On the Combination of Patient-Generated Data with Data from a Secure Clinical Network Environment – A Practical Example
With increasingly more mobile health applications appearing due to the popularity of smartphones, the possibility arises that these data can be used to improve the medical diagnostic process, as well as the overall quality of healthcare, while at the same time lowering costs. However, as of yet there have been no reports of a successful combination of patient-generated data from smartphones with data from clinical routine. In this paper we describe how these two types of data can be combined in a secure way without modification to hospital information systems, and how they can together be used in a medical expert system for automatic nutritional classification and triage.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1099616Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1793
 Points Group. (2014) “Mobile Health (mHealth) Trends in 2014” (Accessed March 2, 2015)
 L. E. Burke, et al., "Using mHealth technology to enhance selfmonitoring for weight loss: a randomized trial", Am J Prev Med, vol43(1), pp. 20-6, 2012.
 N. F. BinDhim, K. McGeechan, and L. Trevena, "Who Uses Smoking Cessation Apps? A Feasibility Study Across Three Countries via Smartphones", JMIR Mhealth Uhealth, vol2(1), pp. e4, 2014.
 J. B. Bricker, et al., "Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy", Drug Alcohol Depend, vol143, pp. 87-94, 2014.
 G. Charpentier, et al., "The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study)", Diabetes care, vol34(3), pp. 533-9, 2011.
 J. E. Aikens, K. Zivin, R. Trivedi, and J. D. Piette, "Diabetes selfmanagement support using mHealth and enhanced informal caregiving", J Diabetes Complications, vol28(2), pp. 171-6, 2014.
 J. Bauer, S. Capra, and M. Ferguson, "Use of the scored Patient- Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer", European journal of clinical nutrition, vol56(8), pp. 779-85, 2002.
 K. Fearon, et al., "Definition and classification of cancer cachexia: an international consensus", Lancet Oncol, vol12(5), pp. 489-95, 2011.
 M. Muscaritoli, et al., "Consensus definition of sarcopenia, cachexia and pre-cachexia: joint document elaborated by Special Interest Groups (SIG) "cachexia-anorexia in chronic wasting diseases" and "nutrition in geriatrics"", Clinical nutrition, vol29(2), pp. 154-9, 2010.
 A. Laviano, M. M. Meguid, A. Inui, M. Muscaritoli, and F. Rossi- Fanelli, "Therapy insight: Cancer anorexia-cachexia syndrome--when all you can eat is yourself", Nat Clin Pract Oncol, vol2(3), pp. 158-65, 2005.
 J. E. Morley, D. R. Thomas, and M. M. Wilson, "Cachexia: pathophysiology and clinical relevance", Am J Clin Nutr, vol83(4), pp. 735-43, 2006.
 A. J. McGeer, A. S. Detsky, and K. O'Rourke, "Parenteral nutrition in cancer patients undergoing chemotherapy: a meta-analysis", Nutrition, vol6(3), pp. 233-40, 1990.
 M. Muscaritoli, M. Bossola, Z. Aversa, R. Bellantone, and F. Rossi Fanelli, "Prevention and treatment of cancer cachexia: new insights into an old problem", European journal of cancer, vol42(1), pp. 31-41, 2006.
 L. Mariani, S. Lo Vullo, and F. Bozzetti, "Weight loss in cancer patients: a plea for a better awareness of the issue", Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, vol20(2), pp. 301-9, 2012.
 J. Arends, et al., "ESPEN Guidelines on Enteral Nutrition: Non-surgical oncology", Clin Nutr, vol25(2), pp. 245-59, 2006.
 M. B. Huhmann, and R. S. Cunningham, "Importance of nutritional screening in treatment of cancer-related weight loss", Lancet Oncol, vol6(5), pp. 334-43, 2005.
 E. Van Cutsem, and J. Arends, "The causes and consequences of cancerassociated malnutrition", European journal of oncology nursing : the official journal of European Oncology Nursing Society, vol9 Suppl 2, pp. S51-63, 2005.
 J. F. Guest, et al., "Health economic impact of managing patients following a community-based diagnosis of malnutrition in the UK", Clin Nutr, vol30(4), pp. 422-9, 2011.
 W. J. Evans, et al., "Cachexia: a new definition", Clinical nutrition, vol27(6), pp. 793-9, 2008.
 T. C. Mueller, M. A. Burmeister, J. Bachmann, and M. E. Martignoni, "Cachexia and pancreatic cancer: are there treatment options?", World journal of gastroenterology : WJG, vol20(28), pp. 9361-73, 2014.
 Health Level Seven Inc. The Arden Syntax for Medical Logic Systems Version 2.7.
 K.-P. Adlassnig, and A. Rappelsberger, "Medical knowledge packages and their integration into health-care information systems and the World Wide Web", Stud Health Technol Inform, vol136, pp. 121-6, 2008.
 G. Hripcsak, "Writing Arden Syntax Medical Logic Modules", Comput Biol Med, vol24(5), pp. 331-63, 1994.
 European Travel Commission. (2014) “Digital Trends in Mobile/SmartPhones” (Accessed March 2, 2015)
 Manhattan Research. (2009) “Physician Smartphone Adoption Rate to Reach 81% in 2012” (Accessed March 2, 2015)
 A. S. Mosa, I. Yoo, and L. Sheets, "A systematic review of healthcare applications for smartphones", BMC Med Inform Decis Mak, vol12, pp. 67, 2012.
 E. Murray, "Web-based interventions for behavior change and selfmanagement: potential, pitfalls, and progress", Med 2 0, vol1(2), pp. e3, 2012.