Continua: The reference architecture of a personal telehealth ecosystem

Wartena, Frank; Muskens, J.; Schmitt, L.; Petković, Milan

doi:10.1109/health.2010.5556588

Cited by 33 publications

(20 citation statements)

References 3 publications

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“…The largest scale of the contributions are objective oriented ones. A number of projects has proposed an architectural design such as [3][4][5][6][7] which are individual approaches with irregular mechanisms. According to the reviews, very few of them had discussed the idea of independency or flexibility.…”

Section: Related Workmentioning

confidence: 99%

A Context-aware Reference Architecture for Ambient Assisted Living Information Systems

Amina¹,

Abtoy²,

Abderahim³

2019

IJITCS

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AAL (Ambient Assisted Living) existing architectures lack the sense of abstraction. The overall existing designs propose a set of elements combined with specific technologies. These visions of AAL systems narrows the possibilities and the choices ahead of the engineers and strict the range of using new technologies, which are likely to be easier and affordable. In this paper, we propose a context-aware RA (Reference Architecture) suitable for the design of distributed AAL systems. Our design is standardized and technology independent. Our aim is to provide a common background for developers and deployers to achieve a common understanding while designing the systems. The major gain is to reduce the efforts made while integrating several systems into one complete and stable environment. Ignoring all the specifications, the details and the objectives of the systems, we introduce the standard qualifications, practices and experiences that assimilate the core of every AAL oriented system. Our perception is global, unified and standard. In addition, it presents an infrastructure that would survive the evolution of technologies. It is adjustable and adaptable to the different possibilities of AAL applications.

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Section: Related Workmentioning

confidence: 99%

A Context-aware Reference Architecture for Ambient Assisted Living Information Systems

Amina¹,

Abtoy²,

Abderahim³

2019

IJITCS

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“…Atualmente, sistemas de HSH têm de fato crescido em importância, dando suporteàs atividades diárias de pacientes diagnosticados com doenças crônicas, facilitando sua vida, promovendo sua independência e mantendo-os ativos em suas residências ao invés de permanecerem em hospitais ou clínicas [Bal et al 2011]. Esse fato também beneficia o serviço público de saúde em função da economia gerada ao manter os pacientes em suas residências [Wartena et al 2010]. Naúltima década, a quantidade de sistemas de HSH tem crescido exponencialmente 2 com foco em diversas doenças, tais como a doença pulmonar obstrutiva crônica, insuficiência renal, AVC, falha cardíaca e doenças neurodegenerativas (Alzheimer e Parkinson).…”

Section: Introductionunclassified

“…Por meio de uma revisão sistemática da literatura conduzidas para investigar a existência de diretrizes para o desenvolvimento de sistemas de e-Health e de ambientes assistidos [Garcés et al 2020, Garcés et al 2015, foram encontradas 18 arquiteturas de referência (AR) para o domínio de saúde, sendo que dois bons exemplos são o UniversAAL 3 e a Continua [Wartena et al 2010]. Uma AR refere-se a uma arquitetura de software que abrange o conhecimento sobre como projetar arquiteturas de software de sistemas de um dado domínio de aplicação [Nakagawa et al 2014b].…”

Section: Introductionunclassified

Uma arquitetura de referência para sistemas de casas inteligentes de apoio ao cuidado à saúde da perspectiva de Sistemas-de-sistemas

Garcés¹,

Oquendo

Nakagawa³

2019

Anais Estendidos Do Simpósio Brasileiro De Computação Aplicada À Saúde (SBCAS 2019)

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Sistemas de casas inteligentes para o cuidado da saúde (em inglês Health- care Supportive Home ou HSH) podem prover serviços de saúde nas residências de pacientes diagnosticados com uma ou múltiplas doenças crônicas, visando princi- palmente a melhoria da qualidade de vida e da autonomia, bem como a diminuição dos custos dos sistemas públicos de saúde. Contudo, sistemas HSH apresentam gran- des desafios principalmente no tocante ao projeto de sua arquitetura e que preci- sam ser de fato tratados visando sua alta qualidade e viabilidade econômica. Além disso, sistemas de HSH são na maioria dos casos constituı́dos por diversos outros sistemas que são complexos, independentes, distribuı́dos e heterogêneos, como por exemplo dispositivos médicos, sistemas de saúde eletrônica (e-Health), sistemas de informação em saúde, entre outros. Dessa forma, eles não devem ser tratados como sistemas monolı́ticos (como atualmente os são), mas sim como Sistemas-de-Sistemas (do inglês, Systems-of-Systems ou SoS). Nesse cenário, o principal objetivo desta tese foi contribuir para o projeto arquitetural de HSH-SoS 1 ; para isso, foi estabelecida a HomecARe, uma arquitetura de referência que dá suporte ao reúso sistemático do conhecimento técnico e de domı́nio, facilitando o projeto e desenvolvimento de HSH-SoS. Para estabelecer a HomecARe, foi adotado um processo sistemático que apoia a engenharia de arquiteturas de referência. Visando analisar a viabilidade e relevância da HomecARe, foi conduzido um amplo estudo de caso no qual a Ho- mecARe foi utilizada para projetar o DiaManT@Home, um HSH-SoS de apoio a pacientes com diabetes mellitus para a autogestão de sua doença. Resultados obti- dos evidenciaram a relevância e viabilidade da HomecARe possibilitando construir HSH-SoS reusáveis, interoperáveis, confiáveis, seguros e adaptativos, sendo inclu- sive uma contribuição inédita para a área de saúde eletrônica, e trazendo avanços nas áreas de arquitetura de referência e SoS.

