Remote examination by sending radiologic images, sending vital signals, textual and audio reports on the one hand, and giving instructions in text or voice or in special cases such as remote surgery by physician, cycle one. It constitutes telemedicine operations .
Information and communication technology has made tremendous changes in all economic, political, cultural and security sectors. One of these changes is in the area of health and wellness, with patient information storage systems, pharmaceutical information systems, treatment tracking systems, telehealth systems and patient admission systems .
Investigating services offered in the field of health, with the help of cyberspace, creates new concepts such as Tele-Health and Mobile Health Services (M-Health) . Accordingly, broadband-based services involve different devices that transmit and transmit data. Patients and doctors connect to a vast array of information through their mobile phones and exchange information. When the patient arrives at the doctor, he / she submits his / her electronic file to the physician by presenting his / her smart card to the physician and the physician reads the card information using a special device.
System of electronic health
The World Health Organization (WHO) has introduced eHealth as "the influence of information and communication technology to connect providers, patients and governments; to educate and inform health care professionals, managers, and recipients; to drive innovation." In providing care and management of the health system and to improve the health service system " . The broader definition of e-health includes the provision of health services and health information through the Internet and other related e-commerce technologies.
One of these is the electronic health record. Increasing expertise in health care and immigration and travel of people (for any medical, work, tourism, etc.) reasons has increased the dissociation and collapse of traditional health records and records . The Electronic Health Record contains health care information stored electronically throughout one's lifetime for the purpose of supporting better quality continuing care, education and research. In fact, the Electronic Health Record covers all the functions of a traditional file with better quality .
The countries most active in the field of electronic health are Canada, the United States and the United Kingdom, followed by Austria, Cuba, Finland, France, Germany, Italy and China. Funded and planned to advance, the priorities include:
Primarily Electronic Health Record (EHR) and Telemedicine ,
Secondly, the discussion of disease education and surveillance systems (DSS) and
Third, the Clinical Information System (CIS) and Information Exchange Standards
The Electronic Health Record is the most important and essential part of the electronic health field that has been dealt with in almost all the countries concerned. Also, the electronic health topics that have been taken so far in the world include medical emergency information systems, registration systems. (Special diseases), principles and rules, electronic prescription, insurance information system, laboratory information system, health smart card and pharmaceutical information system.
Health Smart Card , History of Disease in Patient's Pocket
Today, patients' health records are stored in computer systems and are referred to as electronic health records where the patient's health information is stored throughout his or her life from embryo to death.
Smart cards as a means of electronic health records known as a card ( Smart Card ) to the size of a credit card and a silicon chip is situated in a containing personal information and identity of the patient, medical history, medications recently Cures, allergies, vaccinations, illnesses and other essential information are needed for medical decisions. It is now widely used in the developed countries and every person has one of these cards.
Used in emergency departments, hospitals, offices, clinics and pharmacies, medical, critical and essential information is stored and stored so that physicians can access any patient's information as quickly as possible. And use them. These cards allow physicians and patients to pass through the paperwork phase and to access patient care much faster .
Telemedicine and live and video communication between patient and physician
One of the types of electronic health services is Dura Medicine. Telemedicine is a knowledge and communication tool that connects health centers and physicians to the patient. In fact, telemedicine is the use of electronic and digital technology to deliver medical and health care to patients who are away from the treatment center . Establishing a telemedicine network in large areas with low population density and in mountainous and arid regions, especially during unexpected events, will be essential. Other benefits include chronic disease control , diagnosis, treatment, control, follow-up and counseling and training.
Using video conferencing in telemedicine
Remote examination by sending radiologic images, sending vital signals, textual and audio reports on the one hand, and giving instructions in text or voice or in special cases such as remote surgery by physician, cycle one. It constitutes telemedicine operations .
The doctor by various devices such as patient vital signs minute information, data, blood pressure, respiratory function tests, ECG data, heart, lungs, abdomen and ... get and even through the live images can be Radiology and MRI, see the image of a tooth and ear and a picture of his skin diseases. In these ways, all the health-related components such as the patient with the medical center, the hospital with the hospital and the hospital with the specialist hospital will be linked, and even before the patient arrives at the hospital and in the ambulance, physical conditions such as heart rate can be Informed the hospital.
The types of telemedicine services are as follows:
1 . TeleConsulting: Currently the most widely used technology is medical consulting, which is easily performed both in Iran and elsewhere in the world .
2 . E-learning: In fact, distance education is the use of information technology tools in education and training which are among the benefits of reducing the time and cost of living and teaching space .
3.Tele monitoring : Posting medical images online or offline , critical video signals from the patient, are major methods of remote monitoring .
4. Providing home health care : Most people with cardiovascular disease and chronic respiratory disorders need this care .
5.Tele Surgery : Doing medical surgery without direct physician contact with the patient during surgery. This surgery can be performed in a variety of ways, including the use of teleoperative heart surgery, in which the robotic technique can be further utilized by information technology. Observed .
. Teleradiology: Imaging technologies play a major role in diagnosis, treatment and recovery. Ultrasound scanners, small cameras used in arthritis and diagnostics, pathology and radiology tests, and brain scans are just a few of the technologies that can be done with telemedicine.