Presentation of Workshop on Technology for Healthcare and Healthy Lifestyle 2011 Thursday 1st Dec 2011 Session II http://www.tsb.upv.es/wths2011

1. Decision Support System for
Health Continuous Vigilance
in Industrial Environments
María Martínez Piqueras
1st December 2011

2. 1.- Decision Support System for Health Continuous
Vigilance at Work. General View.
2.- General Architecture.
3.- Personal Health Record
4.- Response Medical Center.

3. PRESENT PROBLEMS IN INDUSTRIAL ENVIRONMENTS:
 160 million workers are victims of occupational accidents
and diseases every year.(International Labour
Organization)
 European statistics confirm that approximately 5,500
people per year have fatal accidents at workplace.
 The occupational accidents cost a high price for the
European Union and affect all sectors of the economy

4. What is Fasys Project?
“Absolutely safe and healthy Factory”
 Focused on factories of machining and assembly operations.
 Fasys Project wants to aim one of the most important European objectives
set for 2020: the 25% reduction in the number of industrial accidents.
 Fasys promotes the use of technologies.
 Fasys gives the principal role to the workers.
 Health Continuous Vigilance System.

6. 1.-Decision Support System for Health Continuous Vigilance at work.
Application with a list of workers
data: Environment and workers´ Workers´ personal
personal data. Classification and parameters (blood
priorization. medical examination. pressure, pulse,
oxygen saturation,
…)
Destination of
the information
Health professionals
evaluation. RMC +
intelligent systems for
doctors to have a medical Statistics
decision suport. Diagnosis. (Diseases,
occupational
accidents,…)
Personalized prevention
plans. Medical and/or
technical diagnosis.
To perform the
developed
prevention plans.

7. 1.- Decision Support System for Health Continuous Vigilance at work.
Evolution of certain
personal parameters
during the pass of time.
Medical knowledge.
Diseases: risks,
medical test, medical
recommendations,…
Previous medical
history
“Photograph” of the
person in a particular
moment.

9. 2.- General Architecture
General architecture:
-a way to guarantee the connection
and interoperability between the
modules of the vigilance system.
- Choreography of Sevicies.
-Semantic layer  common
exchange language
- Ontologies and Reasoning
Systems

10. 2.- General Architecture
- Orchestration Service:
- allows the use of Workflows.
WORKFLOWS (Prevention Plans):
Workflows describe processes in a graphical
way.
- graphical tools to describe
processes
- specify system to turn the plans
into executable formats.

12. 3.- Personal Health Record
EHR - Electronic HealthCare Record:
• It is usually owned by the current Health System.
• It is ready to be used by health professionals.
• It has medical data from the point of view of the assistance process.
PHR – Personal Health Record:
• It has a repository of health data from the point of view of the patient/person.
• It is owned by patients.
• It collects health and personal data such as: habits, preferences, information
about the family, customs,..
• It could have information from: a EHR summary, a summary of the health
history at workplaces, genetic profile, nutritional profile…
Current solution • It is used only in some comunities.
• It includes a summary of the EHR, ready for patients.
• Some of them allow people to introduce data
monitored at home.

13. 3.- Personal Health Record
Personal Health Record in Fasys. Main characteristics:
• It is focused on workplace health.
• It allows patient to introduce data (automatically or
manually)
• It allows an exchange of information with the healthcare
system (EHR)
• It is owned by workers.
• It includes an option to generate summaries to share
information with others PHR.
• Stored Data can also be extracted for consultations in case
health professionals need to do.
• Worker has the option to share it with people he chooses.

14. 3.- Personal Health Record
Personal Other
Parameters Interoperability PHR
PHR FASyS
Other data
Comunication
(environment, Interface
EHR SS
machines, …)
Patient
Access Control Summary
Fasys
Repository Anonymous Data
Statistical Studies

15. 3.- Personal Health Record
Advantages of a bidirectional communication (PHR-EHR) (Factories-
Health System):
Health Systems can complete its data with other health information
from other sources.
 Optimization. Medical exams (scans, blood tests) are done only
once and they are not in duplicate. From current health systems to
PHR in factories and viceversa.
 Save costs in order to do medical tests only once, avoiding
repetitive tests.
 More complete diagnosis. Health professionals have more
information to do the diagnosis.
 More complete information for the public statistics related to health.

17. 4.- Response Medical Center
Response Medical Center.
 Workers monitoring.
Personal data+ environment data.
Technological
To organize and classify workers depending on
Solution!
configurable rules.
 Management of events.
 Routine visit.
To detect trends of the workers data.

18. 4.- Response Medical Center
RMC
The position in the list depends on several factors.

19. 4.- Response Medical Center
RMC

20. 4.- Response Medical Center
RMC

21. 4.- Response Medical Center
RMC

22. 4.- Response Medical Center
RMC

23. 4.- Response Medical Center
RMC

24. 4.- Response Medical Center
RMC

25. 4.- Response Medical Center
• MANAGEMENT OF ALERTS  algorithm
 Data out of the established limits (Heart Rate; Blood Pressure; weight,
oxygen saturation, notifications)
Routine visit with the doctor.
Personalized management of the patient state: Handled, Closed, Stable
and Pending
Alarms related to trends of one parameter or a group of parameteres.
 The possibility of introduce mathematics rules to generate alarms.
Configurable!!

26. 4.- Response Medical Center
Next steps- Improvements
Videoconferencing (doctor-worker)
• Remote vists
• Continuous vigilance
• Remote queries to specialists.
Mobility (little version of the application)
• The information will be available anywhere
• Management of alerts in real time
• Supervision of the processes
• Diagnosis support
Fasys parameters:
• Room temperature
• Humidity
• Kind of machine

27. 4.- Response Medical Center
Next steps- Improvements
GOW Weartech shirt
• Textile component + electronic component
• ECG
• Heart rate.

28. Thanks for your
attention!
contact: mamarpi2@itaca.upv.es