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“…Aiming for guidelines to develop AAL systems and e-Health systems (e.g., EHR or HIS), several reference architectures have been proposed (GARCÉS et al, 2017b;GARCÉS et al, 2015). Examples of those architectures are UniversAAL 5 , OASIS (KEHAGIAS et al, 2010), Continua (WARTENA et al, 2010), PERSONA (TAZARI et al, 2010a). In short, a reference architecture refers to a software architecture that encompasses the knowledge about how to design concrete architectures of systems of a given application domain (NAKAGAWA; OQUENDO; MALDONADO, 2014).…”

Section: Problem Statementmentioning

confidence: 99%

“…This is supported by the fact that about 70% to 80% of healthcare costs are spent on chronic diseases, which correspond to e700 billion in the European Union (STRUCKMANN et al, 2013). In this context, an alternative to reduce costs, associated with chronic disease management, is introducing the concept of "patient-centered", which aims to bring the patients care from the hospital to their homes, and consequently, improving their quality of life (WARTENA et al, 2010). Figure 2 depicts how the costs of care by day decrease, according as quality of life increase.…”

Section: Introductionmentioning

confidence: 99%

A reference architecture of healthcare supportive home systems from a systems-of-systems perspective

Garcés¹

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Population ageing has been taking place all over the world, being estimated that 2.1 billion people will be aged 60 or over in 2050. Healthcare Supportive Home (HSH) Systems have been proposed to overcome the high demand of remote home care for assisting an increasing number of elderly people living alone. Since a heterogeneous team of healthcare professionals need to collaborate to continually monitor health status of chronic patients, a cooperation of pre-existing e-Health systems, both outside and inside home, is required. However, current HSH solutions are proprietary, monolithic, high coupled, and expensive, and most of them do not consider their interoperation neither with distributed and external e-Health systems, nor with systems running inside the home (e.g., companion robots or activity monitors). These systems are sometimes designed based on local legislations, specific health system configurations (e.g., public, private or mixed), care plan protocols, and technological settings available; therefore, their reusability in other contexts is sometimes limited. As a consequence, these systems provide a limited view of patient health status, are difficult to evolve regarding the evolution of patient's health profile, do not allow continuous patients monitoring, and present limitations to support the self-management of multiple chronic conditions. To contribute to solve the aforementioned challenges, this thesis establishes HomecARe, a reference architecture for supporting the development of quality HSH systems. HomecARe considers HSH systems as Systems-of-Systems (SoS) (i.e., large, complex systems composed of heterogeneous, distributed, and operational and managerial independent systems), which achieve their missions (e.g., improvement of patients' quality of life) through the behavior that emerges as result of collaborations among their constituents. To establish HomecARe, a systematic process to engineer reference architectures was adopted. As a result, HomecARe presents domain knowledge and architectural solutions (i.e., architectural patterns and tactics) described using conceptual, mission, and quality architectural viewpoints. To assess HomecARe, a case study was performed by instantiating HomecARe to design the software architecture of DiaManT@Home, a HSH system to assist at home patients suffering of diabetes mellitus. Results evidenced HomecARe is a viable reference architecture to guide the development of reusable, interoperable, reliable, secure, and adaptive HSH systems, bringing important contributions for the areas of e-Health, software architecture, and reference architecture for SoS.

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Continua: The reference architecture of a personal telehealth ecosystem

Cited by 33 publications

References 3 publications

A Context-aware Reference Architecture for Ambient Assisted Living Information Systems

A Context-aware Reference Architecture for Ambient Assisted Living Information Systems

Uma arquitetura de referência para sistemas de casas inteligentes de apoio ao cuidado à saúde da perspectiva de Sistemas-de-sistemas

A reference architecture of healthcare supportive home systems from a systems-of-systems perspective

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