Initial Project Information: I 4 C
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Updated: Jun 20, 97  

I 4 C

Integrationand communication for the continuity of cardiac care

[ Coordinator(s) ] [ Participants ] [ Project Objectives, ... ] [ Other Characteristics ]

Project Nr: HC 1024 Group: I Project Duration: 18 months
Key words:
Category:Clinical Cardiology Data Workstations
Summary: This proposal is focused on telematic implementation in cardiac care.Patient data, images, therapy monitoring will communicate withknowledge-based systems, with health care professionals. This will alsopermit quality assessment of care and diagnostic technology.
Mission:This project is concerned with cardiac care, from the prevention of illness to treatment follow-up. Six major European cardiological clinics will use an integrated telematics workstation for data collection and diagnostic and therapeutic support. More comprehensively and consistently recorded data from patients will be combined in multimedia patient records, with subsequent establishment of a reference data set. The project will enable clinics to exploit the same data for patient care, care quality assessment, management and planning and medical research.
URL:

Coordinator(s)

  • Mr. Jan H. Van Bemmel
    Erasmus University
    Dept. of Medical Informatics
    P.O. Box 1738
    NL-3000 DR Rotterdam
    The Netherlands
    tel: 31 10 40 87 050
    fax: 31 10 43 62 882
    vanbemmel@mi.fgg.eur.nl
    url:

Participants:

Name of InstitutionCity+Postal CodeCountryRegion
University of Glasgow Glasgow GB-G31 2ER Scotland UK2
Medizinische Hochschule Hannover Hannover D-30625 Germany DE92
INSERM U 121 - National Institute of Health and Medical Research Lyon F-69500 France FR69
Nederlandse Organisatie voor Toegepast Natuurwetenschappelijk Onderzoek Leiden NL-2301 CE The Netherlands NL33

Project Objectives, Summary Description and Anticipated Results

The project I4C is proposed for the further advancement of cardiac care, from prevention to follow-up.
Improvement of cardiac care will be reached by:
  • a more comprehensive and more consistent recording of patient data, images, videos, and biosignals in a multimedia patient record
  • facilitating the provision of diagnostic and therapeutic information and support for health care professionals in an integrated manner
  • telematic access to data, information and knowledge, wherever they are stored and from all places where physicians and patients are located, or for whatever purpose the data or the knowledge are needed
  • shared care for cardiac patients within the hospital and with health care professionals in primary care and secondary care by means of electronic data interchange
  • support of evidence-based care by remote electronic consultation, telemedicine services, and peer review
  • access to a Reference Set of Patient Data on a regional, national, and European scale by means of Europe-wide communication services to assess quality of care and to support research.

This will be achieved by implementing on a European scale a multimedia-based cardiological workstation (for patient data, images, and biosignals) containing a generic multimedia patient record adapted for cardiology.

Other Characteristics of the Project:

Users involved
Major clinical centres in 6 different European countries: NL, UK, F, D, I, GR will be the intended users of the results of the I4C project. In principle, all users are able to adapt the system to their own needs, because of the generic character of the software.
Technologies and/or approach used
The software that is used is as much as possible based on what is provided by industry: Windows 95 , Windows NT, SQL DBMS, Delphi, ORBIX.
Expected benefits for the citizen
Patients will benefit because data are shared amongst care providers, minimising repeated examinations and drug-drug interactions. The workstation will also support shared care and, in principle, teleconsultation.
Expected benefits for the users of the application
  • Clinical users will be able to use the same patient data for the support of patient care; the quality assessment of care; management and planning, and medical research.
  • The users will be able to integrate patient data (CPR, signals, images) in one workstation, the CPR being the central hub for all data. The workstation will be used for patient care and (at a later stage also for other tasks).

Expected benefits for the European Industries
If successful, the components of I4C will be very generic and will be usable in many different environments, countries, application areas, etc.
Contribution to EU-policies
I4C falls exactly within the intentions of the 4th Framework Programme on health informatics.

Validation Sites

Thorax Centre, Erasmus University and Hospital Dijkzigt Rotterdam Zuid-Holland NL
Dept of Medical Cardiology,University of Glasgow Glasgow Dumfries & Galloway, Strathclyde UK
Zentrum Innere Medizin und Dermatologie, Medizinische Hochschule Hannover Hannover Hannover DE
Dept of Cardiology, University Hospital Lariboisiere Paris Ile de France F
Cardiological University Hospital-Lyon Lyon Rhône-Alpes F
Dept of Cardiology University Hospital Brescia Brescia Lombardia IT
Dept of Cardiology, Aristotle University of Thessaloniki Thessaloniki Anatoliki Makedonia,Thraki

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