The main technical features and components in the REACTION architecture are:
- Service-oriented architecture
- Remote monitoring services
- Blood glucose sensors
- Workflow management
- Context management
- Ontology management
- Observations management
- Care plan management
- Storage management
- Alert and alarm handling
- Risk assessment
- Distributed security and privacy
- Interfaces with related external systems
- User feedback in clinical sphere and patient sphere
The REACTION platform will be applied in primary and secondary care.
Expected Project Outcomes
The tangible outcomes of the project are:
- Applications for primary care use
- Applications for in-hospital use in general wards
- Teaching material for healthcare professionals
- Workshop teaching material for business managers
- Workshop teaching material for healthcare developers
In primary care, patients’ blood glucose levels will be checked by remote patient monitoring, and in case of problems, alerts can be generated for the patients themselves and/or their carers and healthcare professionals. Another feature will be monitoring of therapy compliance. For insulin-dependent diabetes patients algorithms for estimating the insulin dose needed to adjust for short-term variations in activity, diet and stress level will be implemented.
As a result glycaemic management will be substantially improved and the risk of complications correspondingly reduced.
A primary care diabetic patient is typically also inflicted by co-morbidities, which will be taken into account as well. The platform will utilise a service orchestration mechanism combining clinical workflows and resource scheduling to control the monitoring process, including event and alarm handling and integration with emergency teams.
The in-hospital care applications will feature a suite of services aiming at Tight Glycaemic Control (TGC) of diabetics in the general hospital wards using continuous glycaemic monitoring and closed-loop feedback to the healthcare professionals at the point of care. The application will contain a number of functionalities for support of the daily workflow involved in the care of diabetic patients in a general ward, including glucose management, drug management and alerts and reminders for open tasks.
The teaching material is intended for use in a number of training courses and seminars. If possible, these will be integrated with existing events (e.g. World of Health IT) to maximise audience.
In-JeT’s role in the project
In-JeT’s role in the REACTION project is to lead the requirement engineering process and, with Jesper Thestrup as Vision Owner and Chair of the Technical Board, to secure that the technical implementations align with the overall conceptual vision of the project. As Dissemination Manager In-JeT is responsible for coordinating dissemination and exploitation activities.
In-JeT will also be instrumental in developing business models and cases, involved in mapping of relevant healthcare economics and assisting in training activities and development of some of the training material. Our experience from other projects in the healthcare domain will help bridge the gap between the clinical partners and the ICT specialists. Together with partner CNET, In-JeT additionally contributes knowledge gained from the Hydra project.
Funded by the European Commission 7th Framework Programme for Research.