e-SCP-ECG Protocol: An Expansion on SCP-ECG Protocol for Health Telemonitoring-Pilot Implementation.

Standard Communication Protocol for Computer-assisted Electrocardiography (SCP-ECG) provides standardized communication among different ECG devices and medical information systems. This paper extends the use of this protocol in order to be included in health monitoring systems. It introduces new sections into SCP-ECG structure for transferring data for positioning, allergies, and five additional biosignals: noninvasive blood pressure (NiBP), body temperature (Temp), Carbon dioxide (CO(2)), blood oxygen saturation (SPO(2)), and pulse rate. It also introduces new tags in existing sections for transferring comprehensive demographic data. The proposed enhanced version is referred to as e-SCP-ECG(+) protocol. This paper also considers the pilot implementation of the new protocol as a software component in a Health Telemonitoring System.

Establishing telemedicine system to support urgent incidents around the borderline of Greece: implemented architecture and evaluation.

An evaluation of a wide area Telemedicine System (TS) designed for a country with singular geomorphology like Greece is presented. It targets to improve the outcome in emergency cases, by means of an early and specialized pre-hospital treatment. The TS makes use of modern technologies leading to the cooperation of 30 mobile medical units, 3 Telemedicine Coordination Centers and 7 Regional Teleconference Rooms. An adaptive protocol is used to reduce the data transmission time and the resources required for archiving. An automated network switching keeps the communication live in most cases while a telemedicine service co-ordinates all the co-operating endpoints, providing call and connection management, remote healthcare assistance, teleconference capabilities and real-time vital signs' transmission.

Dynamic biosignal management and transmission during telemedicine incidents handled by Mobile Units over diverse network types.

Early and specialized pre-hospital patient treatment improves outcome in terms of mortality and morbidity, in emergency cases. This paper focuses on the design and implementation of a telemedicine system that supports diverse types of endpoints including moving transports (MT) (ambulances, ships, planes, etc.), handheld devices and fixed units, using diverse communication networks. Target of the above telemedicine system is the pre-hospital patient treatment. While vital sign transmission is prior to other services provided by the telemedicine system (videoconference, remote management, voice calls etc.), a predefined algorithm controls provision and quality of the other services. A distributed database system controlled by a central server, aims to manage patient attributes, exams and incidents handled by different Telemedicine Coordination Centers (TCC).