A completely decentralized workflow management system for the support of emergency telemedicine and patient monitoring

In this work we propose a completely decentralized workflow system, based on Peer to Peer (P2P) computing, in order to support the procedures followed a) when handling a patient in a hospital emergency health care department b) telemedicine services needed during emergency cases or during remote patient examination and monitoring. The proposed architecture is an addition to an already existing telemedicine system that enables telediagnosis and long, distance support during emergency and monitoring cases. The existing system is based on a client server architecture, which has dependability limitations as it depends on a single centralized machine. Dependability is a critical requirement for such cases; so the new proposed system addresses these limitations by facilitating operation and even when some peers are unavailable for any reason. Concluding, the system design has been completed successfully.