Design and Implementation of Mobile Health
Consultation between Doctors and Diabetes
Patient
David P Irsan Jaya Simarmata
Student in School of Electric and Information
Technology
Bandung Institute of Technology
Bandung, Indonesia
dav3_br4k3@yahoo.com
Abstract In general, consultation among doctor and
patient is done by the patient went to the doctor in real
situation. Therefore, patients must provide time and
cost to consult with a physician. Nowadays, everybody
can communicate with one another by use smart phone
through internet connection. Particularly in Indonesia,
nearly 54 % people use the internet and mostly of them
use the internet by phone or smart phone. Because this
phenomena, this research has purposed to designed
consultation system among doctor and patient by using
smart phone through internet connection. The
consultation can be done in anytime, anywhere since we
connect with internet connection. In this research, we
choose the specific patient. We pick diabetes patient
because in Indonesia, the number of diabetes patients
has the fourth highest ranking in the world according
from WHO database.
Keywords Mobile Internet; Consultation; Smart phone;
Diabetes
I. INTRODUCTION
A. Background
Currently the Internet is now accessible using a
mobile smart phone. According to research
conducted by Insight MarkPlus of 2161, mentioned
that the number of internet users in Indonesia in 2011
has reached 55 million people, showed an increase in
2010 which reaches 42 million. Mark Plus Insight
Research shows that average Internet users in
Indonesia access by using the smart phone and
notebook. Mobile Internet penetration in Indonesia is
at 57 percent. In terms of population data from
Suhono Harso Supangkat
Lecture in School of Electric and Information
Technology
Bandung Institute of Technology
Bandung, Indonesia
suhono@stei.itb.ac.id
Insight Mark Plus mentioned that currently there are
29 million mobile Internet users in Indonesia [1].
Advancement of mobile Internet penetration can
be used in the world of health, including the
relationship among doctor and patient. Doctor-patient
relationship is a very close relationship, cannot be
separated, where both these actors need one another.
Communication among doctor and patient can have a
positive impact for both parties if the communication
is done in continuity.
However, in Indonesia, some doctors felt they had
no enough time to talk with patients, so just ask if
that necessary. As a result, doctors may not have
enough information to make a diagnosis and
determine the further planning and action. Patient
point of view, most patients feel in a position lowers
in the presence of a doctor (superior - inferior), so the
fear of asking questions and telling stories or just
answer the questions according to the doctor [3].
B. Research Objective
The objective of this research is to produce a
design application that can help diabetic patients to
consult with a doctor by using mobile and can be
done anytime and anywhere. So, it gives a time
efficiency, distance efficiency and cost efficiency for
both parties.
II. BASIC THEORY
A. Knowledge of the relationship between doctor
and patient.
 Doctor and patient relationship is a relationship
that is closely related to each other. On the relation of
doctor and patient will be a process of information
exchange, where the patient will notifies the
complaint, the state of illness, what is perceived to
doctors, and doctors will give the reasons that cause
disease, and ways to cure this disease. This process is
called a consultation. Consultation will occurs when
the patient understands any changes or abnormal state
of health; as a result patients will find information
and help to get treatment for his health [2]. Doctor
and patient consultation process can be described
from the plot as follows:
Fig. 1 Consultation Process Flow[5]
B. Diabetes
Diabetes is a disease characterized by high blood
sugar levels. This happens because the body's
"shortcomings" of the hormone insulin, a substance
produced by the pancreas gland. High blood sugar
can always occur because of three things:
1) Can be caused by diseased pancreas cannot
produce insulin.
2) Insulin may also be due to the experiencing
barriers to employment
3) Or the worst case where the pancreas cannot
produce insulin at all.
Target or primary purpose of treatment of diabetes
mellitus:
1) Maintain health by controlling blood sugar.
2) Prevent and delay the occurrence of diabetic
complications.
In the blood sugar levels are always fluctuating
depending on the amount of food consumption.
Highest sugar content reached one hour after meals.
One hour after the meal, sugar in the blood will reach
the highest levels, normally not to exceed 180 mg per
100 cc of blood (= 180 mg / dl). A level of 180 mg /
dl is called the renal threshold. Kidney is the place
where urine made, may only hold the sugar when
levels are only up to that number. The kidneys cannot
retain the sugar if higher than the threshold value of
the kidney and the excess sugar will come out with
urine. It's called diabetes.
C. Mobile Web
Mobile Web as an application that used to gain
access the internet service through web browser that
connects to the internet connection or also can be said
as the access to the internet using browser-based
mobile devices, like smart phones or tablet computer
which is connected through the network without
wires. Some examples of the many mobile browsers
currently available:
1) Existing browsers on mobile devices.
For example: Android Browser, BlackBerry Browser,
Firefox for Mobile, Internet Explorer Mobile, Opera
Mobile, Safari, and others - others.
2) The previous browser must be installed first.
For example: Bolt Browser, Firefox for Mobile,
Opera Mini, Opera Mobile, Skyfire, and others -
others.
III. THE ARCHITECTURE SYSTEM E
DIABETES CONSULT
Designing application architecture refers to the
three-tier architecture model of client / server. This
architecture is structured into three main parts, the
client, application server and database server. The
architecture is designed to be viewed in the following
figure:
Fig. 2 Architecture System EDC
A Application Requirement

The Requirement of this application will be

explained with 4 categorized such as :

1. Diabetes Patient
The parameters that need to be analyzed by
the doctor with this application is:
- Glucose
Diabetic patients should alert with blood sugar
changes. The content of sugar in the blood has
to be always in check. Patient conditions will Fig. 5 Add Activity
get worse if the levels of sugar in the blood - Weight
high. The amount of sugar in the blood should Weights also have an influence on the stability
not exceed 180 mg / dl. Patient can add of blood sugar. Many diabetics are
glucose with specific time with this overweight. Patient can add weight.
application.

Fig. 6 Add Weight

2. Doctor
Fig. 3 Add Glucose User Interface for doctor will be like this :
- Blood Pressure
Condition of Blood pressure wills effects to
the patient. When blood pressure and blood
sugar gets high at the same time, this is make
diabetic patient will easily to get complication
with another disease. Patient can add blood
pressure.

100%

80%

60%

40%

20%

Fig. 4 Add Blood Pressure 0%

Jan Feb Mar Apr May Jun

- Activity
Diabetic patient will do activity for keep
maintaining the weight. Patient can add
Fig. 7 User Interface for Doctor
activity.
 The doctor will have PIN that only known by
him. So if patient want to be add the doctor, they
need the PIN that doctors has gave. They input that
PIN, and doctor will confirms that request.

3. Admin
Admin have the capability to update the
application and add the doctor. So this application
will be need cooperation among patient and doctor.

4. Others
The other feature of this applications are chart,
overview, setting, profile and diabetes FAQ.

IV. CONCLUSION
In this paper we have described a system
consultation architecture that we designed in order
make consultation more flexible. The feature of the
application has been represented with the need of
diabetes patient if they consult to a doctor in real life.
We are planning to carry out experiments using by
implementation of the application. We are test the
application and find the opinion about this
application. Last but not means last, in the future, this
application not only for diabetic patient, but with the
same architecture will be build for other disease, such
as, heart attack, stroke and the others disease.

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