financed by romanian government – ministry of education ... · financed by romanian government...
TRANSCRIPT
Contract number 4 / 2005 financed by Romanian Government – Ministry of Education and Research
h h ”E ll R h” P CEEX 2005 INFOSOCthrough ”Excellence Research” Program – CEEX 2005 INFOSOCDuration: 15.10.2005-30.06.2008
ConsorConsortiumtium
CoopUrgCoopUrg
ConsorConsortiumtium
CO - SC IPA SA Cluj Subsidiary► www.automation.ro
Project manager : sr. I dipl. eng. Ioan StoianProject manager : sr. I dipl. eng. Ioan Stoian
P1 - "Iuliu Hatieganu" University of Medicine and Pharmacy,Cluj-Napoca
wwwumfcluj ro► www.umfcluj.roProject responsible : prof. dr. Radu Badea
P2 - Clinical Institute of Urology and Renal Transplantation,gy p ,Cluj-Napoca► www.renaltransplant.ro
Project responsible : prof. dr. Mihai Lucan
P3 – University of Medicine and Pharmacy, Targu Mures► www.umftgm.ro
Project responsible : lecturer dr. Raed Arafat
www.automation.ro/coopurg 2
The Project’s ObjectivesThe Project’s ObjectivesCoopUrgCoopUrg
General Objective – The development of a telematic system based on medical intervention unitsinstated with computation and communication equipments that allow them a cooperative behavior, and
l d i i i i d i i h i li d ffon ultrasound image acquisition and transmission to the specialized emergency centers, offerstechnological support for medical assistance in case of emergency and catastrophes allowing to optimizethe diagnostic trial in trauma and to shorten the “accident – definitive therapy” duration respecting the“golden hour” concept.g p
Scientifically and technological objectives assumed in CoopUrg project :develop an integrated regional system able to provide telehealthcare services and remote transfer of medical datausing cooperative communication networks and units in order to ensure early diagnosis in case of major traumausing cooperative communication networks and units in order to ensure early diagnosis in case of major traumaenhance the performance of emergency services by connecting different specialists in order to providetelediagnosis, teleconsultancy and teleassistance for diagnostic trialoptimize the US guided low invasive maneuver according to FAST protocol
i i h i f i li i di di i b d i ll i f doptimize the entire system functionality in distress conditions by dynamic allocation of resources andimplementation of cooperative techniquesdesign the entire system as an infrastructure for biomedical data processing, data base development, dataprocessing and transmissions in normal and catastrophic conditionsi l i f ffi i l l hi f l i d ifi i fimplementation of an efficient teleultrasonographic system for evaluation and quantification of organs, aspotential transplant source.creation of a network and a database - support for research in teleassisted emergency assistance domain.launch collaborative works and establish multi-disciplinary
www.automation.ro/coopurg 3
Project’s preProject’s pre--requisitesrequisitesCoopUrgCoopUrg
TheThe existenceexistence ofof thethe emergencyemergency assistant’sassistant’s threethree levelslevels –– prepre--hospitalhospitalg yg y pp ppservices,services, compartmentscompartments oror specializedspecialized emergencyemergency centers,centers, hospitalhospital endowedendowedwithwith traumatrauma centerscenters – offers the necessary medical support for implementing ateleassisted integrated system in emergency.
TheThe developmentdevelopment ofof telemedicine,telemedicine, emergencyemergency assistanceassistance andandperformanteperformante ultrasonographyultrasonography offers scientific and technological support forcreating a telediagnostic and teleassisted integrated system in trauma.creating a telediagnostic and teleassisted integrated system in trauma.
FASTFAST examinationexamination (Focused Abdominal Sonography for Trauma) is a highaccuracy technique for detecting the free liquid from abdominal cavity indicatedy q g q yto the hemodynamic unstable patients possible to be performed in emergencycenters an din pre-hospital (in condition of existing the necessary equipments and a qualifiedoperator ). The obtained data will be transmitted for interpretation, from pre-hospital to a specialist located in a medical imagistic hospital throughhospital, to a specialist located in a medical imagistic hospital, throughtelemedicine system.
