Download Technical Aspects of Implementing a Telecare System

Lăcrămioara STOICU-TIVADAR, Vasile STOICU-TIVADAR, Dorin BERIAN
“Politehnica” University Timisoara
Department of Automation and Applied Informatics, Timişoara, Romania
STC 2010 - Reykjavik, Iceland
Telecare systems
 Supports continuity of care
 Used for chronic patients after discharge from
hospitals and monitor them at home
 Improving life quality of elder and disabled people at
home
STC 2010 - Reykjavik, Iceland
The TELEASIS project
 Insures support for medical and social teleassistance of elderly people.
 Implements the medical and social home
assistance services of the elderly persons in
Romania
 improving their quality of life
 satisfying the desire to live longer in their own home
under specialized assistance.
STC 2010 - Reykjavik, Iceland
STC 2010 - Reykjavik, Iceland
TELEASIS system
STC 2010 - Reykjavik, Iceland
The dispatcher module
 Graphical monitoring of the signals read
from the sensors and the alarms.
 Displaying the care plan for patients and
the actions completed in the care plan
 Set-up of the data of the patients, the
alarms and other settings which
personalize the monitoring to the specific
needs of each elderly person.
• Future development:
– Alert the dispatcher and medical specialists when an action in the care
plan of a monitored individual isn’t completed at the proper time.
– A specific report and data mining module, for further research purposes.
– Future connectivity with the emergency services and with an automated
SMS Sender.
STC 2010 - Reykjavik, Iceland
The Web service
 The TELEASIS server hosts a Web service called by MITAS
modules and the web application.
 MITAS calls web methods to communicate to server data regarding the
health status of monitored individuals or to report alarms.
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Write_values()
Alarm()
Download_content()
Send_file()
 The Web application calls web methods in order to interact to patients’
records and their care plans.
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Get_patients_list()
Get_consultations()
Get_care_plan()
Get_care_plan_flow()
Write_consultation()
Write_care_plan()
Write_care_plan_results()
 The Web service is securely accessed over SSL.
STC 2010 - Reykjavik, Iceland
The Web application
 Communicates with server through XML documents.
 There are different types of users having different access rights.
 Patients:
 view their data
 enter results of simple medical procedures in their care plans.
 Nurses:
 view patients’ data
 enter results of medical procedures in their care plans.
 Physicians:
 view patient’s data
 enter consultations data
 create, read or modify actions in care plans of patients.
STC 2010 - Reykjavik, Iceland
STC 2010 - Reykjavik, Iceland
TELEASIS - a hybrid solution
STC 2010 - Reykjavik, Iceland
TELEASIS - a hybrid solution
 The Server hosts the Web service, but also an HTTP server that allows
remote clients to access appropriate data, accordingly to their roles, by
a simple browser.
 Broker components are used to intermediate the dialog between the
patients and/or the staff:
 video streaming
 online chat
 offline messages.
 Dispatcher ensures monitoring of the signals read from the sensors and
the alarms.
 Another software components allow the set-up of patients data, the
alarms and other settings.
 The software solutions are developed under Microsoft Visual Studio
.NET 2008 (VB and C#).
 The database is MySQL
STC 2010 - Reykjavik, Iceland
Intelligent features in TELEASIS
 Intelligent features help system to become more „friendly” with the
assisted person.
 Patient empowerment = more accessibility to information of interest.
 patients are able to access a central medical information database with
text, audio, video multimedia presentations and videos.
 the download mechanism is implemented via a Web service that
invokes the context-based search engine and then establishes an ftp
connection in order to download the requested information.
 Patient socialization
 Patients are able to contact the doctor online or offline.
 Patients can communicate with each other.
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patients with similar problems have the opportunity to exchange experience and
support each other.
 Intelligence is given by the content-based selection of the information
 the available information or the communication partners are selected
accordingly to the medical record of the patient.
STC 2010 - Reykjavik, Iceland
TELEASIS warning component
 The specialized medical staff can define warning scenarios
for each patient. An XML schema is generated and then
downloaded in the MITAS modules.
 The warning condition are checked at MITAS level. If a
warning is raised, it is sent to the server by calling specific
Web service methods. The assistance personnel will take
the appropriate decisions.
 By calling a Web service method, local XML schemas can
be updated once a day.
STC 2010 - Reykjavik, Iceland
Conclusions
 The TELEASIS system is currently under development and will be tested in real
life conditions in the next month.
 The presented system is designed to supply all the needs related to monitoring
certain categories of patients at their homes and to avoid, when possible,
hospitalization and to facilitate postsurgical surveillance.
 Benefits:
 Communication between different users increases the possibility of the patients
to be better informed about their health status and they can exchange
information with individuals having the same interests.
 Increasing quality of care for elderly individuals and decreasing healthcare
costs for this category.
 The continuous monitoring of the individuals under medical treatment may
provide useful feedback over the effects of medication and the interaction
between medications.
 The perspective is to contribute to improvement of healthcare management for
this category, as well, as a future generation telecare networking application.
STC 2010 - Reykjavik, Iceland
Contact
For the project: [email protected]
For Software specifications: [email protected]
For Software implementation: [email protected]
Thank you!
STC 2010 - Reykjavik, Iceland