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Evolving Software Architecture Design in Telemedicine: A PRISMA-based Systematic Review.

Avnish Singh Jat¹, Tor-Morten Grønli¹, George Ghinea²

¹School of Economics, Innovation, and Technology, Kristiania University College, Oslo, Norway.

Healthcare Informatics Research

|August 20, 2024

Summary

This review highlights advancements in telemedicine architectures for continuous remote monitoring. Emerging technologies like blockchain and cloud computing enhance security, interoperability, and scalability in healthcare delivery.

Keywords:

Digital Health Medical Informatics Software Technology Telemedicine

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Published on: February 19, 2021

Area of Science:

Medical Informatics
Software Engineering
Health Systems Engineering

Background:

Telemedicine architectures are crucial for continuous remote patient monitoring, especially during global health crises.
Effectiveness, security, interoperability, and scalability are key challenges in telemedicine system design.
Evolving software engineering practices are essential for robust telemedicine solutions.

Purpose of the Study:

To systematically review recent advancements in telemedicine architectures for continuous monitoring.
To provide an overview of software engineering practices in telemedicine systems.
To emphasize the importance of critical system attributes in remote healthcare.

Main Methods:

Systematic review methodology adhering to PRISMA guidelines.
Searched PubMed, IEEE Xplore, and Scopus databases for relevant articles.
Analyzed and synthesized findings from seventeen selected articles.

Main Results:

Telemedicine architectures increasingly integrate emerging technologies.
Key focus areas include enhancing interoperability, security, and scalability.
Innovations include cognitive radio, behavior-based control, HL7 FHIR, cloud computing, decentralized systems, and blockchain.

Conclusions:

Telemedicine architectures have significantly advanced through technology integration.
Cognitive radio, behavior-based control, HL7 FHIR, cloud, decentralized systems, and blockchain improve remote healthcare.
These advancements address critical challenges in continuous remote monitoring and healthcare delivery.