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Evolution of Health Information Systems for Telemedical Maritime Assistance Services: A Comparative Analysis of
Konstantinos Karitis1, Emmanouil Zoulias1, John Mantas1
1Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
Abstract:
This research examines the evolution of health information systems for recording medical incidents at sea within the framework of Telemedical Maritime Assistance Services (T.M.A.S.). The article provides a comprehensive comparative analysis between a low-code implementation and two new architectures: a monolithic approach (Flask/SQLite) and a decoupled approach oriented towards microservices (React/Node.js/ Docker). It also attempts to compare the capabilities of Large Language Models (LLMs), which have evolved from being less-than-ideal code-writing assistants to becoming efficient Principal Full-Stack Engineers. The findings demonstrate the exponential leap in the capabilities of Generative Artificial Intelligence and highlight that Monolithic Flask is the ideal solution for a small research lab or a land-based hospital with a fast network, as its maintenance time is minimal. However, for the shipping industry, the React/Node.js architecture is undoubtedly superior.
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