RFID in MEDICARE. RFID in Denmark RFID/IOT integrated in object solutions

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Jasper Lambert
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Research Innovation Platform in Area of Intelligent RFID

1 RFID in MEDICARE RFID in Denmark 2014 RFID/IOT integrated in object solutions Partner in ipack VINN Excellence Center - A Research Innovation Platform in Area of Intelligent RFID solutions for Smart Package - Ambigua Medito AB Lucas Åhlström

2 I O T Introduction of the Internet Of Things! THE NEW ELECTRONIC INTEGRATION TO USE RFID IN ENVIRONMENT PRODUCTION SYSTEM

THE IMEDBOX AND THE SENSOR PLATFORM Anna Ericsson 2009 Nov 9 Mon 13:00 imedbox developed by Ambigua Medito and ipack Mediated interaction between pharmaceutical package, patient, and

Kaleorid Levaxin 100mg 1 tablet 120mg 1 tablet 750mg 1 tablet 50μg 1.

3 THE IMEDBOX AND THE SENSOR PLATFORM Anna Ericsson 2009 Nov 9 Mon 13:00 imedbox developed by Ambigua Medito and ipack Mediated interaction between pharmaceutical package, patient, and remote doctor Enabled by RFID, cloud computing and communication Pervasive healthcare and home care Time Medicine Name Amount Morning Morning Morning Morning Metoprolol Isoptin retard Kaleorid Levaxin 100mg 1 tablet 120mg 1 tablet 750mg 1 tablet 50μg 1.5 tablet Morning Furix 80mg Morning Morning Prednisolone 5mg 5mg 11 tablet tablet Morning Tramadol 50mg 1-2 tablets YES Evening Prednisolone 5mg 1 tablet Doctor: Thomas Johnson +46-xxxxxxxxx Tramadol 50mg 1-2 tablets per day if necessary NO ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

4 OUR OUT-HOSPITAL SENSORS IR sensor Smoke sensor Flood Sensor Fall Sensor Drawstring Incontinence Sensor Gas sensor Temperature Sensor Epilepsy Sensor Cellular Alarm Home Alarm Stove Guard Wetspot bed alarm Crossing Guard Smoke detector Alarm Carpet Motion Sensor Fall Detector ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

5 Key Features for our home monitoring system Proven and operational in the NHS Informing CCGs and community providers in the development of Virtual Wards, Telehealth and Case Management Secure WEB access via the N3 Network enables organisations to view data at local offices/clinics Presented via Long Term Condition Dashboards Monthly refresh aids intervention effectiveness tracking Condition reporting in line with new QOF standard. Include COPD, CHF, Diabetes, Parkinson's Disease, Motor Neurone Disease; Multiple Sclerosis and Renal malfunction End of Life Care Dashboard: Gold Standard Framework; A number of measures and indicators identify patients in palliation; Prognostic indicators for COPD patients Polypharmacy Dashboard - allows filtering on the number of unique drugs prescribed in the last 90 days. Readmission Analysis: Readmission within 30 days and over 30 days (i.e. within 90 days). ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

6 Purpose ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

7 Challenges for Governments 1) Groth of health care costs 2) Aging population 3) Shortage of specialists 4) Burden of chronic diseases ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

8 ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

HomeCare Storage Box System Purpose Improve quality of elderly/medical care

medications, supplies Early warning and record of tracked data Features Medication

incorrect dose is taken from the box Avoid to take wrong medicine or in false time

and information out of the system Patient s history can be retrieved from database

9 HomeCare Storage Box System Purpose Improve quality of elderly/medical care Eliminate mistakes, increase security in medicine handling Tracing patients, medications, supplies Early warning and record of tracked data Features Medication reminders with automatic alert Alert when medication is due/out of time Alert when incorrect dose is taken from the box Avoid to take wrong medicine or in false time Patients/Doctors/Nurses/Care personnel has access only to the right box contents and information out of the system Patient s history can be retrieved from database RFID Key Management System ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström

IoT Sensor Platform Database Get CurrentDate from real time clock of the system Get ThisPatientID from RFID Reader or predefine in software ThisPrescriptionID= SELECT PrescriptionID FROM DB.

Prescription WHERE { PatientID==ThisPatientID AND FinishDate>=CurrentDate }; ThisDoseID= SELECT DoseID FROM DB.

.. ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström Development for the sensor platfrom Make a comple system- Engineering work SOA, and Web-based Services Used for imedbox, PK PK

10 IoT Sensor Platform Database Get CurrentDate from real time clock of the system Get ThisPatientID from RFID Reader or predefine in software ThisPrescriptionID= SELECT PrescriptionID FROM DB.Prescription WHERE { PatientID==ThisPatientID AND FinishDate>=CurrentDate }; ThisStartDate= SELECT StartDate FROM DB.Prescription WHERE { PatientID==ThisPatientID AND FinishDate>=CurrentDate }; ThisDoseID= SELECT DoseID FROM DB.DoseList WHERE { PrescriptionID==ThisPrescriptionID AND DayNumber==CurrentDate-ThisStartDate }; Retrieve all columns based on ThisDoseIDs... ICECARE - Björn Söderberg, Ambigua Medito AB Lucas Åhlström Development for the sensor platfrom Make a comple system- Engineering work SOA, and Web-based Services Used for imedbox, PK PK PatienrInfo PatientID FirstName FaminlyName... DotorInfo DoctorID FirstName FamilyName Tel PK Presription PrisriptionID PatientID DoctorID StartDate FinishDate DoctorComments DoseList PK PresriptionID PK DoseID DayNumber IsFinished TimeID MedicineID Amount PK PK DoseTime TimeID TimeDesription MedicineInfo MedicineID MedicineName MassPerPiece Unit PieceType Manufacture ExpirationDate...

11 Patient database Trace treatments System overview Patient / Nurse with RFID fob History Surveillance Box cabinet Access room keys Take right medicines Sabotage Monitoring Alarm RFID + Man down signal Reminder / Warning display RFID Key Management System

How box/key cabinets are used Picking up goods 1. Identification by RFID card / fingerprint / PIN code 2. Care personnel has access to keys / box contents with rights 3.

12 How box/key cabinets are used Picking up goods 1. Identification by RFID card / fingerprint / PIN code 2. Care personnel has access to keys / box contents with rights 3. Take away keys (room-, car-, flat-) or/and Take away pills, tools, mobile, etc. from boxes 4. Weight is scaled inside the box 5. Cabinet door can be closed Returning goods 1. Identification by RFID card (same as used for access system) 2. Key can be returned at any position 3. Item can be put back into the box 4. Weight is scaled and compared to previous value 5. Alarm in case wieghts do not match or item is overdue 6. Cabinet door can be closed 7. Every movement is logged, registered and can be monitored remotely or can be retrieved easily RFID Key Management System

Box Management Advantages Right persons will have access to the content in right time All items are stored in a safe place Manage boxes centrally for several buildings Automatic Real time tracking of

13 Box Management Advantages Right persons will have access to the content in right time All items are stored in a safe place Manage boxes centrally for several buildings Automatic Real time tracking of usage (who used it before view reports from Log) Plan usage (book boxes in advance and reserve them) Controlled access to keys and box contents Define rights and groups on demand for users and personnel Security only authorized staff has access Protection against theft and sabotage Box cabinet can invoke an external alarm Boxes are securely locked by electronic locks Grant temporary access remotely for external workers Increases efficiency and reduces cost RFID Key Management System

14 Value Storage System properties Integrated industrial embedded computer with Touch screen Built-in database and web server Remote management and administration using web-browser Easy integration with access control and alarm systems using web services and XML based interface and HW outputs Optional RFID based item identification inside the box Optional weighing stamp in the box Data synchronisation between cabinets (key/box-cabinets in network) Booking system (to reserve a key/box in advance) Flexibility to manufacture tailor-made solutions according to your needs Storage box modules and key modules can be combined within one cabinet Cabinets are expandable by adding new key- or box-modules later as you grow RFID Key Management System

15 Vision for the future Embedded electronic solutions Life science Today's metrology 1 laborant = testes / year With individual RFID-applications 1 laborant = testes / year

System Architecture The platform, based on wireless sensor network (WSN), dual-layer coherent architecture and consists of main sensor nodes (MN s) a complete system by

One MN and multiple SN s could, via short range wireless link, form a WSN cell to cover a certain area/space.

16 System Architecture The platform, based on wireless sensor network (WSN), dual-layer coherent architecture and consists of main sensor nodes (MN s) a complete system by developing application-oriented user interface and data mining tool suiting the needs. One MN and multiple SN s could, via short range wireless link, form a WSN cell to cover a certain area/space. MN collects data from SN s and sends operation instructions to them. Multiple such WSN cells can cover a much wide area. A MN sends via GSM/GPRS network data from all sensors within a cell to the server (database) and the server and sensor nodes is dual-directional, and making it possible for server at any time to reconfigure the working

17 This is the future system from Ambigua Medito production In combination with RFID Its an outstanding solution. Make it, take it and place it before is to late!

18 From bad vision thru a IOT connected brightness!

19 Before I have to go Any questions Lucas@loxtore.se

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