A programmable service architecture for mobile medical care

This paper introduces MobiCare - a novel service architecture that enables a wide range of health-related services for efficient and mobile patient care. These services include: (1) health-related services in medical devices and sensors to remotely install, self-activate, reconfigure or even self-repair with new health services and applications, (2) secure and reliable dynamic software upgrade or update services applied to the native code of the clinical device, and, (3) remote registration and (re)configuration of body sensors as well as remote health-data services such as patient health report downloads and diagnosis data uploads with provider servers. Collectively these services address a range of patient medical monitoring needs by accelerating deployment of new health-related services, thus reducing medical costs and improving the quality of patient care. We are currently implementing a proof-of-concept prototype. Early experiences with MobiCare do show that it has the potential to become a feasible and a useful infrastructure paradigm for the next generation healthcare

[1]  Ross Anderson.  System Security for Cyborgs , 2005 .

[2]  Mahadev Satyanarayanan,et al.  Agile application-aware adaptation for mobility , 1997, SOSP.

[3]  Joseph Mitola,et al.  Technical challenges in the globalization of software radio , 1999, IEEE Commun. Mag..

[4]  Robert Szewczyk,et al.  System architecture directions for networked sensors , 2000, ASPLOS IX.

[5]  M Akay,et al.  Unconstrained monitoring of body motion during walking. , 2003, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[6]  Matt Welsh,et al.  CodeBlue: An Ad Hoc Sensor Network Infrastructure for Emergency Medical Care , 2004 .

[7]  Paul Lukowicz,et al.  AMON: a wearable multiparameter medical monitoring and alert system , 2004, IEEE Transactions on Information Technology in Biomedicine.

[8]  Vincent M. Stanford,et al.  Pervasive Health Care Applications Face Tough Security Challenges , 2002, IEEE Pervasive Comput..

[9]  Vincent M. Stanford,et al.  Using Pervasive Computing to Deliver Elder Care , 2002, IEEE Pervasive Comput..

[10]  Scott Nettles,et al.  Dynamic software updating , 2001, PLDI '01.

[11]  Chris Toumazou,et al.  Medical Healthcare Monitoring with Wearable and Implantable Sensors , 2004 .

[12]  Gu-Yeon Wei,et al.  A portable, low-power, wireless two-lead EKG system , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[13]  William A. Arbaugh,et al.  Safety and security of programmable network infrastructures , 1998, IEEE Commun. Mag..

[14]  John V. Guttag,et al.  Virtual radios , 1999, IEEE J. Sel. Areas Commun..

[15]  Pablo Rodriguez,et al.  MAR: a commuter router infrastructure for the mobile Internet , 2004, MobiSys '04.

[16]  Andrew T. Campbell,et al.  Programmable mobile networks , 1999, Comput. Networks.

[17]  Nayeem Islam,et al.  Dynamically Programmable and Reconfigurable Middleware Services , 2004, Middleware.

[18]  Kazuhiko Yamazaki,et al.  IBM's Linux Watch: The Challenge of Miniaturization , 2002, Computer.

[19]  Roy Want,et al.  The Personal Server: Changing the Way We Think about Ubiquitous Computing , 2002, UbiComp.

[20]  Emil Jovanov,et al.  Stress monitoring using a distributed wireless intelligent sensor system. , 2003, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[21]  Tom Rodden,et al.  Extending the Grid to Support Remote Medical Monitoring , 2003 .

[22]  Robert Langer,et al.  A BioMEMS review: MEMS technology for physiologically integrated devices , 2004, Proceedings of the IEEE.