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Advanced Medical Expert Support Tool (A-MEST): EHR-Based Integration of Multiple Risk Assessment Solutions for Congestive Heart Failure Patients

  • Carlos Cavero Barca
  • Juan Mario Rodríguez
  • Paolo Emilio Puddu
  • Mitja Luštrek
  • Božidara Cvetković
  • Maurizio Bordone
  • Eduardo Soudah
  • Aitor Moreno
  • Pedro de la Peña
  • Alberto Rugnone
  • Francesco Foresti
  • Elena Tamburini
Part of the IFMBE Proceedings book series (IFMBE, volume 41)

Abstract

More and more the continuum of care is replacing the traditional way of treating the subjects of care putting people in the centre of the healthcare process. Currently clinicians start treatment after a problem occurs due to the low adoption of Clinical Decision Support Systems (CDSS) integrated with standardised Electronic Health Record (EHR) systems; The volume to value revolution in the healthcare (from stakeholder-centric to patient-centric) will allow doctors to follow the evolution of the individual before a medical episode happens, treating the patient based on statistical trends to forecast the future. The CDSS techniques applied on tele-monitoring tools permit the doctors to predict forthcoming events, improve the diagnosis and avoid continuous visits to the hospital, therefore saving costs. Advanced Medical Expert Support Tool is a step towards achieving the patient-centric approach by incorporating the health information into the EHR using European standards (ISO/EN 13606) to provide semantic interoperability by means of the dual model approach (reference model and archetypes). Three different CDSS modules have been implemented and contextualised publications are provided to the cardiologist to facilitate their daily work. A person-centric Graphical User Interface (GUI) facilitates the visualization of the health status of the patients providing meaningful information to the cardiologists. The use of archetypes allows scalability, transparency and efficiency to the hospital environment.

Keywords

Risk assessment EHR Congestive Heart Failure Clinical Decision Support System Person-centric 

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Carlos Cavero Barca
    • 1
  • Juan Mario Rodríguez
    • 1
  • Paolo Emilio Puddu
    • 2
  • Mitja Luštrek
    • 3
  • Božidara Cvetković
    • 3
  • Maurizio Bordone
    • 4
  • Eduardo Soudah
    • 4
  • Aitor Moreno
    • 5
  • Pedro de la Peña
    • 5
  • Alberto Rugnone
    • 6
  • Francesco Foresti
    • 6
  • Elena Tamburini
    • 6
  1. 1.ATOS, ATOS Research and Innovation (ARI)MadridSpain
  2. 2.Department of Cardiological SciencesSapienza University of RomeRomeItaly
  3. 3.Department of Intelligent SystemsJožef Stefan InstituteLjubljanaSlovenia
  4. 4.CIMNEBarcelonaSpain
  5. 5.IbermaticaDonostiaSpain
  6. 6.I+ s.r.l.FlorenceItaly

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