Une architecture integree pour des systemes d'information cliniques: Etude majeure en technologie robotique pour des soins a domicile, avec une etude mineure en oncologie

The context of this research is in support of autonomy for the elderly and includes the opportunity to use new technology, specifically a medium-size mobile robot employed as a telepresence platform allowing remote users to move, see, hear, and interact with patients at their homes. This new technology requires the development of an information system that will serve the overall care and help optimize the relationship between care and the elderly patient. To accomplish this, health informatics requires an integrative methodology to effectively combine different stakeholder perspectives into a fully functional information system. The principal objective of this research is to develop architecture for a teleoperated mobile robotic information system in the home health care context. A secondary objective will be to help evolve this newly designed methodological process into a more generalized methodology, applicable to other health care applications. This validation is undertaken by evaluating the transferability of the methodology utilised in the previous context by applying it to the design of an outpatient oncology clinic. The methodology is based on a descriptive business process analysis incorporating the Zachman Framework, validation iterations, and a method to develop system architecture. Applying this methodology to the teleoperated mobile robot yields a solid, integrative architecture consisting of ten use-case models. The net result of this endeavour is the specification of three interfaces: Health, Electronic Health Record and Teleoperation.