scholarly journals API-led Connectivity Using Mulesoft For Healthcare

2021 ◽  
Vol 23 (06) ◽  
pp. 1363-1372
Author(s):  
Mayur Raj Singh Chouhan ◽  
◽  
Sujata Priyambada Mishra ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Business Model ◽  
Development Process ◽  
Separate Flow ◽  
New Approach ◽  
Integration Platform ◽  
Development Cycle ◽  
Traditional Approaches ◽  
Business Requirements

The API-led business model is a new way of thinking about how to engage with partners and customers through APIs. The traditional approaches were designed for business use cases having limited endpoints and speed of delivery is not critical. Traditional approaches include P2P and E2E. To overcome these drawbacks, a new approach of API-led connectivity is used. The primary aim of API-led connectivity is to allow the integration flows to be reused by means of many events and to be reused within the integration platform. This paper focuses on creating an API- led network which is agile, reusable, and fits business requirements. This network will be built for the health care system using Allscripts and Fitbit APIs. To implement API -led networks in this paper MuleSoft platform is used and API is built using the API development cycle. Depending on the business requirements on the search for API and connector already present on Anypoint App exchange. Using available component flow is created to connect EHR system systems and different devices like Fitbit. Both API are protected with OAuth 2.0 which is handled with a separate flow for initiating the communication between the system and source API. After doing the required transformation to data fetch from source API data is pushed to the Salesforce object. Using different services provided by Mulesoft, an API-led network was built in which EHR and the Fitbit device were integrated. As this development process followed agile behavior it helped in meeting business requirements for building networks. The data was successfully fetched, processed, and transferred from the EHR system and the Fitbit device to the Salesforce object.

scholarly journals An Automated Patient Self-Monitoring System to Reduce Health Care System Burden During the COVID-19 Pandemic in Malaysia: Development and Implementation Study (Preprint)

2020 ◽  
Author(s):  
Hooi Min Lim ◽  
Chin Hai Teo ◽  
Chirk Jenn Ng ◽  
Thiam Kian Chiew ◽  
Wei Leik Ng ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Monitoring System ◽  
Health Care System ◽  
Development Process ◽  
Lessons Learned ◽  
Self Monitoring ◽  
Symptom Monitoring ◽  
Development Method ◽  
Care System

BACKGROUND During the COVID-19 pandemic, there was an urgent need to develop an automated COVID-19 symptom monitoring system to reduce the burden on the health care system and to provide better self-monitoring at home. OBJECTIVE This paper aimed to describe the development process of the COVID-19 Symptom Monitoring System (CoSMoS), which consists of a self-monitoring, algorithm-based Telegram bot and a teleconsultation system. We describe all the essential steps from the clinical perspective and our technical approach in designing, developing, and integrating the system into clinical practice during the COVID-19 pandemic as well as lessons learned from this development process. METHODS CoSMoS was developed in three phases: (1) requirement formation to identify clinical problems and to draft the clinical algorithm, (2) development testing iteration using the agile software development method, and (3) integration into clinical practice to design an effective clinical workflow using repeated simulations and role-playing. RESULTS We completed the development of CoSMoS in 19 days. In Phase 1 (ie, requirement formation), we identified three main functions: a daily automated reminder system for patients to self-check their symptoms, a safe patient risk assessment to guide patients in clinical decision making, and an active telemonitoring system with real-time phone consultations. The system architecture of CoSMoS involved five components: Telegram instant messaging, a clinician dashboard, system administration (ie, back end), a database, and development and operations infrastructure. The integration of CoSMoS into clinical practice involved the consideration of COVID-19 infectivity and patient safety. CONCLUSIONS This study demonstrated that developing a COVID-19 symptom monitoring system within a short time during a pandemic is feasible using the agile development method. Time factors and communication between the technical and clinical teams were the main challenges in the development process. The development process and lessons learned from this study can guide the future development of digital monitoring systems during the next pandemic, especially in developing countries.

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

What is the best way to reform the U.S. health care system?

2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The U.S ◽  
Care System

What is the best way to reform the U.S. health care system?

2007 ◽  
Vol 40 (1) ◽  
pp. 6
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The U.S ◽  
Care System
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