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Bioengineering 2019, 6(1), 25; https://doi.org/10.3390/bioengineering6010025

Data Integration and Interoperability for Patient-Centered Remote Monitoring of Cardiovascular Implantable Electronic Devices

1,2,*
,
1,2
and
1,2,3
1
Parkview Mirro Center for Research and Innovation, Parkview Health, 10622 Parkview Plaza Dr., Fort Wayne, IN 46845, USA
2
Department of BioHealth Informatics, IUPUI School of Informatics and Computing, 535 W. Michigan St., Indianapolis, IN 46202, USA
3
Department of Medicine, Indiana University School of Medicine, 340 West 10th St., Indianapolis, IN 46202, USA
*
Author to whom correspondence should be addressed.
Received: 1 February 2019 / Revised: 1 March 2019 / Accepted: 7 March 2019 / Published: 17 March 2019
(This article belongs to the Special Issue Implantable Medical Devices)
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Abstract

The prevalence of cardiovascular implantable electronic devices with remote monitoring capabilities continues to grow, resulting in increased volume and complexity of biomedical data. These data can provide diagnostic information for timely intervention and maintenance of implanted devices, improving quality of care. Current remote monitoring procedures do not utilize device diagnostics to their potential, due to the lack of interoperability and data integration among proprietary systems and electronic medical record platforms. However, the development of a technical framework that standardizes the data and improves interoperability shows promise for improving remote monitoring. Along with encouraging the implementation of this framework, we challenge the current paradigm and propose leveraging the framework to provide patients with their remote monitoring data. Patient-centered remote monitoring may empower patients and improve collaboration and care with health care providers. In this paper, we describe the implementation of technology to deliver remote monitoring data to patients in two recent studies. Our body of work explains the potential for developing a patent-facing information display that affords the meaningful use of implantable device data and enhances interactions with providers. This paradigm shift in remote monitoring—empowering the patient with data—is critical to using the vast amount of complex and clinically relevant biomedical data captured and transmitted by implantable devices to full potential. View Full-Text
Keywords: cardiovascular implantable electronic device; CIED; remote monitoring; interoperability; data integration; data standards; patient-centered; patient engagement cardiovascular implantable electronic device; CIED; remote monitoring; interoperability; data integration; data standards; patient-centered; patient engagement
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Daley, C.; Toscos, T.; Mirro, M. Data Integration and Interoperability for Patient-Centered Remote Monitoring of Cardiovascular Implantable Electronic Devices. Bioengineering 2019, 6, 25.

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