A novel codification scheme based on the ""VITAL"" and ""DICOM"" standards for telemedicine applications

Anagnostaki, AP; Pavlopoulos, S; Kyriakou, E; Koutsouris, D

dc.contributor.author	Anagnostaki, AP	en
dc.contributor.author	Pavlopoulos, S	en
dc.contributor.author	Kyriakou, E	en
dc.contributor.author	Koutsouris, D	en
dc.date.accessioned	2014-03-01T01:17:23Z
dc.date.available	2014-03-01T01:17:23Z
dc.date.issued	2002	en
dc.identifier.issn	0018-9294	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/14496
dc.subject	Home care	en
dc.subject	Object-oriented modeling and design	en
dc.subject	Open systems	en
dc.subject	Standardization	en
dc.subject	Telemedicine	en
dc.subject.classification	Engineering, Biomedical	en
dc.subject.other	Electrocardiography	en
dc.subject.other	Electronic medical equipment	en
dc.subject.other	Health care	en
dc.subject.other	Telecommunication	en
dc.subject.other	Unified modelling language (UML)	en
dc.subject.other	Biomedical engineering	en
dc.subject.other	article	en
dc.subject.other	blood pressure	en
dc.subject.other	health care access	en
dc.subject.other	home care	en
dc.subject.other	hospital	en
dc.subject.other	human	en
dc.subject.other	medical information system	en
dc.subject.other	medical instrumentation	en
dc.subject.other	medical technology	en
dc.subject.other	patient coding	en
dc.subject.other	patient monitoring	en
dc.subject.other	physician	en
dc.subject.other	pulse rate	en
dc.subject.other	standard	en
dc.subject.other	standardization	en
dc.subject.other	telecommunication	en
dc.subject.other	validation process	en
dc.subject.other	Database Management Systems	en
dc.subject.other	Databases, Factual	en
dc.subject.other	Equipment and Supplies	en
dc.subject.other	Equipment Design	en
dc.subject.other	Europe	en
dc.subject.other	Home Care Services	en
dc.subject.other	Humans	en
dc.subject.other	Information Storage and Retrieval	en
dc.subject.other	International Cooperation	en
dc.subject.other	Internet	en
dc.subject.other	Medical Records Systems, Computerized	en
dc.subject.other	Monitoring, Ambulatory	en
dc.subject.other	Monitoring, Physiologic	en
dc.subject.other	Physician-Patient Relations	en
dc.subject.other	Pilot Projects	en
dc.subject.other	Telecommunications	en
dc.subject.other	Telemedicine	en
dc.title	A novel codification scheme based on the ""VITAL"" and ""DICOM"" standards for telemedicine applications	en
heal.type	journalArticle	en
heal.identifier.primary	10.1109/TBME.2002.805458	en
heal.identifier.secondary	http://dx.doi.org/10.1109/TBME.2002.805458	en
heal.language	English	en
heal.publicationDate	2002	en
heal.abstract	The field of interest discussed in this study is a novel codification scheme for (vital signs) medical device communication and patient monitoring data interchange, into the context of effective home care service provisioning. With medical technology having developed in isolation and major manufacturers developing their own proprietary communication protocols, which preclude connection to devices from different manufacturers, and with healthcare trends having evolved, pointing to primary care, telecare and home care monitoring, there is an increasing need for technical standardization in healthcare environments and the development of protocols that enable communication in a structured and open way. In this study, a novel codification scheme has been developed, based on two healthcare informatics standards, the VITAL and DICOM Sup. 30, in addressing the robust interchange of waveform and medical data for a home care application. Based on this scheme, we created a real-time facility, consisting of a base unit and a telemedicine (mobile) unit, that enables home telemonitoring, by installing the telemedicine unit at the patient's home while the base unit remains at the physician's office or hospital. The system allows the transmission of vital biosignals (3-lead ECG, pulse rate, blood pressure and SPO2) of the patient. This paper presents an object-oriented design with unified modeling language (UML) of a class hierarchy for exchanging the acquired medical data and performing alert management, and investigates the applicability of the proposed scheme into a commercial patient-connected medical device, thus addressing service and functionality requirements with focus on home-care applications. The system h as been validated for technical performance over several telecommunication means and for clinical validity via real patient-involved pilot trials.	en
heal.publisher	IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC	en
heal.journalName	IEEE Transactions on Biomedical Engineering	en
dc.identifier.doi	10.1109/TBME.2002.805458	en
dc.identifier.isi	ISI:000180216700003	en
dc.identifier.volume	49	en
dc.identifier.issue	12 II	en
dc.identifier.spage	1399	en
dc.identifier.epage	1411	en