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Development of a Multi-Agent m-Health Application Based on Various Protocols for Chronic Disease Self-Management
Hyun Sang Park1, Hune Cho1, Hwa Sun Kim2
1Department of Medical Informatics, Kyungpook National University, 680, Gukchaebosang-ro, Jung-gu, Daegu, Korea.
A new mobile health app, Self-Management mobile Personal Health Record (SmPHR), ensures interoperability between personal health devices and electronic medical records for chronic disease self-management. This study demonstrates its effective and low-error data transmission capabilities.
Area of Science:
- Mobile Health (mHealth)
- Health Informatics
- Biomedical Engineering
Background:
- Continuous self-management of chronic diseases requires seamless data integration.
- Interoperability challenges exist between personal health devices (PHDs) and electronic medical record systems (EMRs).
Purpose of the Study:
- To develop and evaluate the Self-Management mobile Personal Health Record (SmPHR) application.
- To ensure interoperability between PHDs and EMRs for chronic disease patient self-management.
Main Methods:
- Developed SmPHR for Android using Continua Health Alliance (CHA) standards.
- Implemented ISO/IEEE 11073, Bluetooth HDP, HL7 V2.6, Continuity of Care Document (CCD), and Continuity of Care Record (CCR) protocols.
- Evaluated transmission error rates with 611 users and collected feedback from 15 healthcare professionals.
Main Results:
- Low transmission error rates: 2.4% for Personal Area Network (PAN) and 2.1% for Wide Area Network (WAN)/Health Record Network (HRN) interfaces.
- Successful 'plug and play' functionality demonstrated for PHDs and EMRs.
- Positive feedback received from healthcare professionals on SmPHR's clinical utility.
Conclusions:
- SmPHR facilitates interoperable mobile health services for chronic disease patients.
- The application enables seamless integration of personal health devices and electronic medical records.
- SmPHR supports continuous self-management through standardized data exchange.
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