? ????? t?? ?at????? ?????f?????? ?a? t?? ???e?at????? st? ???a??

1
? ????? t?? ?at????? ?????f?????? ?a? t??
???e?at????? st? ???a??

• ??. ?. ?a???????????
• ?a?ep?st?µ?? Ste?e?? ????da?
• ?µ?µa ?????f?????? µe ?fa?µ???? st? ????at????
• imaglo_at_ucg.gr imaglo_at_aegean.gr

2
??sa????

• ?????f????? ?a? ??e?a
• ??????t???? efa?µ???? ????st????, d?a?e???s??
  p???? ?a? µ??a?????f?s?? ?p??es???.
• ???????? d?ast????t?t?? d?a?e???s?? ?a?
  epe?e??as?a? t?? ?at????? p????f???a?
  ???e?at????.
• ?d?a?te?? s?µas?a se pe??pt?se?? ?p?st??????
  ?at????? p???e?? se ap?µa???sµ??e? pe??????, ?p??
  ?? ??s??t???? pe?????? t?? ???a???, ?p?? ?
  µ??f?????a t?? ed?f??? ?a? t? d??spa?t? t??
  ?at????µ???? pe?????? d?s?e?a????? t?? ?µes? ?a?
  e?e?d??e?µ??? ?at???? pa??µίas?.
• St???? t?? ?S? ??a t?? ?p?st????? ap?µa???sµ????
  pe??????
• ???a?a p??sίas? se ?at???? ?ed?µ??a (??e?t???????
  ?at????? F??e???)
• ?p??es?e? epe????sa? t??e?at?????, µet?d?s??
  d?a???st??? s?µa?t???? ί??s?µ?t?? ?a? pa?????
  s?µί????? se ap?µa???sµ??e? µ???de? pa?????
  ?at????? ί???e?a? (as?e??f??a, a???t??? ???t?a
  ??e?a?, epa???a??? ?at??? ?t?) ap? e?d??e?µ?????
  ??at???? p?? ?a ????? t?? ?d?a t??? s ??a
  pe??fe?e?a?? ??s???µe?? ? ?at???? ???t??.
• ?p?st????? t?? t?p???? ?at??? µe
• t?? a??pt??? e??a?e??? ??a t?? ?p?ί????s? t??
  d?????s??
• t?? pa???? d??at?t?ta? ep????????a? µe
  s??ad??f??? t??? se µe???a ??s???µe?a ?a? ast???
  ?at???? ???t?a ?a? t?? a?ta??a?? ?at?????
  ded?µ????.
• ??aί??µ?s? t?? pa?e??µe??? ?at????? ?p??es???
  p??? t??? p???te?
• S??e??? pa?a???????s?
• ??e?d??e?µ??? d?????s?
• ?e???a??? st? Sp?t?

3
??e?t??????? ?at????? F??e???

• ??µ???af??? st???e?a
• St???e?a ?sf??e?a?
• ?st????? ?e???a????
• ?????e?e?a??? ?at????? ?st??????
• ?ed?µ??a ??s??e?a?
• ???s?p??? st???e?a
• ?at???? ?ed?µ??a (????µes???)

4
(No Transcript)
5
??d???p???s? ?at????? ?????f???a?

• ????p?st? ?????? p????f???a
• ?e????? epe?e???s?µ?
• S?st?µat??? t?p?p???µ???
• ??e??????s? a?a??t?s?? p????f???a?
• ???at?t?ta e?????? ???s??
• ???s??s? ?at????? ??e??a?
• ????t?ta d?a???se??

6
??d???p???s? ??a???se??

• International Classification of Diseases
• (ICD-10)
• ?at?????? ??d???p???µ???? d?a???se??
• ?et?f?as? st?? e??????? ???ssa
• ??aµ??f?µ???? ?at?????? ?at? tµ?µa

7
??? ? F??e??? ???e? t?? ?at???? ?a??µe????t?ta
p?? ap??

