Authors:
Mahesh Subramanian
1
;
Edward C. Conley
2
;
Omer F. Rana
1
;
Alex Hardisty
1
;
Ali Shaikh
1
;
Stephen Luzio
3
;
David R. Owens
3
;
Steve Wright
4
;
Tim Donovan
4
;
Bharat Bedi
4
;
Dave Conway-Jones
4
;
David Vyvyan
4
;
Gillian Arnold
4
;
Chris Creasey
5
;
Adrian Horgan
5
;
Tristram Cox
5
and
Rhys Waite
6
Affiliations:
1
The Welsh e-Science Centre, Cardiff University School of Computer Science, United Kingdom
;
2
The Welsh e-Science Centre, Cardiff University School of Computer Science; Diabetes Research Unit, Cardiff University School of Medicine, United Kingdom
;
3
Diabetes Research Unit, Cardiff University School of Medicine, United Kingdom
;
4
IBM United Kingdom Ltd, United Kingdom
;
5
Smart Holograms, United Kingdom
;
6
Zarlink Semiconductor Ltd, United Kingdom
Keyword(s):
Health informatics, home healthcare, biomedical sensor devices, mobility, wearable sensors, decision support system, individualised risk analysis.
Related
Ontology
Subjects/Areas/Topics:
Artificial Intelligence
;
Biomedical Engineering
;
Cloud Computing
;
Collaboration and e-Services
;
Complex Systems Modeling and Simulation
;
Data Engineering
;
e-Business
;
e-Health
;
Enterprise Information Systems
;
Health Information Systems
;
Integration/Interoperability
;
Interoperability
;
Knowledge Management and Information Sharing
;
Knowledge-Based Systems
;
Ontologies and the Semantic Web
;
Platforms and Applications
;
Sensor Networks
;
Simulation and Modeling
;
Software Agents and Internet Computing
;
Software and Architectures
;
Symbolic Systems
;
Telemedicine
Abstract:
Novel sensor-based continuous biomedical monitoring technologies have a major role in chronic disease management for early detection and prevention of known adverse trends. In the future, a diversity of physiological, biochemical and mechanical sensing principles will be available through sensor device ‘ecosystems’. In anticipation of these sensor-based ecosystems, we have developed Healthcare@Home (HH) - a research-phase generic intervention-outcome monitoring framework. HH incorporates a closed-loop intervention effect analysis engine to evaluate the relevance of measured (sensor) input variables to system-defined outcomes. HH offers real-world sensor type validation by evaluating the degree to which sensor-derived variables are relevant to the predicted outcome. This ‘index of relevance’ is essential where clinical decision support applications depend on sensor inputs. HH can help determine system-integrated cost-utility ratios of bespoke sensor families within defined application
s – taking into account critical factors like device robustness / reliability / reproducibility, mobility / interoperability, authentication / security and scalability / usability. Through examples of hardware / software technologies incorporated in the HH end-to-end monitoring system, this paper discusses aspects of novel sensor technology integration for outcome-based risk analysis in diabetes.
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