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There are two activities for Japanese endoscopy information system. One is for a standard terminology (Minimal Standard Terminology: MST) for endoscopy reporting. Other is Integrating Healthcare Enterprise Japan (IHE-J) for an integration of hospital information system. In IHE-J activity, the members revealed specificities of an endoscopy workflow by making a comparison with a radiology workflow....
In the last years the development of home based e-health applications, which use information, telecommunication and videoconferencing technologies, is increased because of their characteristics that allow reducing hospitalization costs and managing and monitoring patient health in real time. However, the development of a home based e-health monitoring system requires the contribution of different...
In the next generation of Infocommunications, mobile Internet-enabled devices and third generation mobile communication networks have become reality, location based services (LBS) are expected to be a major area of growth. Providing information, content and services through positioning technologies forms the platform for new services for users and developers, as well as creating new revenue channels...
This paper outlines the results of wireless development for a private healthcare provider in Western Australia. The case study is presented here discusses the software methodology used, problems encountered in developing the software application and then delivering it. Furthermore, the important issues associated with integration of new software with existing modules, human factors that impeded some...
The development of e-health services in rural environments, where broadband accesses are usually not available, requires a specific analysis of available resources to improve the management of quality of service (QoS). This work studies the sharing of resources among several users and the system efficiency in rural areas, guaranteeing QoS. The results obtained show that, with the premises considered...
The wide development of multimedia clinical applications and the use of inter and intra-hospital communication networks require a specific analysis to increase the efficiency of e-Health services. In this paper we study the optimum combinations of the application parameters needed to fulfil the quality of service (QoS) thresholds according to monitored network measurements in the new healthcare services...
Mobile health care solutions involving patient monitoring are an increasingly accepted element in chronic disease management strategies. When used in healthcare systems with different providers, it is essential that the information gathered from the patient is available at each of these providers information repositories. This paper describes the design of a connectivity interface based on the HL7...
According to international guidelines implanted cardiac pacemakers (PM) have to be checked periodically to ensure that they are working correctly. To spare a significant number of patients the burden of traveling to specialized PM clinics a telemedicine framework has been developed prototypically. A mobile, personal digital assistant (PDA) based PM follow-up unit provides the caregiver at the point-of-care...
The purpose of this study is the presentation of a system appropriate to be used upon the transition of a patient, from hospital to homecare. The developed system is based upon the creation of a structured subset of data, complying with the ASTM E2369-0 Standard Specification for Continuity of Care Record, concerning the most relevant facts about a patient's healthcare, organized and transportable,...
Over a decade ago, while at the Agency for Health Care Policy and Research (AHCPR), now known as the Agency for Health Research and Quality (AHRQ), a vision was created by the author that projected two different concepts. One was the use of telemedicine in a homecare environment (in urban, suburban and rural areas) to offer particularly to the elderly population, suffering from a number of chronic...
In this article, we focus on the complementary role of watermarking with respect to medical information security (integrity, authenticity ...) and management. We review sample cases where watermarking has been deployed, we conclude that watermarking has found a niche role in healthcare systems, as an instrument for protection of medical information, for secure sharing and handling of medical images...
Electronic Health Records (EHR)/Electronic Patient Records (EPR)/Electronic Medical Records (EMR) provide the basis for e-Health services. Since information in these records (containing patient healthcare information) need to be shared amongst multiple healthcare providers and healthcare professionals, privacy issues of EHR have been a major inhibitor in the implementation of EHR/EMR/EPR systems....
As the global Internet evolves into today's more highly mobile and broadband service offerings, it is anticipated that the applications of new services to support telemedicine and eHealth operations using these offerings will result in increasing healthcare benefits for all and generally a lower cost. The one concern that must be addressed when making these changes is to ensure that security technology...
People living in areas of the world that are affected by disease, famine, or poverty could have their lives drastically improved by currently available electronic technologies, but the cost, complexity and/or limited operating environments of devices which employ these technologies can make it impossible or impractical for many of those in-need populations to actually acquire and make use of them...
The implementation of digital watermarking technology in healthcare applications is still in its infancy; however, the benefits of exploring this technology towards secure and efficient health data management are steadily propagated and realized by the research community. The paper presents the architecture of a watermarking software development kit (SDK), which provides multiple watermarking functionality...
Since 1994, following the leading efforts by the European Society for Gastrointestinal Endoscopy, Organisation Mondiale d'Endoscopie Digestive (OMED) has succeeded in compiling minimal number of terms required for computer generation of digestive endoscopy reports nicknamed MST (Minimal Standard Terminology). Though with some insufficiencies, and though developed only for digestive endoscopy, MST...
Nowadays, information systems combined with the Internet, have a significant role in data storage, as in the efficiency and promptness of data transfer and can offer a large contribute in managing and manipulating the information resulting from treatment and attendance of chronic patients, as hemophiliacs. On the other hand, the Internet also created the opportunity of patients to insert data concerning...
The aim of the present project was the development of an integrated computer-based system supporting training in medical and administrative decision making in the Emergency Department. The system comprises of, first, a module supporting on-line acquaintance with Emergency Medical Guidelines, second, a vital-signs monitoring and processing module, and finally an administrative module organizing the...
According to home healthcare requirement of chronic patients, this paper proposes a mobile-care system integrated with a variety of vital-sign monitoring, where all the front-end vital-sign measuring devices are portable and have the ability of short-range wireless communication. In order to make the system more suitable for home applications, the technology of wireless sensor network is introduced...
This paper is focused on the discussion of different trade-offs that frequently arise when selecting the appropriate antenna technology for a wireless sensor for home-care applications, and the implications that every decision represents for the overall design. In order to devise an optimum design strategy, the main methodological concerns are illustrated with the example of a wearable movement monitor...
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