Abstract
The great development of technology recently provides innovations that improve everyday life. The major benefit of it is that medicine is also affected, so better healthcare can be provided. In that context, it can be critical for patients who suffer from chronic heart diseases to have in their availability a system that can monitor and analyse their electrocardiogram (ECG) displaying either normal or abnormal findings. The current chapter describes such a system that uploads, stores, processes and displays an ECG, calculating certain ECG findings necessary for doctors to make a diagnosis. To this end, the SANA mobile healthcare platform, with its OpenMRS open source enterprise electronic medical record system, has been chosen and extended in this work for storing, processing and displaying the ECG data. OpenMRS provides a user-friendly interface and a database for collecting medical big data. Analysis of ECG signals is leveraged by the Physionet toolkit. Physionet contains many ECG databases and the WFDB software for processing ECG signals. According to the scenario we have processed, an ECG is uploaded onto OpenMRS platform using a mobile device or any other Internet-enabled device and is stored in the database that OpenMRS uses. Then, ECG signal is filtered using a finite impulse response (FIR) filter to remove noise and using WFDB functions it is processed so certain intervals are determined. Finally, with the appropriate algorithms specific ECG findings are calculated. When the procedure completes, the results are stored into the database using SQL Queries. Using an HTML Form results and graphs are integrated into the OpenMRS website highlighting abnormal values with red color. Authorized users can have access to this information through any web browser.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wikipedia: Information technology. https://en.wikipedia.org/wiki/Information_technology (2017)
Wikipedia: Health information technology. https://en.wikipedia.org/wiki/Health_information_technology (2017)
Wikipedia: Electronic health record. https://en.wikipedia.org/wiki/Electronic_health_record (2017)
Wikipedia: Electrocardiography. https://en.wikipedia.org/wiki/Electrocardiography (2017)
Ranjan, R., Kołodziej, J., Zomaya, A., Alem, L., Wang, L.: Software tools and techniques for big data computing in healthcare clouds. Future Generation Comp. Syst. 43, 38–39 (2015)
Sahay, S.: Big data and public health: challenges and opportunities for low and middle income countries. Commun. Assoc. Inf. Syst. 39(20) (2016)
Ma, Y., Song, J., Lai, C.F., Hu, B., Chen, M.: Smart clothing: connecting human with cloud and big data for sustainable health monitoring. Mobile Netw. Appl. 21(5), 825–845 (2016)
Warwick-Clark, B., Obeysekare, E., Mehta, K., Bram, J.T.: Utilization and monetization of healthcare data in developing countries. Big Data 3(2), 59–66 (2015)
Madhukant, R., Prabhakaran, V.M., Gokul Kruba Shanker, R., Balamurugan, S.: Internet of health: applying IoT and big data to manage healthcare systems. Int. Res. J. Eng. Technol. (IRJET) 3(10) (2016)
Coronato, A., Amato, A.: An IoT-aware architecture for smart healthcare coaching systems. In: 2017 IEEE 31st International Conference on Advanced Information Networking and Applications (AINA), pp. 1027–1034. IEEE (2017)
Geetha, G., Sundara Velrani, K.: Sensor based healthcare information system. In: Technological Innovations in ICT for Agriculture and Rural Development (TIAR) 2016, pp. 86–92. IEEE (2016)
Laplante, N.L., Laplante, P.A.: A structured approach for describing healthcare applications for the internet of things. In: 2015 IEEE 2nd World Forum on Internet of Things (WF-IoT), pp. 621–625 (2015)
Laplante, N., Laplante, P.A.: The internet of things in healthcare: Potential applications and challenges. IT Prof. 18(3), 2–4 (2016)
Lee Ventola, C.: Mobile devices and apps for health care professionals: uses and benefits. 39(5) (2014)
Saleh, A., Mansour, M.M., Zarka, N.: Mobile healthcare system (2016)
Khan, M.A., AlGhamdi, M.A., AlMotiri, S.H.: Mobile health (m-health) system in the context of IoT. In: 2016 4th International Conference on Future Internet of Things and Cloud Workshops, pp. 39–42. Aug 2016
Knowledge for Health: mHealthKnowledge. http://www.mhealthknowledge.org/resource-type/applications-platforms (2017)
Nimunkar, A.J., Webster, J.G., Kalogriopoulos, N.A., Baran, J.: Electronic medical record systems for developing countries: review. In: Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 1730–1733 (2009)
Sarmenta, L., Rotberg, J., Marcelo, A., Clifford, G., Celi, L.A.: Mobile care (Moca) for remote diagnosis and screening. J. Health Inf. Dev. Countries 3(1), 17–21 (2009)
Vereijken, B., Becker, C., Todd, C., Taraldsen, K., Pijnappels, M., Aminian, K., Mellone, S., Helbostad, J.L.: Mobile health applications to promote active and healthy ageing. Sensors 17(3), 622 (2017)
