TELECREMATS

Plataforma de Telemedicina para el Diagnóstico y Seguimiento de Pacientes no Trasladados

Informacio

Description

The goal of the project is to implement and validate a telemedicine platform for remote assistance of burn cases in emergency scenarios. The project also includes the clinical validation between the reference hospital (i.e. with the medical specialist) and the remote hospital (i.e. with the emergency physician). 

The platform provides a secure, fast and reliable communication environment for telediagnostic and assistance. Communication is achieved by means of a high definition (HD) and standard end-to-end videoconference service, complemented with an imaging sharing functionality. Communication is also achieved effectively with asynchronous writing capability allowing to generate an emergency report edited simultaneously by the emergency physician and the medical specialist. 

The telemedicine platform shall tackle the following medical scenarios:

  • Remote diagnostics emergency: specialised remote assistance during an emergency.
  • Remote treatment and follow-up: specialised remote assistance for patient and therapy treatment and follow-up.

The following figure shows both functionalities:

Innovation

The design and implementation of the Telemedicine platform is based on software modularity with core and add-on modules, which allow the extensibility and flexibility to add new functionality with well defined interfaces. Moreover, software connectivity and data interoperability is ensured with the use of common protocols and standards; as well as hardware compatibility is achieved with conventional deployment environments. Finally, the platform considers ergonomics in terms of easiness and simplicity of use, as well as localisation in terms of adaptability across languages. 

Core and add-on modules implemented include: 

  • Emergency Report Module: the web environment with Flex technology allowing asynchronous and simultaneous edition by the emergency physician and the medical specialist.
  • Data Integration Module: it exports and transfers the report data to the Hospital Information System (HIS) in HL7 standard.
  • Videoconference Module: captures and transmits HD video and audio using H.264.
  • Camera Remote Control Module: it provides remote control of the HD camera by the medical specialist.
  • Image Acquisition Module: it allows the medical specialist to take pictures with the HD camera, and store them to the Picture Archiving and Communication System (PACS) in Digital Imaging and Communications in Medicine (DICOM) format.

The technological innovation highlights of the project are:

  • A high definition videoconference service.
  • Remote control of the HD camera by the medical specialist.
  • Generation of real-time emergency reports.
  • Integration with HIS.
  • Capture of JPG images from HD camera and conversion to DICOM format within patient information gathered from HIS.

Emergency physician (top) and medical specialist (bottom) views

Benefits

It is difficult for small to medium-scale hospitals to full or partially cover the whole spectrum of emergency specialities during 24 hours a day due to resource constraints. For this reason, the common procedure in a burn emergency case is to send the patient to the reference hospital for treatment.

The principal benefits addressed by the use of this platform are:  

  • Real-time specialised diagnostic and treatment without moving the patient, and hence a reduction in clinical response time.
  • To avoid unnecessary patient transfers with savings in cost and time in the health care system.
  • The improvement of patient care, and thus an increase in quality assistance.
  • An improvement in coordination across care levels.
  • An enhancement in the health care professionals’ knowledge.
Entity
Duration: 
07/2011 to 12/2012