Home telecare: system architecture to support chronic disease management

A system architecture to support information transfer between hospital, general practitioner and the home is described in the context of a Home Telecare System (HTS). The HTS facilitates the acquisition, review, analysis and archiving of a longitudinal clinical record to support chronic disease management. The system allows the clinician to schedule for his,her patient the regular recording of clinical measurements (weight, temperature, lung function, blood pressure, single lead electro-cardiogram and ambulation). The patient has in their home a PC with a serially-connected clinical workstation. In addition, the HTS allows the scheduling of questionnaires, medication reminders and the monitoring of an emergency alarm button. The clinician's interface uses standard Web browser technology to connect to a Web and database server. Use cases indicate that this configuration is not suitable for the patient interface in the home. In this case, a separate stand-alone application with a local subset of the database that periodically communicates with a central server is more appropriate to support a highly usable interface that can be easily customised and maintained.

[1]  B G Celler,et al.  Web-based acquisition, storage, and retrieval of biomedical signals. , 2001, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[2]  Abdul V. Roudsari,et al.  Clinical decision support, systems methodology, and telemedicine: their role in the management of chronic disease , 1998, IEEE Transactions on Information Technology in Biomedicine.

[3]  C Ruggiero,et al.  Home telecare. , 1999, Journal of telemedicine and telecare.

[4]  Alberto Riva,et al.  Web-based telemedicine systems for home-care: technical issues and experiences , 2001, Comput. Methods Programs Biomed..

[5]  Nigel H. Lovell,et al.  A web-based approach for electrocardiogram monitoring in the home , 1999, Int. J. Medical Informatics.

[6]  Nigel H. Lovell,et al.  Database replication and synchronization for longitudinal monitoring of ECG , 1999, Proceedings of the First Joint BMES/EMBS Conference. 1999 IEEE Engineering in Medicine and Biology 21st Annual Conference and the 1999 Annual Fall Meeting of the Biomedical Engineering Society (Cat. N.

[7]  N H Lovell,et al.  The potential impact of home telecare on clinical practice , 1999, The Medical journal of Australia.