Abstract
Performance evaluation is highly important in the Electronic Health Records (EHRs) system implementation. Response time’s measurement can be considered as one manner to make that evaluation. In the e-health field, after the creation of EHRs available through different platforms such as Web and/or mobile, a performance evaluation is necessary. The operation of the system in the right way is essential. In this paper, a comparison of the response times for the MEHRmobile system is presented. The first version uses PHP language with a MySQL database and the second one employs JSP with an eXist database. Both versions have got the same functionalities. In addition to the technological aspects, a significant difference is the way the information is stored. The main goal of this paper is choosing the version which offers better response times. We have created a new benchmark to calculate the response times. Better results have been obtained for the PHP version. Nowadays, this version is being used for specialists from Fundación Intras, Spain.
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References
De la Torre-Díez, I., et al., Choosing the most efficient database for a Web-based system to store and exchange Ophthalmologic Health Records. Journal of Medical Systems 35(6):1455–1464, 2011.
De la Torre-Díez, I., et al., Performance evaluation of a Web-based system to exchange Electronic Health Records using queueing model (M/M/1). Journal of Medical Systems 36(2):915–924, 2012.
De la Torre-Díez, I., Antón-Rodríguez, M., Díaz-Pernas, F.J., Mobile application development to access to Psychiatric Electronic Health Records, Telemedicine Techniques and Applications, Intech, pp. 241–256, 2011.
Caligtan, C. A., and Dykes, P. C., Electronic Health Records and Personal Health Records. Seminars in Oncology Nursing 27(3):218–228, 2011.
Klasnja, P., and Pratt, W., Healthcare in the pocket: Mapping the space of mobile-phone health interventions. Journal of Biomedical Informatics 45:184–198, 2012.
Liu, C., Zhu, Q., Holroyd, K. A., and Seng, E. K., Status and trends of mobile-health applications for iOS devices: A developer’s perspective. Journal of Systems and Software 84(11):2022–2033, 2011.
Amouh, T., et al., Versatile Clinical Information System Design for Emergency Departments. IEEE Transactions on Information Technology in Biomedicine 9(2):174–183, 2001.
Ginsburg, M., Pediatric Electronic Health Record Interface Design: The PedOne System. Proceedings of the 40th Hawaii International Conference on System Sciences, pp. 1–10, 2007.
James, A., et al., A Telematic System for Oncology Based on Electronic Health and Patient Records. IEEE Transactions on Information Technology in Biomedicine 2(1):16–17, 2001.
Esper, G. J., Drogan, O., Henderson, W. S., Becker, A., Avitzur, O., and Hier, D. B., Health Information Technology and Electronic Health Records in Neurologic Practice Review. Neurologic Clincis 28(2):411–427, 2010.
Becker, M.Y., Sewell, P., Cassandra: flexible trust management, applied to electronic health records. Proceedings of 17th IEEE Computer Security Foundations Workshop, pp. 139–154, 2004.
Siika, A. M., et al., An electronic medical record system for ambulatory care of HIV-infected patients in Kenya. International Journal of Medical Informatics 74(5):345–355, 2005.
Cho, I., and Park, H., Development and evaluation of a terminology-based electronic nursing record system. Journal of Biomedical Informatics 36(4):304–312, 2003.
Karagiannis, G. E., et al., Web-based personal health records: the personal electronic health record (pEHR) multicentred trial. Journal of Telemedicine and Telecare 13:32–34, 2007.
Chan, A., WWW_smart card: towards a mobile health care management system. International Journal of Medical Informatics 57:127–137, 2000.
Van Der Velde, E. T., Brobbel, C., Witteman, T. A., Atsma, D. E., Schalij, M. J., Spruijt, H. J., Bosmans, J., and Baljon, M. H., Application of Handheld Computers for Mobile Access to a Cardiology Information System. Computers in Cardiology 28:157–160, 2001.
Shyu F., et al. Context-based Model for Mobile Electronic Medical Records. Proceeding of the eighth international conference on e-Health networking, application and services, pp. 140–146, 2006.
Reuss, E., Menozzi, M., Büchi, M., Koller, J., and Krueger, H., Information access at the point of care: what can we learn for designing a mobile CPR system? International Journal of Medical Informatics 73(4):363–369, 2004.
Lorenz, A., and Oppermann, R., Mobile health monitoring for the elderly: Designing for Diversity. Pervasive and Mobile Computing 5:478–495, 2009.
Mabanza, N., Chadwick, J., and Rao, G. S. V. R., Performance Evaluation of Open Source Native XML databases. University of Fort Hare, Alice, South Africa, 2006.
Treins, M., Curé, O., Salzano, G., On the interest of using HL7 CDA release 2 for the exchange of annotated medical documents. Proceedings of the 19th IEEE Symposium on Computer-Based Medical Systems (CBMS’06), pp. 524–532, 2006.
Acknowledgments
This research has been partially supported by the Department of Health, Government of Castile and Leon (Spain) under the project GES39/VA05/10 and the Spanish Ministry of Science and Innovation under the project TIN2010-20529. We want to thank Fundación Intras for its advice and help in the benchmark realization.
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The authors declare that there is no conflict of interest with the contents of this manuscript.
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De la Torre-Díez, I., Antón-Rodríguez, M., Díaz-Pernas, F.J. et al. Comparison of Response Times of a Mobile-Web EHRs System Using PHP and JSP Languages. J Med Syst 36, 3945–3953 (2012). https://doi.org/10.1007/s10916-012-9866-7
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DOI: https://doi.org/10.1007/s10916-012-9866-7