• ?st????? ?s?e??. ????????µ??? e????a,
  pe??stat???, ap?f??? epa??????? e?et?se??.
• ?????s? ?????sµ?? (Population Analysis). ?p????µe
  ?a ί???µe ?s??? as?e?e?? p?????? ???sµ??e?
  p???p???se??, ep?d?µ????????? µe??te?. ???stas?a
  t?? p???t?? p?? ???? se ap?µa???sµ??e? pe??????
  ap? t?? ape???? ?at? t?? ??e?a?
• ??d??? ????afa (Documents).?a ????afa e??a?
  ?e???? p??t?pa (templates) ?a? pa??????
  s???e???µ??? µ??f? a?????a µe t?? t?????ta ???e
  f??? as?e??.
• ??s? Fa?µ???? (Drug Database) ?a? ??d???p???s?
  a?t??. ???e f??µa?? ?ata???e?ta? st?? ??s?
  Fa?µ???? µe s???e???µ??? t??p? (format), ?ste ?a
  e??a? d??at? ? epe?e??as?a st???e??? p?? af?????
  t? ??????s? t???.
• S?st?µata ?p?ί????s?? ??????s??. ????e?ta? ??a
  "???p?a" p?????µµata, ta ?p??a "d?aί?????" ?a?
  epe?e??????ta? ta ded?µ??a e??? ? pe??ss?t????
  fa?????, p???e?µ???? ?a ?p?ί????s??? t?? ?at??
  st? ???? t??. ? ?p?ί????s? a?t? s???stata?,
  s??????, st?? pa???? ?d????? ef?st??? t??
  p??s??? se s?µa?t???? pa?aµ?t???? t?? as?e????,
  e?t?p????? a????ep?d??se?? fa?µ????, s???st???
  t?? ?a??te??, se ???e pe??pt?s?, ?e?ape?a
• ???e?at????. ? ??F e??? as?e???? µp??e? ?a
  µetafe??e? µ?s? ap??? t??ef?????? ??aµµ??,
  d???f?????? ?e??e??, ? ?p????d?p?te ?????
  ep????????a??? µ?s??, se ?p??ad?p?te ap?stas?.
  ?p??e?, ?ts?, ? ?at??? ?a e??µe??se? s?et??? µe
  ??p???? as?e?? ?p????d?p?te s???de?f? t??
  d?a??te? s?µίat? ????sµ??? ??F. O? e? t??t??,
  µp??e? ?a ??t?se? t?? s?µί???? t?? s??ad??f?? t??
  ?s?? af??? st? s???e???µ??? pe??stat???.

8
?p??es?e? ?pe????sa? ???e?at?????

• ?at????? sta?µ?? epe????sa? t??e?at????? e?te
  sta?e?? t?p??et?µ???? st? µ???da ??e?a? e?te
  ????t?? t?p??et?µ???? p? se as?e??f??? t??
  µ???da? ??e?a? µe ?e?t?????e?
• S?????? ?a? t?p??? ap????e?s? se p??s?p???
  ?p?????st? t?? ίas???? ί??s?µ?t?? (p.?.
  ?a?d?????f?µa, p?es?, ???????s? a?µat??,
  spe???µ?t??s?, epeµίat??? ?a? µ? epeµίat???
  a?t???a?? p?es? (s?st????? ?a? d?ast?????)
• ?et?d?s? ?st?????? ?s?e???? µe µ??f? µ?????
  ?at????? fa?????
• ?et?d?s? se p?a?µat??? ????? (real time) ???? ?a?
  ?????µe??? e????a?
• ?et?d?s? t?? ίas???? ί??s?µ?t?? se p?a?µat???
  ????? ? µe p??? µ???? ?a??st???s?

9
????te?t????? ???e?at????? ?p?µa???sµ????
?e??????
10
?pe?????s? ???s?µ?t??
11
(No Transcript)
12
S?st?µata ???e-pa?a???????s??

• ??a ?e??? s?st?µ?t?? t??e?at?????
• ????????s? e??? s?????? f???t?? s?s?e??? ??
  ?p??e? a????ep?d???? µeta?? t???, d?at????ta?
  pa??????a t?? ????t???t?ta ?a? t?? a?e?a?t?s?a
  t?? as?e??
• ??t? ? ????????s? pe???aµί??e? ta a??????a
  ?a?a?t???st??? ?????sµata
• a?t?µat? a????e?s? pt?s??, ?d?a?te?a s?µa?t???
  ??a ??????µ????? ?a? ?t?µa µe e?d???? a????e?
• a?t?µat?? ??e???? ?at????? pa?aµ?t??? ??t????
  s?µas?a?
• ep????????a µeta?? t?? ???st? ?a? e??te????
  s?µίa???µe??? µe??? ?p?? ?at???, ?at???? ?d??µata
  ? ???t?a e??????.

