Proposing Telecardiology Services on Cloud for Different Medical Institutions: A Model of Reference.
For a cloud-based telecardiology solution to be established in any scenario, it is necessary to ensure optimum levels of security, as patient's data will not be in the same place from where access is gained. The main objective of this article is to present a secure, cloud-based solution for a telecardiology service in different scenarios: a hospital, a health center in a city, and a group of health centers in a rural area.



iCanCloud software is used to simulate the scenarios. The first scenario will be a city hospital with over 220,000 patients at its emergency services, and ∼1 million outpatient consultations. For the health center in a city, it serves ∼107,000 medical consultations and 16,700 pediatric consultations/year. In the last scenario, a group of health centers in a rural area serve an average 437.08 consultations/month and around 15.6 a day.



Each one of the solutions proposed shares common features including the following: secure authentication through smart cards, the use of StorageGRID technology, and load balancers. For all cases, the cloud is private and the estimated price of the solution would cost around 450 €/month.



Thanks to the research conducted in this work, it has been possible to provide an adapted solution in the form of a telecardiology service for a hospital, city health center, and rural health centers that offer security, privacy, and robustness, and is also optimum for a large number of cloud requests.
1 Department of Signal Theory and Communications, and Telematics Engineering, University of Valladolid , Valladolid, Spain .
Isabel
I
de la Torre-Díez
2 DeustoTech, Deusto Foundation , Bilbao, Spain .|3 Faculty of Engineering, University of Deusto, Bilbao , Spain .
Begoña
B
Garcia-Zapirain
1 Department of Signal Theory and Communications, and Telematics Engineering, University of Valladolid , Valladolid, Spain .
Miguel
M
López-Coronado
4 National Institute of Telecommunications (Inatel) , Santa Rita do Sapucaí, Brazil .|5 Instituto de Telecomunicações, Universidade da Beira Interior , Covilhã, Portugal .|6 University of Fortaleza (UNIFOR) , Fortaleza, Brazil .|7 University ITMO , St. Petersburg, Russia .
Joel J P C
JJPC
Rodrigues
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016507:Cardiology Service, Hospital / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D019035:Rural Health Services / Q000592:standards* / Q000706:statistics & numerical data; D013030:Spain; D017216:Telemedicine / Q000379:methods* / Q000592:standards* / Q000706:statistics & numerical data; D019037:Urban Health Services / Q000592:standards* / Q000706:statistics & numerical data
cardiology/cardiovascular disease; e-health; telecardiology; telecommunications; telehealth; telemedicine