An Approach based on XML for Communication in Home Healthcare Systems (original) (raw)

XML Security based Access Control for Healthcare Information in Mobile Environment

2006 Pervasive Health Conference and Workshops, 2006

Mobile and wireless devices have penetrated the health care sector due to their increased functionality, low cost, high reliability and easy-to-use nature. However, in such health care applications the privacy and security of the transmitted information must be preserved. Also different personal involved in the healthcare industry must have different access privileges to the patient information. In this paper we present a protocol that will share the information securely to the intended recipient using the XML encryption and XML signature technologies.

XML technologies for the Omaha System: A data model, a Java tool and several case studies supporting home healthcare

Computer Methods and Programs in Biomedicine, 2009

The eXtensible markup language (XML) is a metalanguage which is useful to represent and exchange data between heterogeneous systems. XML may enable healthcare practitioners to document, monitor, evaluate, and archive medical information and services into distributed computer environments. Therefore, the most recent proposals on electronic health records (EHRs) are usually based on XML documents. Since none of the existing nomenclatures were specifically developed for use in automated clinical information systems, but were adapted to such use, numerous current EHRs are organized as a sequence of events, each represented through codes taken from international classification systems. In nursing, a hierarchically organized problem-solving approach is followed, which hardly couples with the sequential organization of such EHRs. Therefore, the paper presents an XML data model for the Omaha System taxonomy, which is one of the most important international nomenclatures used in the home healthcare nursing context. Such a data model represents the formal definition of EHRs specifically developed for nursing practice. Furthermore, the paper delineates a Java application prototype which is able to manage such documents, shows the possibility to transform such documents into readable web pages, and reports several case studies, one currently managed by the home care service of a

Medical support system for continuation of care based on XML web technology

International Journal of Medical Informatics, 2001

In this paper, the implementation of an Internet-based telematic service for medical support is presented, which was developed and operated in pilot form within the INTRANET HEALTH CLINIC project-a 2-year project supported by the European Commission under the Health Telematics Programme. The aim of the application is to offer high quality care to users of health services over inexpensive communication pathways, using Internet-based, interactive communication tools, like remote access to medical records and transmission of multimedia information. The XML technology was employed to achieve customised views on patient data, according to the access rights of different user profiles. Strict security and access control policy were implemented to ensure secure transmission of medical data through the Internet. The system was designed to collaborate with existing clinical patient record systems and to be adjustable to different medical applications. Current implementations include the fields of Oncology, Lupus Erythrematosis, Obstetrics and Chronic Obstructive Pulmonary disease. The results of the pilot operation with oncological patients in Greece were encouraging, so that the refining of the system and its expansion to a large number of patients is already in progress.

Design For a Patient-Centric Medical Information System Using XML Web Services

Fourth International Conference on Information Technology (ITNG'07), 2007

Patients' medical information is dispersed on several providers' medical information systems making personal medical information management a difficult task for patients. Given this situation, there is a need for patients to be able to easily access their patient data from the different providers' systems so as to promote effective management of their medical information. The main objective of this work is to propose a design for a system that will alleviate the personal health information management process for patients by providing them a single point of access to their medical information from disparate healthcare providers' systems over the Internet. The proposed design for this system is based on Extensible Markup Language (XML) web services. An evaluation of a prototype shows that the design allows patients an easy means of managing their health information and the design is also scalable, extensible, secure and interoperable with disparate healthcare providers' information systems.

An Infrastructure for Integrated Electronic Health Record Services: The Role of XML (Extensible Markup Language

Journal of Medical Internet Research, 2001

Due to the greater mobility of the population, national and international healthcare networks are increasingly used to facilitate the sharing of healthcare-related information among the various actors of the field. This sharing of information resources is generally accepted as the key to substantial improvements in productivity and better quality of care. Comprehensive medical information about a patient is difficult to obtain efficiently, unless the distributed and heterogeneous health record segments are incorporated into an Integrated Electronic Health Record (I-EHR) and viewed on-line through a unified user interface and visualization environment. Furthermore, the seamless integration of distributed EHR segments requires interoperability among heterogeneous autonomous information systems. As a result, standardization efforts for middleware that facilitate interoperability and enable the communication of information through standard messages are very active.

An Infrastructure for Integrated Electronic Health Record Services: The Role of XML

2001

Due to the greater mobility of the population, national and international healthcare networks are increasingly used to facilitate the sharing of healthcare-related information among the various actors of the field. This sharing of information resources is generally accepted as the key to substantial improvements in productivity and better quality of care. Comprehensive medical information about a patient is difficult to

Healthcare System Based on Semantic Web and XML Technologies

Greener Journal of Computer Sciences

The purpose and the goal of the paper is using a semantic web and XML (the Extensible Markup Language) technologies for managing medical information during a diagnostic process is studied. Following a steady international move towards optimization of health care delivery, the latest development in information technology has drawn the health care industry decision makers' attention. The introduction of proper information technology innovations within the health care processes should provide the necessary optimization. In this manner can be proposed an approach to manage medical data during the whole diagnostic process using the semantic Web and XML technologies. The purpose of the Semantic Web is to bring structure to the content of Web pages allowing software agents to carry out intelligent tasks for the user. This opens a new set of opportunities that can be utilized to improve health care management on a personal and health care provider level.The aim of this paper in progress is to identify the needs and match them to the services possible with the Semantic Web. In this paper, presented an ontology-based framework that successfully combines both Semantic Web and XML technologies to enable the integrated access to biological data sources. The main goal is the seamless integration and application of these technologies in such a way that their deficiencies are over come and their utility maximized.

An experimental health smart home and its distributed internet-based information and communication system: first steps of a research project

Studies in health technology and informatics, 2001

We present a study and whole experimental tele-monitoring and medical tele-surveillance system for maintaining patients at home. The project features networked sensors, in a fully equipped apartment, operated by an advanced information and communication system based on Internet, Java, and object oriented modeling. The sensors are connected, mainly wirelessly, with a in-home software module devoted to signals analysis and detection of critical situation such as falls, sickness, sudden palsy, stroke, hypothermia, etc. This module communicates, either via modem or ethernet network, with a remote medical control station in charge of appropriate response to received information and alarms. The system is designed to be a powerful information and communication tools for medical and social workers. It offers a series of functions such as medical file management, user profiles and rights management, drafting and management of ordinances and visit notes, confidentiality of medical information...

A Web-based architecture enabling multichannel telemedicine applications

Citeseer

Telemedicine scenarios include today in-hospital care management, remote teleconsulting, collaborative diagnosis and emergency situations handling. Different types of information need to be accessed by means of etherogeneous client devices in different communication environments in order to enable high quality continuous sanitary assistance delivery wherever and whenever needed. In this paper, a Web-based telemedicine architecture based on Java, XML and XSL technologies is presented. By providing dynamic content delivery services and Java based client applications for medical data consultation and modification, the system enables effective access to an Electronic Patient Record based standard database by means of any device equipped with a Web browser, such as traditional Personal Computers and workstation as well as modern Personal Digital Assistants. The effectiveness of the proposed architecture has been evaluated in different scenarios, experiencing fixed and mobile clinical data transmissions over Local Area Networks, wireless LANs and wide coverage telecommunication network including GSM and GPRS.