A Comparison of Data Traffic in Standardized Personal Health Monitoring Solutions
Abstract
The publication of the HL7-FHIR standard offers new possibilities for integrated applications in healthcare. Although trial implementations have only recently started, the application of FHIR in context of a Personal Health Monitoring solution is worth investigating. Most of the existing telemonitoring solutions in healthcare rely on guidelines defined by the Continua Health Alliance (CHA). This paper compares the requirements of CHA and HL7-FHIR with respect to data traffic between client devices and server side applications. Therefore an existing CHA-compliant telemonitoring solution is extended towards supporting HL7-FHIR. Both approaches were simultaneously evaluated in a live system with 68 participants. The results of the evaluation show that the FHIR approach offers the possibility of reducing data traffic in comparison to the CHA solution.References
European Commission, Green paper on mobile Health (¨mHealth¨ ), Brussels, 2014.
World Health Organization, WHO, Global status report on noncommu- nicable diseases 2010,WHO Library Cataloguing-in-Publication Data, ISBN 978-92-4-156422-9, 2011.
F. Aijaz, S.Z. Ali, M.A. Chaudhary, B. Walke, Enabling High Performance Mobile Web Services Provisioning, Vehicular Technology Conference Fall, IEEE 70th, pp.1,6, 20-23, 2009
Carroll, Randy, et al., Continua: An interoperable personal healthcare ecosystem, Pervasive Computing, IEEE 6.4. 90-94, 2007.
M. Strasser, E. Helm, A. Schuler, B. Franz, H. Mayr, C. David, Telemonitoring fr mobile Pflegedienste: Entwicklung von standardkon- formen Schnittstellen, eHealth2012 Health Informatics meets eHealth von der Wissenschaft zur Anwendung und zurck, Wien, sterreich, pp. 179-184, 2012
M. Strasser, E. Helm, A. Schuler, M. Fuschlberger, B. Altendorfer Mobile Access to Healthcare Monitoring Data for Patients and Medical Personnel, Quality of Life through Quality of Information, Pisa, Italy, 2012.
IHE International, Inc. IHE Patient Care Device (PCD) Technical Framework, Volume 1, PCD TF1, Integration Profiles, Revision 3.0 - Final Text, online resource: http://www.ihe.net/uploadedFiles/Documents/PCD/IHE PCD TF Vol1- .pdf, 2013, last access: 30.01.2015.
Vohra Deepak, Accessing a JAX-WS web service from Android, online resource: http://www.ibm.com/developerworks/library/ws-android/ last accessed: 29.10.2014, 2011.
R. Mizouni, M.A. Serhani, R. Dssouli, A. Benharref, I. Taleb, Per- formance Evaluation of Mobile Web Services, Web Services (ECOWS), Ninth IEEE European Conference, pp.184,191, 2011.
F. Vitali, A. Amoroso, M. Rocetti, G. Marfia, RESTful Services for an Innovtive E-Health Infrastructure: A Real Case Study, 2014.
G. Mulligan, D. Gracanin, A comparison of SOAP and REST im- plementations of a service based interaction independence middleware framework, Simulation Conference (WSC), Proceedings of the 2009 Winter, pp.1423,1432, 2009.
H. Hamad,M. Saad,R. Abed,Performance Evaluation of RESTful Web Services for Mobile Devices,InternationalArabJournalofe-Technology, Vol. 1, No. 3, 2010.
P. K. Potti, S. Ahuja, K. Umapathy, Z. Prodanoff, Comparing Perfor- mance of Web Service Interaction Styles: SOAP vs. REST, Proceedings of the Conference in Information Systems Applied Research, Vol. 5, No. 2208, 2012.
T. Benson, Principles of health interoperability HL7 and SNOMED, Springer London, 2012.
Health Level Seven, FHIR Fast Health Inter- operable Resources Specification, online resource: http://www.hl7.org/implement/standards/fhir/documentation.html, last accessed: 29.10.2014, 2011.
D. Bender, K. Sartipi, HL7 FHIR: An Agile and RESTful approach to healthcare information exchange, Computer-Based Medical Systems (CBMS), IEEE 26th International Symposium, pp.326,331, 2013.
