Accessing an Existing Virtual Electronic Patient Record with a Secure Wireles Architecture

Accessing an Existing Virtual Electronic Patient Record with a Secure Wireles Architecture

Ana Ferreira (Center for Informatics at the Faculty of Medicine in Porto, Portugal), Luis Barreto (Instituto Politecnico de Viana do Castelo, Portugal), Pedro Brandao (LIACC at Faculty of Science in Porto, Portugal) and Ricardo Correia (Center for Informatics, Faculty of Medicine in Porto, Portugal)
Copyright: © 2009 |Pages: 21
DOI: 10.4018/978-1-60566-332-6.ch002
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Virtual electronic patient records (VEPR) enable the integration and sharing of healthcare information within large and heterogeneous organizations by aggregating known data elements about patients from different information systems in real-time. However, healthcare professionals need to access a terminal every time they treat a patient. This may not be trivial as computers are not available around every corner of big healthcare institutions. The use of wireless technology can improve and fasten healthcare treatment because it can bring information and decision to the point of care allowing also for healthcare professionals’ mobility. However, as healthcare information is of a very sensitive nature, it has to comply with important security requirements. The wireless technology makes it more difficult for these requirements to be achieved as it is harder to control disruptions and attempts to access information can be more common and less simple to detect. The main objective of this chapter is to model, develop and evaluate (e.g. in terms of efficiency, complexity, impact and against network attacks) a proposal for a secure wireless architecture in order to access a VEPR. This VEPR is being used within a university hospital by more than 1,000 doctors, on a daily basis. Its users would greatly benefit if this service would be extended to a wider part of the hospital and not only to their workstation, achieving this way faster and greater mobility in the treatment of their patients.
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The Virtual Electronic Patient Record

With the objective to face one of the major problems within large and complex health organizations - data retrieval and integration - a VEPR was built within a University Hospital with over 1350 beds, by the Biostatistics and Medical Informatics Department, at the Faculty of Medicine in Porto. This system provides a cost-effective solution for most clinical information needs (Ricardo Cruz-Correia et al., 2005).

Currently, more than 1000 doctors use the system on a daily basis. Other healthcare professionals (namely nurses) are expected to start using it soon.

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Table of Contents
Chapter 1
Katie A Siek, Kay H Connelly, Beenish Chaudry, Desiree Lambert, Janet L. Welch
In this chapter, the authors discuss two case studies that compare and contrast the use of barcode scanning, voice recording, and patient self... Sample PDF
Evaluation of Two Mobile Nutrition Tracking Applications for Chronically Ill Populations with Low Literacy Skills
Chapter 2
Ana Ferreira, Luis Barreto, Pedro Brandao, Ricardo Correia
Virtual electronic patient records (VEPR) enable the integration and sharing of healthcare information within large and heterogeneous organizations... Sample PDF
Accessing an Existing Virtual Electronic Patient Record with a Secure Wireles Architecture
Chapter 3
Phillip Olla, Joseph Tan
This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application... Sample PDF
Personal Health Records Systems Go Mobile: Defining Evaluation Components
Chapter 4
Ing Widya, HaiLiang Mei, Bert-Jan Beijnum, Jacqueline Wijsman, Hermie Hermens
In mobile healthcare, medical information are often expressed in different formats due to the local policies and regulations and the heterogeneity... Sample PDF
Medical Information Representation Framework for Mobile Healthcare
Chapter 5
Daniel Ruiz-Fernandez, Antonio Soriano-Paya
The incorporation of computer engineering into medicine has meant significant improvements in the diagnosis-related tasks. This chapter presents an... Sample PDF
A Distributed Approach of a Clinical Decision Support System Based on Cooperation
Chapter 6
Teppo Räisänen, Harri Oinas-Kukkonen, Katja Leiviskä, Matti Seppänen, Markku Kallio
Incorporating healthcare information systems into clinical settings has been shown to reduce medication errors and improve the quality of work in... Sample PDF
Managing Mobile Healthcare Knowledge: Physicians' Perceptions on Knowledge Creation and Reuse
Chapter 7
Yousef Jasemian
Recording of physiological vital signs in patients’ real-life environment could be especially useful in management of chronic disorders; for example... Sample PDF
Patient Monitoring in Diverse Environments
Chapter 8
Monica Tentori, Daniela Segura, Jesus Favela
Hospital work is characterized by intense mobility, a frequent switching between tasks, and the need to collaborate and coordinate activities among... Sample PDF
Monitoring Hospital Patients Using Ambient Displays
Chapter 9
Javier Espina, Heribert Baldus, Thomas Falck, Oscar Garcia, Karin Klabunde
Wireless body sensor networks (BSNs) are an indispensable building stone for any pervasive healthcare system. Although suitable wireless... Sample PDF
Towards Easy-to-Use, Safe, and Secure Wireless Medical Body Sensor Networks
Chapter 10
Yousef Jasemian
People living with chronic medical conditions, or with conditions requiring short term monitoring, need regular and individualized care to maintain... Sample PDF
Sensing of Vital Signs and Transmission Using Wireless Networks
Chapter 11
Nuria Oliver, Fernando Flores-Mangas, Rodrigo de Oliveira
In this chapter, we present our experience in using mobile phones as a platform for real-time physiological monitoring and analysis. In particular... Sample PDF
Towards Wearable Physiological Monitoring on a Mobile Phone
Chapter 12
Giovanni Russello, Changyu Dong, Naranker Dualy
In this chapter, the authors describe a new framework for pervasive healthcare applications where the patient’s consent has a pivotal role. In their... Sample PDF
A Framework for Capturing Patient Consent in Pervasive Healthcare Applications
Chapter 13
Filipe Meneses, Adriano Moreira
The increasing availability of mobile devices and wireless networks, and the tendency for them to become ubiquitous in our dally lives, creates a... Sample PDF
Technology Enablers for Context-Aware Healthcare Applications
Chapter 14
Bjorn Gottfried
This chapter introduces spatial health systems, identifies fundamental properties of these systems, and details for specific applications the... Sample PDF
Modeling Spatiotemporal Developments in Spatial Health Systems
Chapter 15
Hailiang Mei, Bert-Jan van Beijnum, Ing Widya, Val Jones, Hermie Hermens
Building context-aware mobile healthcare systems has become increasingly important with the emergence of new medical sensor technologies, the fast... Sample PDF
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