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Mobile Health pp 345–374Cite as

Interoperability and mHealth – Precondition for Successful eCare

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Part of the Springer Series in Bio-/Neuroinformatics book series (SSBN,volume 5)

Abstract

Background: Lately, the world’s biggest Professional Services company has recognized that mHealth is enabling and accelerating three major global trends in healthcare: regulatory reform driven by demographic changes, industrialization of the healthcare sector and personalized medicine. They have identified interoperability as a key enabler of scalable mHealth. Continua Health Alliance is a non-profit organization that globally certifies mobile health solutions. They publish interoperability guidelines for connecting health related devices. Unfortunately, the adoption of these guidelines has not been consistent.

Problem: We want to define a platform and a framework to support the development of different e&m-health interventions for various domains. The solution has to support sharing of information between interventions within the system and also with external systems in a standardized way.

Methodology: In the chapter we describe an approach towards interoperability that was achieved in several different aspects. First, the enterprise interoperability is supported by using IHE profiles.. Second, organizational interoperability is supported by use of BPMN2; and third, the semantic interoperability is supported by using OpenEHR, MLHIM and standard vocabularies.

Results: We built the platform that permits iterative incremental development process of new interventions. The developed interventions are fully interoperable within e&m-health environments. On the platform we deployed five different interventions that were also clinically tested. In this chapter we describe eDiabetes intervention in greater detail. Besides, we give guidelines on how to develop and deploy a new intervention.

Keywords

  • Interoperability Stack
  • Shared ontologies
  • OpenEHR
  • MLHIM
  • Care Model
  • Architecture Homogeneity
  • Intervention Design
  • eCare
  • SOA
  • Health Monitoring

Supported by the Public Research Agency of the Republic of Slovenia and Ministry of Health of the Republic of Slovenia.

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  • DOI: 10.1007/978-3-319-12817-7_16
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References

  1. Kumar, S., Nilsen, W., Pavel, M., Srivastava, M.: Mobile Health, Revolutionizing Healthcare Through Transdisciplinary Research. Computer (Long Beach Calif), 28–35 (January 2013)

    Google Scholar 

  2. Fiordelli, M., Diviani, N., Schulz, P.J.: Mapping mHealth research: a decade of evolution. J Med Internet Res 15:e95 (2013)

    Google Scholar 

  3. Current and future state of mhealth: PwC, http://www.pwc.com/gx/en/healthcare/mhealth/index.jhtml#&panel1-1 (accessed April 13, 2013)

  4. Dassisti, M., Goncalves, R., Molina, A., Noran, O., Panetto, H., Zdravković, M.: Sustainability and Interoperability: Two Facets of the Same Gold Medal. In: 8th Int. Work. Enterp. Integr. Interoperability Netw., pp. 250–261 (2013)

    Google Scholar 

  5. About Health Level Seven International, http://www.hl7.org/about/index.cfm?ref=common (accessed April 13, 2013)

  6. Browne, E.: Archetypes for HL7 CDA Documents (2008), http://www.openehr.org/wiki/download/attachments/3440870/Archetypes_in_CDA_4.pdf

  7. Beale, T., Heard, S.: OpenEHR Architecture Overview (2006), https://github.com/openEHR/specifications/raw/Release-1.0.1/publishing/architecture/overview.pdf

  8. CIMI Reference Model Report, Draft V 0.4 (May 2012), http://informatics.mayo.edu/CIMI/images/3/34/CIMI_Reference_Model_Takforce_Report_v0.5_May_2012.docx

  9. Noran, O., Panetto, H.: Modelling a sustainable cooperative healthcare: An interoperability-driven approach. In: Demey, Y.T., Panetto, H. (eds.) OTM 2013 Workshops 2013. LNCS, vol. 8186, pp. 238–249. Springer, Heidelberg (2013)

    CrossRef  Google Scholar 

  10. Blobel, B., Kalra, D., Koehn, M., Lunn, K., Pharow, P.: The Role of Ontologies for Sustainable. Semantically Interoperable and Trustworthy EHR Solutions, 953–957 (2009)

    Google Scholar 

  11. Boulos, M.N.K., Wheeler, S., Tavares, C., Jones, R.: How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX. Biomed Eng Online 10(24) (2011)

