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Journal of Medical Systems

Erschienen in:

01.01.2016 | Mobile Systems

Development of a Multi-Agent m-Health Application Based on Various Protocols for Chronic Disease Self-Management

verfasst von: Hyun Sang Park, Hune Cho, Hwa Sun Kim

Erschienen in: Journal of Medical Systems | Ausgabe 1/2016

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Abstract

The purpose of this study was to develop and evaluate a mobile health application (Self-Management mobile Personal Health Record: “SmPHR”) to ensure the interoperability of various personal health devices (PHDs) and electronic medical record systems (EMRs) for continuous self-management of chronic disease patients. The SmPHR was developed for Android 4.0.3, and implemented according to the optimized standard protocol for each interface of healthcare services adopted by the Continua Health Alliance (CHA). That is, the Personal Area Network (PAN) interface between the application and PHD implements ISO/IEEE 11073-20,601, 10,404, 10,407, 10,415, 10,417, and Bluetooth Health Device Profile (HDP), and EMRs with a wide area network (WAN) interface implement HL7 V2.6; the Health Record Network (HRN) interface implements Continuity of Care Document (CCD) and Continuity of Care Record (CCR). Also, for SmPHR, we evaluated the transmission error rate between the interface using four PHDs and personal health record systems (PHRs) from previous research, with 611 users and elderly people after receiving institutional review board (IRB) approval. In the evaluation, the PAN interface showed 15 (2.4 %) errors, and the WAN and HRN interface showed 13 (2.1 %) errors in a total of 611 transmission attempts. Also, we received opinions regarding SmPHR from 15 healthcare professionals who took part in the clinical trial. Thus, SmPHR can be provided as an interconnected PHR mobile health service to patients, allowing ‘plug and play’ of PHDs and EMRs through various standard protocols.

World Health Organization. Noncommunicable Disease Country Profiles. Available from: http://apps.who.int/iris/bitstream/10665/128038/1/9789241507509_eng.pdf

Organization for Economic Cooperation and Development. Health Care Quality Review: Korea Assessment and Recommendations. Available: http://www.oecd.org/korea/49818570.pdf

Ministry of Health and Welfare. Korea National Health and Nutrition Examination Survey (KNHANES V-3). Available from: https://knhanes.cdc.go.kr/knhanes/index.do

Health Insurance Review & Assessment Service, National Health Insurance Service. 2011 National Health Insurance Statistical Yearbook. Available from: http://www.hira.or.kr/cms/open/04/02/03/01/__icsFiles/afieldfile/2012/12/10/2011.pdf

Trust for America’s Health. Prevention for a Healthier America: Investments in Disease Prevention Yield Significant Savings. Available from: http://healthyamericans.org/reports/prevention08/Prevention08.pdf

Trigo, J.D., Chiarugi, F., Alesanco, A., Martinez-Espronceda, M., Serrano, L., Chronaki, C.E., Escayola, J., Martinez, I., and Garcia, J., Interoperability in digital electrocardiography: Harmonization of ISO/IEEE ×73-PHD and SCP-ECG. IEEE Transactions on Information Technology in Biomedicine (TITB). 14(6):1303–1317, 2010.CrossRef

Bert, F., Giacometti, M., Gualano, M.R., and Siliquini, R., Smartphones and health promotion: a review of the evidence. Journal of Medical Systems. 38(1):1–11, 2014.CrossRef

Hu, N.Z., Lee, C.Y., Hou, M.C., and Chen, Y.L., A cloud system for mobile medical services of traditional Chinese medicine. Journal of Medical Systems. 37(6):1–13, 2013.CrossRef

Chiarini, G., Ray, P., Akter, S., Masella, C., and Ganz, A., MHealth technologies for chronic disease and elders: a systematics review. IEEE Journal on Selected Areas in Communications/Supplement. 31(9):6–18, 2013.CrossRef

10.

