Remote Web Server

The main server in the hospital will run a web server to provide the services of clinical decision support system and electronic medical record system to the requests from the PDA's carried by the lady health workers. The web server will also provide a webpage allowing the user to upload the recorded data in the form of a file. This data will be incorporated in the database like normal records. The web server will also handle requests from the doctor's terminal and provide reports about the patient's situation. The web server will mainly consist of a dynamic webpage server, a database server and dynamically linked libraries (dlls) implementing the clinical decision support system. The dynamic page server will provide pages written using a server side scripting language (JSP). The database server will be used to link the incoming data to the patient's record. This will be accomplished using electronic medical record system. The clinical decision support system will provide automated analysis of data and assist the doctor in the decision making process. The feedback based on the clinical decision support system's analysis will be sent to the consultant doctor's laptop/PDA for approval/confirmation. The doctor's advice and instructions for the patient will be forwarded to the PDA of the lady health workers. It will also provide to the lady health workers with the doctor's advice regarding each patient. However, the interaction does not need to be synchronous in real time. The server will also serve requests for reports based on the patient's data and individual patient records requests from the concerned clients. The automated services provided by the server will reduce the workload of doctors and other hospital staff and increase their efficiency.

Features of Remote Monitoring Application

            By using the remote monitoring application at his/her laptop/PDA, a doctor will be able to login to the server and view a patient by patient situation as well as an overview of overall scenario. The application will provide the doctor with the stored data from database.

            The monitoring display will provide counters, graph displays and a digital signal processing toolbox for analysis of data signals. This toolbox will help the doctor in analyzing the signal for some characteristics using techniques like Fourier transform, Wavelet transform etc. which will be very useful in case of certain measurements e.g. ECG signal. The medical history of patient will also be available to the doctor.

            The doctor will be provided with a response screen thorough which he/she may ask specific questions from the patient/lady health worker and receive the response immediately. The doctor may also make suggestions to the patient regarding use of medicines, dietary habits, light physical exercise and other matters. The doctor's remarks and advice will be added to the database as well as sent to the lady health worker's PDA to inform her and the patient of the doctor's advice.

             In case of emergency, the doctor may advise the patient to reach hospital or an ambulance may be sent for the patient with all required equipment/medicines.  basic model consists of a data gathering module, a PDA, a remote server providing Clinical Decision Support System and electronic medical record keeping, and any web-enabled remote terminal (e.g. doctor's laptop) which could be used to access services provided by the web-server