The Design of Flexible Telemedicine Framework for Healthcare Big Data

  • Authors

    • Mohd Khanapi Abd Ghani
    • Mazin Abed Mohamed
    • Salama A Mostafa
    • Aida Mustapha
    • Hannani Aman
    • Mustafa Musa Jaber
    https://doi.org/10.14419/ijet.v7i3.30.19096
  • Telemedicine, personal health records, Flexible Telemedicine Framework, continuous care, Big Data.

  • The lifetime health record, which correlates each episode of care of an individual into a continuous health record, is the central key delivery of the Malaysian integrated telehealth application. A lifetime health record for an individual is the integration on his/her life timeline of all his/her electronic health records from healthcare centers he/she has been to since birth. The electronic medical records to be collected that form the lifetime health record, can be gathered from various spectrums of health information systems and healthcare levels, implying the necessity to handle diverse communications and information technology infrastructures. Most important consideration, however, is that the lifetime health record should contain not only longitudinal health summary information, but also the possibility of on-line retrieval of all patient health history whenever required, even during computer system downtime and unavailability of landline telecommunication network. It is only with such comprehensiveness of health records that the risk of inappropriate delivery of care may be reduced, and most of all the true continuum of care may be achieved.  This paper develops an interoperable framework for an integrated and distributed telemedicine system in Malaysia, intended to cope with these requirements.  The overview on the framework is provided, followed by a concise description of the three major components of the framework.

     

  • References

    1. [1] DesRoches, C. M., Campbell, E. G., Rao, S. R., Donelan, K., Ferris, T. G., Jha, A., & Blumenthal, D. (2008). Electronic health records in ambulatory care—a national survey of physicians. New England Journal of Medicine, 359(1), 50-60.

      [2] Román, I., Roa, L.M., Reina-Tosina, J. and Madinabeitia, G., 2006. Demographic management in a federated healthcare environment. International journal of medical informatics, 75(9), pp.671-682.

      [3] Coiera, E., 2015. Guide to health informatics. CRC press.

      [4] Sucurovic, S., 2007. Implementing security in a distributed web-based EHCR. International journal of medical informatics, 76(5-6), pp.491-496.

      [5] Ishak, I.S. and Alias, R.A., 2005. Designing a strategic information system planning methodology for Malaysian institutes of higher learning (ISP-IPTA). Universiti Teknologi Malaysia.

      [6] Ludwick, D.A. and Doucette, J., 2009. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. International journal of medical informatics, 78(1), pp.22-31.

      [7] Bates, D.W., Cohen, M., Leape, L.L., Overhage, J.M., Shabot, M.M. and Sheridan, T., 2001. Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 8(4), pp.299-308.

      [8] Norris, A.C. and Norris, A.C., 2002. Essentials of telemedicine and telecare (p. 106). Chichester: Wiley.

      [9] M. B. Alazzam, A. S. H. Basari, A. S. Sibghatullah, M. R. Ramli, M. M. Jaber, and M. H. Naim, “Pilot study of EHRs acceptance in Jordan hospitals by UTAUT2,†J. Theor. Appl. Inf. Technol., 2016.

      [10] T. J. Abaas, A. S. Shibghatullah, and M. M. Jaber, “Use Information Sharing Environment Concept to Design Electronic Intelligence Framework for Support E-Government : Iraq as Case Study,†Sci. Int., vol. 4, no. 1, pp. 22–24, 2014.

      [11] M. K. A. Ghani and M. M. Jaber, “Willingness to Adopt Telemedicine in Major Iraqi Hospitals : A Pilot Study,†Int. J. Telemed. Appl., vol. 2015, no. 3, pp. 1–7, 2015.

      [12] M. M. Jaber, M. K. A. Ghani, N. Suryana, M. A. Mohammed, and T. Abbas, “Flexible Data Warehouse Parameters: Toward Building an Integrated Architecture,†Int. J. Comput. Theory Eng., vol. 7, no. 5, pp. 349–353, 2015.

      [13] Ghani, M.A., Bali, R.K., Naguib, R.N.G., Marshall, I.M. and Shibghatullah, A.S., 2007, December. The design of flexible front end framework for accessing patient health records through short message service. In Applied Electromagnetics, 2007. APACE 2007. Asia-Pacific Conference on (pp. 1-5). IEEE.

      [14] M. Hassan, A. Fuad, M. A. Mohammed, and M. M. Jaber, “Follow up System for Directorate of Scholarship and Cultural Relations in Iraq,†in International Conference on Computer, Communication, and Control Technology, 2014, no. I4ct, pp. 182–187.

      [15] Al-Qirim, N., 2006. The case of telepsychiatry adoption and diffusion in a healthcare organization in New Zealand. Journal of Cases on Information Technology (JCIT), 8(1), pp.31-48.

