Martins Diogo, Lewerenz Simon, Carmo Anderson, Martins Henrique
ISCTE Business School, University Institute of Lisbon, Lisbon, Portugal.
Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.
Front Digit Health. 2025 Apr 22;7:1502260. doi: 10.3389/fdgth.2025.1502260. eCollection 2025.
This scoping review explores the existing literature on the interoperability of telemonitoring systems in cross-border healthcare settings. It focuses on identifying technical standards, enablers, and barriers to effective telemonitoring data exchange across healthcare systems and geographies.
A systematic search was conducted across databases (MEDLINE, PubMed, ISI Web of Knowledge, DBLP, and Scopus) from January 2000 to May 2023, using keywords such as "telemonitoring", "interoperability", "technical standards", and "cross-border data exchange". Eligibility criteria included peer-reviewed studies examining the interoperability of telemonitoring systems across healthcare providers and cross-border settings. A total of 861 studies were identified, and 25 met the inclusion criteria.
The review identified diverse technical standards, including HL7 FHIR, ISO/IEEE 11073, and IHE profiles, used in telemonitoring systems. However, significant gaps were found in the literature regarding the operational challenges of telemonitoring systems, particularly in cross-border contexts. Many studies focused on technical aspects, with fewer addressing organizational and legal issues. Data transport types, such as Bluetooth and REST APIs, were mentioned, but no common standard for data exchange between devices was identified.
The findings highlight the need for further research on the deployment of telemonitoring systems, particularly in cross-border contexts. The lack of harmonization in technical standards poses a barrier to achieving seamless interoperability. The review calls for the development of a robust framework to support telemonitoring integration across healthcare systems.
While telemonitoring shows promise in improving healthcare delivery, significant interoperability challenges remain. Developing common standards at the European level is essential to enhance cross-border telemonitoring services and patient care.
本范围综述探讨了关于跨境医疗环境中远程监测系统互操作性的现有文献。它着重于识别有效跨医疗系统和地域进行远程监测数据交换的技术标准、促进因素和障碍。
于2000年1月至2023年5月期间在多个数据库（MEDLINE、PubMed、ISI Web of Knowledge、DBLP和Scopus）中进行系统检索，使用了“远程监测”、“互操作性”、“技术标准”和“跨境数据交换”等关键词。纳入标准包括经同行评审的研究，这些研究考察了远程监测系统在医疗服务提供者之间和跨境环境中的互操作性。共识别出861项研究，其中25项符合纳入标准。
该综述识别出了远程监测系统中使用的多种技术标准，包括HL7 FHIR、ISO/IEEE 11073和IHE规范。然而，文献中关于远程监测系统运营挑战的内容存在重大空白，尤其是在跨境背景下。许多研究聚焦于技术方面，涉及组织和法律问题的较少。提到了诸如蓝牙和REST API等数据传输类型，但未识别出设备间数据交换的通用标准。
研究结果凸显了对远程监测系统部署进行进一步研究的必要性，尤其是在跨境背景下。技术标准缺乏协调一致对实现无缝互操作性构成了障碍。该综述呼吁制定一个强大的框架来支持跨医疗系统的远程监测集成。
虽然远程监测在改善医疗服务提供方面显示出前景，但仍存在重大的互操作性挑战。在欧洲层面制定通用标准对于增强跨境远程监测服务和患者护理至关重要。
