Electronic Healthcare (eBook)

Title Page 2
Preface 5
Organization 6
Table of Contents 8
Full Papers 8
Continuous Monitoring of Children with Suspected Cardiac Arrhythmias 11
Introduction 11
Example Cases 12
Methodology 13
System Architecture 15
Concluding Remarks 17
References 18
An Evaluation Framework for EU Research and Development e-Health Projects’ Systems 19
Introduction 19
Aims and Objectives 20
Methodology 21
STEP ONE: Evaluating the System’s Architecture 21
STEP TWO: Evaluating the System’s Software 22
STEP THREE: Evaluation of the Prototype 24
SAPHIRE Results 24
Architecture Analysis of SAPHIRE 24
SAPHIRE Software Evaluation Metrics 25
SAPHIRE Prototype Evaluation 25
Business Benefits – Conclusions 25
References 26
Health@Home – An e-Service Model for Disease Prevention and Healthcare in the Home 27
Introduction 27
Stakeholders in Home-Based Prevention and Healthcare 28
The Health@Home Service Model 29
Feasibility and Mid-Term Implementation Prospects 32
Conclusions 34
References 34
Agent-Based Simulation of Emergency Departments with Patient Diversion 35
Introduction 35
Applications 36
Local Area Patient Tracking 36
Wide Area ED Scenario 37
Visual Simulation Suite 38
Emergency Department Model 39
Basic Architecture 40
Data Driven Simulation 41
Simulations 42
Staffing Change Scenario 42
Data Infrastructure Scenario 44
Summary 46
References 46
Weird Project: E-Health Service Improvement Using WiMAX 48
Introduction 48
Service Framework 49
Equipment and Network Evolution 52
Privacy and Data Integrity 53
Telecommunication Technology 53
Weird Applications Scenario 54
E-Health Demo Scenarios 55
Conclusion 56
References 58
Data Management in an Intelligent Environment for Cognitive Disabled and Elderly People 60
Introduction 60
Project Principal Objectives 61
Platform Functionality 61
Data Management Mechanisms 63
Frame Sensor Adapter (FSA) 63
Context Management 65
Enterprise Service Bus - ESB 65
Conclusions 66
References 67
3P: Personalized Pregnancy Prediction in IVF Treatment Process 68
Introduction 68
Machine Learning Methods in IVF Data Analysis 69
Proposed System for Embryo Implantation Prediction 69
Dataset Characteristics 70
SVM Classification 71
Performance Measures 72
Experiments and Results 73
Threats to Validity 74
Conclusions and Future Work 74
References 74
Bridging the Self-care Deficit Gap: Remote Patient Monitoring and the Hospital-at-Home 76
Introduction 76
Methods 77
Results 79
Discussion 80
Conclusion 82
References 83
Cognitive Network Infrastructures and Virtualization Platforms in Support of Healthcare Applications 84
Introduction 84
Indicative Healthcare Scenario 85
Wireless, B3G Systems 87
Service-Oriented Management Platform for Offering Virtualization and Cognition 88
Summary and Conclusions 90
References 91
Device Data Protection in Mobile Healthcare Applications 92
Introduction 92
Mobile Healthcare Architecture 94
Security Capsule Architecture 95
Request and Retrieval Unit 96
Identity Management Unit 96
Token Management Unit 96
Storage Unit 96
Decryption and Processing Unit 97
Token Management 97
Registration Token 98
Authorization Token 98
Trust Token 98
Conclusion 98
References 99
Persuasive Mobile Health Applications 100
Introduction 100
Heart Angel 101
Connectivity 102
Cardio-Respiratory Workouts 102
Persuasive Physical Exercise through User Feedback 104
Further Work 105
Conclusion 105
References 106
Teledermatology Helps Doctors and Hospitals to Serve Their Clients 108
Need for Change in Healthcare Delivery 108
Health Management Practice (HMP) 109
Phase I: Telemedicine Development 109
Phase II and III: Health Management Research 109
Phase IV: Health Management Implementation 109
Success of Teledermatology in The Netherlands 110
Development: KSYOS Teledermatology Consultation System (TDCS®) as an Integrated Service 110
Research: Performance Indicators 110
Unique Health Worker Identification Pass Implementation 111
Number of Prevented Physical Referrals to the Dermatologist 111
Cost Reducing Effect of Teledermatology 111
Service for the Patient: Response Time of the Dermatologist 112
Perceived Benefits of TeleDermatologie 112
Implementation of Teledermatology 113
KSYOS TeleMedical Centre: The First Virtual Hospital in The Netherlands 113
TeleDermatology as a Service Tool for General Hospitals 114
AXARM: An Extensible Remote Assistance and Monitoring Tool for ND Telerehabilitation 116
