Document-based service platform for telemedicine applications

Jaakko Lähteenmäki, Juha Leppänen, Hannu Kaijanranta, Kjell Nikus, Teppo Veijonen, Timo Laakko, Antti Nummiaho

    Research output: Contribution to journalArticleScientificpeer-review


    Telemedicine is gaining popularity due to its high potential for cost savings and increased efficiency in healthcare delivery. However, most telemedicine systems available in the markets are limited to particular applications and lack interoperability with other information systems and measurement devices. In this paper, we present a generic service platform, which is applicable in a wide range of telemedicine applications and in other areas involving the need for confidential information exchange. The platform particularly addresses the security challenges in the case when the information technology (IT) is outsourced to an external company. It also provides semantic interoperability by providing support to HL7 CDA R2 documents. The platform implementation, the PIR document service, is composed of software components for the health service provider, the IT service provider and the telemedicine customers. These include desktop, mobile and browser-based applications. The platform was tested in a tele-consultation trial where the Heart Centre of Pirkanmaa Hospital District offered cardiology consultation service for two remote health care units. The outcome of the test was positive. Both the Heart Centre cardiologists and the physicians of the remote units considered the benefits of the consultation service to be high. The consultation cases included refining cardiology diagnostics and medication as well as guidance for patient logistics. The physicians considered it feasible to use a commercial consultation service when available.
    Original languageEnglish
    Pages (from-to)10-17
    Number of pages8
    JournaleHealth International
    Issue number1
    Publication statusPublished - 2009
    MoE publication typeA1 Journal article-refereed


    • Telemedicine
    • eHealth
    • telekardiology
    • mobile health


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