An Integrated System for E-Medicine (E-Health, Telemedicine and Medical Expert Systems)

An Integrated System for E-Medicine (E-Health, Telemedicine and Medical Expert Systems)

Ivan Chorbev (Ss. Cyril and Methodius University, Republic of Macedonia) and Boban Joksimoski (European University, Republic of Macedonia)
DOI: 10.4018/978-1-60960-561-2.ch218
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Abstract

This chapter presents an overview of an integrated system for eMedicine that the authors propose and implement in the Republic of Macedonia. The system contains advanced medical information systems, various telemedicine services supported by modern telecommunication technologies, and decision support modules. The authors describe their telemedicine services that use wireless broadband technologies (WiMAX, 3G, Wi-Fi). A significant part of the chapter presents a web based medical expert system that performs self training using a heuristic rule induction algorithm. The data inserted by medical personnel while using the e-medicine system is subsequently used for additional learning. The system is trained using a hybrid heuristic algorithm for induction of classification rules that we developed. The SA Tabu Miner algorithm (Simulated Annealing and Tabu Search based Data Miner) is inspired by both research on heuristic optimization algorithms and rule induction data mining concepts and principles.
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Background

E-medicine (sometimes referred to as e-medicine or eHealth) is a rather new term for describing the medical care that is supported by modern electronic processes and modern telecommunications. It is sometimes used to describe the use of computers in health institutions, for providing medical services via Internet or simply a new name for telemedicine. In fact, it is used to describe a wide spectrum of services that are part of the medical practice supported by the aid of information technology. The provided services include:

  • The use of Electronic Medical Records (EHR) for easy storing, retrieving and sharing data between medical personnel (doctors, pharmacists, therapists etc).

  • Telemedicine, as a way to provide medical services remotely and as a way for providing teleconsultations and assistance to other doctors

  • Public Health Informatics, where the population and/or patients could get informed about relevant medical information.

  • Management of medical information and medical knowledge, using the data in data mining research

  • Mobile e-medicine, a field that includes the use of mobile devices for various purposes including real-time monitoring of patients, diagnosis, gathering and providing data for the doctors and mobile telemedicine

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