title: A novel personal health system with integrated decision support and guidance for the management of chronic liver disease.
abstract: A personal health system platform for the management of patients with chronic liver disease that incorporates a novel approach to integrate decision support and guidance through care pathways for patients and their doctors is presented in this paper. The personal health system incorporates an integrated decision support engine that guides patients and doctors through the management of the disease by issuing tasks and providing recommendations to both the care team and the patient and by controlling the execution of a Care Flow Plan based on the results of tasks and the monitored health status of the patient. This Care Flow Plan represents a formal, business process based model of disease management designed off-line by domain experts on the basis of clinical guidelines, knowledge of care pathways and an organisational model for integrated, patient-centred care. In this way, remote monitoring and treatment are dynamically adapted to the patient's actual condition and clinical symptoms and allow flexible delivery of care with close integration of specialists, therapists and care-givers.
authors.affiliation: Fraunhofer Institute Biomedical Engineering.
authors.forename: Stephan
authors.initials: S
authors.lastname: Kiefer
authors.affiliation: Fraunhofer Institute Biomedical Engineering.
authors.forename: Michael
authors.initials: M
authors.lastname: Schäfer
authors.affiliation: Star Healthcare Management GmbH.
authors.forename: Marco
authors.initials: M
authors.lastname: Bransch
authors.affiliation: Star Healthcare Management GmbH.
authors.forename: Peter
authors.initials: P
authors.lastname: Brimmers
authors.affiliation: AT4 wireless.
authors.forename: Diego
authors.initials: D
authors.lastname: Bartolomé
authors.affiliation: AT4 wireless.
authors.forename: Janie
authors.initials: J
authors.lastname: Baños
authors.affiliation: Newcastle University.
authors.forename: James
authors.initials: J
authors.lastname: Orr
authors.affiliation: Newcastle University.
authors.forename: Dave
authors.initials: D
authors.lastname: Jones
authors.affiliation: Charité Universitätsmedizin Berlin.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Jara
authors.affiliation: Charité Universitätsmedizin Berlin.
authors.forename: Martin
authors.initials: M
authors.lastname: Stockmann
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D006801:Humans; D055370:Lung Injury / Q000175:diagnosis* / Q000628:therapy*; D010548:Personal Health Services / Q000458:organization & administration*; D012648:Self Care / Q000379:methods*; D018511:Systems Integration; D017216:Telemedicine / Q000458:organization & administration*; D013813:Therapy, Computer-Assisted / Q000379:methods*; D014584:User-Computer Interface