King, A., Lee, I., MacDonald, A., Fernando, A., Hatcliff, J.: Rationale and architecture principles for medical application platforms. In: ACM/EEE Third International Conference on Cyber-Physical Systems (ICCPS 2012), pp. 3–12. April 2012
Bru, J., Berger, C.A., Millard, P.S.: Open-source point-of-care electronic medical records for use in resource-limited settings: systematic review and questionnaire surveys. BMJ Open. 2(4), e000690 (2012)
Haiqi, A., Zaidan, B.B., Zaidan, A.A., Kiah, M.L.M.: Open source EMR software: profiling, insights and hands-on analysis. Comput. Methods Program. Biomed. 117(2), 360–382 (2014)
Ukil, A., Bandyopadhyay, S., Singh, R., Pal, A., Mandana, K., Puri, C.: iCarMa: inexpensive cardiac arrhythmia management–an IoT healthcare analytics solution. In: Proceedings of the First Workshop on IoT-enabled Healthcare and Wellness Technologies and Systems, pp. 3–8 (2016)
LandÃnez, S.F., López, D.M., Blobel, B., Villamil, C.A.: A mobile ECG system for the evaluation of cardiovascular risk. In: MIE, pp. 210–214. Sep 2016
Agrafioti, F., Hatzinakos, D., Plataniotis, K.N., Wang, Y.: Analysis of human electrocardiogram for biometric recognition. EURASIP J. Adv. Signal Process. (2007)
Alesanco, A., Martinez, I., Garcia, J., Trigo, J.D.: A review on digital ECG formats and the relationships between them. IEEE Trans. Inf. Technol. Biomed. 16(3), 432–444 (2012)
Arbaugh, J.: HTML form entry JavaScript reference. https://wiki.openmrs.org/display/docs/HTML+Form+Entry+JavaScript+Reference (2014)
Mamlin, B.W., Biondich, P.G., Fraser, H.S., Wolfe, B.A., Jazayeri, D., Allen, C., Miranda, J., Baker, E., Musinguzi, N., Kayiwa, D., Fourie, C., Lesh, N., Kanter, A., Yiannoutsos, C.T., Bailey, C., Seebregts, C.J.: The OpenMRS implementers network. Int. J. Med. Inf. 78(11), 711–720 (2009)
The National Institute of Biomedical Imaging and Bioengineering (NIBIB) National Institute of General Medical Sciences (NIGMS): PhysioNet the research resource for complex physiologic signals. https://physionet.org/
Hudson, K.B., Naples, R., Sudhir, A., Mitchell, S.H., Ferguson, J.D., Reiser, R.C., Brady, W.J.: The ECG in Prehospital Emergency Care. Wiley (2012)
Papazaxos, G.: The Electrocardiogram in Clinical Practice. Medical Publications of Litsas (2000)
van Herpen, G., Bots, M.L., Verweij, N., Rijnbeek, P.R.: Normal values of the electrocardiogram for ages 16–90 years. J. Electrocardiol. 47(6), 914–921 (2014)
Wikipedia: QT interval. https://en.wikipedia.org/wiki/QT_interval (2017)
ECGpedia: P wave morphology. http://en.ecgpedia.org/wiki/P_Wave_Morphology (2011)
Bove, D.W., Norris, K.E., Conyers, R.J., Conradi, E., Rowlands, S., Scott, D.T., Romhilt, R.C.: A critical appraisal of the electrocardiographic criteria for the diagnosis of left ventricular hypertrophy. Circulation 40(2), 185–196 (1969)
Keys, A., Simonson, E., Rautaharju, P., Punsar, S., Blackburn, H.: The electrocardiogram in population studies. Circulation 21(6), 1160–1175 (1960)
Zhang, Z.M., Crow, R.S., Prineas, R.J.: The Minnesota Code Manual of Electrocardiographic Findings. Springer Science and Business Media (2010)
Park, R.E., Marchlinski, F.E., Hutchinson, M.D., Garcia, F.C., Dixit, S., Callans, D.J., Cooper, J.M., Bala, R., Lin, D., Riley, M.P., Gerstenfeld, E.P., Betensky, B.P.: The V2 transition ratio: a new electrocardiographic criterion for distinguishing left from right ventricular outflow tract tachycardia origin. J. Am. Coll. Cardiol. 57(22), 2255–2262 (2011)
Feldman, T., Henrikson, C.A., Tereshchenko, L.G., Oehler, A.: QRS-T angle: a review. Ann. Noninvasive Electrocardiol. 19(6), 534–542 (2014)
Kamath, U., Bharadwaj, A.: EE times connecting the global electronics community. [Online]. http://www.eetimes.com/document.asp?doc_id=1278571 (2011)
Pucik, J., Cocherová, E., Ondracek, O.: Filters for ECG digital signal processing. Int. Conf. Trends Biomed. Eng. 7(9) (2005)
Memane, K., Londhe, T., Thanki, H.J., More, P.: Advance IoT-based BSN healthcare system for emergency response of patient with continuous monitoring and motion detection. Int. J. Modern Trends Sci. Technol. 2(12) (2016)
Bhattacharya, P.P., Sangwa, A.: Wireless body sensor networks: a review. Int. J. Hybrid Inf. Technol. 8(9), 105–120 (2015)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Tsampi, K. et al. (2018). Extending the Sana Mobile Healthcare Platform with Features Providing ECG Analysis. In: Skourletopoulos, G., Mastorakis, G., Mavromoustakis, C., Dobre, C., Pallis, E. (eds) Mobile Big Data. Lecture Notes on Data Engineering and Communications Technologies, vol 10. Springer, Cham. https://doi.org/10.1007/978-3-319-67925-9_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-67925-9_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-67924-2
Online ISBN: 978-3-319-67925-9
eBook Packages: EngineeringEngineering (R0)