The Implementation of a Tele-Homecare System with Service Oriented Architecture and HL7 Message Transmission Standard

Ching-Sung Wang^1,

¹Department of Electronic Engineering, Oriental Institute of Technology, Taipei, Taiwan

Cite this paper:
Ching-Sung Wang. The Implementation of a Tele-Homecare System with Service Oriented Architecture and HL7 Message Transmission Standard. American Journal of Public Health Research. 2013; 1(1):18-26. doi: 10.12691/ajphr-1-1-3

Abstract

Because of the continuously growing elderly population and annually declining birth rate, the population structure faces major changes, creating problems regarding medical care and healthcare. To address these problems, this study proposes a tele-homecare system that combines wireless sensors and transmission technologies to provide simple physiological data analysis and remote health management consultation services. This system collects measured data, including heart rate, blood oxygen level, blood pressure, and electrocardiograph results from various physiological measuring instruments using Bluetooth wireless technology to transmit and save these data via the Internet to a remote database. The tele-homecare platform is designed with Web architecture of Smarty modular and provides services to users of all levels. The health management interface of the personalized service-oriented architecture (SOA) provides real-time physiological monitoring and analysis of physiological parameters, allowing users to inquire about their health information using mobile devices or personal computers. This study anticipates that by using Health Level Seven (HL7) as the unified and standardized electronic medical record and Extensible Markup Language (XML) as the data conversion format to provide expandable and integrated medical information services on the Internet and exchange medical histories with other medical institutes, medical resources can be shared. The combination of this system and information from medical institutes allows the integration of the patients’ medical records with their daily physiological measurements. The integrated data can be used as a diagnosis reference for physicians, reducing the time required to modify prescriptions and enabling the nursing staff to fully understand the patients’ physiological conditions. This reduces burden on medical personnel and family members providing long-term care, and ultimately improve the quality of medical services and reduce costs.

Keywords:
Healthcare Integrated Systems Serviced Oriented Architecture (SOA) Enterprise Systems Health Level 7 Extensible Markup Language (XML)

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References:

[1]	Mietzner, R., et al. 2011. Horizontal and vertical combination of multi-tenancy patterns in service-oriented applications. Enterprise Information Systems, 5(1), 59-77.
[2]	Xu, L. 2011. Enterprise systems: state-of-the art and future trends, IEEE Transactions on Industrial Informatics, 7(4), 630-640.
[3]	Xu, E., et al. 2011. Development of an integrated medical supply chain information system. Enterprise Information Systems, 5(3), 385-399.
[4]	Duan, L., et al. 2011. Healthcare information systems: data mining methods in the creation of a clinical recommender system. Enterprise Information Systems, 5(2), 169-181.
[5]	Cao, X., and Yang, F. 2011. Measuring the performance of Internet companies using a two-stage data envelopment analysis model. Enterprise Information Systems, 5(2), 207-217.
[6]	Bao-Jang Tseng. 2007 National Taiwan University, Computer & Information Network Center, Division of Network Management, Electronic Newspaper, Vol. 0001.
[7]	Health Level Seven. 2006 ”HL7 Version 3.0 Edition 2006, http://www.hl7.org/about/,” May.
[8]	Kabak, Y.,et al. 2008 The Use of HL7 CDA in the National Health Information System (NHIS) of Turkey.
[9]	Wen-Chin Chen. 2009 “Introduction to electronic medical record”, Computing Center, Academia Sinica E-News, Vol. 23.
[10]	Department of Health, Executive Yuan, (Taiwan), “Execution For electronic medical record ”.
[11]	O. S. Adewale,2004 "An internet-based telemedicine system in Nigeria," International Journal of Information Management, Vol. 24,221-234
[12]	World Medical Association Team. 2008 "World Medical Association Statement on Guiding Principles for the Use of Telehealth for the Provision of Health Car" Taiwan Medical Journal, Vol. 51.
[13]	Ji Jin Lin, Jin De Wang.2008 “Medical Management Information System Design Using UML and AJAX”, St. John's University.
[14]	Xu, L. 2011. Information architecture for supply chain quality management. International Journal of Production Research, 49(1), 183-198.
[15]	Kumar, S., et al. Challenges with the introduction of radio-frequency identification systems into a manufacturer’s supply chain-a pilot study. Enterprise Information Systems, 5(2), 235-253.
[16]	Han-Hsyuan Wu. 2008 “The Development of a Remote Health-Care Unit Based on Embedded System – Monitoring of Location and SpO2”, Graduate Institute of Electrical Engineering, National Taiwan University, Master dissertation.
[17]	Kakousis, K., et al. 2010. A survey of software adaptation in mobile and ubiquitous computing. Enterprise Information Systems, 4(4), 355-389.
[18]	Hamilton. 2005 L8S 4K1, Canada., Interoperability of Data and Knowledge in Distributed Health care Systems, IEEE computer society.
[19]	V Chan, P Ray, N Parameswaran. 2007 “AMulti-Agent CollaborativeFramework for Mobile E-Health”, Proceedings of the 40th Annual Hawaii International Conference on System Sciences.
[20]	Peter L. et al. 2007 “Smart Homecare System for Health Tele-monitoring”, Proceedings of the First International Conference on the Digital Society.
[21]	Kang, J. M., et al..2006 A Wrist-Worn Integrated Health Monitoring Instrument with a Tele-Reporting Device for Telemedicine and Telecare. IEEE Transactions on Instrumentation and Measurement, 55(5), 1655-1661.
[22]	Taiwan Bureau of Health Promotion - Health 2010 Education Resource.
[23]	Chi-Hsun Wu, et al.2006 “The Study on Web Services Based Health Level Seven for Electronic Health Record Exchange System” The Journal of Taiwan Association for Medical Informatics, Vol. 15,No. 2, June, 41-54.
[24]	Chih-Hsun Chang, et al.2006”Research of Information Development for HL7 v3 – Example on Patients Data Requisition”，The 5th Asia-Pacific and Cross-Strait HL7 Conference on Healthcare Information Standards.
[25]	Robert H. Dolin et al., HL7 Clinical Document Architecture, Release 2.0,HL7 V3 Ballot Document.