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A Flexible Telemedicine Framework for the Continuous Upkeep of Patient Lifetime Health Records (F2U-LHR)

机译:灵活的远程医疗框架,用于持续维护患者终生健康记录(F2U-LHR)

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The lifetime health record, which correlates each episode of care of an individual into a continuous health record, is the central key delivery of the Malaysian integrated telehealth application. A lifetime health record for an individual is the integration on his/her life timeline of all his/her electronic health records from healthcare centres he/she has been to since birth. The electronic medical records to be collected that form the lifetime health record, can be gathered from various spectrums of health information systems and healthcare levels, implying the necessity to handle diverse communications and information technology infrastructures. Most important consideration, however, is that the lifetime health record should contain not only longitudinal health summary information, but also the possibility of on-line retrieval of all patient health history whenever required, even during computer system downtime and unavailability of landline telecommunication network. It is only with such comprehensiveness of health records that the risk of inappropriate delivery of care may be reduced, and most of all the true continuum of care may be achieved. This paper proposes the first draft of a flexible framework for an integrated and distributed telemedicine system in Malaysia, intended to cope with these requirements. Brief overview on the high-level framework is provided, followed by a concise description of the three major components of the framework.
机译:终生健康记录将个人的每次护理与连续的健康记录相关联,是马来西亚集成远程医疗应用程序的核心关键。个人的终生健康记录是他/她从出生起就去过的医疗中心的所有电子健康记录集成在他/她的生命时间表上。可以从健康信息系统和医疗保健水平的各个方面收集构成终生健康记录的要收集的电子病历,这意味着需要处理各种通信和信息技术基础结构。但是,最重要的考虑是,终生健康记录不仅应包含纵向的健康摘要信息,而且还应包括在需要时在线检索所有患者健康史的可能性,即使在计算机系统停机和座机电信网络不可用时也是如此。只有通过如此全面的健康记录,才能降低不适当提供医疗服务的风险,并且可以实现大多数真正的医疗连续性。本文提出了马来西亚集成和分布式远程医疗系统的灵活框架的初稿,旨在满足这些要求。提供了有关高级框架的简要概述,然后简要描述了该框架的三个主要组成部分。

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