Design and Implementation of HL 7-based Real-time Data Communication for Mobile Clinical Information System

  • Choi Jinwook (Dept. of Biomedical Engineering, College of Medicine Seoul National University) ;
  • Yoo Sooyoung (Dept. of Biomedical Engineering, College of Medicine Seoul National University) ;
  • Chun Jonghoon (Division of Computer Engineering, Myongji University)
  • Published : 2005.04.01

Abstract

The main obstacles for adopting a mobile health information system to existing hospital information system are the redundancy of clinical data and the additional workload for implementing the new system. To obtain a seamless communication and to reduce the workload of implementation, an easy and simple implementation strategy is required. We propose a mobile clinical information system (MobileMed) which is specially designed for the easy implementation. The key elements of MobileMed are a smart interface, an HL7 message server, a central clinical database (CCDB), and a web server. The smart interface module transfers the key information to the HL7 message server as new clinical tests data is recorded in the existing laboratory information system. The HL7 message server generates the HL7 messages and sends them to the CCDS. As a central database the CCDS collects the HL7 messages and presents them to the various mobile devices such as PDA. Through this study we might conclude that the architecture for the mobile system will be efficient for real-time data communication, and the specially designed interface will be an easy tool for implementing the mobile clinical information system.

Keywords

References

  1. D.J. Cada, 'PDAs: Medical Information in the palm of your hand', Hospital Pharmacy, Vol. 34, p.639, 1999
  2. J.I. Roller, P.R. Zimnik, D.E. Calcagni, and E.R Gomes, 'Project Promed: the development of a wireless hospitalbased network utilizing personal digital assistants', Paper presented to the 34th Annual Meeting of the Armed Forces District, The American College of Obstetricians and Gynecologists. San Diego, Calif., 2-6 October, 1995
  3. R.M. Satava, 'Virtual reality and telepresence for military medicine', Ann. Acad. Med. Singapore, Vol. 26, pp.18-20, 1997
  4. J. Blackman, P. Gorman, R. Lohensohn, D. Kreamer, and S. Svingen, 'The usefulness of Handheld Computers in a Surgical Group Practice', Proc. AMIA Symp., pp.686-690, 1999
  5. M. Cushing, 'The data entry conundrum', MD Comput., Vol. 12, pp.259-261, 1995
  6. J.S. Hammer, J.J. Strain, A. Friedberg, and G. Fulop, 'Operationalizing a bedside pen entry notebook clinical database system in consultation-liasonliaison psychiatry', Gen. Hosp. Psychiatry, Vol. 17, pp.165-175, 1995 https://doi.org/10.1016/0163-8343(95)00021-I
  7. S. Shea, R.V. Sideli, W. DuMouchel, G. Pulver, R.R. Arons, and P.D. Clayton, 'Computer-generated informational messages directed to physicians: effect on length of hospital stay', J. Am. Med. Inform. Assoc., Vol. 2, pp.58-64, 1995 https://doi.org/10.1136/jamia.1995.95202549
  8. R.D. Acuff, L. M. Fagan, T.C. Rindfleisch, B.J. Levitt, and P.M. Ford, 'Lightweight, mobile e-mail for intra-clinic communication', Proc. AMIA Annu. Fall Symp., pp.729-733, 1997
  9. A. Malek, N. Coblio, M. McCormick, and W.S. Harris, 'Use of wireless communication by handheld pen-based computers to cut medical costs and improve health care', Proc. AMIA Annu. Fall Symp., 1997
  10. N.M. Hasset, and M.H. Farver, Information management in home care, In: Nursing Informatics: Where caring and technology Meet, M.J. Ball Ed., New York: Springer-Verlag, pp.155-166, 1995
  11. M. Ancona, G. Dodero, F. Minuto, M. Guida, and V. Gianuzzi, 'Mobile computing in a hospital: the WARD-IN-HAND project', Proc. 2000 ACM Symp. on Applied computing, pp.554-556, 2000
  12. S. Fischer, T.E. Steward, S. Mehta, R. Wax, and S.E. Lapinsky, 'Hanheld Computing in Medicine', J. Am. Med. Inform. Assoc., Vol. 10, pp.139-149, 2003 https://doi.org/10.1197/jamia.M1180
