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Related Experiment Video

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The MADE Reference Information Model for Interoperable Pervasive Telemedicine Systems.

Nick L S Fung1, Valerie M Jones, Hermie J Hermens

  • 1Nick L. S. Fung, Biomedical Signals and Systems Group, University of Twente, P. O. Box 217, 7500 AE Enschede, The Netherlands,

Methods of Information in Medicine
|March 1, 2017
PubMed
Summary

A new Reference Information Model (RIM) supports semantic interoperability in pervasive telemedicine systems. This MADE RIM, applied to gestational diabetes mellitus (GDM) guidelines, enables application-independent, interoperable system development.

Keywords:
Telemedicinepervasive healthcarereference information modelsemantic interoperability

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Area of Science:

  • Computer Science
  • Medical Informatics
  • Health Systems Engineering

Background:

  • Pervasive telemedicine systems require semantic interoperability for effective data exchange.
  • Existing systems often lack a standardized model for representing clinical data.
  • The MobiGuide project aims to develop advanced telemedicine solutions.

Purpose of the Study:

  • To develop and validate a Reference Information Model (RIM) for pervasive telemedicine systems.
  • To ensure semantic interoperability within these systems.
  • To integrate the RIM into the larger, computer-interpretable MADE language.

Main Methods:

  • The Reference Information Model (RIM) was derived from a generic disease management data flow model (Monitoring, Analysis, Decision, Effectuation - MADE).
  • The MADE RIM was formally specified using the Vienna Development Method (VDM).
  • The RIM was validated by applying it to a clinical guideline for gestational diabetes mellitus (GDM).

Main Results:

  • A domain information model (DIM) with 61 archetypes was derived from the MADE RIM for the GDM guideline.
  • Six generic patterns were identified for transforming guideline elements into MADE archetypes.
  • Specific challenges were noted in mapping notifications and decision conditions.

Conclusions:

  • The MADE Reference Information Model (RIM) is suitable for modeling clinical data in pervasive telemedicine systems.
  • The MADE RIM supports the development of interoperable telemedicine systems.
  • The model promotes application independence in telemedicine solutions.