System Integration for Medical Data Dissemination and Multimedia Communication in the Implementation of Tele-ECG and Teleconsultation

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Published: Jun 30, 2020
DOI: https://doi.org/10.17933/bpostel.2020.180104
Keywords:
ECG data format, Telemedicine cart/workstation, TCP-Starvation / UDP-Dominance, Performance Test, Open-source
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Anak Agung Ngurah Ananda Kusuma
Pusat Teknologi Elekronika (PTE), Badan Pengkajian dan Penerapan Teknologi (BPPT)
Tahar Agastani
Pusat Teknologi Elekronika (PTE), Badan Pengkajian dan Penerapan Teknologi (BPPT)
Christian Wisnu Purnaadi
Pusat Teknologi Elekronika (PTE), Badan Pengkajian dan Penerapan Teknologi (BPPT)
Triawan Nugroho
Pusat Teknologi Elekronika (PTE), Badan Pengkajian dan Penerapan Teknologi (BPPT)

Abstract

One of the options to extend medical services coverage is deploying a telemedicine system, where medical personnel make use of ICT (Information and Communication Technology) to overcome distance and time constraints. The implementation of telemedicine systems in Indonesia faces challenges posed by the lack of ICT infrastructure availability, such as communication networks, data centres, and other computing resources. To deal with these challenges, a telemedicine innovation needs to produce a modular and flexible system that is adaptive to medical services needed and the available ICT infrastructure. This paper presents research and development of a telemedicine system prototype for tele-electrocardiography (tele-ECG) and teleconsultation. The contributions offered are integrating system from various open-source modules and the system operational feasibility based on its function and performance. The research is conducted on a testbed which represents various components involved in the telemedicine system operation. Experiments are carried out to assess the system functionality and observe whether tele-ECG and teleconsultation reach their expected performance. Experiment results show that the system works properly and recommend several multimedia communication modes to achieve the target quality based on the available network bandwidth.

Article Details

Issue
Vol. 18 No. 1 (2020): June 2020
Section
Telecommunication

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References

Agastani, T., Iqbal, M., Kusuma, A., & Purnaadi, C. (2018). Kerekayasaan Modul Penjamin Keabsahan Data Medis pada Inovasi Sistem Telemedicine BPPT. Jurnal Teknologi Infomasi, Komunikasi dan Elektronika (JTIKE), 1(1), 1-6.

Andre, E., Le Breton, N., Lemesle, A., Roux, L., & Gouaillard, A. (2018). Comparative Study of WebRTC Open Source SFUs for Video Conferencing. Principles, Systems and Applications of IP Telecommunications (IPTComm).

Annan, R. K., & Agyepong, J. T. (2018). Pragmatic Teleconsultation Network Model to Address the Bandwidth Deficiency Inhibiting Real-Time Telemedicine Implementation in the Sub-Saharan Africa. International Journal of Innovative Research & Development, 7(1), 203-209.

Antunes, M., Silva, C., & Barranca. (2016). A Telemedicine Application using WebRTC. Procedia Computer Science, 100, 414-420.

Bappenas. (2014). Rencana Pitalebar Indonesia (Indonesia Broadband Plan) 2014-2019: Konekivitas, Inovasi, Transformasi.

Bond, R., Finlay, D., Nugen, C., & Moore, G. (2011). A Review of ECG Storage Formats. International Journal of Medical Informatics, 80(10), 681-697.

BPPT. (2018). Program Manual 2015-2019 Tahun Anggaran 2018: Inovasi Konvergensi Teknologi Elektronika dan Telekomunikasi Sistem Elektromedika (Inovasi Teknologi Telemedicine). Jakarta.

Diez, I. d., Alonso, S. G., Hamrioui, S., Lopez-Coronado, M., & Cruz, E. M. (2018). Systematic Review about QoS and QoE in Telemedicine and eHealth Services and Applications. Journal of Medical Systems, 42(182).

Farhadi, M., Haddad, H., & Shahriar, H. (2019). Compliance of Open Source EHR Applications with HIPAA and ONC Security and Privacy Requirements. Master Thesis, Kennesaw State University.

Fouad, H. (2013). Web-based Medical Informatics to support Telemedicine System. International Journal of Engineering & Computer Science IJECS-IJENS.

Grozev, B., Marinov, L., Singh, V., & Ivov, E. (2015). Last N: Relevance-Based Selectivity for Forwarding Video in Multimedia Conferences. Proc. 25th ACM Workshop on Network and Operating Systems Support for Digital Audio and Video (NOSSDAV).

Halamka, J. D., Lippman, A., & Ekblaw, A. (2017). The Potential for Blockchain to Transform Electronic Health Records. Harvard Business Review.

Husain, W., Jothi, N., Sern, L. Y., Hong, G. S., & Choong, S. S. (2015). A Framework to Enhance Rural Healthcare Services Utilizing Cloud Computing and Videoconferencing. Proc. 3rd Information Systems International Conference.

Jodogne, S. (2018). The Orthanc Ecosystem for Medical Imaging. Journal of Digital Imaging, 31, 341-352.

Jones, B., Yuan, X., Nuakoh, E., & Ibrahim, K. (2014). Survey of Open Source Health Information Systems. Health Informatics- An International Journal (HIIJ), 3(1), 23-31.

Kusuma, A. A., Agastani, T., Iqbal, M., & Nugroho, T. (2019). Preliminary Assessment of Telemedicine Systems using Virtual Testbed. International Journal of New Media Technology (IJNMT), VI(2), 98-103.

Kusuma, A. A., & Irawan, D. (2014). Penggunaan Standard ITU-T G.1070 untuk Estimasi Quality of Experience Layanan Video pada Simulasi Jaringan. Prosiding Seminar Insentif Riset SINas (INSINAS 2014). Bandung.

Makinen, A. (2016). Visualization of Medical Data using Web Technologies. Master Thesis, Tampere University of Technology .

Malindi, P. (2007). Methods for Providing Rural Methods for Providing Rural Telemedicine with Quality Video Transmission. PhD Dissertation, Cape Peninsula University ofTechnology.

Norris, A. (2001). Essentials of Telemedicine and Telecare. Wiley.

Sachpazidis, I. (2008). Image and Medical Data Communication Protocols for Telemedicine and Teleradiology. PhD Dissertation, TU Darmstadt.

Sakkalis, V., Chiarugi, F., Kostomanolakis, S., Chronaki, C., Tsiknakis, M., & Orphanoudakis, S. (2003). A Gateway between the SCP-ECG and the DICOM Supplement 30 Waveform. Proc. Computers in Cardiology, (pp. 25-28).

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare.

Stamenov, D., Gusev, M., & Armenski, G. (2018). Interoperability of ECG Standards. Proc. International Convention on Information and Communication Technology, Electronics and Microelectronics (MIPRO).

Theodora, K. (2012). Scheduling for Efficient Telemedicine Traffic Transmission over Next Generation Cellular Networks. PhD Dissertation, Technical University of Crete.

Trigo Vilaseca, J. (2011). Telemedicine Frameworks in Cardiology Environment: Contributions to Follow-up Services in Specific Scenarios and The Integration and Harmonization of Interoperability and Cardiology Standards. PhD Dissertation, Universidad Zaragosa.

Ullah, M., Fiedler, M., & Wac, K. (2012). On the ambiguity of Quality of Service and Quality of Experience requirements for eHealth services. International Symposium on Medical Information and Communication Technology (ISMICT). La Jolla.

van Ettinger, M., Lipton, J., de Wijs, M., van der Putten, N., & Nelwan, S. (2008). An open source ECG toolkit with DICOM. Proc. Computers in Cardiology.