Journal of Internet Computing and Services (인터넷정보학회논문지)

Korean Society for Internet Information (한국인터넷정보학회)
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Implementation of Service Model to Exchange of Biosignal Information based on HL7 Fast Health Interoperability Resources for the hypertensive management

고혈압 관리를 위한 헬스레벨 7 FHIR 기반 생체정보 교환 서비스 모델 구현

  • Cho, Hune (Dept. of Medical Informatics, Kyungpook National Univ.) ;
  • Won, Ju Ok (Dept. of Medical Informatics, Kyungpook National Univ.) ;
  • Hong, Hae Sook (College of Nursing, Kyungpook National Univ.) ;
  • Kim, Hwa Sun (Dept. of Medical Information Technology, Daegu Haany Univ.)
  • Received : 2014.01.27
  • Accepted : 2014.04.01
  • Published : 2014.06.30
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Abstract

Hypertension is one of the major causes of death in the world as it is related with cardiovascular or cerebrovascular disease, so it is needed to provide continuos management for blood pressure. This study selected Health Level 7 Fast Health Interoperability Resources (HL7 FHIR) as a bio-signal data exchange service model that can provide constant blood pressure management in the rapidly growing mobile health care environment. The HL7 FHIR framework developed communicates with the IEEE 11073-10407 Personal Health Device (PHD) protocol through the bluetooth Health Device Profile (HDP) between the manager (smart phone) and the agent (hemomanometer) and acquires information about blood pressure. According to the test results, it performed its tasks successfully including hypertension patients' blood pressure monitoring, management on measured records, generation of document, or transmission of measured information. Because in the actual, clinical environment, it is possible to transmit measured information through the TCP/IP protocol, it will be needed to conduct constant research on it and vitalize it in the field of mobile health care afterwards.

고혈압은 전 세계의 심혈관 및 뇌혈관 질환의 중요한 사망 원인으로서 지속적인 혈압관리가 필요하다. 본 연구에서는 급성장하고 있는 모바일 헬스케어 환경에서 지속적으로 혈압 관리를 받을 수 있는 생체정보 교환 서비스 모델로서 HL7 FHIR을 선택하였다. 개발한 HL7 FHIR 프레임워크는 매니저(스마트폰)과 에이전트(혈압계) 간에 블루투스 헬스기기 프로파일과 통하여 IEEE 11073-10407 PHD 프로토콜로 통신하여 혈압정보를 획득한다. 테스트 결과 고혈압 환자의 혈압 모니터링, 측정기록관리, 문서 생성, 측정정보전송을 성공적으로 수행하였다. 실제 임상환경에서는 TCP/IP 프로토콜을 통해 측정정보를 전송할 수 있으므로 모바일 헬스케어에서 지속적인 연구와 활성화가 기대된다.

Keywords

References

  1. World Health Organization, htp://www.who.int.
  2. World Health Organization. Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risk. p.1-7, World Health Organization, 2009.
  3. P. M. Kearney, M. Whelton, K. Reynolds, P. Muntner, P. K. Whelton, J. He, "A global burden of hypertension: analysis of worldwide data", The Lancet, Vol. 365, No. 9455, pp. 217-223, 2005. https://doi.org/10.1016/S0140-6736(05)17741-1
  4. A. Alwan, D. R. MacLean, L. M. Riley, Edouard Tursan d' Espaignet, C. D. Mathers, G. A. Steven, D. Bettcher, "Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries", The Lancet, Vol. 376, No. 9755, pp. 1861-1868, 2010. https://doi.org/10.1016/S0140-6736(10)61853-3
  5. Statistics Korea, http://kostat.go.kr/portal/korea.
  6. J. M. Park, "Technological Issues for Body Information Monitoring", Korea Information and Communications Society, Vol. 38, No. 2, pp. 105-114, 2013.
  7. mHealth, http://en.wikipedia.org/wiki/MHealth.
  8. GlobalData. mHealth: Healthcare Goes Mobile, http://healthcare.globaldata.com/media-center/press-releases/medical-devices/mhealth-healthcare-goes-mobile.
  9. Healthcare Information and Management Systems Society, http://www.himssanalytics.org.
  10. Mobile Health Year in Review. http://histalkmobile.com/mobile-health-year-in-review.
  11. J. H. Jeon, J. P. Kim, A. S. Oh, "A Study on the Mapping Method of IEEE 11073 DIM/HL7 v3 RIM for Smart health-care", Korea Information and Communications Society, pp. 842-845, 2012.
  12. System and Method for Interchanging Medical Data Between Hospitals, http://www.kipris. or.kr.
  13. P. Gordon, E. Camhi, R. Hesse, M. Odlum, R. Schnall, M. Rodriguez, E. Valdez, S. Bakken, "Processes and outcomes of developing a continuity of care document for use as a personal health record by people living with HIV/AIDS in New York City", International Journal of Medical Informatics, Vol. 81, No. 10, pp. e63-73, 2012. https://doi.org/10.1016/j.ijmedinf.2012.06.004
  14. Standard of Next Generation HL7 FHIR, http://www.hl7.org/implement/standards/fhir/index.html.
  15. Introducing HL7 FHIR, http://www.hl7.org/implement/standards/fhir/fhir-summary.pdf.
  16. FHIR Specification-IFast Health Interoperability Resources v0.12, http://www.hl7.org/implement/standards/fhir/fhir-book.html.
  17. S. I. Kang, A. S. Oh, "A design and implementation of mobile healthcare system based on smart gateway", Korea Information and Communications Society, Vol. 16, No. 9, pp. 1970-1976, 2012. https://doi.org/10.6109/jkiice.2012.16.9.1970
  18. D. H. Kim, S. H. Kim, K. R. Cho, J. S. Cho, "u-DailyCare: Design and implementation of prevention and management service for chronic and adult disease", Korea Computer Congress, Vol. 39, No. 1, pp. 197-199, 2012.
  19. Blood Pressure Monitor Family Lite, http://nstore.naver.com/appstore/web/detail.nhn?productNo=591259#.
  20. Measurement Notebook, http://nstore.naver.com/appstore/web/detail.nhn?productNo=1041452.
  21. Microsoft HealthVault Personal health record system, https://www.health-vault.com/ kr/ko.
  22. Google Helalth Failure, http://chodooy.tistory.com/59.
  23. B. W. Genereaux, D. K. Dennison, "REST Enabling the Report Template Library", Journal of Digital Imaging, pp. 1-6, 2014.
  24. B. Duane, K. Sartipi, "HL7 FHIR: An Agile and RESTful approach to healthcare information exchange", Computer-Based Medical Systems (CBMS), pp.1-6, 2013.
  25. National Institute Health, http://www.nhlbi.nih.gov/guidelines/hypertension/express.pdf.
  26. Bluetooth Special Internet Group, Health Device Profile Specification. p.1-44, 2012.
  27. P. Bhagwat, "Bluetooth: Technology for short-range wireless", IEEE Internet Computing, Vol. 5, No. 3, pp. 96-103, 2001.
  28. The Institute of Electrical and Electronics Engineers. ISO/IEEE 11073-20601 Standard for Health Informatics-Personal Health Device Communication-Application Profile-Optimized Exchange Protocol. p.1-198, International Organization for Standardization/Institute of Electrical and Electronics Engineers, 2009.
  29. mHealth Trends and International Cases, http://info.khidi.or.kr/www/khidipob_trend_view.jsp?bbs=403&seq=710.
  30. Mobile Access to Health Documents (MHD), http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD).