Abstract
In recent years important advances have been made in the development of health care systems in specific areas owing to different uses and applications. One of the foremost advancements is the so-called mobile Health (mHealth), due to its potential social and economic impact. Within this scope, several technologies – such as smart phones and ultra-slim tablet-PCs, as well as low-voltage and low-power wireless sensor networks – provide telemonitoring services at home and ubiquitous support when they are strongly integrated. Therefore, the integration of international interoperability standards is, nevertheless, required for a regulated transmission of health information in mHealth scenarios. However, such implementation tends to increase the processing load and battery size in order to ensure its autonomy. To tackle this problem, different strategies are being tested in this set of mobile technologies which are aimed at providing a solution to such critical aspects. Another important aspect that should be addressed is the management of communication between different parts that constitutes the system. The new communication capabilities of smart phones enable the implementation of new techniques that improve data transmission from the mobile system to the telemonitoring center, facilitating the integration of Personal Health Devices (PHDs) with telemonitoring systems. This makes the system more accessible to the user.
This work highlights some new features of X73PHD and the benefits of using them. In addition, current needs to enhance the operational capacity of the different specializations of X73PHD are also shown, which include the definition of new remote command and control functionalities. These new management functions are being developed in order to allow any X73PHD-compliant manager to modify the operation of any X73PHD-compliant agent. This functionality could expand the technological boundaries of interoperable mHealth to healthcare services and improve Quality of Service (QoS) by providing remote configuration of medical devices to health professionals. The definition of this a new package extension for X73PHD involves the analysis of previous studies and related use cases, work which is currently being carried out within the PHD Working Group (PHD-WG), in which the authors are actively collaborating. Future lines include the proposal and adoption of the new extension remote command and control package, along with its application to other specializations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Poon, C., Gu, W., Zhang, Y.: Health informatics for low-cost and high-quality health care. In: 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2010, pp. 1755–1758 (2010)
Commission, E.: Mandate M/403: Standardization mandate addressed to CEN, CENELEC and ATSI in the field of information and communication technologies (2007) (last visit: September 2013)
Kun, L.: Interoperability: The cure for what ails us (government affairs). IEEE Engineering in Medicine and Biology Magazine 26(1), 87–90 (2007)
International Organization for Standardization, http://www.iso.org (last visit: September 2013)
Institute of Electrical and Electronics Engineers, http://standards.ieee.org/ (last visit September 2012)
GSM Association, Universal Access - How Mobile can Bring Communications to All, http://www.gsma.com/publicpolicy/wp-content/uploads/2012/03/universalaccessfullreport.pdf (last visit: September 2013)
Russell, A.L.: OSI: The Internet That Wasn’t. IEEE Spectrum (2013), http://spectrum.ieee.org/computing/networks/osi-the-internet-that-wasnt
Gardner, R., Hawley, W., East, T., Oniki, T., Young, H.-F.: Real time data acquisition: Recommendations for the Medical Information Bus (MIB). International Journal of Clinical Monitoring and Computing 8(4), 251–258 (1991)
ENV13734 - Health informatics. Vital signs information representation (VITAL), European Committee for Standardization, European Standard (1999)
ENV13735 - Interoperability of patient-connected medical devices (INTERMED), European Committee for Standardization, European Standard (1999)
ISO/IEEE health informatics - point-of-care medical device communication – part 10101: Nomenclature, ISO/IEEE 11073-10101:2004(E) (2004)
ISO/IEEE health informatics - point-of-care medical device communication – part 10201: Domain information model, ISO/IEEE 11073-10201:2004(E) (2004)
ISO/IEEE health informatics - point-of-care medical device communication – part 20301: Application profile - optional package, Remote Control ISO/IEEE 11073-10201:2004(E) (2004)
Taboada, J., Arcay, B., Arias, J.: Real time monitoring and analysis via the medical information bus, Part I. Medical and Biological Engineering and Computing 35(5), 528–534 (1997)
