Lanzola Giordano, Capozzi Davide, Serina Nadia, Magni Lalo, Bellazzi Riccardo
Dipartimento di Informatica e Sistemistica, Università di Pavia, Pavia, Italy.
J Diabetes Sci Technol. 2011 Nov 1;5(6):1381-6. doi: 10.1177/193229681100500609.
The design and implementation of telemedicine systems able to support the artificial pancreas need careful choices to cope with technological requirements while preserving performance and decision support capabilities. This article addresses the issue of designing a general architecture for the telemedicine components of an artificial pancreas and illustrates a viable solution that is able to deal with different use cases and is amenable to support mobile-health implementations. The goal is to enforce interoperability among the components of the architecture and guarantee maximum flexibility for the ensuing implementations. Thus, the design stresses modularity and separation of concerns along with adoption of clearly defined protocols for interconnecting the necessary components. This accounts for the implementation of integrated telemedicine systems suitable as short-term monitoring devices for supporting validation of closed-loop algorithms as well as devices meant to provide a lifelong tighter control on the patient state once the artificial pancreas has become the preferred treatment for patients with diabetes.
能够支持人工胰腺的远程医疗系统的设计与实现需要谨慎选择，以满足技术要求，同时保持性能和决策支持能力。本文探讨了为人工胰腺的远程医疗组件设计通用架构的问题，并阐述了一种可行的解决方案，该方案能够处理不同的用例，并适合支持移动健康应用。目标是加强架构组件之间的互操作性，并确保后续实施具有最大的灵活性。因此，设计强调模块化和关注点分离，同时采用明确的协议来互连必要的组件。这有助于实现集成远程医疗系统，这些系统既适合作为短期监测设备来支持闭环算法的验证，也适合在人工胰腺成为糖尿病患者首选治疗方法后，作为对患者状态进行终身更严格控制的设备。
