Partners and International Organizations
(English)
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I, Ialtel; CH, Ascom Tech; B, Belgacom; I, CSELT; UK, GPT; GR, Intracom SA; GR, NTUA; GR, OTE; F, Philips LEP; UK, Philips PRL; CH, Swiss Ptt; GR, Syndesis; I, Telecom Italia; IRL, Teltec;
CH, TMR; CH, University Hospital Basel
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Abstract
(English)
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The objective of the health care application in EXODUS was to demonstrate and deploy B-ISDN with IN functions in a set of applications within the University Hospital of Basel using multimedia and telemonitoring.
In the health care business, it is very important to have simultaneous access to patient data such as medical history (anamnesis), case data (e.g. laboratory data), various physicians' reports, images such as radiology, endoscopy and histological findings, administrative data for management, accounting and logistics, and so on. A further aspect is that remote monitoring of the patient's status (vital functions, laboratory results or findings, visual observation, etc.) is becoming more and more important as patient surveillance technology develops.
As main purpose to use TCPIIP over the EXODUS network, which provided access to distant networks.
The applications have been demonstrated and used in the Gastrological Research and Investigation Center of the University Hospital of Basel. This arrangement permitted a health care trial applications to be run in a real hospital environment without violating patients' security (all our patients are volunteers in clinical trials).
The graphic user interface (GUI) of the health care application programs are designed self-explanatory and are formulated in German only. A guide in English was intended as an introduction for our partners in the EXODUS project, (medical doctors, assistants and nurses).
In the Gastrological Research and Investigation Center (GRIC) patients as well as healthy volunteers have been investigated in pharmakokinetic and pharmacodynarnic studies. The following possibilities have been implemented and tested in the health care trial:
·The administrative staff sent the administrative data relating to the participant to the server
·Each participant has to undergo a registration visit where the following information are obtained:
- Past medical history
- Concurrent diseases including any allergies
- A physical examination including blood pressure and heart rate
- Axillary temperature
- Electrocardiogram (ECG)
- Body weight and height
- Laboratory assessments
·The pharmacy is sent a request for trial medication and delivers the medication
·However, the specific trial assessments depends on the study. They can include the following information, which have been monitored at specific intervals and stored in the server:
- ECG, blood pressure and heart rate, Holter
- Radiology
- Duplexsonography
- Endoscopy
- Histology
- Functional tests such as pH-metry, gastric emptying, lung function tests
- Laboratory assessments
The examination report and/or the corresponding images have been saved and stored on the server.
·Each participant had to undergo a follow-up visit at the end of each study so that the following information can be recorded:
- Data on any adverse event
- Axillary temperature
- Electrocardiogram (ECG)
- A physical examination including blood pressure and heart rate Laboratory assessments
Any support requirements or actual support given to each participant could be documented in the overall assessment. The following parameters have been documented on a routine basis:
·monitoring of vital signs such as temperature, pulse, blood pressure and respiration (regular assessments at defined intervals)
·delivery of trial medication (type of drug given, time of administration, route of administration, dosage)
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