Introduction 116
The Illness 116
TRiEM Project 117
AXARM: Beyond TRiEM 118
Refactoring 118
Plugins 119
The User Interface 121
Conclusions and Future Work 122
References 122
A Group Decision Support System for Staging of Cancer 124
Introduction 124
Group Decision Support 126
The Electronic Medical Record 127
The System 128
Conclusions and Future Work 129
References 130
A Trust Framework of Ubiquitous Healthcare with Advanced Petri Net Model 132
Introduction 132
Background 133
Building Trust with Advanced Petri Net Model 133
Modeling Trust Framework of Ubiquitous Healthcare 135
Modeling Healthcare Behaviors with Petri Net 135
Trust Framework of Ubiquitous Healthcare Based on Trust Activities withAdvanced Petri Net 137
Conclusion 138
References 139
PPEPR for Enterprise Healthcare Integration 140
Introduction 140
PPEPR: Plug and Play Electronic Patient Records 141
HL7, EPR, and PPEPR 141
PPEPR’s sSOA for EPR Integration 142
Example Scenario 143
PPEPR Assessment 144
Related Works 146
Conclusion and Future Work 146
References 147
VirtualECare: Intelligent Assisted Living 148
Introduction 148
Contextualization 149
Application Scenario 149
VirtualECare 150
Infrastructure 151
VirtualECare Simulation Environment 152
Conclusion 153
References 153
Privacy and Access Control for IHE-Based Systems 155
Introduction 155
Related Work 156
Background 156
Integrating the Healthcare Enterprise (IHE) 156
Access Control 157
Security and Privacy Requirement 157
Design Model 158
Policy Types 158
Decision Making Process 159
Security Architecture 159
Prototypical Implementation 160
Conclusion and Future Work 162
References 162
An Avatar-Based Italian Sign Language Visualization System 164
Introduction 164
State of the Art 165
System Architecture and Organization 165
ISL Sentence Grammar 166
ISL Gestures 167
The Database 168
Graphic Engine Commands 169
Conclusion 170
References 170
Web Based Personal Nutrition Management Tool 171
Introduction 171
Method 172
The Nutrition Web Portal 172
Conclusions 175
References 175
Event-Based Data Dissemination Control in Healthcare 177
Introduction 177
Event-Driven Healthcare 178
Incidents in Homecare 178
Healthcare Information Protection 179
Event-Based Middleware 180
Middleware 180
Publish/Subscribe 180
Interaction Control 180
Cross-Domain Communication 181
Health Scenarios 182
Discussion and Conclusion 183
References 184
Short Papers 9
Decision Support Systems: Improving Levels of Care and Lowering Costs in Anticoagulation Therapy 185
Introduction 185
Methods and Challenges 186
Experimental Results 186
Conclusions and Future Work 187
References 188
NHS Blood Tracking Pilot: City University Evaluation Project 189
References 191
eHealth and Global Health: Investments Opportunities and Challenges for Industry in Developing Countries 192
Introduction 192
Challenges to eHealth Investments 193
Conclusion 194
References 194
Web-Based Architecture to Enable Compute-Intensive CAD Tools and Multi-user Synchronization in Teleradiology 196
Introduction 196
CADTools 197
Synchronization Tools 198
Case Studies 199
References 200
Research Challenges in Future Health Care Systems 201
Introduction 201
Research Challenges 201
Control Theoretic Approach 202
Case Study: Queueing Models in Health Care 203
Background 203
Control Framework for Optimal Resource Allocation 204
Aligning Technology with the Organisation Using Focus and User Groups 205
Introduction 205
Aligning IT and the Organisation 206
Focus Groups 206
Aims 206
Structure 206
Functions 206
Challenges 207
When Things Go Wrong 207
User Groups 208
Structure 208
Aims 208
Functions 208
Conclusion 209
Diabetes City: How Urban Game Design Strategies Can Help Diabetics 210
Introduction 210
How Ubiquitous Computing Evolves into Pervasive Games 211
Serious Games and Pervasive Healthcare 211
Prototyping a Game for Diabetics 212
Objectives – The Spatial Diary 213
Medical Game Design Concept 213
Realisation / Work in Progress 213
References 214
Potentials of Web 2.0 for Diabetes Education of Adolescent Patients 215
References 217
Invited Paper 10
Induction for Radiology Patients 218
Introduction 218
Problem Definition and Algorithm Task Definition 219
Inductive Inferencing Algorithms 219
Description of the ILA Algorithm with a Running Example 220
Experimental Evaluation Methodology 223
Results 225
Discussion 228
Related Work 228
Conclusion 229
References 230
Author Index 231