The European Challenge in Health Information Systems

1990 ◽  
Vol 29 (02) ◽  
pp. 81-83 ◽  
Author(s):  
F. H. France
1998 ◽  
Vol 37 (04/05) ◽  
pp. 518-526 ◽  
Author(s):  
D. Sauquet ◽  
M.-C. Jaulent ◽  
E. Zapletal ◽  
M. Lavril ◽  
P. Degoulet

AbstractRapid development of community health information networks raises the issue of semantic interoperability between distributed and heterogeneous systems. Indeed, operational health information systems originate from heterogeneous teams of independent developers and have to cooperate in order to exchange data and services. A good cooperation is based on a good understanding of the messages exchanged between the systems. The main issue of semantic interoperability is to ensure that the exchange is not only possible but also meaningful. The main objective of this paper is to analyze semantic interoperability from a software engineering point of view. It describes the principles for the design of a semantic mediator (SM) in the framework of a distributed object manager (DOM). The mediator is itself a component that should allow the exchange of messages independently of languages and platforms. The functional architecture of such a SM is detailed. These principles have been partly applied in the context of the HEllOS object-oriented software engineering environment. The resulting service components are presented with their current state of achievement.


1979 ◽  
Vol 18 (04) ◽  
pp. 214-222
Author(s):  
K. Sauter

The problems encountered in achieving data security within computer-supported information systems increased with the development of modern computer systems. The threats are manifold and have to be met by an appropriate set of hardware precautions, organizational procedures and software measures which are the topic of this paper. Design principles and software construction rules are treated first, since the security power of a system is considerably determined by its proper design. A number of software techniques presented may support security mechanisms ranging from user identification and authentication to access control, auditing and threat monitoring. Encryption is a powerful tool for protecting data during physical storage and transmission as well.Since an increasing number of health information systems with information-integrating functions are database-supported, the main issues and terms of database systems and their specific security aspects are summarized in the appendix.


Author(s):  
Muhammad Muaaz ◽  
Ali Chelli ◽  
Martin Wulf Gerdes ◽  
Matthias Pätzold

AbstractA human activity recognition (HAR) system acts as the backbone of many human-centric applications, such as active assisted living and in-home monitoring for elderly and physically impaired people. Although existing Wi-Fi-based human activity recognition methods report good results, their performance is affected by the changes in the ambient environment. In this work, we present Wi-Sense—a human activity recognition system that uses a convolutional neural network (CNN) to recognize human activities based on the environment-independent fingerprints extracted from the Wi-Fi channel state information (CSI). First, Wi-Sense captures the CSI by using a standard Wi-Fi network interface card. Wi-Sense applies the CSI ratio method to reduce the noise and the impact of the phase offset. In addition, it applies the principal component analysis to remove redundant information. This step not only reduces the data dimension but also removes the environmental impact. Thereafter, we compute the processed data spectrogram which reveals environment-independent time-variant micro-Doppler fingerprints of the performed activity. We use these spectrogram images to train a CNN. We evaluate our approach by using a human activity data set collected from nine volunteers in an indoor environment. Our results show that Wi-Sense can recognize these activities with an overall accuracy of 97.78%. To stress on the applicability of the proposed Wi-Sense system, we provide an overview of the standards involved in the health information systems and systematically describe how Wi-Sense HAR system can be integrated into the eHealth infrastructure.


2007 ◽  
Vol 46 (04) ◽  
pp. 476-483 ◽  
Author(s):  
M. Marschollek ◽  
K.-H. Wolf ◽  
R. Haux ◽  
O. J. Bott

Summary Objectives: To analyze utilization of sensor technology in telemonitoring and home care and to discuss concepts and challenges of sensor-enhanced regional health information systems (rHIS). Methods: The study is based upon experience in sensor-based telemedicine and rHIS projects, and on an analysis of HIS-related journal publications from 2003 to 2005 conducted in the context of publishing the IMIA Yearbook of Medical Informatics. Results: Health-related parameters that are subject to sensor-based measurement in home care and tele-monitoring are identified. Publications related to tele-monitoring, home care and smart houses are analyzed concerning scope and utilization of sensor technology. Current approaches for integrating sensor technology in rHIS based on a corresponding eHealth infrastructure are identified. Based on a coarse architecture of home care and telemonitoring systems ten challenges for sensor-enhanced rHIS are identified and discussed: integration of home and health telematic platforms towards a sensor-enhanced telematic platform, transmission rate guarantees, ad hoc connectivity, cascading data analysis, remote configuration, message and alert logistic, sophisticated user interfaces, unobtrusiveness, data safety and security, and electronic health record integration. Conclusions: Utilization of sensor technology in health care is an active field of research. Currently few research projects and standardization initiatives focus on general architectural considerations towards suitable telematic platforms for establishing sensor-enhanced rHIS. Further research finalized by corresponding standardization is needed. Part 2 of this paperwill present experiences with a research prototype for a sensor-enhanced rHIS telematic platform.


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