=Paper=
{{Paper
|id=Vol-3142/PAPER_06
|storemode=property
|title=Methodology For Information Security, in the Process of Sending Biomedical Signals in Telemedicine Applications for Rural Areas
|pdfUrl=https://ceur-ws.org/Vol-3142/PAPER_06.pdf
|volume=Vol-3142
|authors=Wilver Auccahuasi,Lucas Herrera,Karin Rojas,Kitty Urbano,Edward Flores,Pedro Flores Peña,Yuly Montes Osorio,Christian Ovalle,Eddy Maguiña,Javier Flores,Sandra Meza,Francisco Hilario,Milner Liendo,Fernando Sernaque
|dblpUrl=https://dblp.org/rec/conf/wac3/AuccahuasiHRUFP22
}}
==Methodology For Information Security, in the Process of Sending Biomedical Signals in Telemedicine Applications for Rural Areas==
https://ceur-ws.org/Vol-3142/PAPER_06.pdf
Methodology For Information Security, in the Process of
Sending Biomedical Signals in Telemedicine Applications for
Rural Areas
Wilver Auccahuasia, Lucas Herrerab, Karin Rojasc, Kitty Urbanod, Edward Florese, Pedro
Flores Peñaf, Yuly Montes Osoriog, Christian Ovalleh, Eddy Maguiñai, Javier Floresj, Sandra
Mezak, Francisco Hilariol, Milner Liendom and Fernando Sernaquen
a, d
Universidad Privada del Norte, Lima, Perú
b
Universidad Continental, Huancayo, Perú
c
Universidad Tecnológica del Perú, Lima, Perú
e, i, j
Universidad Nacional Federico Villarreal, Lima, Perú
h
Universidad Autónoma de Ica, Ica, Perú
f
Universidad Nacional Mayor de San Marcos, Lima, Perú
g
Universidad ESAN, Lima, Perú
k
Universidad Científica del Sur, Lima, Perú
l, n
Universidad César Vallejo, Lima, Perú
m
Universidad Privada san Juan Bautista, Lima, Perú
Abstract
With the advancement of information and communication technologies, new ways of being
able to transmit information from remote places where they are technologically inaccessible
are being presented, these applications related to the health area, gain importance because in
areas with little access to technology and much more to mobile technology, it occurs in most
of the countries of South America, where due to the conditions of the Andes mountain range,
this work makes it very difficult to implement large-scale solutions. But the need for health
care cannot be ignored and much more when the population is at risk. This work proposes a
methodology to be able to transmit medical information safely and with integrity, and with it
biomedical signals, for solutions where telemedicine is applied, the methodology proposes a
communication protocol based on the ordering of information based on a priority structure
and XML modeling for sending and receiving, the result presented is an easy to implement
and scalable protocol depending on the complexity of the information to send and is not
linked to a particular telecommunication network, it can be implemented in telephone
networks and wireless networks of different architecture.
Keywords 1
Biomedical signal, telemedicine, sending, reception, protocol.
1. Introduction
One of the positive consequences of the COVID-19 pandemic, related to the use of information
and communication technologies, is related to the use of technology applied to medicine, medical
consultation services are carried out online, for In most specialties that are not related to COVID-19
[1], there are works where many experiences are presented in the use of teleconsultations [2],
WAI-2022: Workshop on Applied Computing, January 27 – 28, 2022, Chennai, India.
EMAIL: fsernaque@ucv.edu.pe (Fernando Sernaque)
ORCID: 0000-0003-1485-5854 (Fernando Sernaque)
©️ 2022 Copyright for this paper by its authors.
Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0).
CEUR Workshop Proceedings (CEUR-WS.org)
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presenting many configurations to improve the experience with the patient [3], many called
teleconsultation, remote care among other names [4] [5].
In the study of living beings, the analysis of biomedical signals is of vital importance, from any
type of record, in this task we find works where a radar signal is used to be able to discriminate the
functioning of the heart [6]. The most common and simple subjects for recording the biomedical
signal is the cardiac one, where by using an ECG recording the signal can be compressed for effects
that can be sent remotely [7]. In the evolution of m-Health, solutions are found with many sensors that
can record different types of biomedical signals, for the monitoring, diagnosis and treatment of
diseases [8]. Regarding the transmission of signals, it is not only the signal itself that is considered,
but the transmission medium through which the information is sent is also important, with two main
reasons, first the security of the information and second the integrity of the information, these two
aspects must be taken into account when carrying out communication protocols for sending
biomedical signals [9]. In the search for secure means of transmission, we found telephone networks
that, through their use, can transmit signals from anywhere on the planet, as long as we have a cell
phone connection [10].
In the present work we present a methodology for sending biomedical signals under a secure
communication protocol and with the main characteristic that is the integrity of the data by means of
an XML encoding.
2. Materials and Methods
The methodology presented is constituted by a series of previous steps from the acquisition of the
signal from the medical equipment, its processing and adaptation of the signal and the articulation
with the development of a protocol for the generation of a file that contains all patient information so
that it can be transmitted, received and interpreted by hospital information systems. The methodology
and its development are developed below.
