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Health information exchange through a Device-to-Device protocol supporting lossless encoding and decoding.

Athanasios Kiourtis1, Argyro Mavrogiorgou1, Dimosthenis Kyriazis1

  • 1Department of Digital Systems, University of Piraeus, Piraeus, Greece.

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|September 13, 2022
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Summary

A new Device-to-Device (D2D) protocol using Bluetooth enables secure healthcare data exchange without internet. It efficiently transfers structured and unstructured health information between practitioners and citizens, with optional compression for large files.

Keywords:
BluetoothD2D protocolHealth information exchangeLossless compressionLossless encoding

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Area of Science:

  • Health Informatics
  • Wireless Communication
  • Medical Data Management

Background:

  • Most medical information remains on paper, hindering efficient sharing via mail, fax, or patient hand-delivery.
  • Current digital health data exchange methods often require continuous internet, limiting applicability in areas with poor connectivity.
  • Inaccurate data exchange in healthcare leads to significant inefficiencies and medical errors.

Purpose of the Study:

  • To propose and evaluate a novel Device-to-Device (D2D) protocol for secure, short-range healthcare data exchange.
  • To enable the transfer of both structured and unstructured health data using Bluetooth technology.
  • To assess the efficiency of the protocol, including its support for lossless compression for high-volume data.

Main Methods:

  • Development of a D2D protocol specifying Bluetooth messages for healthcare information exchange.
  • Extension of a global communication protocol to permit HL7 FHIR Bluetooth structured messages.
  • Implementation and real-world scenario evaluation of the D2D protocol with sample data.
  • Comparative analysis of data exchange efficiency with and without lossless compression for varying data sizes.

Main Results:

  • The D2D protocol successfully facilitated the exchange of healthcare-related data via Bluetooth in a real-world scenario.
  • Bluetooth was identified as a suitable technology for current short-range healthcare data exchange needs.
  • For small data volumes, the D2D protocol performed optimally without compression.
  • Lossless compression significantly improved the efficiency of exchanging large data volumes.

Conclusions:

  • The proposed D2D Bluetooth protocol offers a viable solution for secure, internet-independent healthcare data sharing.
  • The protocol's efficiency is data-size dependent, with lossless compression being crucial for large datasets.
  • Bluetooth technology is well-suited for enabling direct, short-range medical data transfer between healthcare providers and citizens.