A Reconfigurable Middleware for On-demand Integration of Medical Devices

Background. eHealth is the use of information and communication technologies (ICT) for health. It helps in improving the flow of information, through electronic means, in support of the delivery of health services, and the management of health systems. eHealth is used as the strategic context and tool in achieving population health, improved health system status, and socio-economic development goals. Objectives. This study is aimed at looking at the Philippine National eHealth Strategy, particularly the components of Terminology Standards and Interoperability concerning the eHealth strategy in the Philippines, and to assess the barriers and gaps in the integration of these two components. Methods. This study used secondary literature, internet search, Philippine laws, administrative orders, memorandum circulars, and grey literature to discourse terminology standards and interoperability in the Philippine eHealth system, and issues and gaps related to these components that may impede the delivery of Universal Health Coverage in the country. Results. The current Philippine National eHealth strategy includes the following sector governance, legislation, policy and compliance, eHealth solution (i.e., services and applications), strategy and investment, infrastructure (government), human resources, and standards and interoperability. Philippine Health Information Exchange (PHIE) is a software platform in the country that aims to connect many isolated electronic health systems. The proposed interoperability layer across health systems and services in the Philippines includes Patient’s Primary Healthcare Consultation at the Rural Health Unit, health research, legal information, patient healthcare at tertiary hospital, and health insurance claims. The study results showed that issues and gaps related to the interoperability of eHealth in the Philippines include technical issues such as lack of common semantics, lack of an institutional mechanism to regulate EMR, lack of incentives among eHealth providers and stakeholders to adopt standards for interoperability. Conclusion. The effort of the Philippines to achieve interoperability and standards in eHealth goals can be characterized as a work in progress. The government, private sector, physician, patient, and other stakeholders are deemed to continuously develop a shared vision and interoperate under a standardized guide as eHealth is a complex endeavor that covers many aspects.

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“…This works as a seamless operation of various layers of systems to connect the user with the system for various purposes. 33…”

Section: Operationalization Of Interoperability and Terminology Stand...mentioning

confidence: 99%

Discoursing Terminology Standards and Interoperability in relation to the Philippine eHealth Strategy

Sylim

Marcelo

2022

Acta Med Philipp

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“…At the same time, these technological solutions also hold some risks and challenges. There are ethical dilemmas such as the matter of data security, or retractability [Gajanayake et al (2016); Swan (2015)] and integrating the incoming and heterogenous data formats for easier handling [Batra et al (2015); Kliem et al (2016); Larburu et al (2016)]. A potential objection can be the lack of doctorpatient communication in the course of healing which is well known to be fundamental for recovery [Ramtohul (2015)] and that increased autonomy of sick people can bring along abuse and misusage of technology [Kapiriri (2015)].…”

Section: Technologies Of the Near Futurementioning

confidence: 99%

Attitudes Toward Technologies of the Near Future: The Role of Technology Readiness in a Hungarian Adult Sample

Csuka

Martos

Kapornaky

et al. 2019

Int. J. Innovation Technol. Management

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Past decades’ rapid development of technological innovations can ease individual’s everyday lives, but they can also convey a sense of frustration. The aim of the present study was to investigate attitudes toward technologies that are expected to become widespread in the near future. The Technology Readiness Index was administered to a sample of Hungarian respondents to measure the capacity to adopt technologies. The results add significant novelties about the specific patterns related to perceptions of considerably different future technologies, emphasizing the unique role of optimism. Derivations are further specified by demographic characteristics, future directions and practical implications are also discussed.

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“…On the other hand, another integration effort is presented in [12], integrating stationary medical devices in isolated clinical scenarios and excluding the role of mobility. Finally, a modular middleware for the on-demand integration of medical devices is exposed in [10], introducing the concept of Open Services Gateway initiative device, which describes the basic communication mechanisms of sensors with the platform.…”

Section: Introductionmentioning

confidence: 99%

“…Eventually, the standard was extended with the X73PHD, an evolution of the X73 to satisfy the current needs, which are focused on the new personal or portable devices at the point‐of‐care scenario. Although there are several cases of interoperability success between biomedical devices using X73 nowadays [9], integration problems still exist because this family of standards allows the extension of the norm and sometimes sensor manufacturers add proprietary protocols with the objective of protecting their technological innovations [10].…”

Section: Introductionmentioning

confidence: 99%

Design and implementation of a standardised framework for the management of a wireless body network in an Mobile Health environment

Talaminos

Naranjo

Barbarov

et al. 2017

Healthcare Technology Letters

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The design and implementation of a framework that facilitates the development of Mobile Health applications to manage the communications with biomedical sensors in compliance with the CEN ISO/IEEE 11073 standard family are presented. The framework includes a set of functional modules that are responsible, among other tasks, of the communication of sensors and the processing and storage of data. The mobile terminal acts as an intermediary or hub, collecting and presenting the data received in a standardised way, regardless of the sensor type used. In this context, as proof of concept it is presented a mobile app built on the top of the framework to manage the communications with a smart fall detector.

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A Reconfigurable Middleware for On-demand Integration of Medical Devices

Cited by 5 publications

References 13 publications

Discoursing Terminology Standards and Interoperability in relation to the Philippine eHealth Strategy

Discoursing Terminology Standards and Interoperability in relation to the Philippine eHealth Strategy

Attitudes Toward Technologies of the Near Future: The Role of Technology Readiness in a Hungarian Adult Sample

Design and implementation of a standardised framework for the management of a wireless body network in an Mobile Health environment

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