Abstract
Advances in Information and Communication Technologies, ICT, are bringing new opportunities in the field of interoperable and standard-based systems oriented to ubiquitous environments and wearable devices used for digital homecare patient telemonitoring. It is hoped that these advances are able to increase the quality and the efficiency of the care services provided. Likewise they should facilitate a home monitoring of chronic, elderly, under palliative care or have undergone surgery, leaving beds in the Hospital for patients in a more critical condition. In any case telemonitored patients could continue to live in their own homes with the subsequent advantages as more favorable environment, less need for trips to the hospital, etc.
At a time of such challenges, this chapter arises from the need to identify robust technical telemonitoring solutions that are both open and interoperable in homecare scenarios. These systems demand standardized solutions to be cost effective and to take advantage of middleware operation and interoperability. Thus, a key challenge is to design a plug-&-play and standard-based platform that, either as individual elements or as components, can be incorporated in a simple way into different homecare environments, configuring Home and Personal Area Networks (HAN and PAN).
Nowadays, there is an increasing market pressure from companies not traditionally involved in medical markets, asking for a standard for Personal Health Devices (PHD), which foresee a vast demand for Ambient Assisted Living (AAL) and applications for ubiquitous-Health (u-Health). ISO/IEEE11073 (X73) standards is adapting from Intensive Unit Care (ICU) scope, focused on the Point-Of- Care (PoC), to Personal Health Devices (PHD), focused on ubiquitous environments, implementing high quality sensors, supporting wireless technologies (e.g. Bluetooth or Zigbee) and providing a faster and more reliable communication network resources. This X73-PHD version is adequate for the homecare challenge and might appear the best-positioned international standards to reach this goal.
In this chapter, a X73 compliant homecare platform, as a proof of concept, will be completely described explaining all steps implemented as well as tradeoffs needed for obtaining a working tool. Afterthat, both advances in PHD standardization and the evolution from PoC to PHD will be addressed. Finally, future trends and open points, according our knowhow, will be proposed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Stead, W.W., Miller, R.A., Musen, M.A., Hersh, W.R.: Integration and beyond: Linking information from disparate sources and into workflow. J. Am. Med. Inform. Assoc. 7(2), 135–145 (2000)
Pedersen, S., Hasselbring, W.: Interoperability for information systems among the health service providers based on medical standards. Inform. Forsch Entwickl 18(3-4), 174–188 (2004)
Kennelly, R.J.: Improving acute care through use of medical device data. Int. J. Med. Inform. 48(1-3), 145–149 (1998)
Sengupta, S.: Heterogeneity in health care computing environments. In: Proc. Annu. Symp. Comput. Appl. Med. Care, pp. 355–359 (1989)
Comiteé European Normalisation/TechnComm251 (CEN/TC251), http://www.cen.eu – http://www.cen.eu (Asoc. Española Normalización (AENOR/CTN139) (in Spain), http://www.aenor.es/desarrollo/inicio/home/home.asp ) (Accessed, August 2008)
DICOM. Digital Imaging and Communications in Medicine, http://medical.nema.org/ (accessed, September 2008)
HL7. Health Level Seven, Devices Special Interest Group, http://www.hl7.org/Special/committees/healthcaredevices/index.cfm (accessed, September 2008)
ENV13606CEN/TC251. Electronic Healthcare Record Communication. Parts 1, 2, 3 and 4, Pre-standard, http://www.medicaltech.org (accessed, September 2008)
Galarraga, M., et al.: Standards for medical device communication: X73 PoC-MDC. Stud. Health Technol. Inform. 121, 242–256 (2006); Integrating the Healthcare Enterprise, IHE, http://www.ihe.net/ (accessed, September 2008)
Continua Health Alliance web site, http://www.continuaalliance.org/home/ (Last access: 09/2008)
Yao, J., Warren, S.: Applying ISO/IEEE 11073 standards to wearable home health monitoring systems. J. Clin. Monit. Comput. 19(6), 427–436 (2005)
Warren, S., Lebak, J., Yao, J.: Lessons learned from applying interoperability and information exchange standards to a wearable point-of-care system. In: Conf. Proc. Transdisciplinary Conf. Distr. Diagn Home Healthcare (2006), doi:10.1109/DDHH.2006.1624807
Clarke, M., Bogia, D., Hassing, K., Steubesand, L., Chan, T., Ayyagari, D.: Developing a standard for personal health devices based on 11073. In: Conf. Proc. IEEE Eng. Med. Biol. Soc., 6175–6177 (2007)
Martinez, I., et al.: Implementation of an end-to-end standard-based patient monitoring solution. IET Commun. 2(2), 181–191 (2008)
ISO/IEEE11073 Point-of-Care Medical Device Communication standard (X73-PoC). Health informatics. [Part 1. Medical Device Data Language (MDDL)] [Part 2. Medical Device Application Profiles (MDAP)] [Part 3. Transport and Physical Layers], http://www.ieee1073.org , See also the previous standards: IEEE13734-VITAL and ENV13735-INTERMED of CEN/TC251, http://www.medicaltech.orgh (accessed September 2008)
ISO/IEEE11073 - Personal Health Devices standard (X73-PHD). Health informatics (P11073-00103. Technical report - Overview] (P11073-104xx.Device specializations) (P11073-20601.Application profile-Optimized exchange protocol), IEEE Standards Association webpage: http://standards.ieee.org/ (accessed, September 2008)
Martinez-Espronceda, M., et al.: Implementing ISO/IEEE 11073: Proposal of two different strategic approaches. In: Conf. Proc. IEEE Eng. Med. Biol. Soc., pp. 1805–1808 (2008)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Martínez-Espronceda, M. et al. (2009). Standard-Based Homecare Challenge. In: Yogesan, K., Bos, L., Brett, P., Gibbons, M.C. (eds) Handbook of Digital Homecare. Series in Biomedical Engineering. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01387-4_9
Download citation
DOI: https://doi.org/10.1007/978-3-642-01387-4_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-01386-7
Online ISBN: 978-3-642-01387-4
eBook Packages: EngineeringEngineering (R0)