www.automation.ro/coopurg 4
The Project’s PhasesThe Project’s PhasesCoopUrgCoopUrg
PhasePhase 11 -- Technical study and system analysisPhasePhase 11 -- Technical study and system analysis►► 1515..1010..20052005 –– 3030..1212..20052005
PhasePhase 22 -- Hardware and Software Design►► 0101 0101 20062006 3030 0606 20062006►► 0101..0101..20062006 –– 3030..0606..20062006
PhasePhase 33 -- Elaboration of application programs at the mobile interventionunits level►► 0101 0707 20062006 1515 1212 20062006►► 0101..0707..20062006 –– 1515..1212..20062006
PhasePhase 44 -- Elaboration of programs at the telemedicine centre level►► 1616..1212..20062006 –– 2525..0909..20072007
PhasePhase 55 -- Elaboration of a complex application; testing certification,optimization►► 2626..0909..20072007 –– 1515..1212..20072007
PhasePhase 66 -- Dissemination of results►► 1616..1212..20072007 –– 3030..0606..20082008
5www.automation.ro/coopurg
The telemedicine system’s architectureThe telemedicine system’s architectureCoopUrgCoopUrg
Monitored patient
Investigation medical equipment
Supervisor medical personnel
Comm nication S pport
Local Level
Communication Support
Local Computer – data concentrator
Communication Support
Metropolitan medical network
Specialist Specialist
Central Level
…
Specialistmedic 1
Specialistmedic n…
Medical Personnel în formare 1
Medical Personnel în formare m
6www.automation.ro/coopurg
The component elements of the telemedicine system The component elements of the telemedicine system CoopUrgCoopUrg
The system is consist of subsystems placed at the local level of ambulances(which cooperate) and at the central level placed at :
used in catastrophes and emergency medicineused in catastrophes and emergency medicine
(which cooperate) and at the central level placed at :Emergency Room (ER),Imagistic medical centerTransplant centersp ce e
EMU1
EMU2 MCC
USMC
C2
EMU2
CC
MCC
C1
EMC
TMCC3
EMUn
EMU – Acquisition and medical data transfer equipment from the mobile intervention units CC – cooperative communications EMU - EMU
MCC – Computing and data transfer equipment from the mobile terrestrial/airy tekeassistence Center
USMC – Computing and data transfer equipment from the imagistic tekeassistence Center
EMC – Computing and data transfer equipment from the sanitary Unit of the i d i l P i h
C1 – communications EMU - MCC
C2 – communications between :
EMU - USMC
EMU - EMC
C3 – communications in the metropolitan medical network
www.automation.ro/coopurg 7
trauma assistance – named sometimes also UPU in the present documentation
TMC – Computing and data transfer equipment from the transplant Centers
C3 communications in the metropolitan medical network
System’s architecture with the distributed local levelSystem’s architecture with the distributed local levelCoopUrgCoopUrg
C0C0
EMU 1 EMU n-2EMU n
C0C0
C0C0
C0C0
C0C0
C0C0
EMU n-1
C1C1C1C1
C0C0C0C0
C0C0
C0C0C0C0
EMU 2C1C1C1C1
C1C1C1C1
C1C1
ER
EMC mEMC 1
C2C2 C2C2 C2C2 C2C2
www.automation.ro/coopurg 8TMC
EMC mEMC 1
USMCC3C3
C3C3C3C3
......
System’s architecture with centralized local levelSystem’s architecture with centralized local levelCoopUrgCoopUrg
EMU 1
EMU n-2MCCMCC
C1C1C1C1
EMU n-1EMU n
EMU 2
C1C1C1C1
C1C1EMU 2
UPUUPU
EMC mEMC 1
C2C2
C2C2 C2C2
C2C2
C3C3C3C3 ......
9www.automation.ro/coopurg
TMC USMC
......
CoopUrgCoopUrg
System’s functionsSystem’s functions
FulfilledFulfilled functionsfunctions atat thethe locallocal levellevel (ambulance level) are:data receiving functions provided by the acquisition interface from the medical
yy
g p y qequipment specifically of the emergency medicine
analyzing, displaying(at request) and storing functions of the received data
bilateral communication functions with the central levelbilateral communication functions with the central level
Functions placed at the central level (dispatcher/ER ) are:Functions placed at the central level (dispatcher/ER ) are:communication functions with the local level
data receiving functions of the transmitted data from the local levels
storage functions of the received data from the medical data
alarms managing functionsalarms managing functions
data base administration and management functions with patient's medical information
connection functions between different medical centers (expert center inconnection functions between different medical centers (expert center in medical imagistic, transplant center)
processing and visualizing information from the resulted medical data base f ti
www.automation.ro/coopurg 10
functions.
