Development of HL7 V 2.5 Middleware for Patient Monitoring Device

환자감시장치를 위한 HL7 V2.5 미들웨어의 개발

  • 김형회 (부산대학교 의과대학 의료정보학과) ;
  • 조훈 (경북대학교 의과대학 의료정보학과) ;
  • 트란퉁 (경북대학교 의료정보학과) ;
  • 홍해숙 (경북대학교 간호대학 간호학과) ;
  • 김화선 (경북대학교 의료정보학과)
  • Published : 2007.09.01

Abstract

A hospital room has multiple patient monitoring devices at the bedside to monitor his or her status. However, vital sign monitors, ventilator and other bedside devices are made by a variety of different manufacturers and often cannot easily interface to the hospital information system. Medical environments incorporate complex and integrated data networks to transfer vast amounts of patient information, such as images, waveforms, and other forms of digital data. Hence, to assure interoperability of images, waveforms and patient data, Health Level Seven (HL7) was developed as an international standard to facilitate the communicating and storing of medical data. In this study, we developed middleware capable of receiving data from mCare 300 vital signs monitoring devices and converting the data to HL7 data format. The HL 7 middleware streamline clinical workflow and support patients. Therefore, clinical expertise are empowered to respond to dynamic healthcare situation as soon as they emerged, and consequently quality of care while helping to reduce the length of a patient's stay in a hospital.

Keywords

References

  1. E. H. Shortliffe and J. J. Cimino, Biomedical Informatics - Computer Applications in Health Care and Biomedicine (third edition), Springer Science & Business Media, New York, 2006
  2. M. Gass, 'ANSI/IEEE 1703: Medical Information Bus (MIB),' Health Informatics Journal, vol. 4, no. 2, pp. 72-83, 1998 https://doi.org/10.1177/146045829800400203
  3. IEEE 1073 communications standard, available at: http://www.wipro.com/webpages/insights/patient_monit oring.htm, Implementing IEEE 1073 Framework for Bedside Patient Monitoring in Hospital Environment, Wipro Ltd, 2006
  4. Interoperability in digital Electrocardiology, available at:http://www.openecg.net/, help-forward network, 2006
  5. F. Chiarugi, P. J. Lees, C. E. Chronaki, M. Tsiknakis, and S. C. Orphanoudakis, 'Developing Manufacturer - Independent Components for ECG viewing and for data exchange with ECG devices: Can the SCP - ECG Standard Help?,' Computers in Cardiology, vol. 28, pp. 185-188, 2001
  6. R. Fischer, F. Chiarugi, J. J. Schmid, T. Norgall, and C. Zywietz, 'Communication and Retrieval of ECG data: How many standards do we need?,'Computers in Cardiology vol.30, pp. 21-24, 2003
  7. K.D. Mandl, M.D., M.P.H and T. H. Lee, M.D., M.sc, 'Integrating medical informatics and health services research,' Journal of the American Medical Informatics Association, vol. 9, pp. 127 - 132, 2002 https://doi.org/10.1197/jamia.M0973
  8. P. H. Cheng, C. H. Yang, H. S. Chen, S. J. Chen, and J. S. Lai, 'Application of HL7 in a collaborative healthcare information system,' Proceedings of 26th EMBC Conference, pp. 3354-3357, 2004
  9. Y. Alsafadi, O. R. L. Sheng, and R. Nartinez, 'Comparison of communication protocols in medical information exchange standards,'CBMS 1994, Proceedings of the 7th IEEE Symposium, pp. 258¬263, 1994
  10. GE healthcare, available at:http://www.gehealthcare.com/euen/patient_monitoring/docs/Device_Connecti vity_spec_e.pdf, April 11, 2007
  11. Agilent Technologies and Philips Electronics, available at:http://www.medical.philips.com/index.html, April 1, 2007
  12. mCare 300 Vital Signs Monitor Operations Manual, SpaceLabs Healthcare, 2006
  13. mCare300 Vital Signs Monitor Operations Manual, SpaceLabs Healthcare, 2006
  14. IEEE Standard for Medical Device Communications - Transport Profile - IrDA Based - Cable Connected, United States of America, April 2000
  15. S. Yoo, B. Kim, H. Park, J. Choi, and J. Chun, HL7 based Real-Time Clinical Data Integration System Using Advanced Database Technology, Proc. Of APAMI CJKMI & KOSMI Conf., Daegu, Korea, pp. s340- 343, 2003
  16. S.M. Huff, W.D. Bidgood, Jr., J. J. Cimino, and W.E. Hammodn, 'A proposal for incorporationg health leverl seven(HL7) vocabulary in the UMLS Metathesaurus,' Proc AMIA Symp, pp. 800-4, 1998
  17. M. Poulymenopoulou and G. Vassilacopoulos, 'An electronic patient record implementation using clinical document architecture,' Stud Health Technol Inform, vol. 103, pp. 50-7, 2004
  18. Health Level Seven (HL7), HL7 Standard v.2.5, 2003
  19. T. Tran, HS. Kim, HH. Kim, and H. Cho, 'An efficient Algorithm for HL 7 Message Parsing,' Transaction of KIEE, vol. 55D, no.6, pp. 274 - 278, 2006
  20. K.S. Urn, Y.S. Kwak, H. Cho, and I.K. Kim, 'Development of an HL7 interface engine, based on tree structure and streaming algorithm, for large-size messages which include image data,' Computer Methods and Programs in Biomedicine, vol. 80, pp. 126 - 40, 2005 https://doi.org/10.1016/j.cmpb.2005.07.004
  21. E.W. Huang, S.H. Hsiao, and D.M. Liou, 'Design and Implementation of a web based HL7 message generation and validation system,' International Journal of Medical Information, vol. 70, pp. 49 - 58, 2003 https://doi.org/10.1016/S1386-5056(03)00006-6