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Health Informatics as a Service (HIaaS) for Developing Countries

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Internet of Things and Big Data Technologies for Next Generation Healthcare

Part of the book series: Studies in Big Data ((SBD,volume 23))

Abstract

With advancement of health monitoring systems and healthcare techniques, the reach of cheaper, sustainable and personalized healthcare is becoming a reality. Many developed countries have put forth standards and procedures that enable citizens to available medical services not only in designated hospitals or clinics, but also in their homes. Information and Communication Technology (ICT) has been leveraged to the fullest to achieve greater coherence in medical services. In developing countries, though there is a desire to increase reach of medical services, the infrastructure, policies and other factors create road blocks. The expectation in such countries can be met if there is a solution that is cheaper, reachable and easy to collaborate. Cloud computing paradigm can solve these issues. By leveraging cloud, developing countries can operationalize health informatics systems and enable all stakeholders to focus on refining of patient care services rather than worrying about the infrastructure for the solutions. But this requires a clear understanding of expectations from such solutions. This chapter aims at providing insights into the eHealth models that exist and challenges arising from those. The concept of HIaaS in cloud has been detailed out along with cloud based architecture for hosting eHealth services. It also illustrates application scenarios from developing countries where proposed architecture can be applied.

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References

  1. Benson, T.: Principles of Health Interoperability HL7 and SNOMED. Springer Science & Business Media (2012)

    Google Scholar 

  2. Elkin, P.L. (ed.): Terminology and Terminological Systems. Springer Science & Business Media (2012)

    Google Scholar 

  3. Chronaki, C.E., Estelrich, A., Cangioli, G., Melgara, M., Kalra, D., Gonzaga, Z., Garber, L., Blechman, E., Ferguson, J., Kay, S.: Interoperability standards enabling cross-border patient summary ex-change, pp. 256–260. In: MIE (2014)

    Google Scholar 

  4. Silva, L.A.B., Costa, C., Oliveira, J.L.: DICOM relay over the cloud. Int. J. Comput. Assist. Radiol. Surg. 8(3), 323–333 (2013)

    Article  Google Scholar 

  5. Westwood, M., Joore, M., Grutters, J., Redekop, K., Armstrong, N., Lee, K., Gloy, V., Raatz, H., Misso, K., Severens, J., Kleijnen, J.: Contrast-enhanced ultrasound using SonoVue® (sulphur hexafluoride microbubbles) compared with contrast-enhanced computed tomography and contrast-enhanced magnetic resonance imaging for the characterisation of focal liver lesions and detection of liver metastases: a systematic review and cost-effectiveness analysis (2013)

    Google Scholar 

  6. Sanei, S., Chambers, J.A.: EEG Signal Processing. Wiley (2013)

    Google Scholar 

  7. Reddy, C.K., Aggarwal, C.C. (eds.): Healthcare Data Analytics, vol. 36. CRC Press (2015)

    Google Scholar 

  8. Bender, J.G., Verma, A., Schiffman, J.D.: Translating genomic discoveries to the clinic in pediatric oncology. Curr. Opin. Pediatr. 27(1), 34–43 (2015)

    Google Scholar 

  9. LePendu, P., Iyer, S.V., Bauer-Mehren, A., Harpaz, R., Mortensen, J.M., Podchiyska, T., Ferris, T.A., Shah, N.H.: Pharmacovigilance using clinical notes. Clin. Pharmacol. Ther. 93(6), 547–555 (2013)

    Article  Google Scholar 

  10. Paul, M., Chowdhury, A.G., Das, A.: A ubiquitous E-learning architecture in cloud environment. Mater. Today: Proc. (2016).

    Google Scholar 

  11. National Institute of Standards and Technology. http://www.nist.gov/. Accessed 1 May 2016

  12. HealthShare Overview. http://www.intersystems.com/our-products/healthshare/healthshare-overview/. Accessed 1 May 2016

  13. What is HealthVault? https://www.healthvault.com/in/en. Accessed 15 May 2016

  14. CareCloud. http://www.carecloud.com/. Accessed 15 May 2016

  15. Jaroslawski, S., Saberwal, G.: In eHealth in India today, the nature of work, the challenges and the finances: an interview-based study. BMC Med. Inform. Decis. Mak. 14(1), 1 (2014)

    Article  Google Scholar 

  16. Mars, M.: Telemedicine and advances in urban and rural healthcare delivery in Africa. Prog. Cardiovasc. Dis. 56(3), 326–335 (2013)

    Article  Google Scholar 

  17. Consensus report, Institute of Medicine. Clinical practice guidelines we can trust. March 23, 2011. http://www.iom.edu/Reports/2011/Clinical-Practice-Guidelines-We-Can-Trust.aspx. Accessed 13 January 2012

