plan
 Space Technology
 Microelectronics Technology
 Data gathering and automatic information processing
Acknowledgement
 Professor Reza Malekzadeh, Head of DDRI
 Tehran University of Medical Sciences
 Iranian Space Agency
 United Nation
 National Research Institute of Tuberculosis and Lung
Disease