Mobile platform for treatment of stroke: A case study of tele-assistance

This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding m...

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Published inHealth informatics journal Vol. 22; no. 3; pp. 676 - 690
Main Authors Torres Zenteno, Arturo Henry, Fernández, Francisco, Palomino-García, Alfredo, Moniche, Francisco, Escudero, Irene, Jiménez-Hernández, M Dolores, Caballero, Auxiliadora, Escobar-Rodriguez, Germán, Parra, Carlos
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.09.2016
SAGE PUBLICATIONS, INC
Subjects
Adaptive technology
Computer Systems - utilization
Computers, Handheld - utilization
Electronic Health Records
Emergency Medical Services - methods
Humans
Medical Record Linkage
Organizational Case Studies
Software
Spain
Stroke
Stroke - therapy
Telemedicine
Telemedicine - utilization
Time Factors
electronic health records
health information on the web
mobile health
modeling healthcare services
telecare
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Summary:This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus. Messaging definition has been designed according to the reference model of the CEN/ISO 13606, messages content follows the structure of archetypes. An XDS-b (Cross-Enterprise Document Sharing-b) transaction messaging has been designed according to Integrating the Healthcare Enterprise profile for archetype notifications and update enquiries.This research has been performed by a multidisciplinary group. The Virgen del Rocío University Hospital acts as Reference Hospital and the Public Company for Healthcare as mobility surroundings.
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ISSN:1460-4582
1741-2811
DOI:10.1177/1460458215572925