      [16] Abd Ghani, M.K., Bali, R.K., Naguib, R.N., Marshall, I.M. and Wickramasinghe, N.S., 2008. Electronic health records approaches and challenges: a comparison between Malaysia and four East Asian countries. International Journal of Electronic Healthcare, 4(1), pp.78-104.

      [17] Hovenga, E., Garde, S. and Heard, S., 2005. Nursing constraint models for electronic health records: a vision for domain knowledge governance. International journal of medical informatics, 74(11-12), pp.886-898.

      [18] M. A. Mohammed et al., “E-government and its Challenges in Developing Countries: Case Study Iraqi E-government,†Soc. Sci., 2016.

      [19] Ministry of Health Malaysia (1997a) 'Concept Request for Proposal for Lifetime Health Plan - Schedule B: Network Infrastructure', Copyright 1997 Government of Malaysia.

      [20] Mohan, J. and Yaacob, R.R.R., 2004. The Malaysian Telehealth Flagship Application: a national approach to health data protection and utilisation and consumer rights. International Journal of Medical Informatics, 73(3), pp.217-227.

      [21] Suleiman, A.B., 2001. The untapped potential of telehealth. International journal of medical informatics, 61(2-3), pp.103-112.

      [22] Miller, R.H. and Sim, I., 2004. Physicians’ use of electronic medical records: barriers and solutions. Health affairs, 23(2), pp.116-126.

      [23] Harun, M.H., 2002. Integrated telehealth: what does it all mean. DTP Enterprise Sdn Bhd.

      [24] Suleiman, A.B., 2001. The untapped potential of telehealth. International journal of medical informatics, 61(2-3), pp.103-112.

      [25] Ministry of Health Malaysia (1997b) 'Telemedicine Blueprint: Telemedicine Flagship Application', Copyright 1997 Government of Malaysia.

      [26] Yusof, M.M., Papazafeiropoulou, A., Paul, R.J. and Stergioulas, L.K., 2008. Investigating evaluation frameworks for health information systems. International journal of medical informatics, 77(6), pp.377-385.

      [27] Mahncke, R.J. and Williams, P.A., 2006. Secure transmission of shared electronic health records: A review.

      [28] Brennan, S., 2005. The NHS IT Project: The Biggest Computer Programme in the World-Ever!. Radcliffe Publishing.

      [29] M. K. A. Ghani, and M. M. Jaber, “The Effect of Patient Privacy on Telemedicine Implementation in Developing Countries: Iraq Case Study,†Res. J. Appl. Sci. Eng. Technol., vol. 11, no. 11, 2015.

      [30] Delpierre, C., Cuzin, L., Fillaux, J., Alvarez, M., Massip, P. and Lang, T., 2004. A systematic review of computer-based patient record systems and quality of care: more randomized clinical trials or a broader approach?. International Journal for Quality in Health Care, 16(5), pp.407-416.

      [31] Hashim, A., 2000. Epidemiology of cervical cancer in Malaysia women. Faculty of Medicine, Kuala Lumpur, Malaysia, National University of Malaysia, PhD dissertation.

      [32] Abd Ghani, M.K., Bali, R.K., Naguib, R.N., Marshall, I.M., Baskaran, V., Wickramasinghe, N.S. and Puentes, J., 2008. A flexible telemedicine framework for the continuous upkeep of patient lifetime health records (F2U-LHR). AMCIS 2008 Proceedings, p.110.

      [33] Selayang Hospital (2002) 'Total Hospital Information System (THIS)', Available at http://www.selayanghospital.gov.my/HTML/THIS.html (Accessed January 27, 2017).

      [34] Malaysian Communications and Multimedia Commission (2005) 'Household use internet survey', Available at http://www.mcmc.gov.my/facts_figures/stats/pdf/Household_use_internet_survey2005.pdf, (Accessed March 11, 2018).

      [35] Frenk, J., Chen, L., Bhutta, Z.A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P. and Kistnasamy, B., 2010. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The lancet, 376(9756), pp.1923-1958.

      [36] Puentes, J., Bali, R.K., Wickramasinghe, N. and Naguib, R.N.G., 2007. Telemedicine trends and challenges: a technology management perspective. International Journal of Biomedical Engineering and Technology, 1(1), pp.59-72.

      [37] Conallen, J., 2002. Building Web applications with UML. Addison-Wesley Longman Publishing Co., Inc.

      [38] Scott, K. and Fowler, M., 2017. UML Distilled Second Edition A Brief Guide to the Standard Object Modeling Language. Addison Wesley.

      [39] Zaman Ahmed, K. and Umrysh, C.E., 2018. Developing enterprise Java applications with J2EE and UML. Addison-Wesley Pub Co.

