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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072
© 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 930
Healthcare Communication Technologies: A Short Note on
Opportunities and Challenges
1Muhammad Shuaib Qureshi, 2Muhammad Bilal Qureshi, 3Vijey Thayananthan
1,3Computer Science Department, Faculty of Computing and Information Technology,
King Abdulaziz University, Jeddah 21589, Kingdom of Saudi Arabia.
2Department of Computer Sciences, COMSATS Institute of Information Technology,
Islamabad, 46000, Pakistan.
---------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - The most evitable and focused target ofresearch
community is the medical and healthcare sectors. Every
healthcare industry tries to facilitate patients with the ever-
new technologies in an economical way. Majority of the
countries try to open the new horizons of expandable quality
healthcare services with minimum cost. With the growing
needs and day-to-day innovations, a single technology is no
more suitable to contribute to the plethora of services hence,
the healthcare industry is moving towards merging old and
new InformationCommunicationTechnologies(ICTs)toadopt
advanced features. This idea gives added value, new
possibilities and open ways to enhanced communication
opportunities in the healthcare field. This short note describes
the basic healthcare technology opportunitiesandhuman and
social hurdles of healthcare information. It addresses some of
the basic challenges in building and complementing different
ICT categories and enhancements in solutions already
providing by these technologies.
Key Words: Healthcare, ICT, Information system
1. INTRODUCTION
An improvement in health sector is one of the primary
goals of any country in order to provide fast and easy
access to health-related services.However,atthesame
time, they are struggling to reduce the growing cost of
healthcare. There is no globally accepted standard
healthcare improvement process due to its varying
aspects. However, the immense development in the
field of Information and Communication Technology
(ICT) duringlastfewdecadesbenefitedalmostallother
fields including health sector in terms of services and
quality at low cost [1, 2, 3].
Health sector improvements involve a range of factors
to enhance on the whole including general public
health, clinical care, medical education, emergency
response system, nutrient food, clean water, and
hygienic environment. To achieve all health-related
aspects, involve changes in other factors such as
political policies, social behavior and economic
conditions.
Now a day’s health sector highly depends on
computerized technologies. Accordingto WorldHealth
Organization (WHO), a vast range of technologiesform
roots for the services to prevent, diagnose and treat
diseases [5, 6, 7]. ICT offers an array of technologies
that support healthcare development on large scale. It
can play vitalroletowardshealthsectorimprovements
if strategic polices are adopted by top authorities and
governing agencies.
With the development in technology, the
communication mechanism has also changed
extensively with the introduction of cellular
technologies; fax, electronic mail and audio/video
conferencing that offer new ways for sharing different
perspectives. Advanced communication technologies
make use of visual images and audio via radio,
television, and internet that offer opportunities for
general public and experts to share their suggestions,
knowledge and expertise. This idea has been
enhanced by taking advanced steps to deregulate
communication channels in many advanced countries
which results in providingnew ways suchastelevision
channels and radio broadcasts forcommunicationona
large scale [8, 9].
According to the World Bank current report, the
fundamental elements in health-related technologies
are effective communication and reliable information.
Using apposite technology increases the
communication and information access in public
health-related technologies. Online health monitoring
systems enable society to monitor and get information
abouttheirhealth-relatedproblems.Somesocialpublic
NGOs also give awareness to the public about
healthcare systems and processes [4]. The thirdworld
countries try to access different healthcare services
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072
© 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 931
and involve in demanding better ICT opportunities on
priority basis.
Before proceeding in details, we needtodefineICTand
healthcare opportunities.
2. HEALTHCARE TECHNOLOGY
OPPORTUNITIES
Healthcare technologies provide opportunities for
enhancing patient care using clinical processes and
required information. Cost reduction is a major
concern of communication technologies in healthcare
industry. In the traditional healthcare paper-based
methods, there was a significant delay in providing
healthcare services. But in current information
technology era, it has been replaced by latest
computer-based patient records using portable
computers. Moreover, expert information-based
systems enhanced the availability of patient’s
information to healthcare personnel with real-time
access [10]. This advancement added tremendous
facilities and utmost care to the patient’s life. This also
cares the patient 24 hours 7 days a week [12].
3. CATEGORIES OF TECHNICAL SOLUTIONS
In this age of wisdom and modernity, ironically the
greatest predicament that exists is that the cost of
living and saving lives has become higher, and
unfortunately life itself has lost its worth to us [1].
