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MBL Education Programs: Medical Informatics I: Principles of Database Design

Presented May 28, 2001 by Daniel R. Masys, M.D., University of California, San Diego

Bay Paul "[Medical Informatics] is the science of organizing information to make it useful, to make it retrievable, so people can use it to solve health problems and understand health and disease better. It is the technology for implementing that science, such as databases, communication networks, and other forms of digital tools.

We are increasingly surrounded by so much information that only computers provide a plausible way to keep it under control and find out the facts that we need. That is what medical informatics is about."

Dan Masys, interview at MBL, May 2001


This lecture was delivered as part of a week-long survey course designed to familiarize individuals with the application of computer technologies and information science in medicine. The course a National Library of Medicine fellowship program directed at medical educators, medical librarians, medical administrators, and young faculty who are not currently knowledgeable but can become agents of change in their institutions.

Medical 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 & Shortliffe)

In practice, medical informatics is the application of technology to all aspects of health care information. It involves both the art and science of organizing medical knowledge and applying such knowledge for the purpose of preventing human disease and suffering. Technology is pervasive and necessary to handle and manipulate the growing body of medical knowledge. Technology winds its way throughout health care--from processing results of medical research to applying knowledge in clinical practice; from accessing and processing patient records to making decisions in evidence based practice; from telemedicine to knowledge-based and decision-support systems.

* Greenes RA, and Shortliffe, EG. Medical informatics: an emerging academic discipline and institutional priority. JAMA. 1990;263(8):1114-1120.

Bay Paul This presentation requires a current version of the "RealPlayer" browser plug-in -- download it for free from the RealPlayer web site.

Lecture Video

Pre-Lecture Video

Lecture transcript
  • Part 1 - Introduction/ Why this topic is important/ Historical perspective
  • Part 2 - Database Management Systems
  • Part 3 - Data Models/ System Design
  • Part 4 - Classroom Exercise: A Sample Problem in Database Design

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