Di Giacomo Paola, Ricci Fabrizio L
Centro Interdipartimentale di Ricerca per l'Analisi dei Modelli e dell'Informazione nei Sistemi Biomedici, Università La Sapienza di Roma, Corso Vittorio Emanuele 244-00186, Rome, Italy.
Med Inform Internet Med. 2005 Mar;30(1):25-36. doi: 10.1080/14639230400020270.
Management of many types of chronic diseases relies heavily on patients' self-monitoring of their disease conditions. In recent years, Internet-based home telemonitoring systems allowing transmission of patient data to a central database and offering immediate access to the data by the care providers have become available. The adoption of Extensible Mark-up Language (XML) as a W3C standard has generated considerable interest in the potential value of this language in health informatics. However, the telemonitoring systems often work with only one or a few types of medical devices. This is because different medical devices produce different types of data, and the existing telemonitoring systems are generally built around a proprietary data schema. In this paper, we describe a generic data schema for a telemonitoring system that is applicable to different types of medical devices and different diseases, and then we present an architecture for the exchange of clinical information as data, signals of telemonitoring and clinical reports in the XML standard, up-to-date information in each electronic patient record and integration in real time with the information collected during the telemonitoring activities in the XML schema, between all the structures involved in the healthcare process of the patient.
多种慢性病的管理在很大程度上依赖于患者对自身病情的自我监测。近年来，基于互联网的家庭远程监测系统已可使用，该系统能将患者数据传输至中央数据库，并使医护人员能够即时访问这些数据。可扩展标记语言（XML）作为万维网联盟（W3C）的标准，已引发人们对其在健康信息学中潜在价值的浓厚兴趣。然而，远程监测系统通常仅与一种或几种医疗设备配合使用。这是因为不同的医疗设备会产生不同类型的数据，且现有的远程监测系统一般围绕专有数据模式构建。在本文中，我们描述了一种适用于不同类型医疗设备和不同疾病的远程监测系统通用数据模式，接着我们提出一种架构，用于以XML标准交换临床信息（如数据、远程监测信号和临床报告）、每个电子病历中的最新信息，并在XML模式下将其与远程监测活动期间收集的信息实时整合，涉及患者医疗过程中的所有结构。
