1. iCARDEA Project: Personalized Adaptive Care Planner by Antique Cows

2. Agenda  “Antique Cows” Team  Problem Definition  What is iCARDEA project?  Features  Our Part in iCARDEA  Road So Far  Implementation Tools  Future Work

3. “Antique Cows” Team  Cihan Çimen  Elif Eryılmaz  Emine Karaduman  Ozan Çağrı Tonkal

4. Problem Definition  The main cause of death in the European Union (EU) is Cardiovascular Disease (CVD)  42% of all deaths in the EU, 45% deaths in women and 38% deaths in men

5. Deaths by cause Cardiovascular Disease (CVD), men

6. Deaths by cause Cardiovascular Disease (CVD), women

7.  More than 800,000 patients in Europe have implanted pacemaker, ICD or CRT devices for the treatment or secondary prevention of cardiac arrhythmias

8. Growth rate of CIEDs in EU and North America

9. What is iCARDEA project?  Integrated intelligent platform for continuous, remote and personalized monitoring the cardiac arrhythmia patients with implanted devices.  The personalized adaptive care planner and execution engine that will be developed within the scope of the iCARDEA project.  Cardiac arrhythmia clinical guidelines will be in focus.

10. iCARDEA Architecture Overview

11. Features  Utilize the action recommendations  Scheduling notes to alert other staff  Provide users with many reminders,  when a CIED is out of order,  when a supervisory visit is required,  when a procedure needs to be completed during a visit.

12. Our part in iCARDEA Personalized Adaptive Care Planner  Careplan Editor Subsystem  Careplan Engine Subsystem  Alarm Manager Subsystem  Monitoring Tool Subsystem  Common Terminology Server (CTS) Subsystem

13. Road So Far  "Careplan Definition Tool” is almost ready to generate XML executed by "Careplan Engine".  The minimum conditions to execute a sample clinical guideline is achieved.  "User Management" option is provided for the users having different access rights.  The HTML editor used in the context of the project is almost completed.

17. Implementation Tools  Apache Subversion  Apache Maven  Google Code  Adobe Flex SDK 3.5.0  BlazeDS  Spring  Hibernate

18. Future Work  Check the correct functioning of the mechanism  “Careplan Monitoring Tool”  “Alarm Manager Subsystem”  Integration of the components  Testing

19. References  HRS/EHRA Expert Consensus on the Monitoring of Cardiovascular Implantable Electronic Devices (CIED): Description of Techniques, Indications, Personnel, Frequency and Ethical Considerations  Remote, Wireless, Ambulatory Monitoring of Implantable Pacemakers, Cardioverter Defibrillators, and Cardiac Resynchronization Therapy Systems, A. Lazarus, Pacing and Clinical Electrophysiol. 2007 Jan;30 Suppl 1:S2-S12  http://www.srdc.com.tr/icardea/  http://code.google.com/p/srdcicardea/

20. Thank you for listening! Questions...