Spyropoulos B, Tzavaras A, Botsivaly M, Koutsourakis K
Medical Instrumentation Technology Department, Faculty of Engineering, Technological Educational Institution (TEI) of Athens, Athens, Greece.
Methods Inf Med. 2010;49(2):156-60. doi: 10.3414/ME9305. Epub 2010 Feb 5.
A significant portion of care related to cardiorespiratory diseases is provided at home, usually but not exclusively, after the discharge of a patient from hospital. It is the purpose of the present study to present the technical means which we have developed, in order to support the adaptation of the continuity of care of cardiorespiratory diseases at home.
We have developed an integrated system that includes: first, a prototype laptop-based portable monitoring system that comprises low-cost commercially available components, which enable the periodical or continuous monitoring of vital signs at home; second, software supporting medical decision-making related to tachycardia and ventricular fibrillation, as well as fuzzy-rules-based software supporting home-ventilation optimization; third, a typical continuity of care record (CCR) adapted to support also the creation of a homecare plan; and finally, a prototype ontology, based upon the HL7 clinical document architecture (CDA), serving as basis for the development of semantically annotated web services that allow for the exchange and retrieval of homecare information.
The flexible design and the adaptable data-exchange mechanism of the developed system result in a useful and standard-compliant tool, for cardiorespiratory disease-related homecare.
The ongoing laboratory testing of the system shows that it is able to contribute to an effective and low-cost package solution, supporting patient supervision and treatment. Furthermore, semantic web technologies prove to be the perfect solution for both the conceptualization of a continuity of care data exchange procedure and for the integration of the structured medical data.
与心肺疾病相关的护理很大一部分是在患者出院后在家中提供的，通常但不限于这种情况。本研究的目的是介绍我们开发的技术手段，以支持在家中心肺疾病护理连续性的适配。
我们开发了一个集成系统，该系统包括：第一，一个基于笔记本电脑的便携式监测原型系统，它由低成本的商用组件组成，能够在家中定期或持续监测生命体征；第二，支持与心动过速和心室颤动相关的医疗决策的软件，以及支持家庭通气优化的基于模糊规则的软件；第三，一个经过调整以支持创建家庭护理计划的典型护理连续性记录（CCR）；最后，一个基于HL7临床文档架构（CDA）的原型本体，作为开发语义注释网络服务的基础，这些服务允许交换和检索家庭护理信息。
所开发系统的灵活设计和适应性数据交换机制产生了一个有用且符合标准的工具，用于与心肺疾病相关的家庭护理。
该系统正在进行的实验室测试表明，它能够促成一个有效且低成本的成套解决方案，支持患者的监护和治疗。此外，语义网技术被证明是护理连续性数据交换程序概念化以及结构化医疗数据集成的完美解决方案。