    Google Scholar 

  12. Zhou, F., Yang, H.-I., Álamo, J.M.R., Wong, J.S., Chang, C.K.: Mobile personal health care system for patients with diabetes. In: Lee, Y., Bien, Z.Z., Mokhtari, M., Kim, J.T., Park, M., Kim, J., Lee, H., Khalil, I. (eds.) ICOST 2010. LNCS, vol. 6159, pp. 94–101. Springer, Heidelberg (2010)

    CrossRef  Google Scholar 

  13. Pioggia, G.: Unobtrusive wearable multi-sensorial platform for remote monitoring of patients. In: 10th Int. Conf. Smart homes Heal. Telemat, June 12-15 (2012)

    Google Scholar 

  14. Doukas, C., Pliakas, T., Maglogiannis, I.: Mobile healthcare information management utilizing Cloud Computing and Android OS. In: Conf. Proc. IEEE Eng Med. Biol. Soc., pp. 1037–1040 (2010)

    Google Scholar 

  15. e-Oskrba - E-podpora procesa zdravstvene oskrbe, https://eoskrba.iam.upr.si/ (accessed December 20, 2013)

  16. Hissam, S.A., Russo, B., Mendonça Neto, M.G., Kon, F. (eds.): Open Source Systems: Grounding Research (2011), doi:10.1007/978-3-642-24418-6

    Google Scholar 

  17. Panetto, H., Cecil, J.: Information systems for enterprise integration, interoperability and networking: theory and applications. Enterp. Inf. Syst., 7:1–7:6 (2013)

    Google Scholar 

  18. Activiti BPM platform, http://www.activiti.org/

  19. Dehmoobad, A., Sartipi, K.: Minimized Domain Knowledge for SOA-Based Interoperability. 2008 IEEE Asia-Pacific Serv Comput Conf., 500–506 (2008)

    Google Scholar 

  20. Standards & Interoperability (S&I) Framework - NwHIN Portfolio and RHEx.png - Detail, http://wiki.siframework.org/file/detail/NwHIN+Portfolio+and+RHEx.png/342461254 (accessed August 5, 2013)

  21. Grilo, A.: Interoperability Framework, Theories and Models (2005), http://www.fines-cluster.eu/jm/Publications/Download-document/54-Interoperability-Frameworks-Theories-and-Models-Grilo.html

  22. Jardim-Goncalves, R., Grilo, A., Agostinho, C., Lampathaki, F., Charalabidis, Y.: Systematisation of Interoperability Body of Knowledge: the foundation for Enterprise Interoperability as a science. Enterp Inf. Syst. 7, 7–32 (2013)

    CrossRef  Google Scholar 

  23. Ostrom, E.: Understanding Institutional Diversity. Princeton University Press (2005)

    Google Scholar 

  24. Popplewell, K.: Towards a Scientific Foundation for Interoperability (2009), ftp://ftp.cordis.europa.eu/pub/fp7/ict/docs/enet/20090603-presentacion-charalabidis-goncalves-liapis-popplewell_en.pdf (accessed January 14, 2014)

  25. Murray, J.F., Pascoe, G.A.: Medical device interoperability (2012), http://www.aami.org/interoperability/Materials/MDI_1203.pdf

  26. Grütter, R.: Knowledge Media in Healthcare: Opportunities and Challenges, p. 296. IGI Global (2001)

    Google Scholar 

  27. Ritterband, L.M., Thorndike, F.P., Cox, D.J., Kovatchev, B.P., Gonder-Frederick, L.A.: A behavior change model for internet interventions. Ann Behav Med 38, 18–27 (2009)

    CrossRef  Google Scholar 

  28. Tate, D.F., Jackvony, E.H., Wing, R.R.: A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an Internet weight loss program. Arch Intern Med 166, 1620–1625 (2006)

    CrossRef  Google Scholar 

  29. Greist, J.H., Marks, I.M., Baer, L., Kobak, K.A., Wenzel, K.W., Hirsch, M.J., Mantle, J.M., Clary, C.M.: Behavior therapy for obsessive-compulsive disorder guided by a computer or by a clinician compared with relaxation as a control. J Clin Psychiatry 63, 138–145 (2002)

    CrossRef  Google Scholar 

  30. Wright, J.H., Wright, A.S., Albano, A.M., Basco, M.R., Goldsmith, L.J., Raffield, T., Otto, M.W.: Computer-assisted cognitive therapy for depression: maintaining efficacy while reducing therapist time. Am. J. Psychiatry 162, 1158–1164 (2005)

