만성질환자 자가관리를 위한 국제표준 프로토콜 기반 다중 에이전트 모바일 헬스 어플리케이션 개발 = Development of a Multi-Agent m-Health Application Based on Various Protocols for Chronic Disease Self-Management

다국어 초록 (Multilingual Abstract)

The purpose of this study was to develop and evaluate a mobile health application (SmPHR) to ensure the interoperability of various personal health devices (PHDs) and electronic medical record systems (EMRs) for continuous self-management of chronic disease patients. The SmPHR was developed for Android 4.0.3, and implemented according to the optimized standard protocol for each interface of healthcare services adopted by the Continua Health Alliance (CHA). That is, the Personal Area Network (PAN) interface between the application and PHD implements ISO/IEEE 11073-20601, 10404, 10407, 10415, 10417, and Bluetooth Health Device Profile (HDP), and EMRs with a wide area network (WAN) interface implement HL7 V2.6; the Health Record Network (HRN) interface implements Continuity of Care Document (CCD) and Continuity of Care Record (CCR). Also, for SmPHR, we evaluated the transmission error rate between the interface using four PHDs and personal health record systems (PHRs) from previous research, with 611 users and elderly people after receiving institutional review board (IRB) approval. In the evaluation, the PAN interface showed 15 (2.4%) errors, and the WAN and HRN interface showed 13 (2.1%) errors in a total of 611 transmission attempts. we received opinions regarding SmPHR from 15 healthcare professionals who took part in the clinical trial. SmPHR can be provided as an interconnected PHR mobile health service to patients, allowing ‘plug and play’ of PHDs and EMRs through various standard protocols.

목차 (Table of Contents)

• 목차···························································ⅰ
• 그림목차·······················································ⅱ
• 표목차·······················································ⅱ
• Ⅰ. 서론························································1
• 1.1 연구의 배경 및 필요성··································1
• 1.2 연구의 목적············································2
• Ⅱ. 연구재료 및 방법·············································3
• 2.1 모바일 헬스 어플리케이션 구조 제안·····················3
• 2.2 개인건강기기 통신의 상호운용성·························7
• 2.2.1 Communication Protocol·························7
• 2.2.2 Optimized Exchange Protocol·····················8
• 2.3 의료정보시스템 통신의 상호운용성······················11
• 2.3.1 스키마 설계····································11
• 2.3.2 표준 프로토콜 생성기 및 분석기·················12
• 2.4 평가··················································13
• Ⅲ. 연구결과···················································14
• 3.1 모바일 헬스 어플리케이션 개발·························14
• 3.1.1 제공 기능······································14
• 3.1.2 활력 징후 측정·································14
• 3.1.3 수신자 정보 관리·······························15
• 3.1.4 활력 징후 결과 출력 및 전송····················15
• 3.2 모바일 헬스 어플리케이션 평가·························20
• 3.2.1 임상 시험 결과·································21
• 3.2.2 평가 및 개선안·································22
• Ⅳ. 결론·······················································23
• 참고문헌·······················································25
• 영문초록·······················································29