Health informatics. Standard communication protocol

2009 ◽  
Hearts ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 384-409
Author(s):  
Paul Rubel ◽  
Jocelyne Fayn ◽  
Peter W. Macfarlane ◽  
Danilo Pani ◽  
Alois Schlögl ◽  
...  

Ever since the first publication of the standard communication protocol for computer-assisted electrocardiography (SCP-ECG), prENV 1064, in 1993, by the European Committee for Standardization (CEN), SCP-ECG has become a leading example in health informatics, enabling open, secure, and well-documented digital data exchange at a low cost, for quick and efficient cardiovascular disease detection and management. Based on the experiences gained, since the 1970s, in computerized electrocardiology, and on the results achieved by the pioneering, international cooperative research on common standards for quantitative electrocardiography (CSE), SCP-ECG was designed, from the beginning, to empower personalized medicine, thanks to serial ECG analysis. The fundamental concept behind SCP-ECG is to convey the necessary information for ECG re-analysis, serial comparison, and interpretation, and to structure the ECG data and metadata in sections that are mostly optional in order to fit all use cases. SCP-ECG is open to the storage of the ECG signal and ECG measurement data, whatever the ECG recording modality or computation method, and can store the over-reading trails and ECG annotations, as well as any computerized or medical interpretation reports. Only the encoding syntax and the semantics of the ECG descriptors and of the diagnosis codes are standardized. We present all of the landmarks in the development and publication of SCP-ECG, from the early 1990s to the 2009 International Organization for Standardization (ISO) SCP-ECG standards, including the latest version published by CEN in 2020, which now encompasses rest and stress ECGs, Holter recordings, and protocol-based trials.


1997 ◽  
Vol 36 (02) ◽  
pp. 79-81
Author(s):  
V. Leroy ◽  
S. Maurice-Tison ◽  
B. Le Blanc ◽  
R. Salamon

Abstract:The increased use of computers is a response to the considerable growth in information in all fields of activities. Related to this, in the field of medicine a new component appeared about 40 years ago: Medical Informatics. Its goals are to assist health care professionals in the choice of data to manage and in the choice of applications of such data. These possibilities for data management must be well understood and, related to this, two major dangers must be emphasized. One concerns data security, and the other concerns the processing of these data. This paper discusses these items and warns of the inappropriate use of medical informatics.


1994 ◽  
Vol 33 (03) ◽  
pp. 250-253 ◽  
Author(s):  
J. R. Moehr

Abstract:The paper attempts to derive directions for research and teaching in health informatics. To this end, the achievements and continuing challenges of health informatics are exemplified, categorized, and related to common underlying phenomena. Suggestions by Blum and Blois are adopted which point to the complexity of health information as the critical ingredient. Examples are given of current efforts directed at dealing with this complexity. According to Popper and Brookes one may have to search for yet other ways of dealing specifically with information; we have barely started to explore these. It is suggested that this requirement for a fundamentally different orientation has profound consequences not only for our research but also for our teaching.


1994 ◽  
Vol 33 (03) ◽  
pp. 246-249 ◽  
Author(s):  
R. Haux ◽  
F. J. Leven ◽  
J. R. Moehr ◽  
D. J. Protti

Abstract:Health and medical informatics education has meanwhile gained considerable importance for medicine and for health care. Specialized programs in health/medical informatics have therefore been established within the last decades.This special issue of Methods of Information in Medicine contains papers on health and medical informatics education. It is mainly based on selected papers from the 5th Working Conference on Health/Medical Informatics Education of the International Medical Informatics Association (IMIA), which was held in September 1992 at the University of Heidelberg/Technical School Heilbronn, Germany, as part of the 20 years’ celebration of medical informatics education at Heidelberg/Heilbronn. Some papers were presented on the occasion of the 10th anniversary of the health information science program of the School of Health Information Science at the University of Victoria, British Columbia, Canada. Within this issue, programs in health/medical informatics are presented and analyzed: the medical informatics program at the University of Utah, the medical informatics program of the University of Heidelberg/School of Technology Heilbronn, the health information science program at the University of Victoria, the health informatics program at the University of Minnesota, the health informatics management program at the University of Manchester, and the health information management program at the University of Alabama. They all have in common that they are dedicated curricula in health/medical informatics which are university-based, leading to an academic degree in this field. In addition, views and recommendations for health/medical informatics education are presented. Finally, the question is discussed, whether health and medical informatics can be regarded as a separate discipline with the necessity for specialized curricula in this field.In accordance with the aims of IMIA, the intention of this special issue is to promote the further development of health and medical informatics education in order to contribute to high quality health care and medical research.


1989 ◽  
Vol 28 (04) ◽  
pp. 270-272 ◽  
Author(s):  
O. Rienhoff

Abstract:The state of the art is summarized showing many efforts but only few results which can serve as demonstration examples for developing countries. Education in health informatics in developing countries is still mainly dealing with the type of health informatics known from the industrialized world. Educational tools or curricula geared to the matter of development are rarely to be found. Some WHO activities suggest that it is time for a collaboration network to derive tools and curricula within the next decade.


Author(s):  
Elly Mufida ◽  
David Wardana Agus Rahayu

The VoIP communication system at OMNI Hospital Alam Sutera uses the Elastix 2.5 server with the Centos 5.11 operating system. Elastix 2.5 by the developer has been declared End of Life. The server security system is a serious concern considering that VoIP servers can be accessed from the internet. Iptables and fail2ban applications are applications that are used to limit and counteract those who try to attack the VoIP server. One application that can be used as an open source VoIP server is the Issabel Application version 4.0. The migration process from Elastix 2.5 application to Issabel 4.0 by backing up all configurations in the Elastix 2.5 application through a web browser including the configuration of endpoints, fax, e-mail, asterisk. After the backup file is downloaded then upload the backup file to the Issabel 4.0 application then run the migration process. Adding a backup path as a failover connection is needed because the VoIP communication protocol between the OMNI Hospitals Group still uses one path so that when there is a problem in the connection path, the communication protocol will stop. The tunnel EoIP is a protocol used as a backup path between the OMNI Hospitals Group site.


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