Through the latest information technology, the data
collection mode of healthcare industry has changed to
“collect-once, use multiple times” mode. Most of the
healthcareindustriesdependonthefollowingareasfor
accomplishing their objectives:
A. Data WarehousingandDataMining –Datamining
is extraction of useful information from the data.
Clinical databases store large amount of information
about patients and theirmedicalhistoryrecord.Access
to this data for healthcare practitioners could discover
new medical knowledge. Different expert systems are
used by many doctors for diagnosis of complex
diseases and treatment.
B. Computer-based Patient Records (CPR) – It refers
to digitizing and storing all of the medical record of a
patient in an organized fashion. In this paper, we use
electronic health records and electronic medical
records interchangeably. A good deal of notice has
been given to this area in hospitals, first-aid centers,
clinics etc. These electronic records are convenient for
patients and doctors equally as it considerably
eliminate fatal medical errors andcontributeitspartin
public health.
C. Document Imaging – It includes the process of
scanning and storage of paper based record in digital
form. The advantage is the ability to share and access
more useful information by healthcare personnel and
researchers around the globe.
D. Internet Solutions – With the development of
internet and intranet, healthcare sector is capable to
integrate clinicalandfinancialinformationfromalarge
array of locations without investing in building
expensive infrastructures.
E. Expert Information Systems – The regulatorybody
of anyhealthcareunitdesignshealthcareregulationsto
help in delivering reliable and careful information to
the patients and these rules are updated on annual
basis to adjust any new changes that needs to
incorporate. Expert Information Systems (EIS) apply
and follow this suit of rules to assisttheadministration
in analyzing the quality of services provided by these
industries.
F. Telemedicine – This technique is a combination of
information and telecommunication technologies by
which information about healthcare flows between
differentlocationstohelptrackpublichealthproblems.
Different ICT channels including audio visual links and
technologies are involved in this technique.
4. HURDLES IN HEALTHCARE IMPLEMENTATION
A. Lack of Industry Standards – Technological
barriers in the healthcare sector includes lack of
general adoption of industry standards. This is
considered as a prominent problem in the plethora of
advancedinformationcommunicationtechnologies[3].
A standard can be defined as refined framework or
format or convention that isfollowedbythehealthcare
operational bodies and functional units in facilitating
patients [3, 4]. Most of the developed standards till
today are broadly categorized into two groups;
proprietary standards and consensus standards. The
proprietary standard canbe defined as a standard that
arise when a maximum market share for a particular
product is being hold by a single vendor. On the other
hand, consensus standard is not concerned with a
single vendor but it is developed by group of buyers,
vendors, and employees of diverse fields including
government officials.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072
© 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 932
The above-mentioned standards help in exchanging
electronicinformationsuccessfullyinordertofacilitate
the flow of information efficiently among
heterogeneous operating systems [4, 6]. These
standards also provide the ability to expedite various
health related transactions without human
interference. If these standards are not followed then
this facility cannot be achieved or can be achieved by a
price of high cost. Before the emergence of ICTs, each
industry was operating individually without being
following any standard and forming a centralized
group to cooperate in providing state of the art
facilities in the healthcare sectors. After a decade, the
healthcare industry agreed and used to follow theever
growing fast internet based medium and
communication protocols to cover the gap between
slow and fast information flow among different stake
holders [11]. Different user-friendly interfaces helped
in facilitating healthcare bodies in providinguptodate
facilities in a less expensive way.
B. Human and Social Hurdles – Apart from the
technological obstacle discussed earlier, some other
barriers also need to address. Also, from human and
social perspective, the adaptation of ICTs by the
healthcare industries is a challenging task. The
implementation of advanced informationtechnologies
in healthcare industry support complete personal and
financial transactions effectively. These technologies
need the physicians to be well aware of the use of
internet and minimum level of basic computer
operations. In the same way, the patients are also
expected to accept the changes made in the use and
storage of the medical information. So, the healthcare
ICT community is responsible for resolving both
patient and physician concernsabouttheadaptationof
the new technologies. Following are some of the major
concerns that need to be addressed.
1. Need for privacy maintenance: The bottleneck in
adopting the advanced computerized techniquesisthe
maintenance of private data of both the patients and
physicians. The patients avoid such systems just
because they cannot compromise their confidentiality.
