l ă cr ă mioara stoicu-tivadar, vasile stoicu-tivadar, dorin berian “politehnica” university...

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 careUsed for chronic patients after discharge

from hospitals and monitor them at homeImproving life quality of elder and disabled

people at home


The TELEASIS projectInsures support for medical and social

tele-assistance of elderly people.Implements the medical and social home

assistance services of the elderly persons in Romaniaimproving their quality of lifesatisfying the desire to live longer in their own

home under specialized assistance.


TELEASIS system


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.


The Web serviceThe 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. Write_values() Alarm() Download_content() Send_file()

The Web application calls web methods in order to interact to patients’ records and their care plans. 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.


The Web applicationCommunicates with server through XML documents.There are different types of users having different access

rights.Patients:

view their dataenter results of simple medical procedures in their care

plans.Nurses:

view patients’ dataenter results of medical procedures in their care plans.

Physicians:view patient’s dataenter consultations datacreate, read or modify actions in care plans of patients.


TELEASIS - a hybrid solution


TELEASIS - a hybrid solutionThe 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


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.

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.


TELEASIS warning componentThe 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.


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.


For the project: [email protected] Software specifications: [email protected] Software implementation: [email protected]

Contact

Thank you!


l ă cr ă mioara stoicu-tivadar, vasile stoicu-tivadar, dorin berian “politehnica” university...

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