{{image url="images/iotalogo2r.png" alt="iota logo" title="Iota Pro"}}
{{checkversion}}
======// Issue Oriented Tiered Architecture for Medicine//======

An open project built on modern principles, intended to create the medical records systems that serve primarily to improve the diagnostic and therapeutic workflow in clinical practice.

A good place to start is the [[Presentation Presentation Outline]].

===== April 2012: We have (again) presented iotaMed during the [[http://www.vitalis.nu/ "Vitalis-mässan"]]:=====
- 17 April 2012, 15:15-15:45, "iotaMed, kvalitetsregister och Snomed CT" during the session "Ledning och implementation". Here you can find a [[http://iota.pro/files/swedishdocuments/handout_Vitalis2012.pdf handout]] (in Swedish) which we distributed during Vitalis.
- we made a [[http://youtu.be/gdxmccOZ6xg movie]] too! It is in Swedish.

===== January 2012: Our website is (almost) ready!: [[http://www.mitm.se/ "MITM - Man In The Middle AB"]]:=====
- we keep improving the website, but one can find there a lot of information about iotaMed already now.

===== April 2011: We presented iotaMed during the [[http://www.vitalis.nu/ "Vitalis-mässan"]]:=====
- [[http://www.youtube.com/watch?v=wstdbBHH00A Our presentation]] in Swedish, 7 April 2011.

====={{color text="Demo movies for iotaMed" c="green"}}:=====
- [[http://www.youtube.com/watch?v=iXV1_pNzuVg Case of Diabetes type 2]] in Swedish. Made 29 March 2011.
- [[http://www.youtube.com/watch?v=W2VXP5-6zoY Orthopedic Case]] in Swedish. Made 31 March 2011.
- [[http://www.youtube.com/watch?v=5h8MD1YDFFc Diabetes type 2]], with more explanation about a "regular" patient record, in Swedish. Made 31 March 2011.
- [[http://www.youtube.com/watch?v=5BwC8fizYVQ iotaEd: iotaMed issue editor]] in Swedish. Made 1 April 2011.
- [[http://www.youtube.com/watch?v=tbvSAjKuRd0 The making of iotaMed]]. The movie shows how we work in MITM AB head office. Made 2 April 2011.
- [[http://www.youtube.com/watch?v=w3NMBMUfP3c iotaMed for orthopedie]] in Swedish, by Anders Westermark and Martin Wehlou. Made 3 April 2011.
- [[http://www.youtube.com/watch?v=gTaizzxhWgM MyIota - application for patients]] in Swedish. Made 26 May 2011. Martin presented iotaMed and ""MyIota"" during the SPD-seminar in Karolinska Institute (Professor Ingvar Krakau) 27 May 2011.

====Some important links:====
- [[http://vard-it.se/vi Our forum for Healthcare IT]] in Swedish.
- [[http://vard-it.se Martin's blog about Healthcare IT]] in Swedish.
- [[http://ursecta.com Martin's blog about technology, security etc]] in English.

====Some pdf documents which can give you a better picture of iotaMed project:====
- A [[http://iota.pro/files/swedishdocuments/handout.pdf handout]] (in Swedish) which we used during the [[http://www.vitalis.nu/ "Vitalis-mässan"]] (a healthcare-IT congress) in Göteborg 5-7 april 2011. The first page is an adapted copy of our poster which we presented during "Kvalitetsdagarna" at the University Hospital in Uppsala on 8-9 December 2010. On the second page there are some links and contact information to iotaPeople.
- A [[http://iota.pro/files/swedishdocuments/ListaAvIotasPresentationer.pdf short history of iotaMed]] until March 2012 (in Swedish).
- [[http://iota.pro/files/swedishdocuments/inspiration_iota.pdf Our vision of iotaMed and the need for an iotaMed-like solution for health informatics]] explained in Swedish.
- [[http://iota.pro/files/swedishdocuments/cv_martin.pdf Martin's cv]] in English.
- [[http://iota.pro/files/swedishdocuments/cv_hania.pdf Hania's cv]] in English.
- A [[http://iota.pro/files/swedishdocuments/martin_vc2006till2012.pdf list of the health centers in Sweden where Martin worked 2006--2012]] (in Swedish, but here the language does not matter too much).

You can see a first short (4 minute) presentation of the first prototype of iotaMed on an iPad [[http://www.youtube.com/watch?v=FNwf5S6zDxg here]]. I'm speaking in Swedish, but you can just watch the pictures if you want. The source code for the demoed prototype is at github, you can get it [[http://github.com/mwehlou/iotaPad here]].