Anagnostaki, A., Pavlopoulos, S., Kyriakou, E., Koutsouris, D.: A novel codification scheme based on the VITAL and DICOM standards for telemedicine applications. IEEE Transactions on Biomedical Engineering 49(12), 1399–1411 (2002)
Clarke, M.: A reference architecture for telemonitoring. Studies in Health Technology and Informatics 103, 381–384 (2004)
Yao, J., Warren, S.: Applying the ISO/IEEE 11073 standards to wearable home health monitoring systems. Journal of Clinical Monitoring and Computing 19(6), 427–436 (2005)
Garguilo, J., Martinez, S., Rivello, R., Cherkaoui, M.: Moving toward semantic interoperability of medical devices. In: Proceedings - 2007 Joint Workshop on High Confidence Medical Devices, Software, and Systems and Medical Device Plug-and-Play Interoperability, HCMDSS/MDPnP (2007)
Martinez, I., Fernandez, J., Galarraga, M., Serrano, L., de Toledo, P., Jimenez-Fernandez, S., Led, S., Martinez-Espronceda, M., Garcia, J.: Implementation of an end-to-end standard-based patient monitoring solution. IET Communications 2(2), 181–191 (2008)
Stylianides, N., Dikaiakos, M., Gjermundrd, H., Panayi, G., Kyprianou, T.: Intensive care window: Real-time monitoring and analysis in the intensive care environment. IEEE Transactions on Information Technology in Biomedicine 15(1), 26–32 (2011)
Carroll, R., Cnossen, R., Schnell, M., Simons, D.: Continua: An interoperable personal healthcare ecosystem. IEEE Pervasive Computing 6(4), 90–94 (2007)
ISO/IEC/IEEE Health informatics - Personal health device communication - Part 20601: Application profile - Optimized exchange protocol, ISO/IEEE 11073-20601:2010(E), pp. 1–208 (January 2010)
ISO/IEEE Health informatics - Personal health device communication – Device specializations, ISO/IEEE 11073-10400
Egner, A., Moldoveanu, F., Goga, N., Moldoveanu, A., Asavei, V.: Enhanced communication protocol for ISO/IEEE 11073-20601. UPB Scientific Bulletin, Series C: Electrical Engineering 75(2), 3–16 (2013)
Martinez, I., Escayola, J., Martinez-Espronceda, M., Muñoz, P., Trigo, J., Muñoz, A., Led, S., Serrano, L., Garcia, J.: Seamless integration of ISO/IEEE 11073 personal health devices and ISO/EN13606 electronic health records into an end-to-end interoperable solution. Telemedicine Journal and E-Health: The Social Journal of the American Telemedicine Association 16(10), 993–1004 (2010)
Trigo, J., Chiarugi, F., Alesanco, A., Martinez-Espronceda, M., Serrano, L., Chronaki, C., Escayola, J., Martinez, I., Garcia, J.: Interoperability in digital electrocardiography: Harmonization of ISO/IEEE X73-PHD and SCP-ECG. IEEE Transactions on Information Technology in Biomedicine 14(6), 1303–1317 (2010)
Carot-Nemesio, S., Santos-Cadenas, J., De-Las-Heras-Quirs, P., Bustos, J.: Openhealth the openhealth OSS implementation of the ISO/IEEE 11073-20601 standard. In: Proceedings of the HEALTHINF 2010 - 3rd International Conference on Health Informatics, pp. 505–511 (2010)
Martinez-Espronceda, M., Martinez, I., Serrano, L., Led, S., Trigo, J., Marzo, A., Escayola, J., Garcia, J.: Implementation methodology for interoperable personal health devices with low-voltage low-power constraints. IEEE Transactions on Information Technology in Biomedicine 15(3), 398–408 (2011)
Ji, Z., Zhang, X., Ganchev, I., O’Droma, M.: A personalized middleware for ubiquitous mHealth services. In: 2012 IEEE 14th International Conference on E-Health Networking, Applications and Services, Healthcom 2012, art. no. 6379465, pp. 474–476 (2012)
Norgall, T., Wichert, R.: Towards interoperability and integration of Personal Health and AAL ecosystems. Studies in Health Technology and Informatics 177, 272–282 (2012)
Lasierra, N., Alesanco, Á., García, J.: An SNMP-based solution to enable remote ISO/IEEE 11073 technical management (2012)
Clarke, M., De Folter, J., Palmer, C., Verma, V.: Building point of care health technologies on the IEEE 11073 health device standards. In: IEEE EMBS Special Topic Conference on Point-of-Care (POC) Healthcare Technologies: Synergy Towards Better Global Healthcare, PHT 2013, art. no. 6461298, pp. 117–119 (2013)
ISO/IEEE health informatics - point-of-care medical device communication – part 10406: Basic Electrocardiograph," ISO/IEEE 11073-10406:2011(E) (2011)
ISO/IEEE health informatics - point-of-care medical device communication – part 10472: Medication Monitor. ISO/IEEE 11073-10472:2010(E) (2010)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Barrón-González, H.G., Martínez-Espronceda, M., Trigo, J.D., Led, S., Serrano, L. (2015). Recent Advances in mHealth: An Update to Personal Health Device Interoperability Based on ISO/IEEE11073. In: Adibi, S. (eds) Mobile Health. Springer Series in Bio-/Neuroinformatics, vol 5. Springer, Cham. https://doi.org/10.1007/978-3-319-12817-7_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-12817-7_17
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-12816-0
Online ISBN: 978-3-319-12817-7
eBook Packages: EngineeringEngineering (R0)