<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="6.x">Drupal-Biblio</source-app><ref-type>47</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Simona Anzivino</style></author><author><style face="normal" font="default" size="100%">Giuseppe Quaini</style></author><author><style face="normal" font="default" size="100%">Valeria Pisetta</style></author><author><style face="normal" font="default" size="100%">Paolo Masci</style></author><author><style face="normal" font="default" size="100%">Annalisa Bertoldi</style></author><author><style face="normal" font="default" size="100%">Giandomenico Nollo</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implementation of a multi-specialized electronic health record for managing cardiological rehabilitation paths</style></title><secondary-title><style face="normal" font="default" size="100%">Italian Forum of Ambient Assisted Living (ForItALL)</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><urls><related-urls><url><style face="normal" font="default" size="100%">https://haslab.uminho.pt/sites/default/files/masci/files/foritaal_2018_paper_6.pdf</style></url></related-urls></urls><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Cardiac Rehabilitation (CR) is an intervention for managing the post-acute phase of the disease.&lt;br /&gt;
According to international guidelines, it includes three consecutive phases: the first phase, during&lt;br /&gt;
the acute period, in the hospital; the second, during a hospitalization or in outpatient, in order to&lt;br /&gt;
evaluate and modify the patient's risk factors; the third, outside the hospital setting, is carried out to&lt;br /&gt;
change, support and promote a correct lifestyle. To guarantee that all patients have access to the&lt;br /&gt;
most appropriate rehabilitation track, it is necessary to create structured paths on the territory and&lt;br /&gt;
under a multi-professional patient monitoring. The elective tool for patient-centered management is&lt;br /&gt;
the Integrated Care Pathway (ICP). It is oriented to the communication and integration of all actors&lt;br /&gt;
involved in patient’s management, requires the identification of a case manager and a team of&lt;br /&gt;
health professionals able to manage complexity and comorbidities, and supports patient&lt;br /&gt;
involvement. Care pathways as complex as these can be better supported if traditional paper-&lt;br /&gt;
based approaches are transformed into interactive systems that use Information and&lt;br /&gt;
Communication Technologies (ICT). The introduction of ICP and ICT implies the reconfiguration of&lt;br /&gt;
the clinical record that from a repository of the data becomes a multi-accessible tool for the&lt;br /&gt;
management of visits and the visualization of the results of instrumental examinations. In order to&lt;br /&gt;
translate this concept in the field of the CR at patient’s home, we created a multi-specialist&lt;br /&gt;
electronic health record accessible to both professionals (cardiologist, nurse, dietician,&lt;br /&gt;
psychologist, sanitary assistant) that make diagnosis, prescribe therapies and physical exercise,&lt;br /&gt;
monitor patient’s parameters, and patients, to allow them to consult therapies and results of clinical&lt;br /&gt;
exams. We used Agile Methodology to develop this Medical Device (MD) compliant, by design,&lt;br /&gt;
with the European laws on MD, Privacy, and Usability. To avoid malfunctions due&lt;br /&gt;
to incorrect or incomplete collection of requirements, and to optimize development time, the Agile&lt;br /&gt;
continuous process of revision and brainstorming were performed by applying simulation&lt;br /&gt;
technologies [6] that allowed us to accelerate substantially the identification and validation of user&lt;br /&gt;
interface requirements and to identify and fix potential functional errors. The virtual prototypes&lt;br /&gt;
reproducing the functionalities and the visual appearance of the system were subjected to the CR’s&lt;br /&gt;
multidisciplinary team of Azienda Provinciale per i Servizi Sanitari di Trento (professionals,&lt;br /&gt;
engineers, etc.) involved in the project during several “sprint phases” as an alternative tool to the&lt;br /&gt;
static mock-ups. All this led to the implementation of a MD validated by design.&lt;/p&gt;
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