Comparison and Analysis of ISO/IEEE 11073, IHE PCD-01, and HL7 FHIR Messages for Personal Health Devices
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Objectives: Increasing use of medical devices outside of healthcare facilities inevitably requires connectivity and interoperabilitybetween medical devices and healthcare information systems. To this end, standards have been developed and usedto provide interoperability between personal health devices (PHDs) and external systems. ISO/IEEE 11073 standards andIHE PCD-01 standard messages have been used the most in the exchange of observation data of health devices. Recently,transmitting observation data using the HL7 FHIR standard has been devised in the name of DoF (Devices on FHIR) andadopted very fast. We compare and analyze these standards and suggest that which standard will work best at the differentenvironments of device usage. Methods: We generated each message/resource of the three standards for observed vital signsfrom blood pressure monitor and thermometer. Then, the size, the contents, and the exchange processes of these messagesare compared and analyzed. Results: ISO/IEEE 11073 standard message has the smallest data size, but it has no ability tocontain the key information, patient information. On the other hand, PCD-01 messages and FHIR standards have the fieldsfor patient information. HL7 DoF standards provide reusing of information unit known as resource, and it is relatively easyto parse DoF messages since it uses widely known XML and JSON. Conclusions: ISO/IEEE 11073 standards are suitable fordevices having very small computing power. IHE PCD-01 and HL7 DoF messages can be used for the devices that need to beconnected to hospital information systems that require patient information. When information reuse is frequent, DoF is advantageousover PCD-01.
Abstract
Objectives: Increasing use of medical devices outside of healthcare facilities inevitably requires connectivity and interoperabilitybetween medical devices and healthcare information systems. To this end, standards have been developed and usedto provide interoperability between personal health devices (PHDs) and external systems. ISO/IEEE 11073 standards andIHE PCD-01 standard messages have been used the most in the exchange of observation data of health devices. Recently,transmitting observation data using the HL7 FHIR standard has been devised in the name of DoF (Devices on FHIR) andadopted very fast. We compare and analyze these standards and suggest that which standard will work best at the differentenvironments of device usage. Methods: We generated each message/resource of the three standards for observed vital signsfrom blood pressure monitor and thermometer. Then, the size, the contents, and the exchange processes of these messagesare compared and analyzed. Results: ISO/IEEE 11073 standard message has the smallest data size, but it has no ability tocontain the key information, patient information. On the other hand, PCD-01 messages and FHIR standards have the fieldsfor patient information. HL7 DoF standards provide reusing of information unit known as resource, and it is relatively easyto parse DoF messages since it uses widely known XML and JSON. Conclusions: ISO/IEEE 11073 standards are suitable fordevices having very small computing power. IHE PCD-01 and HL7 DoF messages can be used for the devices that need to beconnected to hospital information systems that require patient information. When information reuse is frequent, DoF is advantageousover PCD-01.
참고문헌 (20)
- Tang PC, "Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption", J Am Med Inform Assoc, 13(2), pp.121~126 (2006)[DOI]
- 도형호, "ISO", IEEE 11073 MDER(Medical Device Encoding Rules) 적용을 위한 ASN.1(Abstract Syntax Notation One) 변환기 구현, 2012, pp.10(4), 19~30[DOI]
- Institute of Electrical and Electronics Engineers, "IEEE Standard Computer Dictionary: a compilation of IEEE Standard Computer Glossaries 610", Institute of Electrical and Electronics Engineers, ~ (1991)
- International Organization for Standardization, "Health informatics-Point-of-care medical device communication-Part 20101: Application profiles-Base standard", International Organization for Standardization, ~ (2004)
- Yuksel M, "Interoperability of medical device information and the clinical applications: an HL7 RMIM based on the ISO", IEEE 11073 DIM, 2011, pp.15(4), 557~566
- [URL]
- [URL]
- [URL]
- Spronk R, "Transport Specification: MLLP, Release 1" (2003)
- [URL]
- Fielding RT, "Architectural styles and the design of network-based software architectures", pp.2000
- International Organization for Standardization, "Health informatics-Personal health device communication-Part 10407: Device specialization-Blood pressure monitor", International Organization for Standardization, ~ (2008)
- International Organization for Standardization, "Health informatics-Personal health device communication-Part 10408: Device specialization-Thermometer", International Organization for Standardization, 2008)~ (2008)
- International Organization for Standardization, "Health informatics-Personal health device communication-Part 20601: Application profile-Optimized exchange protocol", International Organization for Standardization, ~ (2014)
- [URL]
- Rhoads JG, "Medical device interoperability and the Integrating the Healthcare Enterprise (IHE) initiative", Biomed Instrum Technol, (Suppl), pp.21~27 (2010)
- [URL]
- Dolin RH, "HL7 document patient record architecture: an XML document architecture based on a shared information model", Proc AMIA Symp, 1999, pp.52~56 (1999)
- Clarke M, "Developing a standard for personal health devices based on 11073", Conf Proc IEEE Eng Med Biol Soc, 2007, pp.6175~6177 (2007)
- Clark J, "Associating stylesheets with XML documents 1.0" (2010), World Wide Web Consortium