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Abstract: Chittagong Metropolitan area is the second largest Cloud computing provides flexibility and reduces resource
city in Bangladesh. There are a lot of people who have burden on a single setting [2].
needed health information in time but not yet appropriate Cloud computing is boon for IT sector whether it is used in
online health information site at present. So, we were efficient and effective way. Despite knowing its advantages
designed a health information technology for Chittagong like no further dependency over server, cost effective, time
Metropolitan area based on cloud computing. Cloud saver, no inadequate manpower required, It also embedded
computing is the delivery of computing services over the the certain threats and risks, Basically in this research paper
internet. This health information technology provides most of included all possible those threats which occurred during the
the health information for the patient quickly. Our health processing on users end and suppliers end[3].
information technology examine approaches to the Chittagong is a major coastal seaport city and financial centre
organization, financing and delivery of health services and in southeastern Bangladesh. The city has a population of
the role of the main actors in health systems; describe the more than 2.5 million while the metropolitan area has a
institutional framework, process, content and population of over 6.5 million, making it the second largest
implementation of health and health-care policies; and city in the country. The Port of Chittagong is the largest
highlight challenges and areas that require more in-depth international seaport on the Bay of Bengal. It is the largest
analysis. This cloud can also be used to inform comparative base of the Bangladesh Navy. However, despite having a
analyses of health systems. We have tried to solve all the issue high and growing urban per capita GDP in South Asia and
by this Cloud computing system which is new technology for being one of the fastest growing cities in the world, it has a
Chittagong metropolitan area and suitable for any poverty rate of 11.3%, as of 2010. Chittagong is reputed as a
environment. We hope this system always be updated by relatively clean city, but still confronts substantial logistical
which user can view or use health information and services and socioeconomic problems.
to Chittagong metropolitan area people by online system. Health care is one of our basic needs. Every day you need
Keywords: Cloud Computing, Security standard, Cloud health related information. In order to provide health
service user, Cloud service provider, health information information to the people Bangladesh, government created e-
technology, Chittagong metropolitan, Bangladesh. info web portal. But there is none any specific on line health
portal for Chittagong .The Chittagong Medical College
1.1 Introduction Hospital is the largest state-owned hospital in Chittagong.
Cloud computing is a model for enabling convenient, on- The Chittagong General Hospital, established in 1901, is the
demand network access to a shared pool of configurable oldest hospital in the city. The Bangladesh Institute of
computing resources (e.g., networks, servers, storage, Tropical and Infectious Diseases (BITID) is based the city.
applications, and services) that can be rapidly provisioned and Other government-run medical canters in the city include the
released with minimal management effort or service provider Family Welfare Centre, TB Hospital, Infectious Disease
interaction [1]. Cloud services allow individuals use software Hospital, Diabetic Hospital, Mother and Children Hospital
and hardware that are managed by third parties at remote and the Police Hospital. Among the city's private hospitals
locations. Examples of cloud services include online file are the Chittagong Metropolitan Hospital, Surgiscope
storage, social networking sites, webmail, and online business Hospital, CSCR, Centre Point Hospital, National Hospital
applications. The cloud computing model allows access to and Mount Hospital Ltd.The location map of Chittagong
information and computer resources from anywhere that a metropolitan area is given below.
network connection is available. Cloud computing provides a
shared pool of resources, including data storage space,
networks, computer processing power, and specialized
corporate and user applications.
In order to provide effective and continuous community based
care delivery we need to coordinate care across complex
networks of providers and various data sources Cloud-based
approaches for health information technology(HIT) design
offer advantages over traditional HIT applications in that data
and functionality is available to multiple users and resources.
Fig 1: Chittagong metropolitan area.
1.2 Motivation of the work various client devices through a thin client interface such as a
Health care system is no longer confined within the hospital web browser (e.g., web-based email).
or clinic in the era of e-hospital. The environment of IT 2.1.2 Platform as a Service (PaaS): The capability provided
education could be improved to let patient access service to the consumer is to deploy onto the cloud infrastructure his
resources anywhere. Bangladesh Telemedicine centers are own applications without installing any platform or tools on
good example. The free software can be adopted for their local machines. PaaS refers to providing platform layer
constructing the cloud computing service for the environment resources, including operating system support and software
of IT like OpenOffice.org such as word processing, development frameworks that can be used to build higher-
spreadsheets, and presentations. Only a browser is needed for level services.
patient to connect to the cloud computing service.(i) Not yet 2.1.3 Infrastructure as a Service (IaaS):The capability
an appropriate health information Chittagong metropolitan provided to the consumer is to provision processing, storage,
area.(ii) A patient of Chittagong metropolitan area collects networks, and other fundamental computing resources where
health information not easily. (iii) The data is transmitted to the consumer is able to deploy and run arbitrary software,
database servers that organizes, indexes, and make it which can include operating systems and applications.
accessible through a database interface.
1.3 Objective
The objective of this paper is to configure cloud computing
with health information technology as software as a service
where medical and clinical information put on a private cloud
system, remotely login and retrieve own information or
provide remotely services and work from home or way
anywhere, every time.
1.4 Methodology
To demonstrate the viability of cloud computing for Fig 3: Cloud computing service model.
