title: Communication architecture for AAL. Supporting patient care by health care providers in AAL-enhanced living quarters.
abstract: BACKGROUND
  This article is part of the Focus Theme of Methods of Information in Medicine on "Using Data from Ambient Assisted Living and Smart Homes in Electronic Health Records".
  
  
  BACKGROUND
  Concepts of Ambient Assisted Living (AAL) support a long-term health monitoring and further medical and other services for multi-morbid patients with chronic diseases. In Germany many AAL and telemedical applications exist. Synergy effects by common agreements for essential application components and standards are not achieved.
  
  
  OBJECTIVE
  It is necessary to define a communication architecture which is based on common definitions of communication scenarios, application components and communication standards.
  
  
  METHODS
  The development of a communication architecture requires different steps. To gain a reference model for the problem area different AAL and telemedicine projects were compared and relevant data elements were generalized. The derived reference model defines standardized communication links.
  
  
  RESULTS
  As a result the authors present an approach towards a reference architecture for AAL-communication. The focus of the architecture lays on the communication layer. The necessary application components are identified and a communication based on standards and their extensions is highlighted.
  
  
  CONCLUSIONS
  The exchange of patient individual events supported by an event classification model, raw and aggregated data from the personal home area over a telemedicine center to health care providers is possible.
authors.affiliation: Thomas Nitzsche, Westsächsische Hochschule Zwickau, Physikalische Technik/Informatik Dr.-Friedrichs-Ring 2a, 08056 Zwickau, Germany, E-Mail: thomas.nitzsche@fh-zwickau.de.
authors.forename: T
authors.initials: T
authors.lastname: Nitzsche
authors.forename: S
authors.initials: S
authors.lastname: Thiele
authors.forename: A
authors.initials: A
authors.lastname: Häber
authors.forename: A
authors.initials: A
authors.lastname: Winter
mesh_terms: D040561:Assisted Living Facilities / Q000458:organization & administration*; D003199:Computer Systems; D057286:Electronic Health Records; D005858:Germany; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008991:Monitoring, Physiologic; D058998:Remote Sensing Technology; D018511:Systems Integration; D017216:Telemedicine / Q000458:organization & administration*
keywords: Communication architecture; ambient assisted living; assistive technology; living quarters; long-term health monitoring