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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Nursing Clinical Information System (NCIS)
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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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On Line Service Composition in the Integrated Clinical Environment for eHealth and Medical Systems.

Marisol García-Valls1, Imad Eddine Touahria2

  • 1Department of Telematics Engineering, Universidad Carlos III de Madrid, 28911 Leganés, Spain. mvalls@it.uc3m.es.

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|June 9, 2017
PubMed
Summary
This summary is machine-generated.

This study integrates the Integrated Clinical Environment (ICE) architecture with iLand middleware to enable dynamic reconfiguration of eHealth systems. This enhances medical device integration and patient monitoring capabilities with bounded reconfiguration times.

Keywords:
Integrated Clinical Environmentcyber-physical systemeHealthmedical servicemedical systemmiddlewarepatient monitoringperformancereconfigurationservice composition

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Area of Science:

  • Medical Informatics
  • Distributed Systems
  • Software Engineering

Background:

  • Standardized architectures like Integrated Clinical Environment (ICE) facilitate medical device integration but lack dynamic service composition.
  • Existing ICE architectures do not inherently support on-the-fly reconfiguration of medical services and devices.
  • Flexible orchestration of medical functions requires middleware capable of online service composition and time-bounded transitions.

Purpose of the Study:

  • To design and implement an integration between ICE architecture and iLand middleware.
  • To enhance ICE capabilities by incorporating online service composition and time-bounded reconfiguration.
  • To validate the integration in a service-based eHealth system for remote patient monitoring.

Main Methods:

  • Integration of iLand middleware with the ICE architecture.
  • Development of a prototype eHealth system for remote patient monitoring.
  • Evaluation of the dynamic reconfiguration capabilities and temporal overhead.

Main Results:

  • Successful integration of ICE and iLand middleware, enabling enhanced dynamic reconfiguration.
  • Demonstration of time-bounded transitions for service orchestrations in eHealth applications.
  • Validation of low temporal overhead for online reconfiguration, even with added ICE compliance.

Conclusions:

  • The proposed integration significantly enhances the flexibility and adaptability of ICE-compliant medical systems.
  • Online service composition and time-bounded reconfiguration are feasible and efficient for eHealth applications.
  • This approach supports dynamic orchestration of medical devices and services for improved patient care.