Table 1.
Analysis of the components of the different Entities Subsystems in the case of a Telehealth-based service for the follow-up and monitoring of patients treated with oral anticoagulant therapy (OAT) using PITES “Telehealth system” architecture [9]. The entries in the rows correspond to the entities subsystems, while the entries in columns display the characteristics of the different Components
| Subsystems | Components | |||||
|---|---|---|---|---|---|---|
| People | Environment | Technology | Data | Processes | Organization | |
| Patient Entity |
Chronic patients treated with oral anticoagulant therapy (OAT). Advanced age |
Urban domicile Rural domicile Nursing home |
Mobile terminal GSM WAP SMS Coagulometer |
INR Reply Form Messages Text Voice |
Measuring and sending protocol WAP form SMS |
Madrid Regional Health System (SERMAS) |
| Health Professional Entity | General Practitioner (GP) | Medical Office |
PC Fixed and mobile Internet connection Software application |
TWD Patient folder Evolution curves Alerts Medication Statistics |
Care Protocol | Primary Care Madrid Regional Health System (SERMAS) |
| Interventions Management Entity |
Nursing, Sociology, Psychology Technicians |
Office |
PC LAN Internet Connection Fixed and mobile telephony Multimedia |
Patient directory Planning Timetables Statistics Verbal communications Training materials |
Protocols and guidelines supervision Patient education Help Desk Quality control |
Carlos III Health Institute. Telemedicine Research Unit |
| External Resource Entity | Formal Caregiver | Nursing home |
Mobile terminal GSM WAP SMS Coagulometer |
INR Reply form |
Caregiver Protocol Caregiver training |
Nursing Home Pozuelo (Madrid) |
| Healthcare Information Entity | Health computing professionals | Research Office |
Computer equipment Middleware |
Patient Telehealth Records (PTHRS) Patient ID |
Patient Telehealth Records (PTHRs) management Data security Technical and semantic communication interoperability with EHR |
Carlos III Health Institute Telemedicine Research Unit |
| Technological Platform Entity | Technologists | ICT Centre |
Central station Web services Telecom Infrastructures |
All above + ICT management data |
Web Services design and implementation ICT Services provision |
Carlos III Health Institute Telemedicine Research Unit |
GSM Global System for Mobile Communications; WAP Wireless Application Protocol; SMS Short Message Service; INR International Normalized Ratio (INR) for coagulation testing; TWD Total Weekly Dose; PC Personal Computer; LAN Local Area Network; ICT Information and Communication Technologies; ID Digital Identification