Cristina Miyata, Tereza Cristina Carvalho, Stewart Russell, Akira Kawaguchi


Wireless telemedicine is a new and evolving area in medical and health care systems, exploiting new developments in mobile telecommunication and multimedia technologies and their integration into new mobile health care delivery systems. A growing body of researchers and manufacturers are working to develop a new generation of wireless technology applications for the medical field. In industry and clinical practice, it is common to outsource services from non-core departments, such as Information Technology (IT) and financial support. Overall business performance depends on these outsourced services, therefore a contractual guarantee of outsourced service performance must be developed, which is then monitored by a Service Level Management (SLM) process. A rigorous approach is needed to specify SLM system architectures that are scalable, flexible, reliable and secure. This paper will discuss the establishment of architecture suitable for the evaluation and measurement of quality of services (QoS) for wireless telemedicine applications. We consider a case-study of a wireless diabetes information management system. The overall methodology and a stepwise specification approach based on the reference model for Open Distributed Processing (RM-ODP) is presented.


  1. Myers, B.A., Michael, B., Handheld Computing. IEEE Computer, 2003. 36(9).
  2. Lin, J.C., Applying Telecommunication Technology to Healthcare Delivery. IEEE EMB Magazine, 1999. 18(4): p. 28-31.
  3. Tacharka, S., Istepanian, R., Bansitas, K. Mobile EHealth: The Unwired Evolution of Telemedicine. in Proceedings of HealthComB. 2001. Italy.
  4. de Sonnaville, J.J., M. Bouma, L.P. Colly, W. Deville, D. Wijkel, and R.J. Heine, Sustained good glycaemic control in NIDDM patients by implementation of structured care in general practice: 2-year follow-up study. Diabetologia, 1997. 40(11): p. 1334-40.
  5. Fund, M.M., Patients as effective collaborators in managing chronic conditions, in Center for the Advancement of Health. 1999, Milbank Memorial Fund: New York.
  6. Pattichis, C.S., E. Kyriacou, S. Voskarides, M.S. Pattichis, R. Istepanian, and C.N. Schizas, Wireless telemedicine systems: An overview. IEEE Antennas and Propagation Magazine, 2002. 44(2): p. 143-153.
  7. Watchter, G., Hospital Unplugged: The Wireless Revolution Reaches Healthcare, retrieved from Telemedicine Information Exchange (TIE) Telemedicine 101 - Telemedicine Technology Topics:, on February 9, 2004, http://tie.telemed.org/telemed101/topics/wireless.pdf
  8. Chalmers D., S., M., A Survey of Quality of Service in Mobile Computing Environments, retrieved from IEEE Communications Surveys, on February 9, 2004, IEEE, http://www.consoc.org/livepubs/surveys/public/2q99is sue/sloman.html.
  9. Hu, F., Sharma, N.K., A Priority-determined Multi-Class Handoff Scheme with Guaranteed Mobile-QoS in Wireless Multimedia Networks, retrieved from IEEE Transactions on Vehicle Technology, on February 9, 2004, IEEE, http://www.ce.rit.edu/%7Efxheec/ieee_veh.pdf
  10. Lewis, L., Service level management for enterprise networks. 1999, Norwood: Artech House.
  11. Miyata, C.M., Becerra, J.L. An ODP Vision of QoS Management: An application in the SLM Architecture. in 1st International Conference on Software Engineering Research and Practice. 2003.
  12. Kawaguchi, A., Russell, S., Qian, G. Developing a Wireless Blood-Glucose Monitoring System: Concept and Practice. in 7th World Multiconference on Systemics, Cybernetics and Informatics (SCI2003). 2003. Orlando, Florida: IEEE.
  13. Vigersky, R.A., E. Hanson, E. McDonough, T. Rapp, J. Pajak, and R.S. Galen, A wireless diabetes management and communication system. Diabetes Technol Ther, 2003. 5(4): p. 695-702.
  14. Sadeghi, B., Knightly, E.W., Architecture and Algorithms for Scalable Mobile QoS, Wireless Networks 9, retrieved from Rice University, on February 27, 2004, http://wwwece.rice.edu/networks/papers/SaKnWinet03.pdf
  15. Kawaguchi, A., S. Russell, and G. Qian. Security Issues in the Development of a Wireless Blood-Glucose Monitoring System. in the 16th IEEE Symposium on Computer-Based Medical Systems. 2003. New York, NY.
  16. Parasuraman, A., L.L. Berry, and V.A. Zeithaml, SERVQUAL: A multiple-item scale for measuring customer perceptions of service quality. Journal of Retailing, 1988. 64(1): p. 12-40.
  17. Hill, N., Handbook for Customer Satisfaction Measurement. 1996.
  18. Vavra, T.G., Improving Your Measurement of Customer Satisfaction: A Guide to Creating, Conducting, Analyzing, and Reporting Customer Satisfaction Measurement Programs. 1997.

Paper Citation

in Harvard Style

Miyata C., Cristina Carvalho T., Russell S. and Kawaguchi A. (2004). WIRELESS TELEMEDICINE AND SERVICE LEVEL MANAGEMENT ARCHITECTURE SPECIFICATION . In Proceedings of the First International Conference on E-Business and Telecommunication Networks - Volume 1: ICETE, ISBN 972-8865-15-5, pages 70-78. DOI: 10.5220/0001399000700078

in Bibtex Style

author={Cristina Miyata and Tereza Cristina Carvalho and Stewart Russell and Akira Kawaguchi},
booktitle={Proceedings of the First International Conference on E-Business and Telecommunication Networks - Volume 1: ICETE,},

in EndNote Style

JO - Proceedings of the First International Conference on E-Business and Telecommunication Networks - Volume 1: ICETE,
SN - 972-8865-15-5
AU - Miyata C.
AU - Cristina Carvalho T.
AU - Russell S.
AU - Kawaguchi A.
PY - 2004
SP - 70
EP - 78
DO - 10.5220/0001399000700078