Chittagong metropolitan health information technology
(especially medical services for health) and its huge potential 3. Technical Components of Cloud Computing
benefits, an introduction was given in order to highlight the As shown in the Figure 1, key functions of a cloud
common medical services associated with having an IT management system is divided into four layers, respectively
infrastructure. Furthermore, a number of general information the Resources & Network Layer, Services Layer, Access
were provided to demonstrate the emerging popularity of Layer, and User Layer. Each layer includes a set of functions
cloud computing with some health information technology, and [7]:
more focus were applied on the recent experience of patients of The Resources & Network Layer manages the physical and
the Chittagong metropolitan area with cloud computing as a virtual resources.
case study. The Services Layer includes the main categories of cloud
services, namely, NaaS, IaaS, PaaS, SaaS/CaaS, the service
orchestration function and the cloud operational function.
The Access Layer includes API termination function, and
Inter-Cloud peering and federation function.
The User Layer includes End-user function, Partner
function and Administration function.
Health
care
Fig 2: systemcloud
architecture.
2.1 Types of cloud computing
Health care has been gradually expanded, and the health care
object has slowly turned to social staff. The health care method
from directly health care place to online is growing fast than
ever. An online health care system which helps has to take
service in any hour is an advance of learning using technology.
E-learning and online solution is what we required in health
care environment [4,5].
The cloud model provides three types of services [6]:
2.1.1 Software as a Service (SaaS): The capability provided
to the consumer is to use the providers applications running on
a cloud infrastructure. The applications are accessible from Fig 4: The Cloud Computing Components [7]
4. Cloud standards can provide for family member of any time for using this
Cloud computing, undoubtedly, has become the buzzword in system. Our main purpose electronically exchange health
the IT industry today. Looking at the potential impact it has on information by using cloud system.
numerous business applications as well as in our everyday life, 5.1 How to communicate health care from home
it can certainly be said that this disruptive technology is here to Patient communicates from home to health care easily.
stay. Many of the features that make cloud computing Patient using this health application communicate to his/her
attractive, have not just challenged the existing security doctor or hospital and he provided nursing.
system, but have also revealed new security issues [8]. Talk to the doctor.
The primary physician providing care for the person
To achieve interoperability among clouds and to increase their is a great place to start. Ask for recommendations of
stability and security, cloud standards are needed across home health providers that have experience caring
different standard developing organizations. For example, the for people with dementia.
current storage services by a cloud provider may be Use Medicare's online tool.
incompatible with those of other provider. In order to keep You can find and compare in this health care in your
their customers, cloud providers may introduce so called area through Medicare's online tool home health
sticky services which create difficulty for the users if they services.
want to migrate from one provider to the other, e.g., Amazons Use our Community Resource Finder.
S3 is incompatible with IBMs Blue Cloud or Google storage. Search for home care services near you by using
There are currently a large number of standards bodies with online community clinic.
different interests, e.g. IEEE Cloud Computing Standard Study Call
Group [9], ITU Cloud Computing Focus Group [10], Cloud By your cell phone call 16263 provide services from
Security Alliance (CSA), Distributed Management Task Force a doctor.
[11], Storage Networking Industry Association [12], Open
Grid Forum [13], Open Cloud Consortium [14] and
Organization for the Advancement of Structured International
Journal on Cloud Computing: Services and Architecture
(IJCCSA) ,Vol.3, No.4, August 2013 Information Standards
[15], and so forth. To promote the wide use of cloud
computing, these standards bodies need to sit down and work
together to establish common standards. Possible Inter-
cloud standards in the following domains are needed to
increase cloud interoperability and free data movement among
clouds:
Network architecture,
Data format,
Metering and billing, Fig 5: How to communicate health care to cloud.
Quality of Service,
Resource provisioning, 6. Health care Design and Implementation.
Security, identity management and privacy. A Cloud-computing service that will let healthcare and
As stated, there are many general computing standards that hospital build custom private clouds that can be integrated
may be reused in the cloud, but for the moment, there are to into public cloud services. Three main factors interests in
our knowledge no dedicated cloud standards. This may add to Cloud Computing rapid decrease in hardware cost and
the confusion for cloud users [16], and is something which increase in computing power and storage capacity, and the
must be addressed in the future. advent of multi-core architecture and modern supercomputers
consisting of hundreds of thousands of cores. The
5. Health care information technology exponentially growing data size in scientific
Health Information Exchange can be defined as the electronic instrumentation/simulation and Internet publishing and
sharing of health-related information among organizations that archiving and the wide-spread adoption of Services
provide services to enable the electronic sharing of patient Computing and Web 2.0 applications. For example, a health
health information. The ability to exchange health information care patient taking a doctor cold solution could access a
electronically is at the foundation of efforts to improve health cloud from his or her door room, to obtain a physical or
care quality and safety which has inspired increased virtual server with the necessary storage and a copy of Maple
government funding and incentive opportunity in this area. The software running on it to use for service or solution.
Health Information Technology Economic and Clinical Health Likewise, an elementary medical doctor could access the
include a lot of Money in Medicare and Medicaid incentive same cloud to request one virtual machine for each of his or
payments to providers and hospitals for the meaningful use of her patient running Maple software, as part of his or her
certified health information technology products. The health medical room instructional activities
information technology can reduce time and cost of user and
6.2 .1Signup Page Fig 9: Main page for Chittagong health information
Without registration no one can access our system. When user technology system.
have got our home page they might have completed their
registration by using the following sign up page and after that 6.3 .4 Health Information pageThis Health information
they can access full information in this web site. page is made for user to get the specific information which is
given in cloud.