title: Mobile platform for treatment of stroke: A case study of tele-assistance.
abstract: This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus. Messaging definition has been designed according to the reference model of the CEN/ISO 13606, messages content follows the structure of archetypes. An XDS-b (Cross-Enterprise Document Sharing-b) transaction messaging has been designed according to Integrating the Healthcare Enterprise profile for archetype notifications and update enquiries.This research has been performed by a multidisciplinary group. The Virgen del Rocío University Hospital acts as Reference Hospital and the Public Company for Healthcare as mobility surroundings.
authors.affiliation: Clinical Neuroscience Unit, Virgen del Rocío University Hospital, Spain arturo.torres.zenteno@everis.com.
authors.forename: Arturo Henry
authors.initials: AH
authors.lastname: Torres Zenteno
authors.affiliation: Everis, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Fernández
authors.affiliation: Clinical Neuroscience Unit, Virgen del Rocío University Hospital, Spain.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Palomino-García
authors.affiliation: Clinical Neuroscience Unit, Virgen del Rocío University Hospital, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Moniche
authors.affiliation: Clinical Neuroscience Unit, Virgen del Rocío University Hospital, Spain.
authors.forename: Irene
authors.initials: I
authors.lastname: Escudero
authors.affiliation: Clinical Neuroscience Unit, Virgen del Rocío University Hospital, Spain.
authors.forename: M Dolores
authors.initials: MD
authors.lastname: Jiménez-Hernández
authors.affiliation: Public Company for Healthcare Emergencies (EPES), Spain.
authors.forename: Auxiliadora
authors.initials: A
authors.lastname: Caballero
authors.affiliation: Technological Innovation Group, Virgen del Rocío University Hospital, Spain.
authors.forename: Germán
authors.initials: G
authors.lastname: Escobar-Rodriguez
authors.affiliation: Technological Innovation Group, Virgen del Rocío University Hospital, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Parra
mesh_terms: D003199:Computer Systems / Q000706:statistics & numerical data*; D034201:Computers, Handheld / Q000706:statistics & numerical data; D057286:Electronic Health Records; D004632:Emergency Medical Services / Q000379:methods; D006801:Humans; D008498:Medical Record Linkage; D019982:Organizational Case Studies; D012984:Software; D013030:Spain; D020521:Stroke / Q000628:therapy*; D017216:Telemedicine / Q000706:statistics & numerical data; D013997:Time Factors
keywords: electronic health records; health information on the web; mobile health; modeling healthcare services; telecare