They cannot put their private data at risk by declaring
it openly through electronic channels. Individuals
belong to such school of thoughts percept that in this
way they by themselves provide the ways to the
thieves to illegally intercept and misuse their personal
information. So, in light of the above concerns, the
healthcare industries are required to ensure privacy
and security to the individuals data to maintain their
level of confidence. Both the IT companies and the
healthcare providers will need to work together to
make sure that the collectedinformationisonlyshared
amongtheauthorizedbodies.Thismayalsoincludethe
responsibility to ensure that the information is only
used for the specified purpose and is protected from
unwanted loss and may not be modified. It may also
ensure that the same information may not be
disseminated illegally without the permission of the
concerned body. Much of the privacy protection
techniques exist but the mostly used and effective one
is the installation of firewalls or other similarpractices
to limit such threats from illegal access of information.
2. Lack of sufficient knowledge for using ICTs:
Another big concern is the lack of practice and
knowledge about the use of advanced information
communication technologiesbyphysiciansandnurses.
This new perspective unbelievably changed the
conservative way of healthcare sector that was easy to
use by the old age stakeholders.Itneedsthephysicians
and other healthcare practitioners to cope with the
new situations of paper-less environment and move
towards advanced technologies to 100% utilize these
facilities. It will bring innovative transition from old
age to the new advanced healthcare era. This needs
that the healthcare and IT companies arrange specific
trainings and workshops to enter into the advanced
healthcare circle the physicians and other personnel
working in medical field. It needs to convince
physicians to make them assure that utilizing ICTs can
vastly improve their efficiency and hence thequalityof
healthcare services. The IT companies are required to
develop interactive technologies and equipment that
make the physicians and other practitioners attractive
towards this advancement and willing to adopt it.
5. RECOMMENDATIONS
1– There is a need to build and advance the already
existing technologies by incorporating new features in
them. This may also be achieved by making the
combination of old and new technologies in some
situations where there is a shortage of funds.
2– There is a need of developing a cooperative legal
environment and other regulatory bodies that may
ensure and allow the freely and smoothly flow of
information among different organizations. The
healthcare industry cooperates in a digital
environment to operate effectively and efficiently.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072
© 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 933
3– The need to work in a group to develop laws and
rulesinordertoimplementforthesecuretransmission
of information in a situation such as telemedicine
among the legal participating bodies.
4– Involvement of both the public and private sectors
to protect useful information from theft andillegaluse.
This will bring confidence in the users (patients and
physicians).
5– Cooperating in developing user-friendly interfaces
and training physicians about its use. Workshops and
seminars arrangements would help in diverting from
paper-based environment to paper-less environment.
6– Putting efforts to involve physicians and other
healthcare practitioners in developing ICT projects by
taking their feedback regularly. This stage referstothe
testing and implementation phase of the
aforementioned technologies.
REFERENCES
[1]. HL7 Version 3 Message Development Framework,
http://www.hl7.org/library/ mdf99/mdf99.pdf,
accessed on Dec, 2015.
[2]. openEHR Community, http://www.openehr.org/ ,
accessed on Dec, 2015.
[3]. European Committee for Standardization –
Technical Committee on Health Informatics.
http://www.centc251.org/, accessed on Dec, 2015.
[4]. CEN ENV 13606. Medical Informatics – Electronic
healthcare record communication. European
Prestandard ENV 13606, European Committee for
Standardization, Brussels, Belgium, 2000.
[5]. CEN prEN 13606-1.Healthinformatics –Electronic
health record communication – Part 1: Reference
model. Draft European StandardforCENEnquiryprEN
13606-1, European Committee for Standardization,
Brussels, Belgium, 2004.
[6]. Integrating the Healthcare Enterprise.
http://www.ihe.net/, accessed on Oct, 2015.
[7]. The HL7 Version 3 Standard: Clinical Data
Architecture, Release 2.0, ANSI Standard, 2005.
[8]. HL7 Reference Information Model.
http://www.hl7.org/library/data-model/RIM/model
page_non.htm, accessed on Oct, 2015.
[9]. D. Fensel, Triple-space computing: Semantic Web
Services based on persistent publication of
information, Proc. of IFIP Int'l Conf. on Intelligence in
Communication Systems, Bangkok, Thailand,
November 2004: 43-53.
[10].The TripCom Project. http://www.tripcom.org,
accessed on Nov, 2015.
[11].R. Krummenacher, M. Hepp, A. Polleres, Ch.
