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

Anagnostaki, A; Pavlopoulos, S.; Kyriakou, Efthyvoulos C.; Koutsouris, D.

doi:10.1109/tbme.2002.805458

Cited by 28 publications

(8 citation statements)

References 14 publications

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“…System communications are based on a predefined communication protocol for data interchange, which is used to control and maintain connection between the two sites, thus ensuring portability, interoperability and security of the transmitted data. During the design and implementation phase an extended codification scheme based on the "Vital" and DICOM" was developed [35]. Based in this experience we had created the communication protocol.…”

Section: Methodsmentioning

confidence: 99%

Multi-purpose HealthCare Telemedicine Systems with mobile communication link support

et al. 2003

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The provision of effective emergency telemedicine and home monitoring solutions are the major fields of interest discussed in this study. Ambulances, Rural Health Centers (RHC) or other remote health location such as Ships navigating in wide seas are common examples of possible emergency sites, while critical care telemetry and telemedicine home follow-ups are important issues of telemonitoring. In order to support the above different growing application fields we created a combined real-time and store and forward facility that consists of a base unit and a telemedicine (mobile) unit. This integrated system: can be used when handling emergency cases in ambulances, RHC or ships by using a mobile telemedicine unit at the emergency site and a base unit at the hospital-expert's site, enhances intensive health care provision by giving a mobile base unit to the ICU doctor while the telemedicine unit remains at the ICU patient site and 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 (3–12 lead ECG, SPO2, NIBP, IBP, Temp) and still images of the patient. The transmission is performed through GSM mobile telecommunication network, through satellite links (where GSM is not available) or through Plain Old Telephony Systems (POTS) where available. Using this device a specialist doctor can telematically "move" to the patient's site and instruct unspecialized personnel when handling an emergency or telemonitoring case. Due to the need of storing and archiving of all data interchanged during the telemedicine sessions, we have equipped the consultation site with a multimedia database able to store and manage the data collected by the system. The performance of the system has been technically tested over several telecommunication means; in addition the system has been clinically validated in three different countries using a standardized medical protocol.

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Section: Methodsmentioning

confidence: 99%

Multi-purpose HealthCare Telemedicine Systems with mobile communication link support

et al. 2003

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“…To facilitate automated ad-hoc hardware communication, all transmitted elements of communication must be transformable in appropriate codes. Therefore, VITAL uses an object oriented information model and a substantial nomenclature [1] [3] [4] for all usable model elements, device types, dimensions, and measuring units, as well as medical values and conditions. The following example depicts a term identifying the first lead of an ECG curve, which is assigned the code 256.…”

Section: Methodsmentioning

confidence: 99%

VITAL: use and implementation of a medical communication standard in practice

Weigand

2005

Computers in Cardiology, 2005

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IntroductionVITAL [1] describes the design of communication specifications for the transmission of device and vital parameters, independent of device type or manufacturer as well. Additionally, this open communication standard defines a general data and communication model enabling access to required data -even under real-time conditions. VITAL also enables the automatic configuration and coordination of networked devices. As an example, VITAL can be used to log the bio signals gathered on one diagnostic device and to produce a real-time curve with the data on a separate display. Such technology is ideal for intensive care, sleep research centres, or at an intracardiac catheter measuring station. VITAL also enables the simultaneous accumulation, monitoring, and when needed, the graphical representation of diverse bio signals from several patients.VITAL enables users to operate systems consisting of pieces of equipment from different manufacturers with little additional input. VITAL also simplifies the expansion of manufacturers' equipment portfolios. Due to straightforward software and hardware extensions, standalone measuring devices can be made networkcompatible and therefore can be integrated into existing networks in a manner that enables them to recognize the correlation between patient data and to detect critical states of patients. For the user in the medical field, improvements can be realized concerning multiparameter analysis, long-term monitoring and finally, advanced compliance. Economical and high quality disease management is also now possible. Patients' benefit due to expanded possibilities for individually optimised, more reliable diagnostics and therapies. MethodsThe VITAL communication architecture [2] is based on the »Agent/Manager« concept of the ISOManagement-System and therefore defines the user specific layers in the ISO/OSI Layer Model (figure 1), especially the »Application Layer«.

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“…Taboada et al (1997) presented an implementation for Intensive Care Unit (ICU) using X73 [14]. Kousoris et al (2005) developed a similar system to gather ECG [15]. Clarke and Jones (2005) presented a telemonitoring platform based on the principles of X73POC gathering several health measurements (weigh, blood pressure, temperature, SpO2, ECG among others) [16].…”

Section: Iso/ieee 11073 -Point-of-care (X73poc)mentioning

confidence: 99%

Recent Advances in mHealth: An Update to Personal Health Device Interoperability Based on ISO/IEEE11073

Barrón-González

Martínez-Espronceda

Trigo

et al. 2015

Springer Series in Bio-/Neuroinformatics

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Abstract. In recent years important advances have been made in the development of health care systems in specific areas owing to different uses and applications. One of the foremost advancements is the so-called mobile Health (mHealth), due to its potential social and economic impact. Within this scope, several technologies -such as smart phones and ultra-slim tablet-PCs, as well as low-voltage and low-power wireless sensor networks -provide telemonitoring services at home and ubiquitous support when they are strongly integrated. Therefore, the integration of international interoperability standards is, nevertheless, required for a regulated transmission of health information in mHealth scenarios. However, such implementation tends to increase the processing load and battery size in order to ensure its autonomy. To tackle this problem, different strategies are being tested in this set of mobile technologies which are aimed at providing a solution to such critical aspects. Another important aspect that should be addressed is the management of communication between different parts that constitutes the system. The new communication capabilities of smart phones enable the implementation of new techniques that improve data transmission from the mobile system to the telemonitoring center, facilitating the integration of Personal Health Devices (PHDs) with telemonitoring systems. This makes the system more accessible to the user.This work highlights some new features of X73PHD and the benefits of using them. In addition, current needs to enhance the operational capacity of the different specializations of X73PHD are also shown, which include the definition of new remote command and control functionalities. These new management functions are being developed in order to allow any X73PHD-compliant manager to modify the operation of any X73PHD-compliant agent. This functionality could expand the technological boundaries of interoperable mHealth to healthcare services and improve Quality of Service (QoS) by providing remote configuration of medical devices to health professionals. The definition of this a new package extension for X73PHD involves the analysis of previous studies and related use cases, work which is currently being carried out within the PHD Working Group

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

Cited by 28 publications

References 14 publications

Multi-purpose HealthCare Telemedicine Systems with mobile communication link support

Multi-purpose HealthCare Telemedicine Systems with mobile communication link support

VITAL: use and implementation of a medical communication standard in practice

Recent Advances in mHealth: An Update to Personal Health Device Interoperability Based on ISO/IEEE11073

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