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A Mobile Phone Based Homecare Data Transmission and Management System


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In this study, we combined Hospital Information System (HIS) and the basis of mobile communication, established a telemedicine homecare management system in long-term and sustainable health monitoring through the transmission of Multimedia Messaging Service (MMS). Based on the RS-232C standard, we connected Short Message Service (SMS) with sphygmomanometer and glucose meter for sending real-time physiological responses to telemedicine homecare information management system through GSM900/1800 2G mobile phone in Taiwan. There are 300 participants and 4736 records of blood pressure and sugar measurement data in the system, which also connected with several hospitals’ HIS. Physicians may link to the system through the health record page in HIS for patients’ physiological responses and records. If there are any abnormal data, physicians and medical staff can inform and arrange patients back to the clinic for further treatment or observation.

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A Mobile Phone Based Homecare Data Transmission and Management System

  1. 1. Wei-Tse Tang, Chiu-Ming Hu, and Chien-Yeh HsuGraduate Institute of Medical InformaticsTaipei Medical University, Taipei, TaiwanInternational Conference on Bioinformatics andComputational BiologyJuly 15, 2009A Mobile Phone Based Homecare DataTransmission and Management System
  2. 2. • Introduction• Solution• Vital Signs Healthcare Information System• Results• ConclusionsOutline2
  3. 3. • Population ageing issue in Taiwan– Ageing rate is more than two times of Europe and US– Elderly population will reach 14% in 2020[1]Introduction3[1] H. C. Chiu, "Organization and delivery of long-term care in Taiwan," J Aging Soc Policy, vol. 13, pp. 217-32, 2001.“The Ageing of the World’s Population”, Programme on Ageing, United Nations,
  4. 4. Causes?AgeingPopulationChronicDiseaseIntroduction4
  5. 5. • Mostly used forconsultations betweentelemedicine centers inhospitals and clinics• Using videoconferencing toreplace in-person visits[1]• High cost and complexityequipmentsTraditional Telemedicine5[1] C. Lau, J. E. Cabral, Jr., D. R. Haynor, and Y. Kim, “Telemedicine, Handbook of Medical Imaging”. SPIE Press,Bellingham, Washington, 2000.
  6. 6. • Senior Ubiquitous-Care Flagship Plan[1]• More telemedicine contacts experiments[2]– Web-based system access to patient data via internetSolution6[1] Coordinate ExecutiveYuan and Department of Industrial Technology with “The Flagship Program of Scientific and TechnologicalServices”and the first stage of three-year boost plan (2007-2009) in “2015 Vision of Economic Development”, 2006.[2] C. Lau, R. S. Churchill, J. Kim, I. Frederick A. Matsen and Y. Kim. “Asynchronous Web-Based Patient-CenteredHome TelemedicineSystem”, TRANSACTIONS ON BIOMEDICAL ENGINEERING(IEEE), Vol. 49., Issue 12., 1452-1462, Dec 2002.
  7. 7. • Developed with– PHP– Microsoft ISS server– MySQL database• Provides– Telemedicine care management operations– Mobile healthcare services– Personal service webpage of each healthcare institutions– Vital signs healthcare information managementVital Signs Healthcare Information System7
  8. 8. Vital Signs HIS Framework8
  9. 9. Two-Way Vital Signs SMS Operation9
  10. 10. Vital Signs HIS Interface10
  11. 11. Vital Signs HIS Interface11
  12. 12. Vital Signs HIS Interface12
  13. 13. • Vital signs information display– Systolic pressure– Diastolic pressure– Sphygmus– Blood sugar• Additional features– Personal Data– Abnormal vital signs information– Vital signs information historiesResults13
  14. 14. • Members participated in four hospitalsResults (cont.)14Institution MembersWan Fang Hospital 95Tri-Service General Hospital 70Taichung Veterans General Hospital 70Taipei Medical University Hospital 70Total 305
  15. 15. • What to improve?– Further integrate prevention health services– Provide internet browsing or download the service– Offering health education or weight control informationfor chronic patients• To provide a reusable structure for similar studies inthe futureConclusions15
  16. 16. • Build a real-time image processing system• Follow the standard of electronic health records• Medical image data could be transmited• VoIP provide consultations and disscusions• Patient bedside videos and multimedia medical forpatient educationsIn the Future16
  17. 17. Wei-Tse TangTaipei Medical Universityclementtang.tang@gmail.comQ&A17