Telemonitoring Systems Interoperability Challenge: An Updated Review of the Applicability of ISO/IEEE 11073 Standards for Interoperability in Telemonitoring

Abstract

Abstract-Advances in Information and CommunicationTechnologies, ICT, are bringing new opportunities and use cases in the field of systems and Personal Health Devices used for the telemonitoring of citizens in Home or Mobile scenarios. At a time of such challenges, this review arises from the need to identify robust technical telemonitoring solutions that are both open and interoperable. These systems demand standardized solutions to be cost effective and to take advantage of standardized operation and interoperability. Thus, the fundamental challenge is to design plug-&-play devices that, either as individual elements or as components, can be incorporated in a simple way into different Telecare systems, perhaps configuring a personal user network. Moreover, there is an increasing market pressure from companies not traditionally involved in medical markets, asking for a standard for Personal Health Devices, which foresee a vast demand for telemonitoring, wellness, Ambient Assisted Living (AAL) and ehealth applications. However, the newly emerging situations imply very strict requirements for the protocols involved in the communication. The ISO/IEEE 11073 family of standards is adapting and moving in order to face the challenge and might appear the best positioned international standards to reach this goal. This work presents an updated survey of these standards, trying to track the changes that are being fulfilled, and tries to serve as a starting-point for those who want to familiarize themselves with them.

A framework for automatic testing of medical device compatibility

“…The IEEE and CEN work was shared and coordinated, resulting in a single set of standards -the ISO/IEEE 11073 standards. The CEN ISO/IEEE 11073 are the only coherent standards addressing medical device communication that have been adopted by ISO and CEN member countries [25]- [27]. The division of the substandards is quite analogous to MIB.…”

“…Most research projects focus on the ISO/IEEE 11073-10x, that define data formats and services on layer 7 of the OSI-model. The standards ISO/IEEE 11073-10101 (Nomenclature) and ISO/IEEE 11073-10201 (Domain Information Model, DIM) provide their basis [27]. The DIM is the central data model of the standards.…”

Next generation remote critical care through service-oriented architectures: challenges and opportunities

“…Galarraga et al [6] state that IEEE is developing ten telehealth device standards for controlling information exchange to and from personal telehealth devices and cell phones, personal computers, personal health appliances and other computer engines as a part of the ISO/IEEE 11073 family of standards. These they conclude have significant potential to become the chosen standard out of the many that are under development.…”

Cross Layer Interference Management in Wireless Biomedical Networks

“…In such a new setting, the possibility of collecting clinical information from different points is becoming a common need for citizens and physicians. In this perspective, with focus to the provision of high quality of care, assuring life independency, personalized medicine, the significant new research challenge is the integration of multiple biomedical sensor streams, to extract local and global health-state indicator variables that can be queried and monitored in an unobtrusive way [2].…”