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Home telecare : system architecture to support chronic disease management

机译:家庭远程护理:支持慢性病管理的系统架构

摘要

A system architecture to support information transfer between hospital, general practitioner and the home is described in the context of a Home Telecare System (HTS). The HTS facilitates the acquisition, review, analysis and archiving of a longitudinal clinical record to support chronic disease management. The system allows the clinician to schedule for his,her patient the regular recording of clinical measurements (weight, temperature, lung function, blood pressure, single lead electro-cardiogram and ambulation). The patient has in their home a PC with a serially-connected clinical workstation. In addition, the HTS allows the scheduling of questionnaires, medication reminders and the monitoring of an emergency alarm button. The clinician's interface uses standard Web browser technology to connect to a Web and database server. Use cases indicate that this configuration is not suitable for the patient interface in the home. In this case, a separate stand-alone application with a local subset of the database that periodically communicates with a central server is more appropriate to support a highly usable interface that can be easily customised and maintained.
机译:在家庭远程护理系统(HTS)的背景下描述了一种支持医院,全科医生和家庭之间的信息传输的系统架构。 HTS有助于纵向临床记录的获取,审查,分析和存档,以支持慢性疾病管理。该系统允许临床医生为他的患者安排定期记录临床测量值(体重,体温,肺功能,血压,单导心电图和移动)。病人在家中有一台带有串行连接的临床工作站的PC。此外,HTS允许安排调查表,药物提醒和紧急警报按钮的监控。临床医生的界面使用标准的Web浏览器技术连接到Web和数据库服务器。用例表明此配置不适合家庭中的患者界面。在这种情况下,具有数据库本地子集并与中央服务器定期通信的单独的独立应用程序更适合于支持易于使用和维护的高度可用的接口。

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