Abstract
Due to increasing occurrence of accidents and illness during business trips, travel, or overseas studies, the requirement for portable EMR (Electronic Medical Records) has increased. This study proposes integrating streaming media technology into the EMR system to facilitate referrals, contracted laboratories, and disease notification among hospitals. The current study encoded static and dynamic medical images of patients into a streaming video format and stored them in a Flash Media Server (FMS). Based on the Taiwan Electronic Medical Record Template (TMT) standard, EMR records can be converted into XML documents and used to integrate description fields with embedded streaming videos. This investigation implemented a web-based portable EMR interchanging system using streaming media techniques to expedite exchanging medical image information among hospitals. The proposed architecture of the portable EMR retrieval system not only provides local hospital users the ability to acquire EMR text files from a previous hospital, but also helps access static and dynamic medical images as reference for clinical diagnosis and treatment. The proposed method protects property rights of medical images through information security mechanisms of the Medical Record Interchange Service Center and Health Certificate Authorization to facilitate proper, efficient, and continuous treatment of patients.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10916-010-9442-y/MediaObjects/10916_2010_9442_Fig1_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10916-010-9442-y/MediaObjects/10916_2010_9442_Fig2_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10916-010-9442-y/MediaObjects/10916_2010_9442_Fig3_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10916-010-9442-y/MediaObjects/10916_2010_9442_Fig4_HTML.gif)
Similar content being viewed by others
References
Fraser, H. S., Biondich, F., Moodley, P., Choi, D., Mamlin, S. B., and Szolovits, P., Implementing electronic medical record systems in developing countries. Informat. Prim. Care 13:83–95, 2005.
Britto, M. T., and Wimberg, J., Pediatric personal health records: Current trends and key challenges. Pediatrics 123:S97–S99, 2009.
Ralston, J. D., Rutter, C. M., Carrell, D., Hecht, J., Rubanowice, D., and Simon, G. E., Patient use of secure electronic messaging within a shared medical record: A cross-sectional study. J. Gen. Intern. Med. 24(3):349–355, 2009.
Cuellar, E., The case for portable electronic health records. J. AHIMA. 75(8):70–71, 2004.
Chao, H. M., Twu, S. H., and Hsu, C. M., A patient-identity security mechanism for electronic medical records during transit and at rest. Med. Inform. Internet Med. 30(3):227–40, 2005.
Pharow, P., Blobel, B., and Hildebrand, C., How can the German Electronic Health Card support patient's role in care management. Stud. Health Technol. Inform. 137:386–401, 2008.
Grant, R. W., Wald, J. S., Schnipper, J. L., Gandhi, T. K., Poon, E. G., Orav, E. J., et al., Practice-linked online personal health records for type 2 diabetes mellitus—A randomized controlled trial. Arch. Intern. Med. 168(16):1776–1782, 2008.
Hu, C.-M., Jian, W.-S., Chang, P.-L., and Hsua, C.-Y., A web based prototype system for patient use confirming Taiwan electronic medical-record templates. AMIA Annu. Symp. Proc. 2005:987, 2005.
Adobe, Adobe Flash Media Server 3.5 Developer Guide, Available From: http://help.adobe.com/en_US/FlashMediaServer/3.5_Deving/flashmediaserver_3.5_dev_guide.pdf, 2009.
Tobias, K., Streaming Media, Technologies, Standards, Applications. Wiley, 2003.
Chen, W., Shih, C.-C., Hwang, L.-J., The development and applications of the remote real-time video surveillance system. Tamkang J. Sci. Eng. 13(1), (In Press), 2010.
On2 Technologies, Inc., WHITE PAPER: Advantages of TrueMotion VP6 Technology. Available From: http://www.on2.com/file.php?127, 2005.
Stallings, W., Cryptography and Network Security Principles and Practice, (Third Edition). Prentice Hall, 2003.
Hsu, C. R., XML Chapter III: XML Source—ASP. Available From: http://www.msservermag.com.tw/member/article/010718a.htm, 2009.
Wikipedia, Digital Imaging and Communications in Medicine, http://en.wikipedia.org/wiki/Digital_Imaging_and_Communications_in_Medicine, 2009.
Michelson, B. M., Various Experience Provided by Macromedia Flash Platform, Patricia Seybold Group’s Advisory Service. Available From: http://www.adobe.com/tw/platform/whitepapers/psgroup_flashplatform.pdf, 2005.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chen, W., Shih, CC. Architecture of Portable Electronic Medical Records System Integrated with Streaming Media. J Med Syst 36, 25–31 (2012). https://doi.org/10.1007/s10916-010-9442-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10916-010-9442-y