13
F??et? S?st?µata
14
???s?µ?p???s? ??s??t???? ????s?? (Body Sensors)
ActiS asMotion Sensor
15
???s?µ?p???s? ??s??t???? ???s?µ?t??
16
F??et? S?st?µata

• LifeShirt (VivoMetrics LTD)
• F??et? S?st?µa (????, G?????)
• ??t??s? ί??s?µ?t?? (ECG, SPO2, Temp)
• ?s??µat? ap?st??? se PDA
• ?p?st??? µ?s? GPRS
• ?p?st????? GPS

17
??t?µat? a????e?s? ?at?stas?? as?e??
???s?µ?p????ta? ded?µ??a ???? ?a? ????s??

• ?e??t? ????s?? as?e???
• ??d?af???? ??a pa????????? ?a? µ? ?atast?se??
• ?????e?s? pt?s?? as?e??
• ????s??????a a???t??
• ?e??t? ????s?? st?? ap??atat?stas? ????t????
  p??ί??µ?t??
• ?????e?s? pt?s?? ?s?e??
• ?t?s?
• ????a a?t?a s?ίa??? t?a?µat?sµ?? se µe???e?
  ?????e?
• ?p??e?a a?s??se??
• ?d??aµ?a ?????s?? se ί???e?a
• Se pe??ί?????ta ????? s??e??µe?? ep?ί?e?? (????a,
  ????? f????e??a? ??????µ????)
• ???a??? a????e?s?

18
??t?µat? a????e?s? ?at?stas?? as?e??
???s?µ?p????ta? ded?µ??a ???? ?a? ????s??

• ????d??
• S?????? ded?µ???? ????s?? µe ?at????????
  a?s??t??e? (accelerometer) - ?ata??af?
  ep?t????s?? st??? 3 ????e?
• S?????? ???t???? ded?µ???? ?a? s?s??t?s? µe pt?s?
  s?µat??
• ?????f??a e?s?µat?µ??a st??? a?s??t??e? ????s??
• ?at?????? epe?e??as?a ???t???? ded?µ???? ??a
• ?p?µ?????s? ????ί??
• ?????e?s? pt?s?? ap? t?? ??? epaf?? s?µat?? µe t?
  ?daf??
• ?????e?s? pt?s?? ap? t?? ?pt??? e????a (video)
  ?s?e??
• ??d??? e??p??sµ? pa?a???????s?? se ????? t???
  p??a???? ?????? ????s??
• ??s????a efa?µ???? se e??te???? pe??ί?????

19
?????f???a?? S?st?µata S??e??at???t?ta? ?a?
???e??as?a?

• ?p????????a ?at??? t?? pe??f??e?a? µe
  ?pt???a???st??? µ?sa,
• ?p?st????? ?at??? se ap?µa???sµ??a ?at???? ???t?a
  
• ??ta??a?? ?at????? ?ed?µ???? ?a? G??µate?se??

20
???a?e?a ??a t?? ?p?ί????s? t?? d?????s??

• ??a?????s? t?? µe?a??µat??

21
?????e?s? ?a????????es?? µ?s?? t?? fa???µ???? t??
???e?????es??
22
??a?????s? t?? ??e?µ?????? ???s??
23
??t?µat?? ?a?a?t???sµ?? ap?pt?t???? ??tt????
24
?????s? ?a?d?a??? ????
25
mHealth
26
PDAs EHR
27
??se?? ?a? p??te?a??t?te? p??? ta p????f???a??
s?st?µata ??e?a? t?? 21?? a???a
??p??? p????f???a?? s?st?µata ??e?a? - Regional
Health Information Networks (RHINs) ??at???s? ?a?
s??e?? ?e?t?????a t?? e??p???µ???? ??e?t???????
a??e??? ??e?a? - integrated electronic health
record (I-EHR) S??????? ?a? as??????? ep????????a
?a? s??e??as?a t?? eµp?e??µe??? µe??? ?a???t?µe?
??e?t??????? ?p??es?e? ?a? efa?µ????
28
? as?e??? st? µ????? ....