Bussler, and D. Fensel: WWW or What is Wrong with
WebServices,Proc.3rd EuropeanConf.onWebServices
ECOWS2005,Växjö,Sweden,November2005:235-243.
[12].Della Valle E., Cerizza D., Bicer V., Kabak Y., Laleci
G., and Lausen H. The need for semantic web service in
the ehealth. In W3C workshop on Frameworks for
Semantics in Web Services, 2005.

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Healthcare Communication Technologies: A Short Note on Opportunities and Challenges

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072 © 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 930 Healthcare Communication Technologies: A Short Note on Opportunities and Challenges 1Muhammad Shuaib Qureshi, 2Muhammad Bilal Qureshi, 3Vijey Thayananthan 1,3Computer Science Department, Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah 21589, Kingdom of Saudi Arabia. 2Department of Computer Sciences, COMSATS Institute of Information Technology, Islamabad, 46000, Pakistan. ---------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - The most evitable and focused target ofresearch community is the medical and healthcare sectors. Every healthcare industry tries to facilitate patients with the ever- new technologies in an economical way. Majority of the countries try to open the new horizons of expandable quality healthcare services with minimum cost. With the growing needs and day-to-day innovations, a single technology is no more suitable to contribute to the plethora of services hence, the healthcare industry is moving towards merging old and new InformationCommunicationTechnologies(ICTs)toadopt advanced features. This idea gives added value, new possibilities and open ways to enhanced communication opportunities in the healthcare field. This short note describes the basic healthcare technology opportunitiesandhuman and social hurdles of healthcare information. It addresses some of the basic challenges in building and complementing different ICT categories and enhancements in solutions already providing by these technologies. Key Words: Healthcare, ICT, Information system 1. INTRODUCTION An improvement in health sector is one of the primary goals of any country in order to provide fast and easy access to health-related services.However,atthesame time, they are struggling to reduce the growing cost of healthcare. There is no globally accepted standard healthcare improvement process due to its varying aspects. However, the immense development in the field of Information and Communication Technology (ICT) duringlastfewdecadesbenefitedalmostallother fields including health sector in terms of services and quality at low cost [1, 2, 3]. Health sector improvements involve a range of factors to enhance on the whole including general public health, clinical care, medical education, emergency response system, nutrient food, clean water, and hygienic environment. To achieve all health-related aspects, involve changes in other factors such as political policies, social behavior and economic conditions. Now a day’s health sector highly depends on computerized technologies. Accordingto WorldHealth Organization (WHO), a vast range of technologiesform roots for the services to prevent, diagnose and treat diseases [5, 6, 7]. ICT offers an array of technologies that support healthcare development on large scale. It can play vitalroletowardshealthsectorimprovements if strategic polices are adopted by top authorities and governing agencies. With the development in technology, the communication mechanism has also changed extensively with the introduction of cellular technologies; fax, electronic mail and audio/video conferencing that offer new ways for sharing different perspectives. Advanced communication technologies make use of visual images and audio via radio, television, and internet that offer opportunities for general public and experts to share their suggestions, knowledge and expertise. This idea has been enhanced by taking advanced steps to deregulate communication channels in many advanced countries which results in providingnew ways suchastelevision channels and radio broadcasts forcommunicationona large scale [8, 9]. According to the World Bank current report, the fundamental elements in health-related technologies are effective communication and reliable information. Using apposite technology increases the communication and information access in public health-related technologies. Online health monitoring systems enable society to monitor and get information abouttheirhealth-relatedproblems.Somesocialpublic NGOs also give awareness to the public about healthcare systems and processes [4]. The thirdworld countries try to access different healthcare services
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072 © 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 931 and involve in demanding better ICT opportunities on priority basis. Before proceeding in details, we needtodefineICTand healthcare opportunities. 2. HEALTHCARE TECHNOLOGY OPPORTUNITIES Healthcare technologies provide opportunities for enhancing patient care using clinical processes and required information. Cost reduction is a major concern of communication technologies in healthcare industry. In the traditional healthcare paper-based methods, there was a significant delay in providing healthcare services. But in current information technology era, it has been replaced by latest computer-based patient records using portable computers. Moreover, expert information-based systems enhanced the availability of patient’s information to healthcare personnel with real-time access [10]. This advancement added tremendous facilities and utmost care to the patient’s life. This also cares the patient 24 hours 7 days a week [12]. 