New pHealth approach to monitoring of seniors and handicapped people

Jiri Chod, Czech Technical University in PragueJaroslav Jansa, Immobiliser Central Europe, Ltd.

Karel Zvolsky, COMINFO, Inc.Ivo Vaněk, National Noise Observatory Marek Semerád, Township Cerhenice

What is pHealth? 

»pHealth« is use of Personal Health Systems (PHS) for Remote Patient Monitoring (RPM) – evaluates individual patients vital signs on daily basis and provides diagnostic information that can be transmitted to health care professionals for monitoring or early diagnosis purposes (“EC definition”)

Goals of pHealth

Conceptual transition of health care provisioning from hospital to domestic environment

Deployment of IT personal medical systems, the so-called PHS (Personal Health System)

Enabling medical professionals to monitor people in their normal living and working environments

Optimization of health care systems costs

Development of brand-new, mostly on-line diagnostics and therapeutic procedures.

Main tasks of pHealth for AAL

I. Integration of sensors, signal conditioning RF receivers, for monitoring of both on-body and in the future also in-body bio-parameters (Body Area Network)

II. Use of wireless networks for monitoring and localizationIII. Design of motion control system of the body and limbs of

everybodyIV. Design of intelligent real time Clinical Decision Support

SystemsThe target is: To create integral solutions motivating and

assisting elderly people to remain active and independent as long as possible.

Main components of Czech pHealth compliant with the above mentioned tasks Set of biosensors for all important vital signs –

Task I

Modern satellite navigation systems (GPS/EGNOS, GLONASS, GALILEO) –Task II

Communication platform Bluetooth + GPRS –Task II

RFID Long range platform – Task III

Evaluation of bio-parameters by expert system BioAnalyst – Task V

Web “events initiated” GIS visualization – Task IV – TBD with Mediinspect, Ltd., and HSRS, Ltd.

Czech pHealth projects 2012

I. Expert System for Disease Risk Warning

II. System for monitoring of people with cardiovascular diseases and diabetes and/or handicapped people

III. System for monitoring of risk pregnancy (not part of this presentation)

I. Expert System for Disease Warning“BioAnalyst”

Program package BioAnalyst is a very efficient statistical software specifically designed and focused on differential diagnostics of various groups of diseases. It is based on multivariate analysis of biochemical and other clinical data.

Basic functions of the system

Simulating data via Monte Carlo modeling Collecting of biochemical and other laboratory data Optimizing number of necessary parameters for

any group Evaluating set of collected data for a real patient Creating so-called “Disease Risk Warning

Message” Creating confirmed diagnostic clusters for any

disease group

Goals of the system

Allows control of therapeutic process in time

Can significantly reduce laboratory costs

Effective tool for training of students and young physicians

Effective tool for “disease early stage screening”

Allows creating of a completely new set of diagnostic procedures

Example of disease groups

Cardiovascular diseases

Gilbert disease

Osteoporosis

Early stage diagnostics of some types of cancer

Frederickson disease

Diabetes mellitus

Example of heart risk evaluation

Example of Monte Carlo modeling

Assistance for patients to improve their safety and independence

Monitoring of vital signs for chronic patients

Monitoring of home rehabilitation

Sending warning messages to patients

Recognition of severe falls of persons

Rapid assistance thanks to immediate awareness of those in charge

Monitoring of people at home and outdoors

Developed PHS products myXwb – RFID wrist band for indoor and

outdoor localization of persons

myXcall – personal communication and localization unit and mobile server for myXwb units

BioAnalyst – expert system for on-line evaluation of disease risk

HeRo – HealthRobot – personal wrist band communication and localization unit with vital signs sensors – pO2, temperature, pulse, blood pressure - R&D stage

1.NXP ATOP module – GPS/GLONASS, GPRS, NFC 2.JENNIC RFID module – 802.15.4 3.TOUMAZ ECG sensor 4.OrSense pO2, glucose sensors - planned 5.Bluetooth 4 module

Commercial PHS products in use

myXcall personal unit

Temperature

Pulse

Blood Pressure

pO2

HeRo

System for navigation of blind people

RFID personal unit

Partners Immobiliser Central Europe, Ltd., Czech

Republic

COMINFO, Inc., Czech Republic

Czech Technical University, Prague, Czech Republic

Charles University, Prague, Czech Republic

NXP Semiconductors, NL, The NetherlandsMediinspect, Ltd., Czech RepublicBIOCONS, Ltd., Slovakia

Thank you!

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