Research Article | Open Access
Axel Helmer, Myriam Lipprandt, Thomas Frenken, Marco Eichelberg, Andreas Hein, "3DLC: A Comprehensive Model for Personal Health Records Supporting New Types of Medical Applications", Journal of Healthcare Engineering, vol. 2, Article ID 936420, 16 pages, 2011. https://doi.org/10.1260/2040-22220.127.116.111
3DLC: A Comprehensive Model for Personal Health Records Supporting New Types of Medical Applications
Motivated by the demographic change, many new medical applications are installed in the user's home environment. These applications make use of ambient sensors, enabling new forms of medical care. Personal Health Records (PHRs) are an instrument for the storage, presentation and communication of health related data provided by these applications. But there are still open issues regarding the cooperation between PHRs and the new applications. On the basis of two medical application scenarios, we developed a new model which defines the appropriate level of abstraction of data generated by medical applications to be stored inside the PHR. The model also determines which part of these data is relevant for the clinical decision making process, and how these data should be communicated to physicians. This paper describes the 3DLC model, which uses three dimensions (clinical decision, frequency and context dependence) to determine the type of the data. We further introduce a prototype PHR system that is able to fulfil the requirements of our scenarios.
- Tews H. Von der Pyramide zum Pilz, “Demographische Veränderungen in der Gesellschaft,” Funkkolleg Altern, vol. 1, pp. 137–148, 1999.
- Mai R. Die Alten der Zukunft, Eine bevölkerungsstatistische Datenanalyse, Leske + Budrich, Opladen, 1st edition, 2003.
- M. J. Ball, C. Smith, and R. S. Bakalar, “Personal health records: empowering consumers,” J Healthc Inf Manag, vol. 21, no. 1, pp. 76–86, 2007.
- D. C. Kaelber, S. Shah, A. Vincent et al., “The Value of Personal Health Records,” in AMIA Annu Symp Proc, p. 3434, 2008.
- Markle Foundation, “Connecting Americans to their Health Care: Final Repo rt-Working Group on Policies for Electronic Information Sharing Between Doctors and Patients,” http://www.markle.org/publications/892-connecting-americans-their-health-care-executive-summary2004. Last visit 2010.01.27.
- D. C. Kaelber, A. K. Jha, D. Johnston, B. Middleton, and D. W. Bates, “A research agenda for personal health records (PHRs),” J Am Med Inform Assoc, vol. 15, no. 6, pp. 729–736, 2008.
- D. A. Wood, “Lifestyle and risk factor management and use of drug therapies in coronary patients from 15 countries. Principal results from EUROASPIRE II Euro Heart Survey Programme,” Eur Heart J, vol. 22, no. 7, pp. 554–572, 2001.
- M. Kohlmeyer, M. Redaèlli, G. Büscher, B. Schwitalla, K. Lauterbach, and W. Mayer-Berger, “Nachhaltigkeit in der Sekundärprävention – Sekundärprävention bei Patienten mit Koronarer Herzkrankheit durch Anschlussheilbehandlung und anschließende konzeptintegrierte Nachsorge (SeKoNa),” in Conf Proc DRV Schriften, vol. 1, pp. 405–5, 2008.
- T. M. Gill, C. S. Williams, and M. E. Tinetti, “Assessing risk for the onset of functional dependence among older adults: the role of physical performance,” J Am Geriatr Soc, vol. 43, no. 6, pp. 603–609, 1995.
- O. Beauchet, G. Allali, G. Berrut, C. Hommet, V. Dubost, and F. Assal, “Gait analysis in demented subjects: Interests and perspectives,” Neuropsychiatr Dis Treat, vol. 4, no. 1, pp. 155–160, 2008.
- Committee On Quality Of Health Care In America and Medicine, Crossing the quality chasm: A new health system for the 21st century, Institute of Medicine, Washington, DC, USA; National Academies Press, 2001.
- Deutsches Institut für Medizinische Dokumentation und Information, “Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit,” 2005, http://www.dimdi.de/dynamic/de/klassi/downloadcenter/icf/endfassung/, Last visit 2011. 05. 05.
- Health Level Seven Internatioinal, “HL7 Implementation Guide: CDA Release 2 – Continuity of Care Document (CCD),” 2007, http://www.hl7.org/implement/standards/cda.cfm, Last visit 2011.05.05.
- R. Dolin, L. Alschuler, S. Boyer et al., “Hl7 clinical document architecture, release 2,” J Am Med Inform Assoc, vol. 13, no. 1, pp. 30–39, 2006.
- T. Frenken, M. Gövercin, S. Mersmann, and A. Hein, “Precise Assessment of Self-Selected Gait Velocity in Domestic Environments,” in Conf. Proc. of the 4th International Conference on Pervasive Computing Technologies for Healthcare 2010, 2010.
- I. H. E. International, http://www.ihe.net/, Last visit 2010.01.27.
- A. Hein, M. Eichelberg, O. Nee, A. Schulz, A. Helmer, and M. Lipprandt, “A Service Oriented Platform for Health Services and Ambient Assisted Living,” in Conf Proc International Conference on Advanced Information Networking and Applications Workshops, vol. 1, pp. 531–6, 2009.
- The OSGi Alliance, “OSGi Service Platform Service Compendium,” http://-www.osgi.org/Download/File?url=/download/r4v42/r4.cmpn.pdf, Last visit 2010.01.27.
- M. Eichelberg, A. Hein, F. Büsching, and L. Wolf, “The GAL middleware platform for AAL - a case study,” in Proc First International Workshop on AAL Service Platforms, vol. 1, pp. 1–6, 2010.
- D. A. Clunie, DICOM Structured Reporting, PixelMed Publishing, Bangor PA, 1st edition, 2000.
- ASTM, ASTM E2369-05: Standard Specification for Continuity of Care Record (CCR), 2005.
- M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and G. B. Laleci, “A survey and analysis of Electronic Healthcare Record standards,” ACM Comput Surv, vol. 37, no. 4, pp. 277–315, 2005.
- A. Hinchley, Understanding Version 3: A Primer on the HL7 Version 3 Healthcare Interoperability Standard - Normative Edition, Alexander Mönch Publishing, Munich, 4st edition, 2007.
Copyright © 2011 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.