Abstract
Electronic Health Record (EHR) refers to an individual patient’s medical record in digital format. Several models of standardization for EHR exchange have been proposed and multiple organizations formed to help evaluate and implement them. In this chapter, we present a web-based application (TeleOftalWeb) to store and exchange EHR and fundus photographs. We apply Health Level 7/Clinical Document Architecture (HL7/CDA) Release One and Digital Imaging and Communications in Medicine (DICOM) standards. It has been built on Java Servlet and Java Server Pages (JSP) technologies. EHR and fundus photographs are stored in an open-source database, eXist. Its architecture is triple-layered. The application verifies the standards related to privacy and confidentiality. Data transmissions were carried over encrypted Internet connections such as HyperText Transfer Protocol over SSL (HTTPS).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Horsch A, Balbach T. Telemedical information systems. IEEE Trans Inf Technol Biomed 1999;3(3):166–175.
Hung K, Zhang Y. Implementation of a WAP-based telemedicine system for patient monitoring. IEEE Trans Inf Technol Biomed 2003;7(2):101–107.
Mocanu ML, Dorobantu M, Mocanu C, Burdescu D. A distributed database system for glaucoma monitoring. Eur J Biomed Inform 2004;50–58.
Ferreira A, Correia R, Antunes L, Palhares E, Marques P, Costa P, da Costa Pereira A. Integrity for electronic patient record reports. Proceedings of the 17th IEEE Symposium on Computer-Based Medical Systems (CBMS'04), 2004:4–9.
Smith D, Newell LM. A physician’s perspective: deploying the EMR. J Healthcare Inf Manag 2002;16(2):71–79.
Gans D, Kralewski J, Hammons T, Dowd B. Medical groups’ adoption of electronic health records and information systems. Health Aff (Project Hope) 2006;24(5):1323–1333.
Canadian Institute for Health Information. Understanding family physician usage of electronic health records in Canada: results from the 2004 National Physician Survey, 2006:1–11.
Office of Health and the Information. Toward Electronic Health Records. Canada: Highway Health Canada, 2001.
Holle R, Zahlmann G. Evaluation of telemedical services. IEEE Trans Inf Technol Biomed 1999;3(2):84–91.
Bott OJ. Electronic Health Record: Standardization and Implementation, 2nd OpenECG Workshop, Berlin, Germany, 2004:57–60.
Choi J, Yoo S, Park H, Chun J. MobileMed: a PDA-based mobile clinical information system. IEEE Trans Inf Technol Biomed 2006;10(3):627–635.
James A, Wilcox Y, Naguib RNG. A telematic system for oncology based on electronic health and patient records. IEEE Trans Inf Technol Biomed 2001;5(1):16–17.
Amouh T, Gemo M, Macq B, Vanderdonckt J, Wahed A, Reynaert MS, Stamatakis L, Thys F. Versatile clinical information system design for emergency departments. IEEE Trans Inf Technol Biomed 2005;9(2):174–183.
Neri E, Thiran J, Caramella D, Petri C, Bartolozzi C, Piscaglia B, Macq B, Duprez T, Cosnard G, Maldague B, De Pauw J. Interactive DICOM image transmission and telediagnosis over the European ATM network. IEEE Trans Inf Technol Biomed 1998;2(1):35–38.
Satyarthi D, Raju BAN, Dandapat S. Detection of diabetic retinopathy in fundus images using vector quantization technique. Annual India Conference, 2006:1–4.
Fan R, Ceded L, Toser O. Java plus XML: a powerful new combination for SCADA systems. Comput Control Eng J 2005;16(5):27–30.
Eichelberg M, Aden T, Riesmeier J, Dogac A, Laleci G. Electronic health record standards – a brief overview. 4th International Conference on Information and Communications Technology (ICICT 2006), Cairo, Egypt, 2006.
Treins M, Curé O, Salzano G. On the interest of using HL7 CDA release 2 for the exchange of annotated medical documents. Proceedings of the 19th IEEE Symposium on Computer-Based Medical Systems (CBMS'06), 2006:524–532.
Hornero R, López MI, Acebes M, Calonge T. Teleophthalmology for diabetic retinopathy screening in a rural area of Spain. In Eighth Annual Meeting of the American Telemedicine Association (ATA'2003), 2003:111.
Brooke J. SUS: a “quick and dirty” usability scale. In: Jordan PW, Thomas B, Weerdmeester BA, McClelland AL (eds.) Usability Evaluation in Industry. London. 1996.
Marcheschi P, Mazzarisi A, Dalmiani S, Benassi A. HL7 clinical document architecture to share cardiological images and structured data in next generation. Comput Cardiol 2004;617–620.
Paterson GI, Shepherd M, Wang X, Watters C, Zitner D. Using the XML-based clinical document architecture for exchange of structured discharge summaries. In Proceedings of the 35th Hawaii International Conference on System Sciences, 2002:119–128.
Ginsburg M. Pediatric electronic health record interface design: the PedOne system. In Proceedings of the 40th Hawaii International Conference on System Sciences, 2007:1–10.
Chew SJ, Cheng HM, Lam DSC, Cheng ACK, Leung ATS, Chua JKH, Yu CP, Balakrishnan V, Chan WK. OphthWeb-cost-effective telemedicine for ophthalmology. Hong Kong Med J 1998;4(3):300–304.
Noumeir R. DICOM structured report document type definition. IEEE Trans Inf Technol Biomed 2003;7(4):318–328.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
de la Torre Díez, I., Sánchez, R.H., Coronado, M.L., López Gálvez, M.I., Abajo, B.S. (2010). A Web-Based Application to Exchange Ophthalmologic Health Records Using Open-Source Databases. In: Lazakidou, A. (eds) Web-Based Applications in Healthcare and Biomedicine. Annals of Information Systems, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-1274-9_5
Download citation
DOI: https://doi.org/10.1007/978-1-4419-1274-9_5
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4419-1273-2
Online ISBN: 978-1-4419-1274-9
eBook Packages: Business and EconomicsBusiness and Management (R0)