Figure 1: Block Diagram of the Proposal
2.1. Acquisition of Biomedical Signals
The acquisition of biomedical signals is related to the recording and storage of the signals that
come from medical equipment. The recording can be done through the different communication
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interfaces that the medical equipment has to export the signals; these can be USB, RS232 among
others.
2.2. Pre Processing of Biomedical Signals
The processing of the information consists of being able to order the data from the saved record,
for which it is ordered according to an order: patient information, health center information and
location of the center, type of exam performed and date of the exam. According to the following
figure:
Figure 2: Record data
2.3. Generation of the Security Protocol on Sending of Biomedical Signal
To ensure the security of the information, it is necessary to carry out a validation process between
the transmitting and receiving device, for which a communication assurance mechanism must be
carried out by both parties, in such a way that we ensure the integrity of the information.
2.4. Sent of Biomedical Signals
The sending of the information is done through the XLM protocol, for which it is organized
according to the following order, as shown in the following figure:
Figure 3: Organization of the information to be transmitted
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2.5. Reception and Reconstruction of Signals
After receiving the XML file, the information is reconstructed in its initial state, for which the file
is taken and the information is generated, in order to feed the various systems such as the electronic
medical record.
2.6. Analysis and Visualization of Biomedical Signals
Having reconstructed the information, the following procedure consists in being able to exploit it,
for which it could be visualized in the different systems, with the intention of being able to close the
process; the exploitation of the information is a very important part in the process cycle of the
recording of biomedical signals.
3. Results
The results that are presented, after having implemented the methodology, are related to the
detailed description of the architecture, where it is explained from the registration of biomedical
signals to the visualization in a health center, indicating all the processes to be carried out, according
to the following image:
Figure 4: Conceptual Diagram of the Proposal
As a result of security, an example of the message content is presented in XML, with information
about the patient and the exam performed.
3.1. Message Content in XML
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Figure 5: Xml message content
4. Conclusion
The conclusions that we reached at the end of the investigation, as well as having implemented the
methodology, indicate portability through the use of the XLM protocol, for which it is necessary to
have both protocols implemented both in the transmission stage and in the reception stage.
Depending on the internal structure of the equipment and the communication mechanism that you
have, you can export the signals, an important requirement for the implementation of the
methodology, it is necessary to be able to export the signal in digital format.
We conclude that one of the results of the implementation, we managed to democratize health, for
this reason we developed the methodology to be able to bring health mechanisms to vulnerable
populations, with which the methodology can be applicable and scalable.
5. References
[1] Graf, C. (2020). Tecnologías de información y comunicación (TICs). Primer paso para la
implementación de TeleSalud y Telemedicina. Revista Paraguaya de Reumatología, 6(1), 1-4.
[2] Ardila Rodríguez, B. L., & Aponzá Sandoval, W. S. (2016). Diseño Funcional de los Protocolos
de Servicios de Teleconsulta, Componente de la Estructura Organizacional Propuesta para un
Nuevo Centro de Telesalud de la Universidad Distrital Francisco José de Caldas.
[3] Sánchez Sánchez, E. A. (2017). Consolidación de modelos de infraestructura y equipamiento
para servicios de telesalud en México.
[4] Catalán-Matamoros, D., & López-Villegas, A. (2016). La Telesalud y la sociedad actual: retos y
oportunidades. Revista Espanola de Comunicacion en Salud, 7(2).
[5] Lipszyc, O. S., Izquierdo, C. J., & Zaldivar, L. G. (2020). Telemedicina: servicios de salud y
TIC. Revista Cubana de Economía Internacional, 6(2), 60-81.
[6] V. F. Manoylov, J. N. Khomenko and N. F. Khomenko, "Biometric signal processing at radar
remote diagnostics of cardio-respiratory human activity," 2014 24th International Crimean
Conference Microwave & Telecommunication Technology, 2014, pp. 1049-1050, doi:
10.1109/CRMICO.2014.6959754.
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[7] Y. Wu, H. Wu and W. Chang, "Compressed domain ECG biometric identification using
JPEG2000," 2015 12th International Joint Conference on e-Business and Telecommunications
(ICETE), 2015, pp. 5-13.
[8] Shu-Di Bao, Yuan-Ting Zhang and Lian-Feng Shen, "Physiological Signal Based Entity
Authentication for Body Area Sensor Networks and Mobile Healthcare Systems," 2005 IEEE
Engineering in Medicine and Biology 27th Annual Conference, 2005, pp. 2455-2458, doi:
10.1109/IEMBS.2005.1616965.
[9] S. Bao, Z. He, R. Jin and P. An, "A compensation method to improve the performance of IPI-
based entity recognition system in body sensor networks," 2013 35th Annual International
Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2013, pp. 1250-
1253, doi: 10.1109/EMBC.2013.6609734.
[10] Y. E. Rivera Julio, "Design ubiquitous architecture for telemedicine based on mhealth Arduino
4G LTE," 2016 IEEE 18th International Conference on e-Health Networking, Applications and
Services (Healthcom), 2016, pp. 1-6, doi: 10.1109/HealthCom.2016.7749440.
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