HHardwareardware architecture of the systemarchitecture of the systemCoopUrgCoopUrg
Ultrasonographical portable equipment Sonosite
Modem / cardGSM/GPRS/3G
Operator base station mobile telephony
Operator base stations
images
GSM/GPRS/3G Operator base stations mobile telephony
Medical equipments ifi f
Local data concentrator
Modem / cardUltrasonographical equipmentspecific for emergency medicine Ambulance 1
Expert center medical imagistic images
Modem / cardGSM/GPRS/3G
Ultrasonographical equipment Eco Blaster 128
Local Web server network, DB server, file server, images evaluation expert system
InternetInternet
L l d t
Central level dispacher /UPU
Ambulance NMedical equipments
specific for emergency medicine
Local data concentrator
11www.automation.ro/coopurgCentru transplant
SoftwareSoftware architecture of the systemarchitecture of the systemCoopUrgCoopUrg
TheThe CoopUrgCoopUrg WebWeb applicationapplication distinguishesdistinguishes fourfour levelslevels forfor thethe softwaresoftware modulesmodules::11.. usersusers interfacesinterfaces levellevel::
11 i t rfi t rf frfr thth l ll l l ll l ff thth b lb l llll tt i rti rt thth di ldi l d td t frfr1.1. interfacesinterfaces fromfrom thethe locallocal level,level, ofof thethe ambulance,ambulance, allowallow toto insertinsert thethe medicalmedical datadata fromfromthethe patientpatient monitoringmonitoring andand ultrasonographicalultrasonographical imagesimages caughtcaught withwith FASTFAST techniquetechnique
−− interfacesinterfaces forfor thethe dispatcherdispatcher centercenter // ERER−− interfacesinterfaces forfor thethe expertexpert centercenter medicalmedical imagisticimagistic−− interfacesinterfaces forfor thethe expertexpert centercenter--medicalmedical imagisticimagistic−− interfacesinterfaces forfor thethe transplanttransplant centercenter
22.. communicationcommunication levellevel:: assuresassures thethe communicationcommunication betweenbetween clientsclients andand andand webwebserverserver fromfrom thethe centralcentral levellevelserverserver fromfrom thethe centralcentral levellevel33.. managementmanagement levellevel ofof thethe webweb serverserver resourceresource:: receivesreceives andand processesprocesses thetherequests,requests, usingusing thethe resourcesresources assuredassured byby thethe webweb serverserver44 dd l ll l hh dd dd ii hh C UC U jj illill bb ii hh dd44.. datadata levellevel:: thethe usedused datadata inin thethe CoopUrgCoopUrg projectproject willwill bebe storagestorage inin thethe samesame datadatabasebase reunitingreuniting thethe datadata fromfrom thethe prehospitalprehospital withwith thethe onceonce fromfrom thethe ERER andand withwith thetheonceonce inin thethe imagisticimagistic unitunit
ForFor realizingrealizing thethe webweb applicationapplication itit waswas usedused thethe MicrosoftMicrosoft VisualVisual StudioStudio developingdevelopingenvironmentenvironment andand additionaladditional toolstools providedprovided byby ..NETNET FrameworkFramework.. TheThe datadata basebase waswasi l di l d dd dd i hi h Mi fMi f SQLSQL SS 20052005
12www.automation.ro/coopurg
implementedimplemented andand managedmanaged withwith MicrosoftMicrosoft SQLSQL ServerServer 20052005..
SSoftware oftware architecture of the systemarchitecture of the systemCoopUrgCoopUrg
Medical data structures Medical data structures witch are used in the project are:witch are used in the project are:•• prehospitalprehospital minidatasheetminidatasheet –– datadata areare assumedassumed throughthrough interfaceinterface
MomentMoment AA EmergencyEmergency minidatasheetminidatasheetMomentMoment AA.. EmergencyEmergency minidatasheetminidatasheet•• prehospitalprehospital datasheetdatasheet –– datadata areare assumedassumed throughthrough interfaceinterface
Moment A. Patient's data. Intervention. Case history of the injury mechanismMoment A. Patient's data. Intervention. Case history of the injury mechanismMoment A. FAST ProtocolMoment A. FAST ProtocolMoment A. FAST Protocol Moment A. FAST Protocol Moment A. Primary objective examMoment A. Primary objective examMoment A. TherapyMoment A. TherapyMoment A. Final dataMoment A. Final data
•• the structured answer of the imagist doctorthe structured answer of the imagist doctor răspunsulrăspunsul –– data are assumed through data are assumed through interfaceinterface
Moment A.Moment A. Imagist doctor answer•• fifi nităţiinităţii dd primirprimir r nţr nţ UPUUPU d ld l ll ii i fi f•• fişafişa unităţiiunităţii de de primireprimire urgenţeurgenţe –– UPU UPU –– dateledatele suntsunt preluatepreluate prinprin interfaţainterfaţa
Moment B. Moment B. DateleDatele pacietuluipacietului. . InterventieInterventie. . AnamnezaAnamneza mecanismuluimecanismului lezionallezionalMoment B. Moment B. ExamenExamen obiectivobiectiv primarprimarMoment B. Moment B. ExamenExamen obiectivobiectiv secundarsecundarb vb vMoment B. Moment B. TerapieTerapieMoment B. Moment B. ExamenExamen paraclinicparaclinicMoment B. Protocol FASTMoment B. Protocol FAST
13www.automation.ro/coopurg
•• fişafişa cuprinzândcuprinzând dateledatele pentrupentru centrulcentrul dede transplanttransplant..
