Bringing Health and Fitness Data Together for Connected Health Care: Mobile Apps as Enablers of Interoperability.
Bringing Health and Fitness Data Together for Connected Health Care: Mobile Apps as Enablers of Interoperability.
复制标题
将健康和健身数据汇集在一起，以进行连接的医疗保健：移动应用程序作为互操作性的推动者。
DOI：
10.2196/jmir.5094
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发表时间：
2015-11-18
影响因子：
7.4
通讯作者：
Leijdekkers P
中科院分区：
文献类型：
--
作者：
Gay V;Leijdekkers P
我们对待健康的方式正在发生转变。移动设备使持续访问个人健康信息成为可能。可穿戴设备，如Fitbit和苹果的智能手表，可以持续收集数据，并为我们的健康和健身提供见解。然而，缺乏互操作性和数据孤岛的存在阻碍了用户和卫生专业人员获得健康和健身数据的综合视图。为了提供更好的健康结果，需要全面了解情况，将用户收集的非正式健康和健身数据与卫生专业人员收集的正式健康记录结合起来。由于手机应用可以利用这些官方和非正式的健康和数据孤岛，因此它们将在聚合中发挥重要作用。本文的目的是证明一个移动应用程序可以用来汇总健康和健身数据，并可以实现互操作性。它讨论了在将数据集成到一个地方时遇到的各种技术互操作性挑战。8年来，我们一直与第三方合作伙伴合作，包括可穿戴设备制造商、电子健康记录提供商和应用程序开发商，将Android应用程序连接到他们的（可穿戴）设备、后端服务器和系统。这项研究的结果是一个名为myFitnessCompanion的健康和健身应用程序，用户可以在一个地方汇总他们的数据。全球有超过6000名用户使用该应用程序来汇总他们的健康和健身数据。它表明，移动应用程序可以用来实现互操作性。研究过程中遇到的挑战包括用于与无线设备通信的不同无线协议和标准，用于与服务器交换数据的安全和授权协议的多样性，以及缺乏用于医疗信息交换的标准使用，例如Health Level Seven。通过限制健康数据孤岛的负面影响，移动应用程序可以提供健康和健身数据的更好的整体视图。然后可以对数据进行分析，以提供更好、更个性化的建议和护理。
A transformation is underway regarding how we deal with our health. Mobile devices make it possible to have continuous access to personal health information. Wearable devices, such as Fitbit and Apple’s smartwatch, can collect data continuously and provide insights into our health and fitness. However, lack of interoperability and the presence of data silos prevent users and health professionals from getting an integrated view of health and fitness data. To provide better health outcomes, a complete picture is needed which combines informal health and fitness data collected by the user together with official health records collected by health professionals. Mobile apps are well positioned to play an important role in the aggregation since they can tap into these official and informal health and data silos. The objective of this paper is to demonstrate that a mobile app can be used to aggregate health and fitness data and can enable interoperability. It discusses various technical interoperability challenges encountered while integrating data into one place. For 8 years, we have worked with third-party partners, including wearable device manufacturers, electronic health record providers, and app developers, to connect an Android app to their (wearable) devices, back-end servers, and systems. The result of this research is a health and fitness app called myFitnessCompanion, which enables users to aggregate their data in one place. Over 6000 users use the app worldwide to aggregate their health and fitness data. It demonstrates that mobile apps can be used to enable interoperability. Challenges encountered in the research process included the different wireless protocols and standards used to communicate with wireless devices, the diversity of security and authorization protocols used to be able to exchange data with servers, and lack of standards usage, such as Health Level Seven, for medical information exchange. By limiting the negative effects of health data silos, mobile apps can offer a better holistic view of health and fitness data. Data can then be analyzed to offer better and more personalized advice and care.