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A Lightweight HL7 Message Strategy for Real-Time ECG Monitoring

실시간 심전도 모니터링을 위한 HL7 메시지 간소화 전략

  • 이구연 (한양대학교 컴퓨터공학과) ;
  • 강경태 (한양대학교 컴퓨터공학과) ;
  • 이재면 (한양대학교 컴퓨터공학과) ;
  • 박주영 (한양대학교 컴퓨터공학과)
  • Received : 2014.11.03
  • Accepted : 2014.12.10
  • Published : 2015.03.15

Abstract

Recent developments in IT have made real-time ECG monitoring possible, and this represents a promising application for the emerging HL7 standard for the exchange of clinical information. However, applying the HL7 standard directly to real-time ECG monitoring causes problems, because the partial duplication of data within an HL7 message increases the amount of data to be transmitted, and the time taken to process it. We reduce these overheads by Feature Scaling, by standardizing the range of independent variables or features of data, while nevertheless generating HL7-compliant messages. We also use a De-Duplication algorithm to eliminate the partial repetition of the OBX field in an HL7 ORU message. Our strategy shortens the time required to create messages by 51%, and reduces the size of messages by 1/8, compared to naive HL7 coding.

최근 IT 기술이 발전함에 따라 실시간 심전도 모니터링이 가능해 졌으며, 이는 의료정보교환을 위한 HL7 표준의 전도 유망한 응용 중 하나로 인식되고 있다. 하지만 HL7 메시지 내 데이터 중복으로 인한 메시지의 크기 및 생성시간의 증가로 인해 HL7 표준을 실시간 심전도 모니터링에 바로 적용하기에는 무리가 있다. 이에 본 논문에서는 실시간 심전도 모니터링에 적합한 HL7 메시지의 간소화 전략을 제안한다. 다양한 형식의 심전도 데이터를 Feature Scaling을 거쳐 정형화된 포맷으로 조정하고 HL7 규약에 순응하는 메시지를 생성한다. 또한 HL7 ORU 메시지 내의 중복되는 OBX 필드를 제거하기 위해 De-Duplication 알고리즘을 수행한다. 이를 통해 기존의 HL7 표준 적용 대비 메시지의 생성시간은 최대 51%, 크기는 최대 1/8로 줄일 수 있음을 실험적으로 확인하였다.

Keywords

Acknowledgement

Supported by : 한국연구재단

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