Telemedicine Alert API Engine System for Vital Signs

— In this study we developed a email based system for remote real-time tele-monitoring of patient with abnormal heart activity that helps doctors for detecting potential problems earlier, providing emergency health care, improving the quality of patient health and minimizing healthcare costs by reducing number of hospitalizations of patients. This paper initiates to develop a system for facilitating the accessibility of information about the patient's health both in hospital and home by reducing the physical movement of clinical staff to each patient. The study focuses on the key issues and challenges regarding the design and implementation of cost effective remote patient monitoring system and introduces the integration of pulse oximetry transducer based cardio-telemetry system with windows based software interface for real time data acquisition, risk calculation, and finally wireless transmission using the Internet as communication platform for implementation of an email based patient records management system. Using this system a specialist doctor can telematically 'move' to the patient site and instruct the patient depending on their vital signs. This cardio-telemetry system is equipped by two types of data base like local data base that is maintained by zonal or remote hospital and master data base that is maintained by administrative hospital, allowing the system to store and manage the data simultaneously. Keywords— Cardio-telemetry, real-time, remote monitoring, low cost, email, emergency health care, pulse oximetry transducer, wireless transmission, Host-Client Protocol, MySQL DBMS I. INTRODUCTION Heart disease is the leading cause of death for both men and women. According to World Health Organization (WHO) estimates, 16.7 million people around the globe die of cardiovascular diseases (CVD) each year. 80% of CVD related deaths being reported from low and middle income countries like India [1]. Emergency treatment is the necessary step to save the life. Thus the provision of effective emergency in real-time remote monitoring of the patient vital signs is a growing area of interest [2]. In understaffed rural or remote area and also in home monitoring the availability of prompt and expert medical care can meaningfully improve health care services [3]. Advancement of wireless network technology provides an opening of new technologies in varieties of applications including health care system [4]. The continuous monitoring systems are mainly used in hospitals, consists of sensors to be hardwired to nearby beside monitors, confining the patient to the hospital bed. The advent of wireless technologies like wifi and blue tooth enhance the mobility of patient while being continuously monitored by breaking the cable connection between patient sensor and beside equipment by a wireless connection [5]. One of the most advance and also possible trends that allow medical application is mobility-aware health care system that means home monitoring [6-8]. This system also allows the people to stay in their home environment and feel secure and live as a normal life as possible that is more important for recovery. The contemporary and emerging developments of wireless technology made a significant impact on current e-health and telemedical system and it also plays a crucial role for data transmission through internet [9]. In this context a remote system has been developed aiming to provide enhance information of patients to healthcare profession and also enabled higher mobility. The objective of this dissertation to create e-mail based continuous heart beat monitoring system, detecting the critical condition exists or not by analyzing the risk factors and storing the record of heart beat as well as other vital signs. After that corresponding instruction from the specialist doctors has been forwarded to the patient through master database to local database using server client protocol. This cardio telemetric system allows the health professionals to access the patient information without need to move to patient site, home based elderly patient monitoring without requiring the use of any kind of terminal or application but instead allowing the use of a simple Web browser on a desktop computer or mobile device.

Monitoring of patients' vital parameters very often is limited to hospitals or other health care centres, which makes the process time consuming and expensive. Rapid advancement in information and communication technologies offers great opportunities for development of remote monitoring systems, which on one hand, will reduce costs and travel time, and on the other will increase health service efficiency and user satisfaction. The goal of this paper is to propose an e-health system that allows doctors to closely monitor patients' vital parameters, no matter where they are located. Integration of web, mobile and smart TV technology, will provide greater accessibility of patients' data, and will improve patient-doctor communications.

Journal of advances in biomedical engineering and technology, 2015

This paper deals with a telemedicine system called Telemed-care with its own software part named Care-app, designed by the author. The platform is suitable both of them for personal computers and for mobile devices (tablet and smartphone), and properly uses all the well-known Facebook facilities, smartphone's apps and web-apps, to support the execution of remote medical visits. Telemed-care aims at the home healthcare (homecare) including the tele-auscultation in real time already successfully validated by the heart specialists of the U.O. of Cardiology in the general hospital (Polyclinic) of the University of Bari. This paper describes the platform features and capabilities with a remote medical visit procedure.

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The proposed model enables users to improve health related risks and reduce healthcare costs by collecting, recording, analyzing and sharing large data streams in real time and efficiently. In a hospital health care monitoring system it is necessary to constantly monitor the patient's physiological parameters. For example a pregnant woman parameters such as blood pressure (BP) and heart rate of the woman and heart rate and movements of fetal to control their health condition. The idea of this project came so to reduce the headache of patient to visit to doctor every time he need to check his blood pressure, heart beat rate, temperature etc. With the help of this proposal the time of both patients and doctors are saved and doctors can also help in emergency scenario as much as possible. This system can detect the abnormal conditions, issue an alarm to the patient and send a information to the physician. The proposed outcome of the project is to give proper and efficient medical services to patients by connecting and collecting data information through health status monitors which would include patient's heart rate, blood pressure and sends an emergency alert to patient's doctor with his current status and full medical information.

