Healthcare PANs: Personal Area Networks for trauma care and home care

The first hour following the trauma is of crucial importance in trauma care. The sooner treatment begins, the better the ultimate outcome for the patient. Generally the initial treatment is handled by paramedical personnel arriving at the site of the accident with an ambulance. There is evidence to show that if the expertise of the on-site paramedic team can be supported by immediate and continuous access to and communication with the expert medical team at the hospital, patient outcomes can be improved. After care also influences the ultimate recovery of the patient. After-treatment follow up often occurs in-hospital in spite of the fact that care at home can offer more advantages and can accelerate recovery. Based on emerging and future wireless communication technologies, in a previous paper [1] we presented an initial vision of two future healthcare settings, supported by applications which we call Virtual Trauma Team and Virtual Homecare Team. The Virtual Trauma Team application involves high quality wireless multimedia communications between ambulance paramedics and the hospital facilitated by paramedic Body Area Networks (BANs) [2] and an ambulance-based Vehicle Area Network (VAN). The VAN supports bi-directional streaming audio and video communication between the ambulance and the hospital even when moving at speed. The clinical motivation for Virtual Trauma Team is to increase survival rates in trauma care. The Virtual Homecare Team application enables homecare coordinated by home nursing services and supported by the patient's PAN which consists of a patient BAN in combination with an ambient intelligent home environment. The homecare PAN provides intelligent monitoring and support functions and the possibility to ad hoc network to the visiting health professionals’ own BANs as well as high quality multimedia communication links to remote members of the virtual team. The motivation for Virtual Homecare Team is to improve quality of life and independence for patients by supporting care at home; the economic motivation is to replace expensive hospital-based care with homecare by virtual teams using wireless technology to support the patient and the carers. In this paper we develop the vision further and focus in particular on the concepts of personal and body area networks

Mobihealth: mobile health services based on body area networks

In this chapter we describe the concept of MobiHealth and the approach developed during the MobiHealth project (MobiHealth, 2002). The concept was to bring together the technologies of Body Area Networks (BANs), wireless broadband communications and wearable medical devices to provide mobile healthcare services for patients and health professionals. These technologies enable remote patient care services such as management of chronic conditions and detection of health emergencies. Because the patient is free to move anywhere whilst wearing the MobiHealth BAN, patient mobility is maximised. The vision is that patients can enjoy enhanced freedom and quality of life through avoidance or reduction of hospital stays. For the health services it means that pressure on overstretched hospital services can be alleviated

Towards a norm-driven design of context-aware e-health applications

In this paper, we explore the usefulness of elaborating process models with norms, especially focusing on the Norm Analysis Method (NAM) as an elaboration tool that can be combined with a process modeling tool, such as Petri Net (PN). The PN-NAM combination has been particularly considered in the paper in relation to a challenge that concerns the design of context-aware applications, namely the challenge of specifying and elaborating complex behaviors that may include alternative (context-driven) processes (we assume that a user context space can be defined and that each context state within this space corresponds to an alternative application service behavior). Hence, the main contribution of our paper comprises an adaptability-driven methodological and modeling support to the design of context-aware applications; modeling guidelines are proposed, considered together with corresponding modeling tools (in particular PN and NAM), and partially illustrated by means of an e-Health-related example. Given the multi-disciplinary nature of the e-Health domain, it is expected that the current research will be useful for it. In particular, e-Health system developers might benefit from the relevant methodological and modeling support, proposed in the paper

MobiHealth: Ambulant Patient Monitoring Over Next Generation Public Wireless Networks

The wide availability of high bandwidth public wireless networks as well as the miniaturisation of medical sensors and network access hardware allows the development of advanced ambulant patient monitoring systems. The MobiHealth project developed a complete system and service that allows the continuous monitoring of vital signals and their transmission to the health care institutes in real time using GPRS and UMTS networks. The MobiHealth system is based on the concept of a Body Area Network (BAN) allowing high personalization of the monitored signals and thus adaptation to different classes of patients. The system and service has been trialed in four European countries and for different patient cases. First results confirm the usefulness of the system and the advantages it offers to patients and medical personnel

Mobile Patient Monitoring: The Mobihealth System

The forthcoming wide availability of high bandwidth public wireless networks will give rise to new mobile healthcare services. To this end, the MobiHealth project has developed and trialed a highly customisable vital signs monitoring system based on a body area network (BAN) and a mobile-health (m-health) service platform utilising next generation public wireless networks. The developed system allows the incorporation of diverse medical sensors via wireless connections, and the live transmission of the measured vital signs over public wireless networks to healthcare providers. Nine trials with different healthcare scenarios and patient groups in four different European countries have been conducted. These have been performed to test the service and the network infrastructure including its suitability for mobile healthcare applications. Preliminary results have documented the feasibility of using the system, but also demonstrated logistical problems with use of the BANs and the infrastructure for transmitting mobile healthcare data

The interoperability force in the ERP field

Enterprise resource planning (ERP) systems participate in interoperability projects and this participation sometimes leads to new proposals for the ERP field. The aim of this paper is to identify the role that interoperability plays in the evolution of ERP systems. To go about this, ERP systems have been first identified within interoperability frameworks. Second, the initiatives in the ERP field driven by interoperability requirements have been identified from two perspectives: technological and business.The ERP field is evolving from classical ERP as information system integrators to a new generation of fully interoperable ERP. Interoperability is changing the way of running business, and ERP systems are changing to adapt to the current stream of interoperability