      [40] Sharma, R., Stearns, B. and Ng, T., 2001. J2EE connector architecture and enterprise application integration. Addison-Wesley Professional.

      [41] Wang, H., Wang, H. and Shen, J., 2004, June. Architectural design and implementation of highly available and scalable medical system with IBM Websphere middleware. In Computer-Based Medical Systems, 2004. CBMS 2004. Proceedings. 17th IEEE Symposium on (pp. 174-179). IEEE.

      [42] T. Abbas, A. S. Shibghatullah, R. Yusof, and M. M. Jaber, “Effective environmental factors to performance of electronic information sharing in iraqi intelligence,†J. Eng. Appl. Sci., vol. 11, no. 3, 2016.

      [43] Gomaa, H., 2005. Designing software product lines with UML (pp. 160-216). IEEE.

      [44] Kukafka, R., Ancker, J.S., Chan, C., Chelico, J., Khan, S., Mortoti, S., Natarajan, K., Presley, K. and Stephens, K., 2007. Redesigning electronic health record systems to support public health. Journal of biomedical informatics, 40(4), pp.398-409.

      [45] Fischetti, L., Mon, D., Ritter, J. and Rowlands, D., 2007. Electronic Health Record–system functional model. Chapter Three: direct care functions.

      [46] Reichertz, P.L., 2006. Hospital information systems—Past, present, future. International journal of medical informatics, 75(3-4), pp.282-299.

      [47] Haux, R., 2006. Health information systems–past, present, future. International journal of medical informatics, 75(3-4), pp.268-281.

      [48] Mostafa, S. A., Mustapha, A., Mohammed, M. A., Ahmad, M. S., & Mahmoud, M. A. (2018). A fuzzy logic control in adjustable autonomy of a multi-agent system for an automated elderly movement monitoring application. International journal of medical informatics, 112, 173-184.

      [49] Mohammed, M.A., Ghani, M.K.A., Hamed, R.I., Mostafa, S.A., Ibrahim, D.A., Jameel, H.K. and Alallah, A.H., 2017. Solving vehicle routing problem by using improved K-nearest neighbor algorithm for best solution. Journal of Computational Science, 21, pp.232-240.

      [50] Mostafa, S. A., Mustapha, A., Khaleefah, S. H., Ahmad, M. S., & Mohammed, M. A. (2018, February). Evaluating the Performance of Three Classification Methods in Diagnosis of Parkinson’s Disease. In International Conference on Soft Computing and Data Mining (pp. 43-52). Springer, Cham.

      [51] Mohammed, M.A., Ghani, M.K.A., Hamed, R.I. and Ibrahim, D.A., 2017. Review on Nasopharyngeal Carcinoma: Concepts, methods of analysis, segmentation, classification, prediction and impact: A review of the research literature. Journal of Computational Science, 21, pp.283-298.

      [52] Mostafa, S. A., Darman, R., Khaleefah, S. H., Mustapha, A., Abdullah, N., & Hafit, H. (2018, June). A General Framework for Formulating Adjustable Autonomy of Multi-agent Systems by Fuzzy Logic. In KES International Symposium on Agent and Multi-Agent Systems: Technologies and Applications (pp. 23-33). Springer, Cham.

      [53] Mohammed, M.A., Ghani, M.K.A., Hamed, R.I. and Ibrahim, D.A., 2017. Analysis of an electronic methods for nasopharyngeal carcinoma: Prevalence, diagnosis, challenges and technologies. Journal of Computational Science, 21, pp.241-254.

      [54] Ghani, M.K.A., Mohammed, M.A., Ibrahim, M.S., Mostafa, S.A. And Ibrahim, D.A., 2017. Implementing an Efficient Expert System for Services Center Management by Fuzzy Logic Controller. Journal of Theoretical & Applied Information Technology, 95(13).

      [55] M.A. Mohammed et al., Neural network and multi-fractal dimension features for breast cancer classification from ultrasound images, Computers and Electrical Engineering (2018), https://doi.org/10.1016/j.compeleceng.2018.01.033.

      [56] M.A. Mohammed, M.K.A. Ghani, N. Arunkumar, R.I. Hamed, M.K. Abdullah, M.A. Burhanuddin, A real time computer aided object detection of nasopharyngeal carcinoma using genetic algorithm and artificial neural network based on Haar feature fear, Future Generation Computer Systems (2018), https://doi.org/10.1016/j.future.2018.07.022.

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    Khanapi Abd Ghani, M., Abed Mohamed, M., A Mostafa, S., Mustapha, A., Aman, H., & Musa Jaber, M. (2018). The Design of Flexible Telemedicine Framework for Healthcare Big Data. International Journal of Engineering & Technology, 7(3.30), 246-253. https://doi.org/10.14419/ijet.v7i3.30.19096