  13. M.H. Ebell, D.L. Gaspar, and S. Khurana, 'Family physicians' preference for computerized decision-support hardware and software', J. Fam. Pract., Vol. 45, pp.127-128,1997
  14. M. Greiver, 'Evidence-based medicine at the palm of your hand', Can. Med. Assoc. J., Vol. 164, p.250, 2001
  15. H.D. Banta. Embracing or rejecting innovations: clinical diffusion of health care technology, In: Use and impact of computers in clinical medicine, Anderson JG, Jay SJ Ed., New York: Springer Verlag, 1987
  16. J. Fisher, and R. Wang, The cure is in Hand, market report from WR Hambrecht and Co, 2000
  17. R.E Rouse, and J.S. Charlson, The evolution of eHealth, Lehman Brothers report, 2000
  18. W.W. Stead, R.A. Miller, M.A. Musen, and W.R Hersh, 'Integration and beyond: linking information from disparate sources and into workflow', J. Am. Med. Inform. Assoc., Vol. 7, pp.135-145, 2000 https://doi.org/10.1136/jamia.2000.0070135
  19. Health level seven standards, http://www.hl7.org/
  20. A. Riva, K.D. Mandl, D.H. Oh, D.J. Nigrin, A. Butte, P. Szolovits, and I.S. Kohane, 'The Personal Internetworked Notary and Guardian', Int. J. Med. Inf., Vol. 62, pp.27-40, 2001 https://doi.org/10.1016/S1386-5056(00)00136-2
  21. S.K. Hyun, J.W. Choi, J.H. Chun, S.G. Lee, D.H. Shin, D.H. Kim, and D.G. Kim, 'Implementation of Mobile Computing System in Clinical Environment: MobileNurse', Proc. AMIA Annu. Fall Symp., 2000
  22. S.K. Hyun, J.W. Choi, J.H. Chun, S.G. Lee, D.H. Shin, D.H. Kim, and D.G. Kim, 'Developing a Mobile Nursing Information .System for Clinical Environment: MobileNurse$^{TM}$', Proc. CJKMI, 2000
  23. S.Y. Yoo, B.Y. Kim, S.B. Han, J.W. Choi, J.H. Jung, M.K. Min, J.H. Chun, 'Design and Evaluation of a Prototype of HL7 Message Server for Information Sharing among Medical Institutions', Journal of Korean Society of Medical Informatics, Vol. 7, pp.1-8, 2000
  24. K. Lyytinen, and Y.G. Yoo, 'Issues and Challenges in Ubiquitous Computing', Communications of the ACM, Vol. 45, pp.63-65, 2002
  25. G.B. Davis, 'Anytime/Anyplace Computing and the Future of Knowledge Work', Communications of the ACM, Vol. 45, pp.67-73, 2002
  26. G. Banavar, and A. Bernstein, 'Software Infrastructure and Design Challenges for Ubiquitous Computing Applications', Communications of the ACM, Vol. 45, pp.92-96, 2002
  27. M. Awal, M. Bortniker, J. Carnell, K. Cox, D. O'Connor, M. Zucca, S. Dillon, T. Kyte, A. Horton, F. Hubeny, G.E. Mitchell, K. Mukhar, G. Nicol, and G.R. Hammond, Professional Oracle 8i Application Programming with Java, PL/SQL and XML, USA: Wrox Press, 2000
  28. Oracle Technology Network, http://otn.oracle.com/
  29. http://www.firstsql.com/
  30. W3C (2000) Extensible markup language (XML) 1.0, 2nd edn. http://www.w3.org/TR/REC-xml/
  31. E.R. Harold, XML Bible, USA: IDG Books, 1999
  32. HL7 V2.3.1 Standard Specification, Chapter 7
  33. W3C (2002) Document object model (DOM) level 1 specification (2nd edn), Version 1.0. http://www.w3.org/TR/REC-DOM-Level-1/
  34. F. Liu, C. Yu, and W. Meng, Personalized web search by mapping user queries to categories, Proceedings of the eleventh international conference on Information and knowledge management, pp.558-565, 2002
  35. L. Suryanarayana, and J. Hjelm, Ubiquitous WWW:Profiles for the situated web, Proceedings of the eleventh international conference on World Wide Web, pp.200-209,2002
  36. WAG User Agent Profile Specifications, WAP 2.0 Version, 10/2001. http://www1.wapforum.org/tech/documents/WAP-248-UAProf-20011020-a.pdf
  37. W3C (1999) XSL Transformations 1.0. http://www.w3.org/TR/xslt
  38. S. Muench, Building Oracle XML Applications, USA:Oreilly & Associates, 2000
  39. S. Allamaraju, A. Longshaw, D. O'Connor, G.V. Huizen, J. Diamond, J. Griffin, M. Holden, M. Deley, M. Wilcox, and R. Browett, Professional Java Server Programming J2EE Edition, USA: Wrox Press, 2000
  40. Cellvic web site. http://www.cellivic.com/
  41. S.Y. Yoo, B.Y. Kim, H.K. Park, J.W. Choi, J.H. Jung, J.H. Chun, Y.H. Yoon, 'Design and Implementation of View Based HL7 Interface for Heterogeneous LIS Databases', Proceedings of 18th KOSMI Spring Congresses, p.222, 2002