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Exploiting Results of C3-Cloud, IONIS and imergo®-ICP Projects

The CAREPATH solution exploits the results of 3 main EU projects: C3-Cloud, IONIS and imergo®-ICP. We briefly present these projects and highlight how CAREPATH is exploiting these existing results to add new contributions. You can find more about these three projects on their respective websites.

C3-Cloud Project has provided an Integrated Care platform for the management of multimorbidities, including Type 2 diabetes, heart failure, renal failure and mild depression. The platform enables management of personalised care plans by integrating CDS services implementing specific clinical guidelines. WARWICK (coordinator of C3-Cloud) and SRDC are partners in C3-Cloud project.

The CAREPATH Adaptive Integrated Care Platform will be built upon the successful results of C3-Cloud Integrated Care Platform. New clinical decision support services will be implemented to automate the decision making to propose personalized care plan goals and activities based on the new evidence based guidelines targeted by CAREPATH such as Frailty, Sarcopenia, Nutritional risk, Chronic Obstructive Pulmonary Disease (COPD), Stroke, Cardiovascular Disease and Hypertension. In addition, integration with Home/Health Monitoring Platform will add new functionality to C3-Cloud IC Platform to adapt the care plan of the patient based on the dementia profile and intrinsic capacity of frail elderly. The Patient Empowerment platform will be built upon SRDC’s Personal Health Record (PHR) Platform and will be extended to support Patient Reported Outcome Measures, and to monitor and reinforce patient adherence to care plans especially for elderly and will provide additional specific tools to support patients with dementia (e.g. memory games, schedulers, reminders). It will also be extended to provide tailored interfaces for elderly population with dementia challenges.

IONIS Project is built on the Active Assisted Living NITICS platform to offer fully integrated and validated solutions for health monitoring, home automation, personal agenda with reminders, alerts, caregiver administrative tools (e.g. administrative tools for several users, sensor settings) and profile. The extended platform integrates technologies and services that address dementia specific challenges and offer support to both caretakers and caregivers: wandering detection, sleep monitoring, fall detection, geofencing. EXYS (coordinator of IONIS) and CITST are partners in IONIS project.

The IONIS health monitoring and home automation systems will feed the CAREPATH platform with necessary data about: [1] the health status of patients exploiting the continuous measurements of their physiological parameters (e.g. SpO2, temperature, weight, hydration) and [2] the patient environment parameters: reminder to open the windows / air the room, detection of opened windows; unlocked door; electrical appliances (e.g. stove, water heater). The dementia specific data (e.g. trajectory, deviation type and trajectory evolution, based on historical mobility patterns to detect dementia specific behaviour) will be exploited by the Advanced Early Warning Smart Decision Tools to establish a dementia profile. Further parameters that are necessary for the estimation of the intrinsic capacity of the patient will be collected. Both data streams will be input to the AI / Machine Learning Engine in order to correlate its findings with the CAREPATH Clinical Decision Support Modules for joint optimal healthcare intervention decisions.

imergo®-ICP is a standard-based eHealth platform developed by FRAUNHOFER based on results from different research projects e.g. PICASO incorporating the management of smart care plans supporting cross-sectoral collaborations. imergo®-ICP addresses different health conditions including dementias and chronic multimorbidities. imergo®-ICP will feed the CAREPATH platform with the following components, data and lessons learned: [1] Methodologies of user requirements engineering in healthcare [2] imergo®-ICP’s polypharmacy (STOPP/START) component [3] Findings about the involvement of patients with dementia in research and development projects [4] imergo®-ICP’s chronic disease management platform with its related patients’ and clinical dashboards; [5] Cloud architectures and federated cloud systems.