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| Main Authors: | , , , , |
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| Format: | Preprint |
| Published: |
2025
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| Subjects: | |
| Online Access: | https://arxiv.org/abs/2507.15146 |
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| _version_ | 1866909697200619520 |
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| author | Romero, Sebastian A. Cruz Hernandez, Misael J. Mercado Rivera, Samir Y. Ali Fernandez, Jorge A. Santiago Beauchamp, Wilfredo E. Lugo |
| author_facet | Romero, Sebastian A. Cruz Hernandez, Misael J. Mercado Rivera, Samir Y. Ali Fernandez, Jorge A. Santiago Beauchamp, Wilfredo E. Lugo |
| contents | The design of medical systems for remote, resource-limited environments faces persistent challenges due to poor interoperability, lack of offline support, and dependency on costly infrastructure. Many existing digital health solutions neglect these constraints, limiting their effectiveness for frontline health workers in underserved regions. This paper presents a portable, edge-enabled Electronic Health Record platform optimized for offline-first operation, secure patient data management, and modular diagnostic integration. Running on small-form factor embedded devices, it provides AES-256 encrypted local storage with optional cloud synchronization for interoperability. As a use case, we integrated a non-invasive anemia screening module leveraging fingernail pallor analysis. Trained on 250 patient cases (27\% anemia prevalence) with KDE-balanced data, the Random Forest model achieved a test RMSE of 1.969 g/dL and MAE of 1.490 g/dL. A severity-based model reached 79.2\% sensitivity. To optimize performance, a YOLOv8n-based nail bed detector was quantized to INT8, reducing inference latency from 46.96 ms to 21.50 ms while maintaining mAP@0.5 at 0.995. The system emphasizes low-cost deployment, modularity, and data privacy compliance (HIPAA/GDPR), addressing critical barriers to digital health adoption in disconnected settings. Our work demonstrates a scalable approach to enhance portable health information systems and support frontline healthcare in underserved regions. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2507_15146 |
| institution | arXiv |
| publishDate | 2025 |
| record_format | arxiv |
| spellingShingle | Design of an Edge-based Portable EHR System for Anemia Screening in Remote Health Applications Romero, Sebastian A. Cruz Hernandez, Misael J. Mercado Rivera, Samir Y. Ali Fernandez, Jorge A. Santiago Beauchamp, Wilfredo E. Lugo Emerging Technologies Artificial Intelligence Computer Vision and Pattern Recognition Computers and Society Machine Learning Software Engineering The design of medical systems for remote, resource-limited environments faces persistent challenges due to poor interoperability, lack of offline support, and dependency on costly infrastructure. Many existing digital health solutions neglect these constraints, limiting their effectiveness for frontline health workers in underserved regions. This paper presents a portable, edge-enabled Electronic Health Record platform optimized for offline-first operation, secure patient data management, and modular diagnostic integration. Running on small-form factor embedded devices, it provides AES-256 encrypted local storage with optional cloud synchronization for interoperability. As a use case, we integrated a non-invasive anemia screening module leveraging fingernail pallor analysis. Trained on 250 patient cases (27\% anemia prevalence) with KDE-balanced data, the Random Forest model achieved a test RMSE of 1.969 g/dL and MAE of 1.490 g/dL. A severity-based model reached 79.2\% sensitivity. To optimize performance, a YOLOv8n-based nail bed detector was quantized to INT8, reducing inference latency from 46.96 ms to 21.50 ms while maintaining mAP@0.5 at 0.995. The system emphasizes low-cost deployment, modularity, and data privacy compliance (HIPAA/GDPR), addressing critical barriers to digital health adoption in disconnected settings. Our work demonstrates a scalable approach to enhance portable health information systems and support frontline healthcare in underserved regions. |
| title | Design of an Edge-based Portable EHR System for Anemia Screening in Remote Health Applications |
| topic | Emerging Technologies Artificial Intelligence Computer Vision and Pattern Recognition Computers and Society Machine Learning Software Engineering |
| url | https://arxiv.org/abs/2507.15146 |