3. CATEGORIES OF TECHNICAL SOLUTIONS In this age of wisdom and modernity, ironically the greatest predicament that exists is that the cost of living and saving lives has become higher, and unfortunately life itself has lost its worth to us [1]. Through the latest information technology, the data collection mode of healthcare industry has changed to “collect-once, use multiple times” mode. Most of the healthcareindustriesdependonthefollowingareasfor accomplishing their objectives: A. Data WarehousingandDataMining –Datamining is extraction of useful information from the data. Clinical databases store large amount of information about patients and theirmedicalhistoryrecord.Access to this data for healthcare practitioners could discover new medical knowledge. Different expert systems are used by many doctors for diagnosis of complex diseases and treatment. B. Computer-based Patient Records (CPR) – It refers to digitizing and storing all of the medical record of a patient in an organized fashion. In this paper, we use electronic health records and electronic medical records interchangeably. A good deal of notice has been given to this area in hospitals, first-aid centers, clinics etc. These electronic records are convenient for patients and doctors equally as it considerably eliminate fatal medical errors andcontributeitspartin public health. C. Document Imaging – It includes the process of scanning and storage of paper based record in digital form. The advantage is the ability to share and access more useful information by healthcare personnel and researchers around the globe. D. Internet Solutions – With the development of internet and intranet, healthcare sector is capable to integrate clinicalandfinancialinformationfromalarge array of locations without investing in building expensive infrastructures. E. Expert Information Systems – The regulatorybody of anyhealthcareunitdesignshealthcareregulationsto help in delivering reliable and careful information to the patients and these rules are updated on annual basis to adjust any new changes that needs to incorporate. Expert Information Systems (EIS) apply and follow this suit of rules to assisttheadministration in analyzing the quality of services provided by these industries. F. Telemedicine – This technique is a combination of information and telecommunication technologies by which information about healthcare flows between differentlocationstohelptrackpublichealthproblems. Different ICT channels including audio visual links and technologies are involved in this technique. 4. HURDLES IN HEALTHCARE IMPLEMENTATION A. Lack of Industry Standards – Technological barriers in the healthcare sector includes lack of general adoption of industry standards. This is considered as a prominent problem in the plethora of advancedinformationcommunicationtechnologies[3]. A standard can be defined as refined framework or format or convention that isfollowedbythehealthcare operational bodies and functional units in facilitating patients [3, 4]. Most of the developed standards till today are broadly categorized into two groups; proprietary standards and consensus standards. The proprietary standard canbe defined as a standard that arise when a maximum market share for a particular product is being hold by a single vendor. On the other hand, consensus standard is not concerned with a single vendor but it is developed by group of buyers, vendors, and employees of diverse fields including government officials.
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072 © 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 932 The above-mentioned standards help in exchanging electronicinformationsuccessfullyinordertofacilitate the flow of information efficiently among heterogeneous operating systems [4, 6]. These standards also provide the ability to expedite various health related transactions without human interference. If these standards are not followed then this facility cannot be achieved or can be achieved by a price of high cost. Before the emergence of ICTs, each industry was operating individually without being following any standard and forming a centralized group to cooperate in providing state of the art facilities in the healthcare sectors. After a decade, the healthcare industry agreed and used to follow theever growing fast internet based medium and communication protocols to cover the gap between slow and fast information flow among different stake holders [11]. Different user-friendly interfaces helped in facilitating healthcare bodies in providinguptodate facilities in a less expensive way. B. Human and Social Hurdles – Apart from the technological obstacle discussed earlier, some other barriers also need to address. Also, from human and social perspective, the adaptation of ICTs by the healthcare industries is a challenging task. The implementation of advanced informationtechnologies in healthcare industry support complete personal and financial transactions effectively. These technologies need the physicians to be well aware of the use of internet and minimum level of basic computer operations. In the same way, the patients are also expected to accept the changes made in the use and storage of the medical information. So, the healthcare ICT community is responsible for resolving both patient and physician concernsabouttheadaptationof the new technologies. Following are some of the major concerns that need to be addressed. 