Abstract-The challenge for fast and low-cost deployment of ubiquitous personalized e-Health services has prompted us to propose a new framework architecture for such services. We have studied the operational features and the environment of e-Health services and we led to a framework structure that extends the ETSI/Parlay architecture, which is used for the deployment of standardized services over the next generation IP networks. We expanded the ETSI/Parlay architecture with new service capability features as well as sensor, profiling and security mechanisms. The proposed framework assists the seamless integration, within the e-Health service structure, of diverse facilities provided by both the underlying communication and computing infrastructure as well as the patient's bio and context sensor networks. Finally, we demonstrate the deployment of a tele-monitoring service in smart home environment based on the proposed framework architecture.Index Terms-ETSI/Parlay architecture, personalized healthcare services, profiling mechanisms, sensor networks mechanisms, security mechanisms. I. INTRODUCTIONY its nature, e-Health domain is a multidisciplinary area that is strongly influenced by many different scientific and technology fields. In last decade, many of the key visions of the medical world have taken shape thanks to advances in Information and Communications Technology (ICT). The provision of healthcare services everywhere and at any time, known as ubiquitous healthcare, is becoming a reality, as the ICT concepts of personalized services, service mobility and Spyros L. Fengos is with the Department of Cardiology, General Hospital "Agia Olga" in Athens, Greece (e-mail: sfengos@gmail.com).Nikolaos G. Lazarou is with the Department of Emergency Medicine, Rion University Hospital, Greece (e-mail: lazarou.nikolaos@gmail.com).context awareness have been adopted by the modern medical practice [1], [2]. In many cases, the establishment of ubiquitous healthcare meets the rising demand for personalized healthcare services with low costs and patient's efficient monitoring.In fact, ubiquitous healthcare has shifted the conventional healthcare provision paradigm to a new one, hereafter referred as Next Generation e-Health (NGeH) paradigm. NGeH emphasizes on the individual's disease prevention, proactive actions, life quality improvement and, under concrete circumstances, on-spot (out-hospital) provision of emergency assistance by delivering personalized healthcare services at the right time, right place and right manner without limitations on time and location [3]. NGeH paradigm encourages individuals to have a normal life regardless of any health problem. For this reason, it encompasses innovative medical practices that are concordant with the real individual's needs, habits, preferences, perspectives, living conditions, or any peculiarity, as they are depicted in individual's profile.Moving towards such medical practices, it is obvious that conventional frameworks for healthcare provision are not able to support efficient...
Nowadays, the rate of people incoming to the emergency room pointing a health problem is steadily increased. This paper introduces a new telemedicine framework that addresses this problem. It allows medical experts to estimate the real health condition of conditional (c-) patients, and then consult them to visit a hospital or not. This framework combines elements such as an expanded electronic medical record enriched with real time acquired context data as well as several actor's profiles. The framework's concept has taken into consideration the medical practice followed by the experts while addressing patients suffering from certain disorders.
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