Background Over the last century, disruptive incidents in the fields of clinical and biomedical research have yielded a tremendous change in health data management systems. This is due to a number of breakthroughs in the medical field and the need for big data analytics and the Internet of Things (IoT) to be incorporated in a real-time smart health information management system. In addition, the requirements of patient care have evolved over time, allowing for more accurate prognoses and diagnoses. In this paper, we discuss the temporal evolution of health data management systems and capture the requirements that led to the development of a given system over a certain period of time. Consequently, we provide insights into those systems and give suggestions and research directions on how they can be improved for a better health care system. Objective This study aimed to show that there is a need for a secure and efficient health data management system that will allow physicians and patients to update decentralized medical records and to analyze the medical data for supporting more precise diagnoses, prognoses, and public insights. Limitations of existing health data management systems were analyzed. Methods To study the evolution and requirements of health data management systems over the years, a search was conducted to obtain research articles and information on medical lawsuits, health regulations, and acts. These materials were obtained from the Institute of Electrical and Electronics Engineers, the Association for Computing Machinery, Elsevier, MEDLINE, PubMed, Scopus, and Web of Science databases. Results Health data management systems have undergone a disruptive transformation over the years from paper to computer, web, cloud, IoT, big data analytics, and finally to blockchain. The requirements of a health data management system revealed from the evolving definitions of medical records and their management are (1) medical record data, (2) real-time data access, (3) patient participation, (4) data sharing, (5) data security, (6) patient identity privacy, and (7) public insights. This paper reviewed health data management systems based on these 7 requirements across studies conducted over the years. To our knowledge, this is the first analysis of the temporal evolution of health data management systems giving insights into the system requirements for better health care. Conclusions There is a need for a comprehensive real-time health data management system that allows physicians, patients, and external users to input their medical and lifestyle data into the system. The incorporation of big data analytics will aid in better prognosis or diagnosis of the diseases and the prediction of diseases. The prediction results will help in the development of an effective prevention plan.

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Diabetes, one of the top 10 causes of death worldwide, is associated with the interaction between lifestyle, psychosocial, medical conditions, demographic, and genetic risk factors. Predicting type 2 diabetes is important for providing prognosis or diagnosis support to allied health professionals, and aiding in the development of an efficient and effective prevention plan. Several works proposed machine-learning algorithms to predict type 2 diabetes. However, each work uses different datasets and evaluation metrics for algorithms’ evaluation, making it difficult to compare among them. In this paper, we provide a taxonomy of diabetes risk factors and evaluate 35 different machine learning algorithms (with and without features selection) for diabetes type 2 prediction using a unified setup, to achieve an objective comparison. We use 3 real-life diabetes datasets and 9 feature selection algorithms for the evaluation. We compare the accuracy, F-measure, and execution time for model building and validation of the algorithms under study on diabetic and non-diabetic individuals. The performance analysis of the models is elaborated in the article.

Architectures for smart homes address nearly all requirements for Ambient Assisted Living (AAL). The present paper discusses the missing requirements to support daily life situations of elderly people. Therefore, we introduce metrics to evaluate smart home architectures for AAL. Furthermore, we will elaborate extensions to Persona, the most advanced architecture approach of our investigation. The goal of this research is to present an architecture that meets all requirements including those which were identified as missing or have not been taken into account completely. In addition to that, the authors looked at the scalability of state-of-the-art smart home architectures to provide an architectural design that fits the needs of the mass market as well as large scale implementations.

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