• ? ?????e?e?a??? (p??s?p????) ?at??? µ?? µp??e? ?a
  e?et?se? t?? ?st???a t?? eµί???asµ?? µ??, t?
  s??ta????af?a ?µ???pa??t???? fa?µ???? t? checkup
  p?? ??a?a p??s? st?? ?????a
• ? f??e??? µ?? ed? ?a? 5 ?????a ί??s?eta? se ??a
  server (t?? ?e??f??e?a? ???e??? ???a??? ?p?? ??
  t??a)
• ? ?at??? µ??, µ?? d??e? s?µί???e?t???? ?p??es?e?
  se ί??te?-s??d??s?e?? ?a? ta?t?????a ?a? ?? 2
  ί??p??µe st?? ????? t? f??e?? µ??
• ?? efa?µ???? t??e?at????? ?a? t??e-pa?a???????s??
  µp????? ?a µe s?s??? se pe??pt?se?? ??ta?t??
  pe??stat???? se ap?µa???sµ??e? pe?????? t??
  ???a???
• ?p???e? ? d??at?t?ta ??a pa???? ?p??es??? ??e?a?
  st? sp?t? µ?? (Homecare)
• ???s??t? (e??e???µµ??a) st???e?a ap? t??
  pa?a???????s? t?? ??????? d?aί?t? µ??
• ?ta? µeta??µ?s? ???? d???e??? st? St??t???d? ??a
  µ?? ta ded?µ??a e??a? ?ata???t? ???ss??? ap? t???
  ?at???? ?a? s?µas???????? ap? ta s?st?µat? t???

29
? ?at??? st? µ?????

• ? (p??s?p???? / ?????e?e?a???) ?at??? µ??
  ??e? st? ??F µ?? ??a ta ??t??? µ?? ded?µ??a (??a
  pa??de??µa ?????e?e?a?? ???????µ???t?ta,
  s??ta????af?a, a??e?????? ep?d??se??...)
• ?p??e? ?a a?a??t?se? ta ap?te??sµata se
  ?p???d?p?te ί???? ??????, ?a pa?a???????se? t??
  e?????? e??? epe?s?d???, ?a e??µe???e? ??a t??
  p??e?a e?et?se?? ?a? ?a p????aµµat?se? pe???d???
  eµί???a, e?et?se??, ??p
• ? f??e??? e??µe???eta? a?t?µata ??a ded?µ??a p??
  s???????ta? se ???a s?µe?a t?? s?st?µat?? ??e?a?
• ??f?? s?st?µata ?p?st?????? ????? ap?f?se??, p??
  s?et????ta? µe e?tetaµ??e? ???s?a??? d?µ??
  ded?µ????, a????ep?d???? µe t?? ??F, ep?t??p???
  st?? ?at?? µ?? ?a ??ίe? t? ί??t?st? e??µe??µ???
  ap?fas?

30
?a ?S ??e?a? st? µ?????

• ? d?????t?? t?? t?p???? ??s???µe??? µp??e? ?a
  ep????e? µ??? ap? s?st?µata ta ?p??a
  s?µµ??f????ta? p??? d?e???? a?a?????sµ??a p??t?pa
• ?? ??se?? a?ta???????ta? µe ί?s? t?
  ?e?t???????t?ta t?? e??p???t?s? ?a? t??
  ?p?st????? t?? ???st?. ?? µ????? p??µ??e?t??
  ??se?? µp????? ?a ep?ί??s???
• ?p???e? µ?a d?e???? a???? ??a efa?µ????
  st????µ??e? st?? ??F? p??? µe?a??te?? ap? t?
  s?µe????
• ?? ??????? p?s???te? e?s????? µ???? t???
  ded?µ???? st?? ??F µe pe???d??? µ??? ?a??d???s?
  ap? t?? ?at?? t???, ep?t??p??ta? e???????µ?s?
  te??st??? ???d????? ap? ep?s???e?? ?a? e???????
  ???t??a?
• ?? efa?µ???? t??e?at????? ?a? t??e-pa?a???????s??
  ???s?µ?p?????ta? se µe???? ίa?µ? se
  ap?µa???sµ??e? pe??????
• ?a ?S ??e?a? µeta???ss??ta? se e??a?e?a ??a
  ί????t??? pe??ί?????ta as?e?? (pervasive and
  assistive environments)

31
??e???t??? ??µata

• Implantable Radio
• Communication with devicesimplanted within the
  body
• Applications
• Cardiac devices
• Insulin pumps
• Neuro stimulators
• Swallowable diagnostic pills
• Artificial sight
• Benefits
• Convenient localised andcontinuous therapies

32
??e???t??? ??µata

• Image Transfer
• High integrity transmission ofstill and video
  images
• Avoidance of unwanted artefactsif using
  compression!
• Applications
• Point-of-care solutions
• Remote monitoring supervision
• Benefits
• Faster and moreconvenient treatment
• Reduced need to travel to point of care or expert

33
??e???t??? ??µata

• Closed Loop Dosing
• Automatic dosing controlbased upon measured
  result
• Applications
• Diabetes glucose meter /injection devices
• Asthma flow meter / inhaler
• Benefits
• Improved convenience
• Greater accuracy
• Enhanced patient compliance

