Koutkias Vassilis G, Chouvarda Ioanna, Triantafyllidis Andreas, Malousi Andigoni, Giaglis Georgios D, Maglaveras Nicos
Laboratory of Medical Informatics, Medical School, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece.
IEEE Trans Inf Technol Biomed. 2010 Mar;14(2):464-72. doi: 10.1109/TITB.2009.2036367. Epub 2009 Dec 11.
The ongoing efforts toward continuity of care and the recent advances in information and communication technologies have led to a number of successful personal health systems for the management of chronic care. These systems are mostly focused on monitoring efficiently the patient's medical status at home. This paper aims at extending home care services delivery by introducing a novel framework for monitoring the patient's condition and safety with respect to the medication treatment administered. For this purpose, considering a body area network (BAN) with advanced sensors and a mobile base unit as the central communication hub from the one side, and the clinical environment from the other side, an architecture was developed, offering monitoring patterns definition for the detection of possible adverse drug events and the assessment of medication response, supported by mechanisms enabling bidirectional communication between the BAN and the clinical site. Particular emphasis was given on communication and information flow aspects that have been addressed by defining/adopting appropriate formal information structures as well as the service-oriented architecture paradigm. The proposed framework is illustrated via an application scenario concerning hypertension management.
为实现医疗连续性所做的持续努力以及信息通信技术的最新进展，催生了一些用于慢性病管理的成功个人健康系统。这些系统主要侧重于在家中有效监测患者的医疗状况。本文旨在通过引入一个新颖的框架来扩展家庭护理服务，该框架用于监测患者在接受药物治疗时的状况和安全性。为此，一方面考虑一个配备先进传感器的人体区域网络（BAN）和一个作为中央通信枢纽的移动基站单元，另一方面考虑临床环境，开发了一种架构，该架构提供监测模式定义，用于检测可能的药物不良事件并评估药物反应，并由实现BAN与临床站点之间双向通信的机制提供支持。特别强调了通信和信息流方面，通过定义/采用适当的正式信息结构以及面向服务的架构范式来解决这些方面的问题。通过一个关于高血压管理的应用场景对所提出的框架进行了说明。
