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Video Conferencing system
Video conferencing between medical personnel is possible for tele-Consultation and CME. The system can be used on unicast or broadcast mode depending on the type of solution that one is planning for and the Video conferencing system that is used.
- Stand alone box: High quality and requires good bandwidth and includes: camera, microphone and the display is on a normal television.
- PC add On card: This uses the PC technology and software and the card is generally on the PCI slot or thru a USB interface and the display can be on a monitor or television.
- Web Camera using Windows based software for unicast or broadcast mode thru standard PC's.
Generally the super specialty hospital uses a stand-alone box and the remote nodes with PC add on card. The standards that are used in video conferencing
systems are ITU, H.320/. 323. The frame rate has to be anything between 15/30 frames per second.
Reporting
The report format is standardized and can be customized based on the inputs from the customer and will contain all the details pertaining to the Electronic Health Record (EMR) , like patient demographics, Review of system, Symptoms, treatment plan, medication, next visit along with other relevant medical data.
Some of the reports that can be generated are as follows:
- Patient Health record.
- 12 lead Resting ECG
- X-Ray, CT, Angio, MRI, Pathology slides, Dermatology, ENT, Ophthalmology report.
- Monthly records for the hospital.
- Statistical reports.
Administration
The system is provided with a complete administration module with the help of this module the system administrator of the telemedicine network will have the following task:
- Adding new specialist: A complete profile of the specialist is entered. The Specialist is given an individual secured login and password.
- Adding new remote node: Details of the node along with login ID and password are entered with the referring doctor(s) details.
- Scheduling Consultation: e- consultation from the remote locations to the specialists is scheduled depending on the specialist's availability.
- Edit / Modify / Delete - Nodes, specialists, appointments etc.,
Alerts
The Specialist will be alerted either through SMS or through e-mail moment a patient is referred. A message is also sent to him when the ECG is being streamed so that the specialist can go online to see the ECG of the patient on Real time.
Security
This is the fundamental requirement for telemedicine applications. Security strategies, designed to protect the privacy, authenticate, authorize, and maintain integrity. These are necessary to protect against the threats of manipulation, impersonation and unauthorized access to health care information of individuals. The username and ID is given only to the doctors in the remote node and the specialists in the network. The doctors at the remote location and the specialists in the super specialty hospital are informed to change the password on registration so that there is no misuse in the network.
Security elements include storage security, network security, data encryption, audit trails etc. Networks should be reliable and secured to ensure user confidence, system and data integrity, and robust system operation.
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