=====Lecture at Karolinska Institute=====
I was invited to give a lecture at Karolinska Institute to the [[http://ki.se/ki/jsp/polopoly.jsp?d=31697&a=111961&l=en International Masters Programme in Health Informatics]]. We made a video of it, all 12 sections. With the limitations ""YouTube"" has, it resulted in 20 videos which we collected into a ""YouTube"" playlist. The lecture is in English as are the lecture notes.

The lecture playlist is [[http://www.youtube.com/user/mitmab#p/c/0F725A1175F25924 here]] and the lecture notes as pdf is [[http://iota.pro/files/presentations/ln20101206.pdf here]].
iotaMed is presented in section 12, which consists of four ""YouTube"" videos since that part alone was more than 50 minutes.

=====Introduction=====

Yet another open project... as if we didn't have enough already. But we really do need this one. This open project is initiated by one very disillusioned physician/developer who is going totally crazy trying to use really poor software to do his job, while knowing full well that it needn't be so.

The software we have today is built to document everything you do, but it doesn't help you one bit to find out what you need to do in the future, and that is what we really need the software to assist us with. But, as I said, it doesn't. Do you know that the medical records software we use today don't even have the concept of "disease" in them? That's like having accounting software that doesn't have the concept of "money". And about as useful.

Typically, a medical record system looks like this, seen from an entity relationship standpoint:

{{image url="uploads/Images/bad_erd.png" title="The bad ERD" alt="ERD based on encounter"}}

Clearly, the designers must have thought that we doctors are extremely interested in knowing which other doctors the patient has met and exactly when, but this is a huge misunderstanding. That may be interesting for people arranging cocktail parties, but has very little to do with medicine. What we do want to know, though, is what ails the patient, that is what health issues he has, so a few of the entities at the top should be related as follows:

{{image url="uploads/Images/good_erd.png" title="The correct ERD" alt="ERD with issue"}}

This little change in the basic domain analysis has wide-ranging consequences. First is that the medical record finally starts to work for us instead of against us. Secondly, that we have a channel to feed new scientific discoveries and guidelines to the doctors that need them, and at the right time and place when they need them.

Note that the second diagram doesn't even contain the entities "doctor" and "encounter". By that I don't mean that they aren't kept somewhere in the system, of course they are, but that they're not important enough to qualify for a top level diagram.

=====The people=====

The people involved are you and [[admin me]].

=====The Project=====

The [[ProjectDocumentation project documentation]].
The iotaMed for the iPad (iotaPad) [[http://github.com/mwehlou/iotaPad code repository]].

=====Background=====

[[EHRHistory The evolution of medical records]]
[[CurrentUse How current systems work]]
[[iotaMedUse How medical records should work]]
[[EBMvsExperience Evidence Based Medicine vs Experience Based Medicine]]
[[FAQ Frequently Asked Questions and Frequently Misguided Solutions]]
[[ProblemsSolved The problems we solve with iotaMed]]
[[CriticalFactors Critical Success Factors]]
[[Presentation Presentation Outline]]

=====The parts=====

[[IotaBasics The basics of Iota]]
[[IotaMed The Iota Medical Journal project]]
[[IotaPad The Iota Apple iPad project]]
[[IotaDesk The Iota Desktop project]]
[[IotaLink The Iota data interchange project]]

=====Related projects=====

OpenEHR
OpenEMR

=====Related sites=====

[[http://ursecta.com Ursecta]] - English language blog on tech and medicine
[[http://vard-it.se Vård IT]] - Swedish language blog on IT in healthcare
[[http://vard-it.se/vi Vård IT Forum]] - Swedish language forum on IT in healthcare
[[Links List of links]] to other blogs and sites with some relevance to this subject

=====The plan=====

This is about how to make this come true.

[[BusinessPlan The business plan]]

=====How to register and contribute=====

This is a wiki, so all you need to do is to register and start adding pages or changing the ones that already exist. One thing can't be done by just anyone, and that is uploading files such as images, since the ability to add actual files to the wiki isn't without risk.

If you need to upload an image, please send it to me and I'll do it for you. If you put in a marker on a page where it needs to go, I'll add the link, too. If you need to do this regularly, tell me and I'll enable your account for uploads.

====Invitation code for user registration====

Spam in the form of page spam and comment spam is with us, so I had to limit both edits and comments to registered users. Then I had to limit registration to users who can present an invitation code. That invitation code is not individual, it's just one word, namely '**iotaRulez**'. I'm figuring the spambots aren't smart enough to read this paragraph, then go register themselves, but I do figure the average user gets the idea.