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基于多种协议的慢性病自我管理的多代理移动健康应用程序的开发。

Development of a Multi-Agent m-Health Application Based on Various Protocols for Chronic Disease Self-Management.

机构信息

Department of Medical Informatics, Kyungpook National University, 680, Gukchaebosang-ro, Jung-gu, Daegu, Korea.

Faculty of Medical Industry Convergence, Daegu Haany University, 1, Hanuidae-ro, Gyeongsan-si, Gyeongsangbuk-do, Korea.

出版信息

J Med Syst. 2016 Jan;40(1):36. doi: 10.1007/s10916-015-0401-5. Epub 2015 Nov 14.

Abstract

The purpose of this study was to develop and evaluate a mobile health application (Self-Management mobile Personal Health Record: "SmPHR") to ensure the interoperability of various personal health devices (PHDs) and electronic medical record systems (EMRs) for continuous self-management of chronic disease patients. The SmPHR was developed for Android 4.0.3, and implemented according to the optimized standard protocol for each interface of healthcare services adopted by the Continua Health Alliance (CHA). That is, the Personal Area Network (PAN) interface between the application and PHD implements ISO/IEEE 11073-20,601, 10,404, 10,407, 10,415, 10,417, and Bluetooth Health Device Profile (HDP), and EMRs with a wide area network (WAN) interface implement HL7 V2.6; the Health Record Network (HRN) interface implements Continuity of Care Document (CCD) and Continuity of Care Record (CCR). Also, for SmPHR, we evaluated the transmission error rate between the interface using four PHDs and personal health record systems (PHRs) from previous research, with 611 users and elderly people after receiving institutional review board (IRB) approval. In the evaluation, the PAN interface showed 15 (2.4 %) errors, and the WAN and HRN interface showed 13 (2.1 %) errors in a total of 611 transmission attempts. Also, we received opinions regarding SmPHR from 15 healthcare professionals who took part in the clinical trial. Thus, SmPHR can be provided as an interconnected PHR mobile health service to patients, allowing 'plug and play' of PHDs and EMRs through various standard protocols.

摘要

本研究旨在开发和评估一款移动医疗应用程序(自我管理移动个人健康记录:“SmPHR”),以确保各种个人健康设备(PHD)和电子病历系统(EMR)的互操作性,从而实现慢性病患者的持续自我管理。SmPHR 是为 Android 4.0.3 开发的,并根据 Continuum Health Alliance(CHA)采用的每个医疗保健服务接口的优化标准协议进行实施。也就是说,应用程序和 PHD 之间的个人区域网络(PAN)接口实现了 ISO/IEEE 11073-20、601、10,404、10,407、10,415、10,417 和蓝牙健康设备配置文件(HDP),而具有广域网(WAN)接口的 EMR 则实现了 HL7 V2.6;健康记录网络(HRN)接口实现了连续护理文档(CCD)和连续护理记录(CCR)。此外,对于 SmPHR,我们在获得机构审查委员会(IRB)批准后,使用来自之前研究的四个 PHD 和个人健康记录系统(PHR)评估了该接口的传输错误率,共有 611 名用户和老年人参与了该评估。在评估中,PAN 接口显示有 15 个(2.4%)错误,WAN 和 HRN 接口在总共 611 次传输尝试中显示有 13 个(2.1%)错误。此外,我们还收到了 15 名参与临床试验的医疗保健专业人员对 SmPHR 的意见。因此,SmPHR 可以作为一种互联的 PHR 移动医疗服务提供给患者,允许通过各种标准协议对 PHD 和 EMR 进行“即插即用”。

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