Nationwide health information exchange (NHIE) continues to be a persistent concern for government agencies, despite the many efforts and the conceived benefits of sharing patient data among healthcare providers. Difficulties in ensuring global connectivity, interoperability, and concerns on security have always hampered the government from successfully deploying NHIE. By looking at NHIE from a fresh perspective and bearing in mind the pervasiveness and power of modern mobile platforms, this paper proposes a new approach to NHIE that builds on the notion of consumer-mediated HIE, albeit without the focus on central health record banks. With the growing acceptance of smartphones as reliable, indispensable, and most personal devices, we suggest to leverage the concept of mobile personal health records (PHRs installed on smartphones) to the next level. We envision mPHRs that take the form of distributed storage units for health information, under the full control and direct possession of patients, who can have ready access to their personal data whenever needed. However, for the actual exchange of data with health information systems managed by healthcare providers, the latter have to be interoperable with patient-carried mPHRs. Computer industry has long ago solved a similar problem of interoperability between peripheral devices and operating systems. We borrow from that solution the idea of providing special interfaces between mPHRs and provider systems. This interface enables the two entities to communicate with no change to either end. The design and operation of the proposed approach is explained. Additional pointers on potential implementations are provided, and issues that pertain to any solution to implement NHIE are discussed.
The process of collecting driving data and using a computational model to generate a safety score for the driver is known as driver behavior profiling. Existing driver profiles attempt to categorize drivers as either safe or aggressive, which some experts say is not practical. This is due to the "safe/aggressive" categorization being a state that describes a driver's conduct at a specific point in time rather than a continuous state or a human trait. Furthermore, due to the disparity in traffic laws and regulations between countries, what is considered aggressive behavior in one place may differ from what is considered aggressive behavior in another. As a result, adopting existing profiles is not ideal. The authors provide a unique approach to driver behavior profiling based on timeframe data segmentation. The profiling procedure consists of two main parts: row labeling and segment labeling. Row labeling assigns a safety score to each second of driving data based on criteria developed with the help of Malaysian traffic safety experts. Then, rows are accumulated to form timeframe segments. In segment labeling, generated timeframe segments are assigned a safety score using a set of criteria. The score assigned to the generated timeframe segment reflects the driver's behavior during that time period. Following that, the study adopts three deep-learning-based algorithms, namely, Deep Neural Network (DNN), Recurrent Neural Network (RNN), and Convolutional Neural Network (CNN), to classify recorded driving data according to the established profiling procedure, and selects the most suitable one for a proposed recognition system. Various techniques were used to prevent the classification algorithms from overfitting. Using gathered naturalistic data, the validity of the modulated algorithms was assessed on various timeframe segments ranging from 1 to 10 s. Results showed that the CNN, which achieved an accuracy of 96.1%, outperformed the other two classification algorithms and was therefore recommended for the recognition system. In addition, recommendations were outlined on how the recognition system would assist in improving traffic safety.
Road accidents are increasing every year in Malaysia, and it is always challenging to collect reliable pre-crash data in the transportation community. Existing studies relied on simulators, police crash reports, questionnaires, and surveys to study Malaysia's drivers' behavior. Researchers previously criticized such methods for being biased and unreliable. To fill in the literature gap, this study presents the first naturalistic driving study in Malaysia. Thirty drivers were recruited to drive an instrumented vehicle for 750 km while collecting continuous driving data. The data acquisition system consists of various sensors such as OBDII, lidar, ultrasonic sensors, IMU, and GPS. Irrelevant data were filtered, and experts helped identify safety criteria regarding multiple driving metrics such as maximum acceptable speed limits, safe accelerations, safe decelerations, acceptable distances to vehicles ahead, and safe steering behavior. These thresholds were used to investigate the influence of social and cultural factors on driving in Malaysia. The findings show statistically significant differences between drivers based on gender, age, and cultural background. There are also significant differences in the results for those who drove on weekends rather than weekdays. The study presents several recommendations to various public and governmental sectors to help prevent future accidents and improve traffic safety.