电子健康记录的网络方面:超文本传输协议版本 2 (HTTP/2) 与 HTTP/3。

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Medical Systems Pub Date : 2024-06-15 DOI:10.1007/s10916-024-02080-0
Nikola Kirilov, E Bischoff
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引用次数: 0

摘要

数字医疗和电子病历(EHR)的快速发展需要流畅的网络基础设施,以便使用基于超文本传输协议(HTTP)的应用程序访问数据。与 HTTP/2 相比,新的 HTTP/3 标准应在性能和安全性方面有所改进。我们的工作目标是在 EHR 的背景下测试 HTTP/2 和 HTTP/3 的性能。我们使用 45,000 个测试 FHIR 患者资源,每个捆绑包下载和上传 20、50、100 和 200 个资源,分别产生 2251、901、451 和 226 个 HTTP GET 和 POST 请求。第一次测试每束下载 20 个资源显示,HTTP/3 在本地(平均请求时间为 16.57 毫秒 ± 7.2 标准差 [SD])和远程网络(71.45 毫秒 ± 43.5 标准差)的表现优于 HTTP/2,几乎快了 3 倍。在每束 50 个和 100 个资源测试中,HTTP/3 协议的远程请求下载性能再次提高了两倍多,平均请求时间分别为 91.13 ms ± 34.54 SD 和 88.09 ms ± 21.66 SD。此外,在构建的临床数据集远程传输中,HTTP/3 的性能优于 HTTP/2。在上传测试中,HTTP/3 的性能仅在远程网络中略有提升。HTTP/3 协议是一项相对较新的开发,是对全球网络的重大改进。这项新技术在数字医疗和电子病历中仍然缺失。在从多个远程地点收集数据的情况下,使用这种技术可以大大提高性能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Networking Aspects of the Electronic Health Records: Hypertext Transfer Protocol Version 2 (HTTP/2) vs HTTP/3.

The rapid development of the digital healthcare and the electronic health records (EHR) requires smooth networking infrastructure to access data using Hypertext Transfer Protocol (HTTP)-based applications. The new HTTP/3 standard should provide performance and security improvements over HTTP/2. The goal of our work was to test the performance of HTTP/2 and HTTP/3 in the context of the EHRs. We used 45,000 test FHIR Patient resources downloaded and uploaded using 20, 50, 100 and 200 resources per Bundle, which resulted in 2251, 901, 451 and 226 HTTP GET and POST requests respectively. The first test downloading 20 resources per Bundle showed that HTTP/3 outperformed HTTP/2 in the local (mean request time 16.57 ms ± 7.2 standard deviation [SD]) and in the remote network (71.45 ms ± 43.5 SD) which is almost 3 times faster. In the 50 and 100 resources per Bundle test the HTTP/3 protocol demonstrated again more than two times gain in downloading performance for remote requests with mean request time 91.13 ms ± 34.54 SD and 88.09 ms ± 21.66 SD respectively. Furthermore, HTTP/3 outperformed HTTP/2 in the constructed clinical dataset remote transfer. In the upload tests HTTP/3 showed only a slight gain in performance merely in the remote network. The HTTP/3 protocol is a relatively new development and a major improvement for the worldwide web. This new technology is still missing in the digital health and EHRs. Its use could offer a major performance gain in situations where data is gathered from multiple remote locations.

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来源期刊
Journal of Medical Systems
Journal of Medical Systems 医学-卫生保健
CiteScore
11.60
自引率
1.90%
发文量
83
审稿时长
4.8 months
期刊介绍: Journal of Medical Systems provides a forum for the presentation and discussion of the increasingly extensive applications of new systems techniques and methods in hospital clinic and physician''s office administration; pathology radiology and pharmaceutical delivery systems; medical records storage and retrieval; and ancillary patient-support systems. The journal publishes informative articles essays and studies across the entire scale of medical systems from large hospital programs to novel small-scale medical services. Education is an integral part of this amalgamation of sciences and selected articles are published in this area. Since existing medical systems are constantly being modified to fit particular circumstances and to solve specific problems the journal includes a special section devoted to status reports on current installations.
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