34
S?µpe??sµata T?µata ??a s???t?s?

• ?? ??e? ?e???????e? ?????f?????? ?a? ?p??????????
  (???) pa?????? p????? e??a?e??? ??a t??
  ?p?st????? ?at????? p???e?? se ap?µa???sµ??e?
  pe??????
• ? ????? t?? ??e?a? e???e?ta? ap? t? ???s? t??
  ??????????t?ta?, t?? ?s??µat?? ???t??? ?a? t??
  Internet µe s??p? t? µe??s? t?? dapa??? ?a? t?
  ίe?t??s? t?? pa?e??µe??? ?p??es???
• ? eµpe???a de???e? ?t? pa?? t? d?a?es?µ?t?ta t??
  te?????????, pa?at??e?ta? ad??aµ?a efa?µ???? t??
  ap?te?esµ?t?? µe ep?t???a ?a? ί??s?µ?t?ta.
• ??d???te?a st?? ????da ? efa?µ??? t?? te?????????
  ?p? µ??f? ?p??es??? p??? t?? p???t? eµfa???e?
  a??µ? µe?a??te?? ?st???s?, pa?? ???? ?t? ?
  ?e???af?a t?? d?µ?????e? e?a??et???? a????e?
  p??sίas?? t?? p????sµ?? se ?p??es?e? ??e?a?
  ?????? p???t?ta?.
• ???a??? a?t?e? ??a t?? pa?at????µe?? ?st???s?
• ? e?s?d?? t?? te????????? a?t?? e?s??e?
  p???p????t?ta ?a? a???µ??e? apa?t?se?? ?? p???
  t? d?a?e???s?,
• ?d??aµ?e? st? d??at?t?ta af?µ???s?? t?? ???s??,
  µetat??p?? t?? se p???? ?a? efa?µ???? t?? ????
  te????????? ap?te?esµat??? ?a? µe asf??e?a.
• ??????se?? p?? pa???s???e? e? t?? f?s?? t?? t?
  ?esµ??? p?a?s?? t?? ??e?a?

35
?p?µe?a ί?µata

• ? ??a p?????s? ??a t? ίe?t??s? t?? p???t?ta? t??
  ?p??es??? de? e??a? p???? ? ap??t?s? t??
  te???????a? a??? ? d??at?t?ta af?µ???s?? t??
• ?? ???t?? ί????? t?? e?????? ??a t?? ίe?t??s? t??
  p???t?ta? µetaf??eta? ?ts? se pa?????te? p??
  s?et????ta? µe t?? s?ed?asµ?, t?? a??pt??? ?a?
  t?? d?a?e???s? ???a??t???? ?p?d?µ?? p?? ?a
  µp????? ?a ?p?de????? t?? ??e? a?t?? te???????e?
• S?µa?t??? ???? st? st??? a?t? ?a d?ate??se? ?
  e?pa?de?s? t?? ??at??? ?a? t?? ?p????p??
  ??s??e?t???? p??s?p???? st? ???s? t?? ????
  te????????? ?a? ? s??e??? e??µ???s? t??? ??a t??
  d??at?t?te? p?? a?t?? pa??????

36
Stad?a?? ???pt???

• ????????s? ?a? ???pt??? t?? ??F
• ?????t?s? ???t?p?? ?a? ??a?e?t???????t?ta
  S?st?µ?t?? ?ata?eµ?µ???? ??F
• ??s?µ?t?s? ?a? ????????s? S?st?µ?t?? ???e?at?????
  se s??e??as?a µe ?S ??s???µe???
• ?a???? f???t?da? st? sp?t? ?a? se ap?µa???sµ??a
  s?µe?a ??µ??????a ?????t???? ?e??ίa????t??

37
?a s?stat??? t?? ep?t???a?
S??e??as?a F?????
38

• Its not the technology!

39
Technological vs. Organizational Challenge
40
???t?se?? ?

• ?e??ss?te?e? p????f???e?
• ???a? ?a????????????p??????? ?a????t??
• ?a?ep?st?µ?? Ste?e?? ????da??µ?µa ?????f??????
  µe efa?µ???? st? ????at????  ?apas??p?????
  2-4,?? 35100 Ga?a????a - ?aµ?a ???.  22310 -
  66900   Fa?. 22310 - 66939  http//www.dib.ucg.
  gr/
• Email imaglo_at_ucg.gr