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Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Medical Social Informatics Framework in the Progress of Telemedicine in Bandung, Indonesia Agung Budi Sutiono, MD, PhD; Ahmad Faried, MD, PhD Department of Neurosurgery and

  1. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Medical Social Informatics Framework in the Progress of Telemedicine in Bandung, Indonesia Agung Budi Sutiono, MD, PhD; Ahmad Faried, MD, PhD Department of Neurosurgery and Telemedicine Laboratory, Faculty of Medicine, Universitas Padjadjaran- Dr. Hasan Sadikin Hospital, Bandung, Indonesia ASIA Telemedicine, Bangkok 1 ASIA Telemedicine, Bangkok 2 The 7th Asia Telemedicine Symposium, 2013 1

  2. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Ohta T, et al. ASIA Telemedicine, Bangkok 3 ASIA Telemedicine, Bangkok 4 The 7th Asia Telemedicine Symposium, 2013 2

  3. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Japan Association for Social I nformatics Vol. 25 (2010) Released: March 26, 2011 ASIA Telemedicine, Bangkok 5 1. I CT for medical assistance in disaster affected area: Design user interface ASIA Telemedicine, Bangkok 6 The 7th Asia Telemedicine Symposium, 2013 3

  4. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital I CT for critical patient evacuation in disaster ASIA Telemedicine, Bangkok 7 Network configuration ASIA Telemedicine, Bangkok 8 The 7th Asia Telemedicine Symposium, 2013 4

  5. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Emergency medical record Physiology data Supporting medical care data ASIA Telemedicine, Bangkok 9 Demography & tagging interface Demography interface Tagging interface ASIA Telemedicine, Bangkok 10 The 7th Asia Telemedicine Symposium, 2013 5

  6. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Vital sign and medical care interface Vital sign Supporting Medical Care Outcome ASIA Telemedicine, Bangkok 11 Wound location  Front – Head – Chest – Abdomen – Extremity  Back – Spine – Waist ASIA Telemedicine, Bangkok 12 The 7th Asia Telemedicine Symposium, 2013 6

  7. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital EMCI S device Source: Agung Budi Sutiono’s document APT EMCI S research project, 2006 ASIA Telemedicine, Bangkok 13 I mplementation & evaluation  Allocated in Garut county, because: – Kadungora village, 20 km from Garut city, potentially subject to landslides and – Cilawu village, 7.5 km from Garut city and prone to flooding – Challenging geographically mountainous area – Front medical post (Kadungora & Cilawu), referral hospital (Garut) ASIA Telemedicine, Bangkok 14 The 7th Asia Telemedicine Symposium, 2013 7

  8. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital I mplementation activity Garut hospital Trans-receiver in Cilawu Cilawu mountain Trans-receiver in Garut Hospital Gate Garut hospital Source: Agung Budi Sutiono’s document APT EMCI S research project, 2006 ASIA Telemedicine, Bangkok 15 Time evaluation  Time average in 20 times trial: – Demography interface (34.6 second) – Physical examination interface (47.15 second) – Transmission time (44.45 second) – Average vital sign assessment (60-90 second) – Total time needed = 186.2 – 216.2 second (3.10 - 3.60 minutes) ASIA Telemedicine, Bangkok 16 The 7th Asia Telemedicine Symposium, 2013 8

  9. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital User interface training and simulation Telkom instructor EMCIS training for medical personnel EMCIS system explanation to User trial and evaluation Dr. Trimayu (head ER Garut Hospital) Source: Agung Budi Sutiono’s document APT EMCI S research project, 2006 ASIA Telemedicine, Bangkok 17 2. I CT for traumatic brain injury referral assistance ASIA Telemedicine, Bangkok 18 The 7th Asia Telemedicine Symposium, 2013 9

  10. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Network configuration ASIA Telemedicine, Bangkok 19 ASIA Telemedicine, Bangkok 20 The 7th Asia Telemedicine Symposium, 2013 10

  11. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Login interface ASIA Telemedicine, Bangkok 21 Demography and anamnesis ASIA Telemedicine, Bangkok 22 The 7th Asia Telemedicine Symposium, 2013 11

  12. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Follow up interface ASIA Telemedicine, Bangkok 23 Teleneurosurgery interface ASIA Telemedicine, Bangkok 24 The 7th Asia Telemedicine Symposium, 2013 12