  18. Hoyme, H.E., Kalberg, W.O., Elliott, A.J., Blankenship, J., Buckley, D., Marais, A.S., Jewett, T., et al.: Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders. Pediatrics, e20154256 (2016)

    Google Scholar 

  19. Moreira, J., Jaramillo, E., Anselmi, M., Sempertegui, R., Ortiz, P., Mena, M.B., Tognoni, G.: Appraisal of five clinical guidelines for the management of hypertension in Andean Countries and Europe. World J. Cardiovasc. Dis. 4(05), 211 (2014)

    Article  Google Scholar 

  20. Hughes, L.D., McMurdo, M.E., Guthrie, B.: Guidelines for people not for diseases: the challenges of applying UK clinical guidelines to people with multimorbidity. Age Ageing 42(1), 62–69 (2013)

    Article  Google Scholar 

  21. Bergman, B., Neuhauser, D., Provost, L.: Five main processes in healthcare: a citizen perspective. BMJ Qual. Saf. 20(Suppl 1), i41–i42 (2011)

    Article  Google Scholar 

  22. Valdez, R.S., Holden, R.J., Novak, L.L., Veinot, T.C.: Transforming consumer health informatics through a patient work (2014)

    Google Scholar 

  23. Zheng, Y.L., Ding, X.R., Poon, C.C.Y., Lo, B.P.L., Zhang, H., Zhou, X.L., Zhang, Y.T.: Unobtrusive sensing and wearable devices for health informatics. IEEE Trans. Biomed. Eng. 61(5), 1538–1554 (2014)

    Article  Google Scholar 

  24. Shen, Q., Liang, X., Shen, X.S., Lin, X., Luo, H.Y.: Exploiting geo-distributed clouds for a e-health monitoring system with minimum service delay and privacy preservation. IEEE J. Biomed. Health Inf. 18(2), 430–439 (2014)

    Google Scholar 

  25. Sultan, N.: Making use of cloud computing for healthcare provision: opportunities and challenges. Int. J. Inf. Manag. (IEEE) 34(2), 177–184 (2014)

    Google Scholar 

  26. Vilaplana, J., Solsona, F., Abella, F., Filgueira, R., Rius, J.: The cloud paradigm applied to e-Health. BMC Med. Inform. Decis. Mak. 13(1), 1 (2013)

    Article  Google Scholar 

  27. World Health Statics 2015 (WHO). apps.who.int/iris/bitstream/10665/170250/1/9789240694439_eng.pdf. Accessed 31 May 2016

  28. eHealth Exchange—Project Sequoia. http://sequoiaproject.org/wp-content/uploads/2016/05/eHealth-Exchange-Overview-Feb-2016-v2.pdf. Accessed 31 May 2016

  29. Healthcare Industry in India. http://www.ibef.org/industry/healthcare-india.aspx. Accessed 3 June 2016

  30. Aadhar Services—Resident Portal. https://resident.uidai.net.in/aadhaar-services. Accessed 3 June 2016

  31. Jimenez-Marroquin, M.C., Deber, R., Jadad, A.R.: Information and communication technology (ICT) and eHealth policy in Latin America and the Caribbean: a review of national policies and assessment of socioeconomic context. Revista Panamericana de Salud Pública 35(5–6), 329–336 (2014)

    Google Scholar 

  32. Kimble, C.: Business models for E-Health: evidence from ten case studies. Glob. Bus. Organ. Excellence 34(4), 18–30 (2015)

    Google Scholar 

  33. Jolly, R.: The E Health Revolution: Easier Said Than Done. Parliamentary Library, Canberra (2011)

    Google Scholar 

  34. Paul, M., Das, A.: A review on provisioning of services in cloud computing. Int. J. Sci. Res. 3(4), (2014)

    Google Scholar 

  35. Garfinkel, S.: An evaluation of amazon’s grid computing services: EC2, S3, and SQS (2007)

    Google Scholar 

  36. Malawski, M., Kuzniar, M., Wojcik, P., Bubak, M.: How to use Google App engine for free computing. IEEE Internet Comput. 17(1), 50–59 (2013)

    Google Scholar 

  37. Dillon, T., Wu, C., Chang, E.: Cloud computing: issues and challenges. In: 2010 24th IEEE International Conference on Advanced Information Networking and Applications, pp. 27–33. IEEE (2010)

    Google Scholar 

  38. Mantas, J.: Electronic health record. Stud. Health Technol. Inf. 65, 250–257 (2001)

    Google Scholar 

  39. Meystre, S.M., Savova, G.K., Kipper-Schuler, K.C., Hurdle, J.F.: Extracting information from textual documents in the electronic health record: a review of recent research. Yearb. Med. Inf. 35, 128–144 (2008)