Health Level Seven: HL7. Health Level Seven, http://www.hl7.org (2015), last access 30.01.2015
IHE International, Inc. IHE Patient Care Device (PCD) White Paper HL7 FHIR Device Related Resources, online resource: http://www.ihe.net/uploadedFiles/Documents/PCD/IHE PCD TF Vol1- .pdf, 2014, last access: 29.10.2014.
Continua Health Alliance, Continua Design Guidelines, Version 2012, 2012.
B. Franz, M. Buchmayr, A. Schuler, W. Kurschl, Context-enriched personal health monitoring. In Ambient Assisted Living (pp. 79-92). Springer Berlin Heidelberg, 2014.
F. D. Sittig, Personal health records on the internet: a snapshot of the pioneers at the end of the 20th Century, Int J Med Inform. 2002 Apr;65(1):1-6.
IHE International, Inc. IHE IT Infrastructure (ITI) Technical Framework, Volume 1, ITI TF-1, Integration Profiles, Revision 8.0 Final Text, online resource: http://www.ihe.net/Technical Framework/upload/IHE ITI TF Rev8- 0 Vol1 FT 2011-08-19.pdf, 2011, last access: 30.01.2015.
R. Fielding, J. Gettys, J. Mogul, H. Frystyk, L. Masinter, P. Leach, and T. Berners-Lee, RFC 2616: Hypertext Transfer Protocol HTTP/1.1, The Internet Society, 1999, online resource: http://www.rfc- editor.org/rfc/rfc2616.txt, last access: 30.01.2015
C. Chatfield, The holt-winters forecasting procedure, Applied Statistics 264-279, 1978.
R. Fielding, Architectural styles and the design of network-based software architectures. Dissertation, University of California, Irvine, 2000.
Downloads
Published
Issue
Section
License
Copyright (c) 2015 International Journal of Electronics and Telecommunication
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on https://creativecommons.org/licenses/by/4.0/.
2. Author’s Warranties
The author warrants that the article is original, written by stated author/s, has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author/s. The undersigned also warrants that the manuscript (or its essential substance) has not been published other than as an abstract or doctorate thesis and has not been submitted for consideration elsewhere, for print, electronic or digital publication.
3. User Rights
Under the Creative Commons Attribution license, the author(s) and users are free to share (copy, distribute and transmit the contribution) under the following conditions: 1. they must attribute the contribution in the manner specified by the author or licensor, 2. they may alter, transform, or build upon this work, 3. they may use this contribution for commercial purposes.
4. Rights of Authors
Authors retain the following rights:
- copyright, and other proprietary rights relating to the article, such as patent rights,
- the right to use the substance of the article in own future works, including lectures and books,
- the right to reproduce the article for own purposes, provided the copies are not offered for sale,
- the right to self-archive the article
- the right to supervision over the integrity of the content of the work and its fair use.
5. Co-Authorship
If the article was prepared jointly with other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.
6. Termination
This agreement can be terminated by the author or the Journal Owner upon two months’ notice where the other party has materially breached this agreement and failed to remedy such breach within a month of being given the terminating party’s notice requesting such breach to be remedied. No breach or violation of this agreement will cause this agreement or any license granted in it to terminate automatically or affect the definition of the Journal Owner. The author and the Journal Owner may agree to terminate this agreement at any time. This agreement or any license granted in it cannot be terminated otherwise than in accordance with this section 6. This License shall remain in effect throughout the term of copyright in the Work and may not be revoked without the express written consent of both parties.
7. Royalties
This agreement entitles the author to no royalties or other fees. To such extent as legally permissible, the author waives his or her right to collect royalties relative to the article in respect of any use of the article by the Journal Owner or its sublicensee.
8. Miscellaneous
The Journal Owner will publish the article (or have it published) in the Journal if the article’s editorial process is successfully completed and the Journal Owner or its sublicensee has become obligated to have the article published. Where such obligation depends on the payment of a fee, it shall not be deemed to exist until such time as that fee is paid. The Journal Owner may conform the article to a style of punctuation, spelling, capitalization and usage that it deems appropriate. The Journal Owner will be allowed to sublicense the rights that are licensed to it under this agreement. This agreement will be governed by the laws of Poland.
By signing this License, Author(s) warrant(s) that they have the full power to enter into this agreement. This License shall remain in effect throughout the term of copyright in the Work and may not be revoked without the express written consent of both parties.