    CrossRef  Google Scholar 

  31. Van Gemert-Pijnen, J.E.W.C., Nijland, N., Van Limburg, A.H.M., Ossebaard, H.C., Kelders, S.M., Eysenbach, G., Seydel, E.R.: A holistic framework to improve the uptake and impact of eHealth technologies. J. Med. Internet. Res. 13, e111 (2011)

    Google Scholar 

  32. Murray, E.: Web-Based Interventions for Behavior Change and Self-Management: Potential. Pitfalls, and Progress. Med. 20, 1:e3 (2012)

    Google Scholar 

  33. Hawkins, R.P., Kreuter, M., Resnicow, K., Fishbein, M., Dijkstra, A.: Understanding tailoring in communicating about health. Health Educ. Res. 23, 454–466 (2008)

    CrossRef  Google Scholar 

  34. Meglic, M., Furlan, M., Kuzmanic, M., et al.: Feasibility of an eHealth Service to Support Collaborative Depression Care: Results of a Pilot Study. J. Med. Internet. Res. 12, e63 (2010)

    Google Scholar 

  35. Riper, H., Andersson, G., Christensen, H., Cuijpers, P., Lange, A., Eysenbach, G.: Theme issue on e-mental health: a growing field in internet research. J. Med. Internet. Res. 12, e74 (2010)

    Google Scholar 

  36. Tate, D.F., Finkelstein, E.A., Khavjou, O., Gustafson, A.: a, Khavjou O, Gustafson A Cost effectiveness of internet interventions: review and recommendations. Ann. Behav. Med. 38, 40–45 (2009)

    CrossRef  Google Scholar 

  37. Tabeling, P., Apfelbacher, R., Wappler, S.: Fundamental Modeling Concepts Metamodel (2003), http://www.fmc-modeling.org/download/metamodel/FMC-Metamodel_Explained.pdf

  38. Beale, T., Garde, S.: Openehr Knowledge governance (2010), http://www.mz.gov.si/fileadmin/mz.gov.si/pageuploads/eZdravje/Novice/gradiva_predstavitve_dogodkov/Open_EHR/3.dan/4_Governance.pdf

  39. Ahn, S., Huff, S.M., Kim, Y., Kalra, D.: Quality metrics for detailed clinical models. Int. J. Med. Inform. 82, 408–417 (2013)

    CrossRef  Google Scholar 

  40. Lenz, R., Reichert, M.: IT support for healthcare processes – premises, challenges, perspectives. Data Knowl. Eng. 61, 39–58 (2007)

    CrossRef  Google Scholar 

  41. Lopez, D.M., Blobel, B.G.M.E.: Blobel BGME Semantic interoperability between clinical and public health information systems for improving public health services. Stud Health Technol Inform 127, 256–267 (2007)

    Google Scholar 

  42. Plsek, P.E., Greenhalgh, T.: Complexity science: The challenge of complexity in health care. BMJ 323, 625–628 (2001)

    CrossRef  Google Scholar 

  43. Dalinghaus, W.R.: An Introduction to Reference Process Modeling in Healthcare. Master Thesis,Eindhoven University of Technology (2013)

    Google Scholar 

  44. Pajk, D., Indihar-Stemberger, M., Kovacic, A.: Reference model design: An approach and its application. In: Proc. ITI 2012 34th Int Conf. Inf. Technol. Interfaces (2012), doi: 10.2498/iti.2012.0419

    Google Scholar 

  45. Williams, J., Jackson, G., Powers, B., et al.: The Patient-Centered Medical Home. Closing the Quality Gap: Revisiting the State of the Science (2012), www.effectivehealthcare.ahrq.gov/reports/final.cfm

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Author information

Authors and Affiliations

  1. Faculty of Computer and Information Science (PhD Student), University of Ljubljana, Ljubljana, Slovenia

    Mate Beštek

  2. Faculty of Computer and Information Science, University of Ljubljana, Ljubljana, Slovenia

    Andrej Brodnik

  3. Department of Information Science and Technology, University of Primorska, Koper, Slovenia

    Andrej Brodnik

Authors
  1. Mate Beštek
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  2. Andrej Brodnik
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Correspondence to Mate Beštek .

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Editors and Affiliations

  1. Faculty of Science Engineering & Built Environment, School of Information Technology, Burwood, Victoria, Australia

    Sasan Adibi

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Beštek, M., Brodnik, A. (2015). Interoperability and mHealth – Precondition for Successful eCare. 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_16

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  • DOI: https://doi.org/10.1007/978-3-319-12817-7_16

  • Publisher Name: Springer, Cham

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