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Lessons from Biomedical Informatics
for Nutrition Informatics
James J. Cimino, M.D.
Laboratory for Informatics Development
NIH Clinical Center
Biomedical Informatics is...
Biomedical Informatics is...
“The field that concerns itself with the cognitive,
information processing and communication
tasks of medical practice, education and
research, including the information science and
the technology to support these tasks.”
Greenes RA. Shortliffe EH.
JAMA 1990 Feb 23; 263(8):1114-20.
Biomedical Informatics is...
• The art and science of organizing
knowledge of human health and disease,
and making it useful for problem solving
The Spectrum of Problem Solving
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Science base of biology and medicine
Collection and interpretation of signals
Application of science and data in clinical care
Extension of clinical care to populations
What’s in a Name?
• Bioinformatics
• Really biomolecular informatics
• Medical informatics
• Really clinical informatics
• Biomedical informatics
• Covers both and more
Technologies
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Computers and storage
Graphical user interfaces
Signal processing
Artificial intelligence
Telecommunications
Internet and the World Wide Web
Electronic knowledge resources
Concepts
• Evidence-based practice
• Standards for naming and coding
• User interface design for biomedical
and healthcare professionals
• Expert systems
• Decision analysis
Domains
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Bioinformatics
Clinical information systems
Computer assisted learning
Public health information systems
Electronic knowledge resources
Nutrition
Data, Information and Knowledge
Knowledge
Resources
Health
Record
Expert
System
Guidelines
Research
Data Types
Numeric
Standard
Coded
Coded
NLP
Text
Symbols
Structured
Interpretation
Signal
Image
Blobs
Controlled Terminologies
Food allergies
Milk
Eggs
Seafood
Cherries
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Drug allergies
Infant formula
Vaccines
Iodine contrast
Cough medicine
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Ontologies
Substances
Has
ingredient
Drugs
Foods
Formula
Eggs
Cherries
Milk
Seafood
Iodine
Contrast
Vaccines
Cough
Medicine
Nutrition Informatics
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Inventory management systems
Nutrient analysis
Nutrition research
Clinical nutrition care
Foodservice system management
Educational/instructional/data intake
Reimbursement
Communication
Food-supply surveillance
Hoggle LB, Michael MA, Houston SM, Ayres EJ. Nutrition
Informatics. Journal of the American Dietetic Association,
2006; 106(1):134-139
American Medical Informatics Association
www.amia.org
American Medical Informatics Association
NLM-Sponsored “Woods Hole” Course at
the Marine Biological Laboratory
www.mbl.edu
National Library of Medicine Training Programs
http://www.nlm.nih.gov/ep/GrantTrainInstitute.html
Biomedical Informatics is...
Building
Blocks
Issues
Application Areas
Information Resources
Skills