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OpenTeleRehab was designed and implemented based on the following guiding principles:
A future system must be conceptualized and implemented with the needs of the end-users in mind. This means actors have the chance to participate in the design phase, test early, providing valuable feedback for definition and refinement.
The system should use a modular system design and micro-services architecture to make it easier to implement changes in the future
A thorough and stable implementation and early piloting are achieved incrementally through agile development. It assures strict orientation at business value and improves quality through regular development, validation and learning cycles
The information must be integrated and centralized ideally, in the cloud. This decreases vulnerability to local system failure, increases scalability and allows for wider access, process improvement and automation
Micro-Services Architecture
Micro-services, also known as the micro-services architecture, is an architectural style that structures an application as a collection of services that are highly maintainable and testable, loosely coupled, independently deployable and organized around business capabilities. See https://hidsi.atlassian.net/wiki/spaces/OpenTeleRehab/pages/8718218/Architecture+Details+and+Diagrams#Micro-services-Architecture .
OpenTeleRehab Modules
The OpenTeleRehab application is a combination of 3 different modules that interact with each other to support the delivery of telereheabilitation services. The first module is a web application for Administrators that can to manage the contents, users and system settings of the system. The second module is a web application for Therapists where they can manage their patients and their treatment plans. Lastly, the to manage patient accounts, design treatment plans, set up appointments and organize communication. The third module is a mobile application for Patients allowing them patients to access the tailor-made treatment plan plans and contact them for consultations.get in contact with therapists.
A satellite open-access web app, OpenTeleRehab Library, allows the public to access, review and contribute to a global telerehabilitation clinical library of contents (Exercises, Information and Education Materials and Questionnaires)
Admin Portal and Therapist Portal
Are web applications for organizational administrators and therapists who manage other users of the system and provide the clinical content to support therapists to create treatment plans for patients. These portals enables enable administrators and therapists to manage all content related to other modules. The frontend is developed using ReactJS and Google Material Design following an initial Figma Design prepared by HI. See Initial Figma Designs. The backend of the portal is developed separately and follow follows the micro-services architecture mentioned above that allows all three modules to connect to these micro-services independently. These micro-services uses use technologies like Laravel framework, Restful APIs, Identity and Access Management systems and other open-sourced third-party systems that can easily be integrated as a micro-service using Restful APIs.
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The Patient Mobile App is designed to assist allow patients to access the treatment plan designed by the therapist(s). It displays the scheduled activities for the day, appointments and the progress the patients have made. The activities are shown as easy-to-read cards that include exercises with pictures and instructions, questionnaires and feedback forms, and education and information materials that the patient can access. It also supports chat and call features that allow the patients to be in contact with their therapist(s). Patients can also manage their appointments with their therapiststherapist(s). The mobile app was developed using ReactNative and Google Material Design components that follows follow the initial Figma Design prepared by HI. See Initial Figma Designs. A kid-friendly theme for the mobile app was also developed.
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OpenTeleRehab Library
The OpenTeleRehab Library ( Library ) is a website where the public can view and search for telerehabilitation resources satellite open-access platform where telerehabilitation clinical contents (Exercises, Education Materials and Questionnaires) . These resources are categorized into different subjects and can be filtered by categories. Users that visit the website can also view translated versions of these resources.are publicly available. Visitors of the Library can add and contribute resources to the library. They can submit their own access, review and submit new clinical content. Submitted clinical content(s) (Exercises, Education Materials and Questionnaires telerehabilitation resources which ) are reviewed by a team of moderators. Once approved, the submitted resource clinical content(s) can be seen on the website.
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Admin and moderators can access the site’s backend platform. On this platform, they can add and/or remove user access, manage the resource categories, manage the available languages of the site, review and approve submitted resources and translations and manage the site’s other pages (home page, about us, terms and conditions and acknowledgement acknowledgment pages).
Technology Stack
Item | Technology | Comments |
|---|---|---|
Hosting |  | Amazon Web Services (AWS) provides a wide range of services with option to upscale the match with the peak demands.
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Operating system and webserver |  | Many |
microservices that were used (database, firewall, never-proxy, etc.) are available as SaaS and an operating system is not needed. In case we added extra services which requires an OS, our default and preferred OS is Ubuntu which has been used worldwide. | ||
Programming language and framework |  | Laravel: open-source PHP web application framework |
Databases |  | MySQL: open-source, well-maintained by community, frequent security fixes |