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This paper summarizes the determinants for future e-Health network and IT infrastructures in the health care environment. The paper bases on observations conducted as part of a larger study at a university hospital in Munich, and summarizes ongoing discussions, key determinants from relevant whire papers, and challenges of the domain. The objective of the paper is to provide a broad overview over...
Multiple sclerosis is a chronic and variable disease in matters of symptoms, clinical course and outcome. The ultimate goal of currently used drugs and therapeutic strategies is the control of disease activity and the delay of the ongoing disability. During the last decades, a number of disease-modifying drugs (DMDs), all products of advanced biotechnology are being used. However, these DMDs are yet...
Cybersecurity in the health care domain is one of the most important and critical issues of this era. In fact, it was reported in 2014 that on the black market medical records are worth 10 times more than credit card details [1]. Datasets experience a particularly high risk when shifted to a different domain for the documentation of therapeutic or diagnostic procedures. U-Prove is a token based security...
This paper describes the use of the Secure SQL Server system (SecSQL) — a system for dynamic fine-grained access control, in the context of e-Health. The system was used in two heterogeneous use-cases of a European project, namely: to govern drugs along the supply chain from the manufacturer to the consumer (to fight counterfeit drugs, and to recall drugs), and to govern the movement of things in...
Increasingly health records are stored in cloud-based systems, and often protected by a private key. Unfortunately the loss of this key can cause large-scale data loss. This paper outlines a novel Cloud-based architecture (SECRET) which supports keyless encryption methods and which can be used for the storage of patient information, along with supporting failover and a break-glass policy.
Shared understanding of requirements between stakeholders and the development team is a critical success factor for requirements engineering. Workshops are an effective means for achieving such shared understanding. Stakeholders and team representatives can meet and discuss what a planned software system should be and how it should support achieving stakeholder goals. However, some important intended...
Internet-based health interventions are behavioral treatments aim at changing behaviors to promote healthy living and prevent diseases and illness. This paper first discusses the benefits and effectiveness of Internet-based health interventions. It continues to explore the opportunities and challenges of Internet-based health interventions made possible by the Future Internet and emerging technologies...
Developing of Future Internet creates opportunities for new applications to adopt the use of the internet. Many initiatives like FI-WARE and FI-STAR are working on promoting and supporting the use of Future Internet efficiently in different fields. Health care applications introduce some issues in using Future Internet, So more effort is needed to overcome these barriers. Developing health care applications...
Creating context-aware ad hoc collaborative systems remains to be one of the primary hurdles hampering the ubiquitous deployment of IT and communication services. Especially under mission-critical scenarios, these services must often adhere to strict timing deadlines. We believe empowering such realtime collaboration systems requires context-aware application platforms working in conjunction with...
In most European countries direct healthcare costs stand for around 10 percent of the GDP. Health spending is rising faster than GDP and it is estimated to reach 16% of GDP by 2020 in OECD countries. There is clear evidence that more and more health care will be delivered outside hospitals – in day clinics, surgeries, at patient's homes or – via the Internet. What service models will be applied to...
This paper refers to the term “implementation” as the process of integrating a new technology into established workfows. Especially in health care this has proven to be a very critical phase and many large-scale projects have failed on this very last mile. Although strategies such as requirements engineering, co-designing and user interaction design have been proposed to reduce the risk of end-user...
Generic Enablers are a specialism of software engineering. They are components used for providing reusable building blocks that enable the construction of applications for future internet technology. The Generic Enablers satisfy requirements of application domains including big data processing, cloud infrastructure and internet-of-things. This overview paper introduces a description for defining them...
The emergency of cloud computing and Generic Enablers (GEs) as the building blocks of Future Internet (FI) applications highlights new requirements in the area of cloud services. Though, due to the current restrictions of various certification standards related with privacy and safety of health related data, the utilization of cloud computing in such area has been in many instances unlawful. Here,...
Recent Internet of Things (IoT) research has been aiming at interoperability of devices and the integration of sensor networks. The Future Internet - Private Public Partnership (FI-PPP) has created a whole array of different purpose-oriented modules with defined specifications, better known as Generic Enablers. This article gives an overview of legal, ethical and technical norms and standards to be...
Health care providers have over years continuously rejected Public Cloud technology for understandable concerns regarding privacy and confidentiality. The pick up rate on cloud computing in health care has been very poor reminding at the typical hype curve profile. Coincidentally Google Health has been discontinued and Microsoft Health Vault has switched focus and turned to the slightly "softer"...
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