Tang, P.C., Ash, J.S., Bates, D.W., Overhage, J.M., and Sands, D.Z., Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. Journal of the American Medical Informatics Association. 13(2):121–126, 2006.PubMedPubMedCentralCrossRef

11.

Riegel, B., Moser, D.K., Anker, S.D., Appel, L.J., Dunbar, S.B., Grady, K.L., Gurvitz, M.Z., Havranek, E.P., Lee, C.S., Lindenfeld, J., Peterson, P.N., Pressler, S.J., Schocken, D.D., and Whellan, D.J., State of the science: promoting self-care in persons with heart failure: a scientific statement from the American heart association. Circulation. 120:1141–1163, 2009.PubMedCrossRef

12.

National Heart Foundation. Living well with chronic heart failure. Available from: http://www.heartfoundation.org.au/SiteCollectionDocuments/Living-well-with-chronic-heart-failure.pdf

13.

Dickstein, K., Cohen-Solal, A., Filippatos, G., McMurray, J.J., Ponikowski, P., Poole-Wilson, P.A., Stromberg, A., van Veldhuisen, D.J., Atar, D., Hoes, A.W., Keren, A., Mebazaa, A., Nieminen, M., Priori, S.G., and Swedberg, K., ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). European Journal of Heart Failure. 10(10):939–989, 2008.CrossRef

14.

Yasnoff, W.A., Humphreys, B.L., Overhage, J.M., Detmer, D.E., Brennan, P.F., Morris, R.W., Middleton, B., Bates, D.W., and Fanning, J.P., A consensus action agenda for achieving the national health information infrastructure. Journal of the American Medical Informatics Association. 11(4):332–338, 2004.PubMedPubMedCentralCrossRef

15.

McDonald, C.J., The barriers to electronic medical record systems and how to overcome them. Journal of the American Medical Informatics Association. 4:213–221, 1997.PubMedPubMedCentralCrossRef

16.

Chen, H.M., and Liou, Y.Z., Performance evaluation of continuity of care records (CCRs): parsing models in a mobile health management system. Journal of Medical Systems. 38(10):1–19, 2014.CrossRef

17.

Groupe Speciale Mobile Association. Touching lives through mobile health - Assessment of the global market opportunity. Available from: https://www.pwc.in/en_IN/in/assets/pdfs/publications-2012/touching-lives-through-mobile-health-february-2012.pdf

18.

Sha, K., Zhan, G., Shi, W., Lumley, M., Wiholm, C., and Arnetz, B., SPA: Smart Phone Assisted Chronic Illness Self-Management with Participatory Sensing. In Proceedings of the 2nd International Workshop on Systems and Networking Support for Health Care and Assisted Living Environments. 5(3):1–5, 2008.CrossRef

19.

ISO/IEEE 11073-20601. Institute of Electrical and Electronics Engineers. New York, NY: IEEE; 2010. “Health informatics – personal health device communication – part 20601: application profile – optimized exchange protocol” (online access http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue _detail.htm?csnumber = 54331)

20.

ASTM Standard E2369 - 05e1. ASTM International. West Conshohocken, PA: ASTM; 2005. “Standard Specification for Continuity of Care Record (CCR)” (online access http://www.astm.org/Standards/E2369.html)

21.

CDA implementation of ASTM E2369 – 05e1. Health Level Seven International. Ann Arbor, MI: HL7; 2007. “HL7 implementation guide: CDA release 2 – continuity of care document (CCD)” (online access http://www.hl7.org/implement/standards/product_brief.cfm?product_id=6)

22.

Lingxia, L., Chen, M., Rodrigues, J.J., Lai, X., and Vuong, S., A novel web-enabled healthcare solution on healthvault system. Journal of Medical Systems. 36(3):1095–1105, 2012.CrossRef

23.

Schnall, R., Cimino, J.J., and Bakken, S., Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV. International Journal of Medical Informatics. 81(8):549–555, 2012.PubMedPubMedCentralCrossRef

24.

