Cloud Computing provides functionality for managing information data in a distributed, ubiquitous and pervasive manner supporting several platforms, systems and applications. This work presents the implementation of a mobile system that enables electronic healthcare data storage, update and retrieval using Cloud Computing. The mobile application is developed using Google's Android operating system and provides management of patient health records and medical images (supporting DICOM format and JPEG2000 coding). The developed system has been evaluated using the Amazon's S3 cloud service. This article summarizes the implementation details and presents initial results of the system in practice.

Mobile healthcare information management utilizing Cloud Computing and Android OS

Health informatics and the delivery of care to older people.

From user needs to system specifications: Multi-disciplinary thematic seminars as a collaborative design method for development of health information systems

Navigation in the electronic health record

This article proposes a strategic framework or road map for sustainable m-health. The drivers and critical success factors of this framework are identified from the literature and a survey of the views of senior strategists in the New Zealand health sector. The success factors are associated with key tasks in the framework that identify suitable applications, channel development activity, and confirm activity by continued support of innovation whilst moving successful applications into the mainstream. The two most important outcomes from the research are that m-health has a crucial, even inevitable, role to play in future healthcare, and the development and exploitation of m-health demands a top-down strategy or framework to match and encourage bottom-up innovation by healthcare practioners. Without such a strategy to guide (but not direct) innovation, many otherwise valuable advances will not be sustainable and resources will be wasted on questionable applications that will slow development and reduce cr...

https://journals.sagepub.com/doi/pdf/10.1177/1460458209337445

A strategic approach to m-health.

Introduction : The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular. Theory and methods : Physically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care. A user centered system development approach is followed during design and development of the system. Results : A technical platform based on a service-oriented approach where database functionality and services are separated has been developed. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardized way. A physically federated integration enables point-of-care documentation, integrated presentation of information from different feeder systems, and offline access to data on handheld devices. Feeder systems deliver information in XML-files that are mapped against an ideal XML schema, published as an interface for integration with the information broker, and inserted into the mediator database. Conclusions : A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record.

/pdf/bridging-the-gap-a-virtual-health-record-for-integrated-home-5fypv3lcli.pdf

Bridging the gap: a virtual health record for integrated home care

Mobile work situations within home care of the elderly require immediate and ubiquitous access to patient-oriented data The ongoing Swedish research project “Technical support for Mobile CloseCare” focuses on the development and evaluation of work-scenario oriented ICT support for enhanced home care of elderly citizens The aim of the project is to provide a seamless and consistent information flow between different health care providers and to give intuitive access to information services for the elderly and their relatives For that purpose, different independent software components are connected through a mobile communication platform Flexible access to prioritized information for different users in different work situations will be given through a virtual health record In order to obtain both usable and clinically relevant results, a user centered system development approach is followed Evaluation of the project results will be based on usability tests and quasi-experimental studies on how system implementation influences quality of care and joband life satisfaction for care providers, patients and relatives

Towards a virtual health record for mobile home care of elderly citizens.

Heuristic Evaluation extended by User Analysis: A fast and efficient method to identify potential usability problems in Health Information Systems

Heuristic Evaluation Extended by User Analysis: A Fast and Efficient Method to Identify Potential Usability Problems in Health Information Systems

The coexistence of different information systems that are unable to communicate with each other is a persistent problem in health care in general, and in shared care in particular. This is especially critical when it comes to information access needed at the point of care, e.g. in the patient's home. The purpose of this paper is to present the technical architecture of a virtual health record (VHR) that both integrates information from different electronic health records (EHRs) and allows for documenting at the point of care using mobile devices. The VHR supports a seamless information and communication flow between different care providers giving them mobile access to selected patient-oriented information. A service oriented system architecture where database functionality and services are separated has been implemented. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardised way. Major requirements for the VHR have been documentation support at the point of care, integrated presentation of the information from different feeder systems, and the possibility of offline access to the data on handheld devices. Therefore, publishing was chosen for the integration design. A patient centred XML schema is published as an interface for integration with the information broker. The feeder systems deliver their information in XML.-files that are mapped against the ideal schema and inserted into the mediator database. The paper describes both an online web application and an offline solution that was implemented on personal digital assistants (PDAs). The system has been introduced in a Swedish home care district with an established fiber-optical network infrastructure connecting all the locations forming the study site.

/pdf/integration-architecture-of-a-mobile-virtual-health-record-7zr0mqx2mt.pdf

Dennis Moström

Papers

Bridging the gap: a virtual health record for integrated home care

Towards a virtual health record for mobile home care of elderly citizens.

Heuristic Evaluation Extended by User Analysis: A Fast and Efficient Method to Identify Potential Usability Problems in Health Information Systems

Integration architecture of a mobile virtual health record for shared home care.

OLD@HOME. Technical Support for Mobile Close Care. Final report