… in Biomedicine, IEEE …, 2004

Recent advances in mobile technologies have greatly extended traditional communication technologies to mobile devices. At the same time, healthcare environments are by nature "mobile" where doctors and nurses do not have fixed workspaces. Irregular and exceptional events are generated in daily hospital routines, such as operations rescheduling, laboratory/examination results, and adverse drug events. These events may create requests that should be delivered to the appropriate person at the appropriate time. Those requests that are classified as urgent are referred to as alerts. Efficient routing and monitoring of alerts are keys to quality and cost-effective healthcare services. Presently, these are generally handled in an ad hoc manner. In this paper, we propose the use of a healthcare alert management system to handle these alert messages systematically. We develop a model for specifying alerts that are associated with medical tasks and a set of parameters for their routing. We design an alert monitor that matches medical staff and their mobile devices to receive alerts, based on the requirements of these alerts. We also propose a mechanism to handle and reroute, if necessary, an alert message when it has not been acknowledged within a specific deadline. . Her research interests focus on information systems for hospital applications and software systems for diagnostic methods on carotid atherosclerosis.

IRBM, 2018

The future increase of chronic diseases justifies the development of telemedicine for following up patients outside of the hospital. However, current telemedicine applications are diseasespecific whereas chronic diseases are often associated with comorbidities. We show that the use of interoperability standards for telemedicine systems makes it possible to build a telemedicine platform (with several medical devices) that can be shared between several diseases workflows. To remotely follow up the patient's vital signs, health professionals need to access to the context description and the relevant background information. The implementation of an health data model that meets the needs of practitioners seems to be an appropriate solution to this problem.

International Journal of Engineering Research and, 2016

This paper illustrates the design and implement of a cloud based Multi-Parameter-Monitoring system for remote health management of patients. The system supports data acquisition and monitoring of vital signs and symptoms as well remind and track diet, medication and exercise schedule as per prescription. Such a system enables continuous remote care extended from hospitals to homes of patients, saving travel, cost and inconvenience to the patient. The design incorporates embedded interface which can be programmed to interact with heterogeneous biomedical equipment and remain agnostic to manufacturers, while providing a common integrated framework for tele-monitoring[7]. I.

International Journal of Telemedicine and Applications

Telemedicine and remote patient monitoring (RPM) systems have been gaining interest and received adaptation in healthcare sectors since the COVID-19 pandemic due to their efficiency and capability to deliver timely healthcare services while containing COVID-19 transmission. These systems were developed using the latest technology in wireless sensors, medical devices, cloud computing, mobile computing, telecommunications, and machine learning technologies. In this article, a real-time remote patient monitoring system is proposed with an accessible, compact, accurate, and low-cost design. The implemented system is designed to an end-to-end communication interface between medical practitioners and patients. The objective of this study is to provide remote healthcare services to patients who need ongoing care or those who have been discharged from the hospital without affecting their daily routines. The developed monitoring system was then evaluated on 1177 records from MIMIC-III clinic...

—In this paper, we present the design and development of a pervasive health system enabling self-management of chronic patients during their everyday activities. The proposed system integrates patient health monitoring, status logging for capturing various problems or symptoms met, and social sharing of the recorded information within the patient's community, aiming to facilitate disease management. A prototype is implemented on a mobile device illustrating the feasibility and applicability of the presented work by adopting unobtrusive vital signs monitoring through a wearable multisensing device, a service-oriented architecture for handling communication issues, and popular microblogging services. Furthermore, a study has been conducted with 16 hyperten-sive patients, in order to investigate the user acceptance, the usefulness , and the virtue of the proposed system. The results show that the system is welcome by the chronic patients who are especially willing to share healthcare information, and is easy to learn and use, while its features have been overall regarded by the patients as helpful for their disease management and treatment.

Intelligent Automation & Soft Computing, 2021

In the Covid-19 pandemic, people have been very concerned about the safety and are avoiding crowded places like hospitals. An online telemedicine web-based technology can help to overcome this situation. This paper presents an online telemedicine system that helps to promote collaboration between doctors, hospitals, and patients. The system allows doctors to serve patients from remote areas. The system also allows both doctors and patients to communicate through video calls or text messages. Patients using the system can store information about their health, search for doctors, and consult medical professionals using text messages and video calls. Doctors can also register to serve patients, but they must ensure authenticity through registration. Doctors can write blogs, provide prescriptions, and can view the medical history of the patient. Hospitals can assign doctors in the respective departments. The system is tested in a lab environment. The system is fast and reliable with a user-friendly interface, enhancing telemedicine services countrywide for people with online access.