Extending remote patient monitoring with mobile real time clinical decision support

Hermanus J. Hermens, Valerie M. Jones

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    Abstract

    Large scale implementation of telemedicine services such as telemonitoring and teletreatment will generate huge amounts of clinical data. Even small amounts of data from continuous patient monitoring cannot be scrutinised in real time and round the clock by health professionals. In future huge volumes of such data will have to be routinely screened by intelligent software systems. We investigate how to make m-health systems for ambulatory care more intelligent by applying a Decision Support approach in the analysis and interpretation of biosignal data and to support adherence to evidence-based best practice such as is expressed in treatment protocols and clinical practice guidelines. The resulting Clinical Decision Support Systems must be able to accept and interpret real time streaming biosignals and context data as well as the patient’s (relatively less dynamic) clinical and administrative data. In this position paper we describe the telemonitoring/teletreatment system developed at the University of Twente, based on Body Area Network (BAN) technology, and present our vision of how BAN-based telemedicine services can be enhanced by incorporating mobile real time Clinical Decision Support. We believe that the main innovative aspects of the vision relate to the implementation of decision support on a mobile platform; incorporation of real time input and analysis of streaming biosignals into the inferencing process; implementation of decision support in a distributed system; and the consequent challenges such as maintenance of consistency of knowledge, state and beliefs across a distributed environment.
    Original languageUndefined
    Title of host publicationProceedings of the IEEE-EMBS Benelux Chapter Symposium
    EditorsPetrus H. Veltink, W. Eberle
    Place of PublicationEnschede
    PublisherUniversity of Twente
    Pages50-53
    Number of pages4
    ISBN (Print)978-90-365-2933-4
    Publication statusPublished - Nov 2009
    Event4th Annual Symposium of the Benelux Chapter of the IEEE Engineering in Medicine and Biology Society (IEEE-EMBS Benelux) 2009 - University of Twente, Enschede, Netherlands
    Duration: 9 Nov 200910 Nov 2009
    Conference number: 4

    Publication series

    Name
    PublisherUniversity of Twente

    Conference

    Conference4th Annual Symposium of the Benelux Chapter of the IEEE Engineering in Medicine and Biology Society (IEEE-EMBS Benelux) 2009
    CountryNetherlands
    CityEnschede
    Period9/11/0910/11/09

    Keywords

    • METIS-264172
    • EWI-16561
    • IR-68579

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