Interoperable Infrastructure and Implementation of a Health Data Model for Remote Monitoring of Chronic Diseases with Comorbidities

P. Finet , B. Gibaud (1) , Olivier Dameron (2) , Régine Le Bouquin Jeannès (1)

1 LTSI - Laboratoire Traitement du Signal et de l'Image
2 INSERM U936

Highlights Graphical abstract • To adopt a common health data model compatible with chronic diseases and their comorbidities. • To implement an interoperable telemedicine platform. • Data structure of our health data model based on HL7 CDA (Clinical Document Architecture). • Context-aware generic model suitable for most acquisition devices. Abstract — Background: The future increase of chronic diseases justifies the development of telemedicine for following up patients outside of the hospital. However, current telemedicine applications are disease-specific whereas chronic diseases are often associated with comorbidities. Methods: We show that the use of interoperability standards for telemedicine systems makes it possible to build a telemedicine platform (with several medical devices) that can be shared between several diseases workflows. To remotely follow up the patient's vital signs, health professionals need to access to the context description and the relevant background information. The implementation of a health data model that meets the needs of practitioners seems to be an appropriate solution to this problem. Results: To validate our architecture model of telemedicine application, we conducted various communication tests of vital signs to prove the interoperability of the patient system. The second experiment, we have developed one HL7 CDA document which collects several vital signs to a medical data exchange system among healthcare providers. This led us to propose a telemedicine application model, which is not only in conformity with the Health Information Systems Interoperability Framework (HIS-IF) of the " Agence des Systèmes d'Information Partagés de Santé " (ASIP), but also constitutes a proposed extension of this framework to the patient's home.

Mots clés: Telemedicine; Interoperability; Health data model

Domaines: Autre

P. Finet, B. Gibaud, Olivier Dameron, Régine Le Bouquin Jeannès. Interoperable Infrastructure and Implementation of a Health Data Model for Remote Monitoring of Chronic Diseases with Comorbidities. Innovation and Research in BioMedical engineering, 2018, 39 (3), pp.151 - 159. ⟨10.1016/j.irbm.2018.03.003⟩. ⟨hal-01815338⟩