  13. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Treatment interface ASIA Telemedicine, Bangkok 25 Time average needed ASIA Telemedicine, Bangkok 26 The 7th Asia Telemedicine Symposium, 2013 13

  14. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Received signal variation from measurement ASIA Telemedicine, Bangkok 27 3. Other activities in telemedicine  Distance seminar between USA ( Vanderbilt University Hospital ) and Japan (Aichi University) for Neurosurgery and Neuroanatomy  Neurosurgical case discussion between Indonesia and Japanese medical student ASIA Telemedicine, Bangkok 28 The 7th Asia Telemedicine Symposium, 2013 14

  15. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Neurosurgery and neuroanatomy telemedicine seminar 2012 ASIA Telemedicine, Bangkok 29 ASIA Telemedicine, Bangkok 30 The 7th Asia Telemedicine Symposium, 2013 15

  16. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Neurosurgery case discussion for medical student 2012 Padjadjaran University and Aichi Medical University ASIA Telemedicine, Bangkok 31 4. DigiMaps for maternal and postnatal care systems  DigiMAPS is a system consist of electronic medical record for mother & infant called “ KIA Online ” and tele-consultation facility called “ Tele-Obgyn ” . ASIA Telemedicine, Bangkok 32 The 7th Asia Telemedicine Symposium, 2013 16

  17. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Neonatus Mortality Factors in I ndonesia (a) during 0-6 days care (b) during 7-28 days care (source: I ndonesia Riskesdes 2007) ASIA Telemedicine, Bangkok 33 Project in Halu mountain ASIA Telemedicine, Bangkok 34 The 7th Asia Telemedicine Symposium, 2013 17

  18. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Condition ASIA Telemedicine, Bangkok 35 ASIA Telemedicine, Bangkok 36 The 7th Asia Telemedicine Symposium, 2013 18

  19. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Cloud-Based Server Tele-Obgyn and Tele-Patient System ASIA Telemedicine, Bangkok 37 Spontania Telkom ASIA Telemedicine, Bangkok 38 The 7th Asia Telemedicine Symposium, 2013 19

  20. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital ASIA Telemedicine, Bangkok 39 Trial DigiMAPS ASIA Telemedicine, Bangkok 40 The 7th Asia Telemedicine Symposium, 2013 20

  21. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Biomolecular Cloud Systems Planning ASIA Telemedicine, Bangkok 41 Standalone chromosome computing ASIA Telemedicine, Bangkok 42 The 7th Asia Telemedicine Symposium, 2013 21

  22. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital ASIA Telemedicine, Bangkok 43 Integrated Medical Service ASIA Telemedicine, Bangkok 44 The 7th Asia Telemedicine Symposium, 2013 22

  23. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital UDoctor Development ASIA Telemedicine, Bangkok 45 Connect to telesurgery by using microscope ASIA Telemedicine, Bangkok 46 The 7th Asia Telemedicine Symposium, 2013 23

  24. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Challenges  Internet access stabilization  Engineers in Medical School UNPAD  Collaboration with R&D Telkom Co.Ltd.  Wide spreading telemedicine for all over Indonesia ASIA Telemedicine, Bangkok 47 ASIA Telemedicine, Bangkok 48 The 7th Asia Telemedicine Symposium, 2013 24

  25. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Bangka Belitung I slands ASIA Telemedicine, Bangkok 49 Local Clinic Puskesmas Midwives Posyandu WiFi Compact- VSAT IP WiFi Access Outdoor Tele-Consultation 2G/3G DSLAM/ Mother BTS Alert BRAS 3G BTS Rural System Rural Area TELKOM SMS/USSD Network Gateway Cloud-based video Referral Hospital conference platform 3G BTS Public Health City USG image & KIA Officer/Doctors Centre viewed remotely Tele-Consultation (Obgyn) ASIA Telemedicine, Bangkok 50 The 7th Asia Telemedicine Symposium, 2013 25

  26. Agung Budi Sutiono, Universitas Padjadjaran - Hasan Sadikin Hospital Thank you very much 1923 2001 Dr. Hasan Sadikin Hospital Padjadjaran University Faculty of Medicine ASIA Telemedicine, Bangkok 51 The 7th Asia Telemedicine Symposium, 2013 26

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