Concatenation diagram of the Concatenation diagram of the CoopUrgCoopUrg
application’s functionsapplication’s functions START
Interfata principala a aplicatiei Web
Interfata de post-procesare date
STOPInterfata de configurare
Intefata medic urgentă prespital
Interfata medic specialist imagist
Interfata medic specialist UPU
Interfata medic specialist transp.
Interf. generare fisaprespital
Interf. generare minifisa
Interf. vizualizare rasp structurat
Interf. generare rasp structurat
Interf. vizualizare minifisa
Interf. vizualizare rasp structurat
Interf. generare fisa UPU
Interf. vizualizare date donori
prespital rasp. structurat minifisa
Gestiune raspunsuri structurate realizate / alertare Medic
urgenţă prespisal
Gestiune planificare la consultatii pt. Medic
ultrasonografist
rasp. structurat
Gestiune planificare pt. Medic UPU / transplant
urgenţă prespisal ultrasonografist
Gestiune planificare la consultatii pt. Pacient investigat / alertarea medici
www.automation.ro/coopurg 14
Sistem expert pentru evaluare pacientilor şi directionarea acestora
Modular diagram of the Web applicationModular diagram of the Web applicationCoopUrgCoopUrg
15www.automation.ro/coopurg
Relation entity diagram of the data baseRelation entity diagram of the data baseCoopUrgCoopUrg
16www.automation.ro/coopurg
Relation entity diagram of the data baseRelation entity diagram of the data baseCoopUrgCoopUrg
17www.automation.ro/coopurg
Relation entity diagram of the data baseRelation entity diagram of the data base CoopUrgCoopUrg
18www.automation.ro/coopurg
Relation entity diagram of the data baseRelation entity diagram of the data base CoopUrgCoopUrg
19www.automation.ro/coopurg
Primary interface of the Web applicationPrimary interface of the Web applicationCoopUrgCoopUrg
20www.automation.ro/coopurg
Login interface of the Web Login interface of the Web applicatonapplicatonCoopUrgCoopUrg
21www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– minidatasheetminidatasheet
22www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Specialist interfaces from the mobile unit of the CoopUrgCoopUrg
Web applicationWeb application
23www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– minidatasheetminidatasheet
24www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– minidatasheetminidatasheet
25www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– prehospitalprehospital datasheetdatasheet
26www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– minidatasheetminidatasheet
27www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– minidatasheetminidatasheet
28www.automation.ro/coopurg
Specialist interfaces from the mobile unit of the Web Specialist interfaces from the mobile unit of the Web CoopUrgCoopUrg
application application –– minidatasheetminidatasheet
29www.automation.ro/coopurg
Imagistic specialist interfaces of the Web application Imagistic specialist interfaces of the Web application CoopUrgCoopUrg
–– structured answer structured answer
30www.automation.ro/coopurg
Imagistic specialist interfaces of the Web application Imagistic specialist interfaces of the Web application CoopUrgCoopUrg
–– structured answer structured answer
31www.automation.ro/coopurg
ER specialist interfaces of the Web application ER specialist interfaces of the Web application –– ER ER CoopUrgCoopUrg
datasheetdatasheet
32www.automation.ro/coopurg
Stipulated resultsStipulated resultsCoopUrgCoopUrg
Measurable results:
By direct natural quantification:Realization of a system model for interventions in case of emergency and catastrophically situationsR liz ti f i f r ti l ppli ti f r r t l di iRealization of a new informational application for emergency telemedicineRealization of a data base and medical images which will be structured ulterior under the form of knowledge base used for medical personal training form the emergency/transplant fieldStandardization echographic aspect of the various analyzed formationsStandardization echographic aspect of the various analyzed formationsThe impact over the labor force, through the specialization of the medical personal in informatics
By indirect natural quantification:The growing professional qualifications of the personalThe growing life chance of the monitored, through direct connection with the specialists in various domains in accordance with the caseTh i f h i l i f h j l d i li i i di i li jThe growing of the managerial capacity of the project leader in realizing interdisciplinary projects.
33www.automation.ro/coopurg
Potential beneficiariesPotential beneficiariesCoopUrgCoopUrg
Prehospital emergency unitsClinics and hospitals from the public health networkp pHeath Ministry and its territorial organismsResearch institute, superior education which display research activities in medicine,medical informatics information technologiesmedical informatics, information technologies
- the project offers work themes for young: researchers, graiuand, master students,medics
www.automation.ro/coopurg 34