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Wearable sensors with possibilities for data exchange: Analyzing status and needs of different actors in mobile health monitoring systems.
International Journal of Medical Informatics ( IF 4.9 ) Pub Date : 2019-10-31 , DOI: 10.1016/j.ijmedinf.2019.104017
Miroslav Muzny 1 , Andre Henriksen 2 , Alain Giordanengo 3 , Jan Muzik 4 , Astrid Grøttland 5 , Håvard Blixgård 5 , Gunnar Hartvigsen 6 , Eirik Årsand 5
Affiliation  

BACKGROUND Wearable devices with an ability to collect various type of physiological data are increasingly becoming seamlessly integrated into everyday life of people. In the area of electronic health (eHealth), many of these devices provide remote transfer of health data, as a result of the increasing need for ambulatory monitoring of patients. This has a potential to reduce the cost of care due to prevention and early detection. OBJECTIVE The objective of this study was to provide an overview of available wearable sensor systems with data exchange possibilities. Due to the heterogeneous capabilities these systems possess today, we aimed to systematize this in terms of usage, where there is a need of, or users benefit from, transferring self-collected data to health care actors. METHODS We searched for and reviewed relevant sensor systems (i.e., devices) and mapped these into 13 selected attributes related to data-exchange capabilities. We collected data from the Vandrico database of wearable devices, and complemented the information with an additional internet search. We classified the following attributes of devices: type, communication interfaces, data protocols, smartphone/PC integration, connection to smartphone health platforms, 3rd party integration with health platforms, connection to health care system/middleware, type of gathered health data, integrated sensors, medical device certification, access to user data, developer-access to device, and market status. Devices from the same manufacturer with similar functionalities/characteristics were identified under the same device family. Furthermore, we classified the systems in three subgroups of relevance for different actors in mobile health monitoring systems: EHR providers, software developers, and patient users. RESULTS We identified 362 different mobile health monitoring devices belonging to 193 device families. Based on an analysis of these systems, we identified the following general challenges: CONCLUSIONS: Few of the identified mobile health monitoring systems use standardized, open communication protocols, which would allow the user to directly acquire sensor data. Use of open protocols can provide mobile health (mHealth) application developers an alternative to proprietary cloud services and communication tools, which are often closely integrated with the devices. Emerging new types of sensors, often intended for everyday use, have a potential to supplement health records systems with data that can enrich patient care.

中文翻译:

具有数据交换可能性的可穿戴传感器:分析移动健康监控系统中不同参与者的状态和需求。

背景技术具有收集各种类型的生理数据的能力的可穿戴设备越来越无缝地集成到人们的日常生活中。在电子健康(eHealth)领域,由于对患者动态监测的需求日益增加,许多此类设备提供了健康数据的远程传输。由于预防和及早发现,这有可能降低护理成本。目的这项研究的目的是提供可用的可穿戴传感器系统的概述,并具有数据交换的可能性。由于这些系统如今具有异类功能,我们的目标是在使用上将其系统化,在这种情况下,有必要或需要用户将自收集的数据传输给医疗保健参与者,或从中受益。方法我们搜索并审查了相关的传感器系统(即 设备)并将其映射到13个与数据交换功能相关的所选属性。我们从Vandrico可穿戴设备数据库中收集了数据,并通过其他互联网搜索对信息进行了补充。我们对设备的以下属性进行了分类:类型,通信接口,数据协议,智能手机/ PC集成,与智能手机健康平台的连接,与健康平台的第三方集成,与健康护理系统/中间件的连接,收集的健康数据的类型,集成传感器,医疗设备认证,对用户数据的访问,开发人员对设备的访问以及市场状况。来自同一制造商的具有相似功能/特性的设备在同一设备系列下被标识。此外,我们将系统分为三个类别,与移动健康监控系统中不同参与者的相关性:EHR提供者,软件开发人员和患者用户。结果我们确定了193个设备家族中的362种不同的移动健康监控设备。在对这些系统进行分析的基础上,我们确定了以下一般性挑战:结论:很少有已确定的移动健康监控系统使用标准化的开放式通信协议,该协议将允许用户直接获取传感器数据。使用开放协议可以为移动健康(mHealth)应用程序开发人员提供专有云服务和通信工具的替代方案,私有云服务和通信工具通常与设备紧密集成。经常用于日常使用的新兴新型传感器,
更新日期:2019-11-01
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