title: Guideline-driven telemonitoring and follow-up of cardiovascular implantable electronic devices using IEEE 11073, HL7 & IHE profiles.
abstract: For patients with Cardiovascular Implantable Electronic Devices (CIEDs), telemonitoring promises improved quality of life and safety, since events recorded by the device or observed by the patient can alert a health professional. Taking into account the latest clinical guidelines when responding to such alerts, is a topic of active research addressed by the iCARDEA project. A key technical challenge is correlating telemonitoring CIED report data in a vendor-independent format with Electronic Health Record (EHR) data collected in the hospital and Personal Health Record (PHR) data entered by the patient, in guideline-driven care processes. The iCARDEA CIED exposure service component presented in this paper employs standards specifications from ISO/IEEE 11073 (Health Informatics, Point-of-care Medical Device Communication) and HL7v2.x in the context of Integrating the Healthcare Enterprise (IHE) profiles to deliver telemonitoring CIED report data from two different CIED vendors to the adaptive care planner that implements guideline-driven care plans. Experience gained with implementation and initial component testing is discussed, while challenges and expectations for future health information standards to effectively support EHR-integrated guide-line-driven telemonitoring services are highlighted.
authors.affiliation: Institute of Computer Science, FORTH in Heraklion, Crete, Greece.
authors.forename: Maohua
authors.initials: M
authors.lastname: Yang
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Chronaki
authors.forename: Christian
authors.initials: C
authors.lastname: Lüpkes
authors.forename: Andreas
authors.initials: A
authors.lastname: Thiel
authors.forename: Manuela
authors.initials: M
authors.lastname: Plössnig
authors.forename: Lynne
authors.initials: L
authors.lastname: Hinterbuchner
authors.forename: Elena
authors.initials: E
authors.lastname: Arbelo
authors.forename: Gokce Banu
authors.initials: GB
authors.lastname: Laleci
authors.forename: Yildiray
authors.initials: Y
authors.lastname: Kabak
authors.forename: Fernandez
authors.initials: F
authors.lastname: Duarte
authors.forename: Alejandra
authors.initials: A
authors.lastname: Guillén
authors.forename: Xavier
authors.initials: X
authors.lastname: Navarro
authors.forename: Asuman
authors.initials: A
authors.lastname: Dogac
authors.forename: Marco
authors.initials: M
authors.lastname: Eichelberg
authors.forename: Andreas
authors.initials: A
authors.lastname: Hein
mesh_terms: D017408:Guidelines as Topic; D006333:Heart Failure / Q000503:physiopathology; D006353:Heart-Assist Devices; D006801:Humans; D017216:Telemedicine