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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...
New use cases to extend the interoperability standard ISO/IEEE11073 (X73) were found during the development of recent specializations. These use cases expose the need of remote command and control extensions to allow managers to configure agents through the standard. This paper presents a proposal for an extension of remote control and configuration service able to standardize a general procedure...
The newest branch of the ISO/IEEE 11073 (X73) standard for Personal Health Devices (X73PHD), allow the development of interoperable personal health ecosystems. At the moment of this writing, more than 11 specializations have been successfully published by the Personal Health Device (PHD) Working Group (PHD WG). Nevertheless, some recent specializations at draft stage show the need for a procedure...
The storage and retrieval of digital ECGs in a standard-compliant way has been a key issue during the last decades. The SCP-ECG standard, one of the top efforts in this area, has been recently approved as part of the ISO/IEEE 11073 (x73) family of standards, a reference standard for medical device interoperability. For the Personal Health Device (PHD) version of the x73 standard several devices have...
This paper presents a novel implementation methodology of ISO/IEEE11073 standards for use in real monitoring platforms based on patterns paradigm. These monitoring platforms include several medical devices based on low voltage-low power microprocessors. As a proof of the concept, INTENSA project which aims to develop and evaluate a heart failure follow-up interoperable system including weigh scale,...
Interoperability among medical devices and compute engines in the personal environment of the patient, and with healthcare information systems in the remote monitoring and management process is a key need that requires developments supported on standard-based design. Even though there have been some international initiatives to combine different standards, the vision of an entire end-to-end standard-based...
Recent advances in biomedical engineering and continuous technological innovations in last decade are promoting new challenges, especially in e-Health environments. In this context, the medical devices interoperability is one of the interest fields wherein these improvements require a standard-based design in order to achieve homogeneous solutions. Furthermore, the spreading of wearable devices, oriented...
Ambient assisted living and integrated care in an aging society is based on the vision of the lifelong Electronic Health Record calling for HealthCare Information Systems and medical device interoperability. For medical devices this aim can be achieved by the consistent implementation of harmonized international interoperability standards. The ISO/IEEE 11073 (x73) family of standards is a reference...
There is a need to develop open sensors and middleware components that allow transparent integration and plug-and-play interoperability of Medical Devices (MDs) and Computer Engines (CEs). The use of standards seems to be the internationally adopted way to solve these problems and allow implementing ubiquitous solutions, including wearable devices, focused on the new paradigm of Personal Health (p-Health)...
Continuous technological innovations are bringing new opportunities to healthcare applications. Although these improvements apply to most of its different fields, outstanding results are being achieved in medical devices interoperability, oriented to ubiquitous solutions including wearable devices, focused to the new paradigm of personal health (p-health). These evolutions can improve the quality...
Advances in information and communication technologies, ICT, are bringing new opportunities in the field of middleware systems oriented to ubiquitous environments and wearable devices used for patient telemonitoring. At a time of such challenges, this paper arises from the need to identify robust technical telemonitoring solutions that are both open and interoperable in home or mobile scenarios. These...
This article describes the optimization of a patient telemonitoring platform based on the ISO/IEEE11073 (X73) standard to enable medical device interoperability. In order to achieve this, principal advantages and remaining improvements are evaluated to include in further upgrades towards the new profile evolution, oriented to ubiquitous environments and wearable devices (Personal Health Devices, X73-PHD),...
This paper explains the challenges encountered during the ISOfiEEE 11073 standard implementation process. The complexity of the standard and the consequent heavy requirements, which have not encouraged software engiueers to adopt the standard. The developing complexity evaluation drives us to propose two possible implementation strategies that cover almost all possible use cases and eases handling...
Remote patient monitoring in e-Health is everyday closer to be a mature technology/service. However, there is still a lack of development in areas such as standardization of the sensor's communication interface, integration into electronic healthcare record systems or incorporation in ambient-intelligent scenarios. This work identifies a set of use cases involved in the personal monitoring scenario...
This paper presents a proof-of-concept design of a patient monitoring solution for Intensive Care Unit (ICU). It is end-to-end standards-based, using ISO/IEEE 11073 (X73) in the bedside environment and EN13606 to communicate the information to an Electronic Healthcare Record (EHR) server. At the bedside end a plug-and-play sensor network is implemented, which communicates with a gateway that collects...
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