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Mobile architecture for the Wishard Memorial Hospital Ambulatory Service

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Abstract

The introduction of portable computers into existing database systems requires traditional transaction mechanisms to be adapted to meet the needs of the mobile user. These mobile users utilise hand-held and laptop computers called mobile hosts, that can access the database from any location at any time. In this paper, we describe a mobile architecture that places mobile on the ambulances of the Wishard Memorial Hospital Ambulatory Service. This mobile architecture is designed to support transactions created by a mobile host that may be disconnected from the network during the execution of these transactions. The environment for this mobile architecture is the Indianapolis Network for Patient Care and Research (INPCR) of Marion County, Indianapolis, Indiana. The INPCR, which was developed to provide patient care by presenting clinical data in a clear and efficient manner, utilises the distributed medical patient database of the Regenstrief Medical Record System (RMRS) as a data repository. The medical personnel of the ambulatory service are able to submit transactions to the patient database of the RMRS to access vital patient information. The transactions in this environment use the forward recovery of sagas to minimise the amount of recovery needed during transaction failure. By allowing the medical personnel (hospital emergency room staff and the emergency medical technicians of the Wishard Memorial Hospital Ambulance Service) the ability to store, retrieve, create, and evaluate the medical records of their patients, they can provide high-quality care in a time and cost effective manner.

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References

  1. Helal A., and Eich M. Supporting mobile transaction processing in database systems. Technical Report TR-CSE-95-003, University of Texas at Arlington, 1995

  2. Imielinski T, Badrinath BR. Mobile wireless computing: solutions and challenges in data management. Technical Report DCS-TR-296/WINLAB TR-49, Rutgers University, 1993

  3. Ioannidis J, Duchamp D, Maguire G. IP-based protocols for mobile internetworking. In: SIGCOMM '91: Symposium on Communications Architectures and Protocols, 1991 pp 235–245

  4. Perkins C, IP mobility support. Internet draft, ftp:// nic.nordu.net/ internet-drafts/ draft-ietf-mobileip-protocol-08.txt, 1995.

  5. Pitoura E, Bhargava B. Revising transaction concepts for mobile computing. In: Proceedings of the 1 st IEEE Workshop on Mobile Computing Systems and Applications (MCSA94), 1994, pp 164–169

  6. Overhage JM, McDonald CJ, Tierney WM. Design an implementation of the Indianapolis Network for Patient Care and Research. Bull Med Library Assoc, 1995; 83 (1)

  7. McGrath R, Olinger M. IEMS: general guidelines and responsibilities an basic/advanced care protocols, 1995

  8. Ramires JG, Smith LA, Peterson LL. Medical information systems: characterisations and challenges. Sigmod Record 1994; 23(4): 44–53

    Google Scholar 

  9. Garcia-Molina H, Salem K. SAGAS. In: Proceedings of the ACM SIGMOD international conference on management of data, 1987. pp 249–259

  10. Lin K-J, Son SH. Real-time databases: characteristics and issues. In: Proceedings of the First IEEE workshop on object-oriented real-time dependable systems, 1994. pp 113–116

  11. Gray JN, Reuter A. Transaction processing: concepts and techniques. Morgan Kaufman, 1993

  12. Edelson JT. Physician use of information technology in ambulatory medicine: an overview. J Ambulatory Care Manage 1996: 18(3): 9–19

    Google Scholar 

  13. Brooke SR, BSCS: the use of multimedia computer-based patient records in ambulatory care. J Ambulatory Care Manage, 1996; 19(2): 1–8

    Google Scholar 

  14. Katz RH, Brewer EA et al. The Bay Area Research Wireless Access Network (BARWAN). In: Proceedings Spring COMPCON Conference, 1996

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Authors and Affiliations

  1. Computer and Information Science Department, Purdue University, Indianapolis

    Omran Bukhres

  2. Lucent Technologies, 723 West Michigan Street, SL280, Naperville, Illinois, USA

    Stuart Morton

  3. Regenstrief Institute of Health Care, 723 West Michigan Street, Indianapolis, Indiana, USA

    Clement McDonald

Authors
  1. Omran Bukhres
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  2. Stuart Morton
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  3. Clement McDonald
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Correspondence to Omran Bukhres.

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Bukhres, O., Morton, S. & McDonald, C. Mobile architecture for the Wishard Memorial Hospital Ambulatory Service. Personal Technologies 1, 188–196 (1997). https://doi.org/10.1007/BF01299653

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  • DOI: https://doi.org/10.1007/BF01299653

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