Geriatric Helper: An mHealth Application to Support Comprehensive Geriatric Assessment.

The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary diagnosis approach that considers several dimensions of fragility in older adults to develop an individualized plan to improve their overall health. Despite the evidence of its positive impact, CGA is still applied by a reduced number of professionals in geriatric care in many countries, mostly using a paper-based approach. In this context, we collaborate with clinicians to bring CGA to the attention of more healthcare professionals and to enable its easier application in clinical settings by proposing a mobile application, Geriatric Helper, to act as a pocket guide that is easy to update remotely with up-to-date information, and that acts as a tool for conducting CGA. This approach reduces the time spent on retrieving the scales documentation, the overhead of calculating the results, and works as a source of information for non-specialists. Geriatric Helper is a tool for the health professionals developed considering an iterative, User-Centred Design approach, with extensive contributions from a broad set of users including domain experts, resulting in a highly usable and accepted system. Geriatric Helper is currently being tested in Portuguese healthcare units allowing for any clinician to apply the otherwise experts-limited geriatric assessment.

Concept and Pictogram-Based User-Interface Design of a Helper Tool for People with Aphasia.

BACKGROUND: Aphasia describes the lack of the already gained ability to use language in a common way. "Language" here covers all variations of forming or understanding messages. OBJECTIVES: The APH-Alarm project aims to develop a service concept that provides alternative communication options for people with Aphasia to trigger timely help when needed. It considers that a typical user may not be familiar with modern technologies and offers several simple and intuitive options. METHODS: The approach is based on event detection of gestures (during daytime or in bed), movement pattern recognition in bed, and an easy-to-use pictogram-based smartphone app. RESULTS: Agile evaluation of the smartphone app showed a promising outcome. CONCLUSION: The idea of a versatile and comprehensive solution for aphasic people to easily contact private or public helpers based on their actions or automatic detection is promising and will be further investigated in an upcoming field trial.

Integration services to enable regional shared electronic health records.

eHealth is expected to integrate a comprehensive set of patient data sources into a coherent continuum, but implementations vary and Portugal is still lacking on electronic patient data sharing. In this work, we present a clinical information hub to aggregate multi-institution patient data and bridge the information silos. This integration platform enables a coherent object model, services-oriented applications development and a trust framework. It has been instantiated in the Rede Telemática de Saúde (www.RTSaude.org) to support a regional Electronic Health Record approach, fed dynamically from production systems at eight partner institutions, providing access to more than 11,000,000 care episodes, relating to over 350,000 citizens. The network has obtained the necessary clearance from the Portuguese data protection agency.

OpenNCP: a novel framework to foster cross-border e-Health services.

The continuity of cross-border health care in the European Union depends on the ability to set up shared practices with respect to patient data exchange across Member States. This flow of data must comply with demanding security, legal and interoperability requirements, as defined by the epSOS project specifications. In this paper, we describe the OpenNCP framework that offers a comprehensive set of interoperability services to enable national and regional e-Health platforms to set up cross-border health information networks compliant with epSOS, with minimal adaptation of the existing infrastructure. The OpenNCP, available as open source software, has been adopted in 10 Member States, allowing them to securely interconnect their eHealth infrastructures.