Making medical treatments resilient to technological disruptions in telemedicine systems

N. Larburu, I. Widya, R. Bults, H. Hermens
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引用次数: 14

Abstract

Telemedicine depends on Information and Communication Technology (ICT) to support remote treatment of patients. This dependency requires the telemedicine system design to be resilient for ICT performance degradation or subsystem failures. Nevertheless, using telemedicine systems create a dependency between medical and technological concerns. We propose a layering technique that links medical and technological concerns by using a two-staged scenario based requirements elicitation method. This layering technique provides functional relations between technological variables (e.g. raw ECG signal) and their technological context (e.g. measurements conditions), clinical variables (e.g. heart rate), and clinical abstractions (e.g. physical exercise target heart rate) and the non-functional quality of data relations between the layers. We use a hierarchical ontology to specify these functional and nonfunctional relations, which enables the development of technological context and quality-aware telemedicine systems that are able to cope with technological disruptions whilst preserving patient safety.
使医疗治疗能够适应远程医疗系统的技术中断
远程医疗依靠信息和通信技术(ICT)来支持患者的远程治疗。这种依赖性要求远程医疗系统设计能够适应ICT性能下降或子系统故障。然而,使用远程医疗系统在医疗和技术问题之间产生了依赖关系。我们提出了一种分层技术,通过使用基于需求引出方法的两阶段场景,将医疗和技术问题联系起来。这种分层技术提供了技术变量(如原始心电图信号)及其技术背景(如测量条件)、临床变量(如心率)和临床抽象(如体育锻炼目标心率)之间的功能关系,以及各层之间数据关系的非功能质量。我们使用分层本体来指定这些功能和非功能关系,这使得技术背景和质量意识远程医疗系统的发展能够应对技术中断,同时保护患者安全。
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