    Google Scholar 

  40. Electronic Health Record—Wikipedia. https://en.wikipedia.org/wiki/Electronic_health_record. Accessed 3 June 2016

  41. Hu, Y., Lu, F., Khan, I., Bai, G.: A cloud computing solution for sharing healthcare information (2012)

    Google Scholar 

  42. Telemedicine solutions. http://wwwvinamratech.com/products/telemedicine-solutions/. Accessed 3 June 2016

  43. mHealth: New horizons for health through mobile technologies. http://www.who.int/goe/publications/goe_mhealth_web.pdf. Accessed 8 April 2016

  44. Fernández-Alemán, J.L., Señor, I.C., Lozoya, P.Á.O., Toval, A.: Security and privacy in electronic health records: a systematic literature review. J. Biomed. Inform. 46(3), 541–562 (2013)

    Article  Google Scholar 

  45. Nandi, S., Roy, S., Dansana, J., Karaa, W.B.A., Ray, R., Chowdhury, S.R., Dey, N., et al.: Cellular automata based encrypted ECG-hash code generation: an application in inter human biometric authentication system. Int. J. Comput. Netw. Inf. Secur. 6(11), 1 (2014)

    Google Scholar 

  46. Dey, N., Mukhopadhyay, S., Das, A., Chaudhuri, S.S.: Analysis of P-QRS-T components modified by blind watermarking technique within the electrocardiogram signal for authentication in wireless telecardiology using DWT. Int. J. Image Graph. Signal Process. 4(7), 33 (2012)

    Article  Google Scholar 

  47. Agaku, I.T., Adisa, A.O., Ayo-Yusuf, O.A., Connolly, G.N.: Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers. J. Am. Med. Inform. Assoc. 21(2), 374–378 (2014)

    Article  Google Scholar 

  48. Acharjee, S., Ray, R., Chakraborty, S., Nath, S., Dey, N.: Watermarking in motion vector for security enhancement of medical videos. In: 2014 International Conference on Control, Instrumentation, Communication and Computational Technologies (ICCICCT), pp. 532–537. IEEE (2014)

    Google Scholar 

  49. Biswas, S., Roy, A.B., Ghosh, K., Dey, N.: A biometric authentication based secured ATM banking system. Int. J. Adv. Res. Comput. Sci. Softw. Eng. ISSN 2277 (2012)

    Google Scholar 

  50. Tong, Y., Sun, J., Chow, S.S., Li, P.: Cloud-assisted mobile-access of health data with privacy and auditability. IEEE J. Biomed. Health Inf. 18(2), 419–429 (2014)

    Article  Google Scholar 

  51. Consulting VW, Health Information Systems in Developing Countries a Landscape Analysis

    Google Scholar 

  52. Mudenda, C., van Stam, G.: ICT Training in Rural Zambia, the case of LinkNet Information Technology Academy. In: International Conference on e-Infrastructure and e-Services for Developing Countries, pp. 228–238. Springer, Berlin (2012)

    Google Scholar 

  53. He, C., Fan, X., Li, Y.: Toward ubiquitous healthcare services with a novel efficient cloud platform. IEEE Trans. Biomed. Eng. 60(1), 230–234 (2013)

    Article  Google Scholar 

  54. De Ryck, P., Desmet, L., Piessens, F., Joosen, W.: Improving the Security of Session Management in Web Applications (2013)

    Google Scholar 

  55. Furht, B., Escalante, A.: Handbook of Cloud Computing, Vol. 3. Springer, New York (2010)

    Google Scholar 

  56. Chen, S., Cheng, A., Mehta, K.: A review of telemedicine business models. Telemed e-Health 19(4), 287–297 (2013)

    Article  Google Scholar 

  57. Pandey, S., Voorsluys, W., Niu, S., Khandoker, A., Buyya, R.: An autonomic cloud environment for hosting ECG data analysis services. Future Gen. Comput. Syst. 28(1), 147–154 (2012)

    Article  Google Scholar 

  58. Lin, Y.R., Lo, S.C.: The design of a cloud and mobile healthcare system. Int. J. Commun. Netw. Syst. Sci. 9(05), 209 (2016)

    Google Scholar 

  59. Kao, J.H., Lai, F., Lin, B.C., Sun, W.Z., Chang, K.W., Chan, T.C.: Application of cloud computing for emergency medical services: a study of spatial analysis and data mining technology. In: Frontier Computing, pp. 899–915. Springer, Singapore (2016)

    Google Scholar 

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Correspondence to Ajanta Das .

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Paul, M., Das, A. (2017). Health Informatics as a Service (HIaaS) for Developing Countries. In: Bhatt, C., Dey, N., Ashour, A. (eds) Internet of Things and Big Data Technologies for Next Generation Healthcare. Studies in Big Data, vol 23. Springer, Cham. https://doi.org/10.1007/978-3-319-49736-5_11

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  • DOI: https://doi.org/10.1007/978-3-319-49736-5_11

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