1. Need for privacy maintenance: The bottleneck in adopting the advanced computerized techniquesisthe maintenance of private data of both the patients and physicians. The patients avoid such systems just because they cannot compromise their confidentiality. They cannot put their private data at risk by declaring it openly through electronic channels. Individuals belong to such school of thoughts percept that in this way they by themselves provide the ways to the thieves to illegally intercept and misuse their personal information. So, in light of the above concerns, the healthcare industries are required to ensure privacy and security to the individuals data to maintain their level of confidence. Both the IT companies and the healthcare providers will need to work together to make sure that the collectedinformationisonlyshared amongtheauthorizedbodies.Thismayalsoincludethe responsibility to ensure that the information is only used for the specified purpose and is protected from unwanted loss and may not be modified. It may also ensure that the same information may not be disseminated illegally without the permission of the concerned body. Much of the privacy protection techniques exist but the mostly used and effective one is the installation of firewalls or other similarpractices to limit such threats from illegal access of information. 2. Lack of sufficient knowledge for using ICTs: Another big concern is the lack of practice and knowledge about the use of advanced information communication technologiesbyphysiciansandnurses. This new perspective unbelievably changed the conservative way of healthcare sector that was easy to use by the old age stakeholders.Itneedsthephysicians and other healthcare practitioners to cope with the new situations of paper-less environment and move towards advanced technologies to 100% utilize these facilities. It will bring innovative transition from old age to the new advanced healthcare era. This needs that the healthcare and IT companies arrange specific trainings and workshops to enter into the advanced healthcare circle the physicians and other personnel working in medical field. It needs to convince physicians to make them assure that utilizing ICTs can vastly improve their efficiency and hence thequalityof healthcare services. The IT companies are required to develop interactive technologies and equipment that make the physicians and other practitioners attractive towards this advancement and willing to adopt it. 5. RECOMMENDATIONS 1– There is a need to build and advance the already existing technologies by incorporating new features in them. This may also be achieved by making the combination of old and new technologies in some situations where there is a shortage of funds. 2– There is a need of developing a cooperative legal environment and other regulatory bodies that may ensure and allow the freely and smoothly flow of information among different organizations. The healthcare industry cooperates in a digital environment to operate effectively and efficiently.
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June-2016 www.irjet.net p-ISSN: 2395-0072 © 2016, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 933 3– The need to work in a group to develop laws and rulesinordertoimplementforthesecuretransmission of information in a situation such as telemedicine among the legal participating bodies. 4– Involvement of both the public and private sectors to protect useful information from theft andillegaluse. This will bring confidence in the users (patients and physicians). 5– Cooperating in developing user-friendly interfaces and training physicians about its use. Workshops and seminars arrangements would help in diverting from paper-based environment to paper-less environment. 6– Putting efforts to involve physicians and other healthcare practitioners in developing ICT projects by taking their feedback regularly. This stage referstothe testing and implementation phase of the aforementioned technologies. REFERENCES [1]. HL7 Version 3 Message Development Framework, http://www.hl7.org/library/ mdf99/mdf99.pdf, accessed on Dec, 2015. [2]. openEHR Community, http://www.openehr.org/ , accessed on Dec, 2015. [3]. European Committee for Standardization – Technical Committee on Health Informatics. http://www.centc251.org/, accessed on Dec, 2015. [4]. CEN ENV 13606. Medical Informatics – Electronic healthcare record communication. European Prestandard ENV 13606, European Committee for Standardization, Brussels, Belgium, 2000. [5]. CEN prEN 13606-1.Healthinformatics –Electronic health record communication – Part 1: Reference model. Draft European StandardforCENEnquiryprEN 13606-1, European Committee for Standardization, Brussels, Belgium, 2004. [6]. Integrating the Healthcare Enterprise. http://www.ihe.net/, accessed on Oct, 2015. [7]. The HL7 Version 3 Standard: Clinical Data Architecture, Release 2.0, ANSI Standard, 2005. [8]. HL7 Reference Information Model. http://www.hl7.org/library/data-model/RIM/model page_non.htm, accessed on Oct, 2015. [9]. D. Fensel, Triple-space computing: Semantic Web Services based on persistent publication of information, Proc. of IFIP Int'l Conf. on Intelligence in Communication Systems, Bangkok, Thailand, November 2004: 43-53. [10].The TripCom Project. http://www.tripcom.org, accessed on Nov, 2015. [11].R. Krummenacher, M. Hepp, A. Polleres, Ch. Bussler, and D. Fensel: WWW or What is Wrong with WebServices,Proc.3rd EuropeanConf.onWebServices ECOWS2005,Växjö,Sweden,November2005:235-243. [12].Della Valle E., Cerizza D., Bicer V., Kabak Y., Laleci G., and Lausen H. The need for semantic web service in the ehealth. In W3C workshop on Frameworks for Semantics in Web Services, 2005.