Alsafadi, Y., Sheng, O.R.L., and Nartinez, R., Comparison of Communication Protocols in Medical Information Exchange Standards. Computer-Based Medical Systems 1994, Proceedings of the 7th IEEE Symposium:258–263, 1994.

25.

Kim, H.S., Cho, H., and Lee, I.K., Development of an electronic claim system based on an integrated electronic health record platform to guarantee interoperability. Healthcare Informatics Research. 17(2):101–110, 2011.PubMedPubMedCentralCrossRef

26.

ISO/IEEE 11073-10404. Institute of Electrical and Electronics Engineers. New York, NY: IEEE; 2010. “Health informatics – personal health device communication – part 10404: device specialization – pulse oximeter” (online access http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?Csnumber =54572)

27.

ISO/IEEE 11073-10407. Institute of Electrical and Electronics Engineers. New York, NY: IEEE; 2010. “Health informatics – personal health device communication – part 10407: device specialization – blood pressure monitor” (online access http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=54572)

28.

ISO/IEEE 11073-10415. Institute of Electrical and Electronics Engineers. New York, NY: IEEE; 2010. “Health informatics – personal health device communication – part 10415: device specialization – weighing scale” (online access http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=54310)

29.

ISO/IEEE 11073-10417. Institute of Electrical and Electronics Engineers. New York, NY: IEEE; 2010. “Health informatics – personal health device communication – part 10417: device specialization – glucose meter” (online access http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=61896)

30.

Health Device Profile. Bluetooth Special Interest Group. Kirkland, WA: Bluetooth SIG; 2012. “Health device profile (HDP) data exchange specifications” (online access https://www.bluetooth.org/en-us/specification/assigned-numbers/health-device-profile)

31.

ScalableLayout. Available from: https://github.com/ssomai/ScalableLayout

32.

Kim, H.S., Cho, H., and Lee, I.K., The Development of a Graphical User Interface Engine for the Convenient Use of the HL7 Version 2.x Interface Engine. Healthcare Informatics Research. 17(4):214–223, 2011.PubMedPubMedCentralCrossRef

33.

Lee, I.K., Cho, H., and Kim, H.S., Development of a Management Tool of CCD/CCR-centric Standard Clinical Document. Journal of Korean Institute of Intelligent Systems. 22(4):507–514, 2012.CrossRef

34.

A&D Medical. A&D UA-767 PBT-C. Available from: http://www.telemedicine.jp/product_ua767pbt-c.html

35.

A&D Medical. A&D UC-321 PBT-C. Available from: http://www.telemedicine.jp/product_uc321pbt-c.html

36.

Foracare. Fora D40d. Available from: http://www.foracare.com/Blood-Pressure-D40.html

37.

Nonin. Nonin Oynx 2 9560. Available from: http://www.nonin.com/Onyx9560

38.

Kyungpook university hospital. Public health medical service. Available from: http://public.knuh.kr/

39.

International Data Corporation. Smartphone OS Market Share. Available from: http://www.idc.com/prodserv/smartphone-os-market-share.jsp

40.

Mathur, A., Kvedar, J.C., and Watson, A.J., Connected health: a new framework for evaluation of communication technology use in care improvement strategies for type 2 diabetes. Current Diabetes Reviews. 3(4):229–234, 2007.PubMedCrossRef

41.

Jaana, M., and Pare, G., Home telemonitoring of patients with diabetes: a systematic assessment of observed effects. Journal of Evaluation in Clinical Practice. 13:242–253, 2007.PubMedCrossRef

42.

Livingston G., Parker K., and Fox S., Latinos Online, 2006–2009: Narrowing the Gap. Available from: http://pewhispanic.org/files/reports/119.pdf

Titel: Development of a Multi-Agent m-Health Application Based on Various Protocols for Chronic Disease Self-Management
verfasst von: Hyun Sang Park
Hune Cho
Hwa Sun Kim
Publikationsdatum: 01.01.2016
Verlag: Springer US
Erschienen in: Journal of Medical Systems / Ausgabe 1/2016
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI: https://doi.org/10.1007/s10916-015-0401-5

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