Proposal of an ISO/IEEE11073 Platform for Healthcare Telemonitoring: Plug-and-Play Solution with new Use Cases

Remote patient monitoring in e-Health is everyday closer to be a mature technology/service. However, there is still a lack of development in areas such as standardization of the sensor's communication interface, integration into electronic healthcare record systems or incorporation in ambient-intelligent scenarios. This work identifies a set of use cases involved in the personal monitoring scenario and highlights the related features and functionalities, as well as the integration and implementation difficulties found when these are to be implemented in a system based on the ISO/IEEE11073 (X73) standard. It is part of a cooperative research effort devoted to the development of an end-to-end standards-based telemonitoring solution. Standardization committees are working towards adapting the X73 standard to this emerging personal health devices market and use case identification is essential to direct these revisions.

[1]  R J Kennelly,et al.  Improving acute care through use of medical device data. , 1998, International journal of medical informatics.

[2]  I. Piña,et al.  A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring. , 2000, American heart journal.

[3]  T D East,et al.  Computers in the ICU: panacea or plague? , 1992, Respiratory care.

[4]  William W. Stead,et al.  Review Paper: Integration and Beyond: Linking Information from Disparate Sources and into Workflow , 2000, J. Am. Medical Informatics Assoc..

[5]  R. Wootton,et al.  Introduction to Telemedicine , 1999 .

[6]  Luis Serrano,et al.  Standards for medical device communication: X73 PoC-MDC. , 2006, Studies in health technology and informatics.

[7]  L. Serrano,et al.  Towards e-Health Device Interoperability: The Spanish Experience in the Telemedicine Research Network , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[8]  V. Bufalino,et al.  Electronic health record systems: the vehicle for implementing performance measures. , 2005, The American heart hospital journal.

[9]  J. Lebak,et al.  Reconfigurable Point-of-Care Systems Designed with Interoperability Standards , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[10]  George Hripcsak,et al.  Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design. , 2002, Journal of the American Medical Informatics Association : JAMIA.

[11]  Jianchu Yao,et al.  A wearable point-of-care system for home use that incorporates plug-and-play and wireless standards , 2005, IEEE Transactions on Information Technology in Biomedicine.

[12]  B. Johnston,et al.  Outcomes of the Kaiser Permanente Tele-Home Health Research Project. , 2000, Archives of family medicine.

[13]  Y. Verbandt,et al.  A telemanagement system for home follow-up of respiratory patients , 1999, IEEE Engineering in Medicine and Biology Magazine.

[14]  Ignacio Martínez,et al.  Implementation of an end-to-end standard-based patient monitoring solution , 2008, IET Commun..

[15]  C. Meyer.  Visions of tomorrow's ICU. , 1993 .

[16]  P. Barie,et al.  Advances in critical care monitoring. , 1997, Archives of surgery.

[17]  Sally Wells,et al.  Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure , 2001, European journal of heart failure.

[18]  G. Hripcsak,et al.  Internet-based home asthma telemonitoring: can patients handle the technology? , 2000, Chest.

[19]  Silvia Jiménez-Fernández,et al.  Telemedicine Experience for Chronic Care in COPD , 2006, IEEE Transactions on Information Technology in Biomedicine.

[20]  Clement J. McDonald,et al.  Development of the Logical Observation Identifier Names and Codes (LOINC) vocabulary. , 1998, Journal of the American Medical Informatics Association : JAMIA.

[21]  H U Prokosch,et al.  Functions of an electronic health record. , 2002, International journal of computerized dentistry.

[22]  Steve Warren,et al.  Applying the ISO/IEEE 11073 Standards to Wearable Home Health Monitoring Systems , 2005, Journal of Clinical Monitoring and Computing.