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Journal of Healthcare Engineering
Volume 2, Issue 2, Pages 183-196
http://dx.doi.org/10.1260/2040-2295.2.2.183
Research Article

Personalized Remote Monitoring of the Atrial Fibrillation Patients with Electronic Implant Devices

Gokce B. Laleci,1 Asuman Dogac,1,2 Mustafa Yuksel,1,2 Yildiray Kabak,1 Elena Arbelo,3 Franz Danmayr,4 Lynne Hinterbuchner,4 Catherine Chronaki,5 Marco Eichelberg,6 and Christian Lüpkes6

1Software Research and Development and Consultancy Ltd., Ankara, Turkey
2Dept. of Computer Eng., Middle East Technical University, Ankara, Turkey
3Hospital Clinic I Provincial de Barcelona, Barcelona, Spain
4Salzburger Landeskliniken BetriebsgesmbH, Salzburg, Austria
5Foundation for Research and Technology Hellas - Institute of Computer Science, Institute of Computer Science, Crete, Greece
6OFFIS e. V., Institute for Information Technology, Oldenburg, Germany

Received 1 July 2010; Accepted 1 December 2010

Copyright © 2011 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cardiovascular Implantable Electronic Devices (CIED) are gaining popularity in treating patients with heart disease. Remote monitoring through care management systems enables continuous surveillance of such patients by checking device functions and clinical events. These care management systems include decision support capabilities based on clinical guidelines. Data input to such systems are from different information sources including medical devices and Electronic Health Records (EHRs). Although evidence-based clinical guidelines provides numerous benefits such as standardized care, reduced costs, efficient and effective care management, they are currently underutilized in clinical practice due to interoperability problems among different healthcare data sources. In this paper, we introduce the iCARDEA care management system for atrial fibrillation patients with implant devices and describe how the iCARDEA care plan engine executes the clinical guidelines by seamlessly accessing the EHR systems and the CIED data through standard interfaces.