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
Benson, T.: Principles of Health Interoperability HL7 and SNOMED. Springer Science & Business Media (2012)
Elkin, P.L. (ed.): Terminology and Terminological Systems. Springer Science & Business Media (2012)
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)
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)
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)
Sanei, S., Chambers, J.A.: EEG Signal Processing. Wiley (2013)
Reddy, C.K., Aggarwal, C.C. (eds.): Healthcare Data Analytics, vol. 36. CRC Press (2015)
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)
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)
Paul, M., Chowdhury, A.G., Das, A.: A ubiquitous E-learning architecture in cloud environment. Mater. Today: Proc. (2016).
National Institute of Standards and Technology. http://www.nist.gov/. Accessed 1 May 2016
HealthShare Overview. http://www.intersystems.com/our-products/healthshare/healthshare-overview/. Accessed 1 May 2016
What is HealthVault? https://www.healthvault.com/in/en. Accessed 15 May 2016
CareCloud. http://www.carecloud.com/. Accessed 15 May 2016
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)
Mars, M.: Telemedicine and advances in urban and rural healthcare delivery in Africa. Prog. Cardiovasc. Dis. 56(3), 326–335 (2013)
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
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)
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)
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)
Bergman, B., Neuhauser, D., Provost, L.: Five main processes in healthcare: a citizen perspective. BMJ Qual. Saf. 20(Suppl 1), i41–i42 (2011)
Valdez, R.S., Holden, R.J., Novak, L.L., Veinot, T.C.: Transforming consumer health informatics through a patient work (2014)
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)
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)
Sultan, N.: Making use of cloud computing for healthcare provision: opportunities and challenges. Int. J. Inf. Manag. (IEEE) 34(2), 177–184 (2014)
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)
World Health Statics 2015 (WHO). apps.who.int/iris/bitstream/10665/170250/1/9789240694439_eng.pdf. Accessed 31 May 2016
eHealth Exchange—Project Sequoia. http://sequoiaproject.org/wp-content/uploads/2016/05/eHealth-Exchange-Overview-Feb-2016-v2.pdf. Accessed 31 May 2016
Healthcare Industry in India. http://www.ibef.org/industry/healthcare-india.aspx. Accessed 3 June 2016
Aadhar Services—Resident Portal. https://resident.uidai.net.in/aadhaar-services. Accessed 3 June 2016
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)
Kimble, C.: Business models for E-Health: evidence from ten case studies. Glob. Bus. Organ. Excellence 34(4), 18–30 (2015)
Jolly, R.: The E Health Revolution: Easier Said Than Done. Parliamentary Library, Canberra (2011)
Paul, M., Das, A.: A review on provisioning of services in cloud computing. Int. J. Sci. Res. 3(4), (2014)
Garfinkel, S.: An evaluation of amazon’s grid computing services: EC2, S3, and SQS (2007)
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)
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)
Mantas, J.: Electronic health record. Stud. Health Technol. Inf. 65, 250–257 (2001)
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)
Electronic Health Record—Wikipedia. https://en.wikipedia.org/wiki/Electronic_health_record. Accessed 3 June 2016
Hu, Y., Lu, F., Khan, I., Bai, G.: A cloud computing solution for sharing healthcare information (2012)
Telemedicine solutions. http://wwwvinamratech.com/products/telemedicine-solutions/. Accessed 3 June 2016
mHealth: New horizons for health through mobile technologies. http://www.who.int/goe/publications/goe_mhealth_web.pdf. Accessed 8 April 2016
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)
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)
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)
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)
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)
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)
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)
Consulting VW, Health Information Systems in Developing Countries a Landscape Analysis
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)
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)
De Ryck, P., Desmet, L., Piessens, F., Joosen, W.: Improving the Security of Session Management in Web Applications (2013)
Furht, B., Escalante, A.: Handbook of Cloud Computing, Vol. 3. Springer, New York (2010)
Chen, S., Cheng, A., Mehta, K.: A review of telemedicine business models. Telemed e-Health 19(4), 287–297 (2013)
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)
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)
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)
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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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