Rome, September 2009 K4Care and Share-It EU projects for the elderly Telematics and Robotics for the Quality of Life of the Elderly Roberta Annicchiarico

Rome, September 2009

K4Care and Share-It EU projects for the elderly

Telematics and Robotics for the Quality of Life of the Elderly

Roberta AnnicchiaricoIRCCS Fondazione S. Lucia - Rome


KnowledgeKnowledge-Based -Based HomeCareHomeCare eServices eServices

ffor an Ageing Europeor an Ageing Europe

K4CAREK4CARE


General Objectives

• Model: Generate a new ICT Sanitary Model for Home Care Patients in the enlarged Europe.

• Platform: Propose a telematic and knowledge-based CS platform that implements the above model.

• EHCR: The project will define a solution for Electronic Home-Care Record (EHCR).

• Validation: Conduct pilot tests in different EU countries.


Model Structure

1 Nuclear Structure

+

n Accessory Services.

...

THE K4CARE MODEL

HCNS

Actor Service

Action Procedure Data/Information

K4CARE Model


Actors

K4CARE Model


K4CARE ModelK4CARE Model


Services

Access Services1.Individual Services2.Structural Services

Patient Care Services1.Problem Assessment and Re-Evaluation2.Intervention Plan Definition3.Intervention Plan Performance

Information Services•Service Monitoring•HC Practice•Database Inquiring•Personal Information

K4CARE ModelK4CARE Model


• APO: Definition of the Actor Profile Ontology (APO) for representing the profiles of the subjects involved in the K4CARE model, i.e. healthcare professionals, patients and relatives, citizens, and social organisations.

• CPO: Definition of the patient-Case Profile Ontology (CPO) for representing symptoms, diseases, syndromes, and case mix.

• FIP: Definition of Formal Intervention Plans (FIP) describing the treatment of a number of diseases, symptoms, and syndromes.

Platform


• Actor Profile Ontology

ACTOR

SERVICE PROCEDURE ACTION

DOCUMENT

Platform


PlatformPlatform


Case Profile Ontology

INTERVENTIONDISEASE

SIGNS&SYMPTOMS

ASSESSMENT

FIP

SYNDROME

SOCIAL ISSUE

Platform


• Formal Intervention Plans (FIPs) are formal structures representing the healthcare procedures to assist patients suffering form particular ailments or diseases.

• FIPs are represented with the SDA* formalism:– States– Decisions– Actions

• The SDA* formalism will be used to represent: – K4CARE Service Procedures– K4CARE Formal Intervention Plans – K4CARE Individual Intervention Plans

PlatformPlatform


HCP Reliable/CompliantHCP Non Reliable/Compliant

Assessed

[HCP][ANY] BO.01.ProvideInformation[,]

[PC][ANY] S3.4.PhysicalAssessment[,][FD][ANY] S3.4.PhysicalAssessment[,]

[CCP][ANY] BO.01.ProvideInformation[,]

[PC][ANY] S3.3.ClinicalAssessment[,] [FD][ANY] S3.3.ClinicalAssessment[,]

SW][ANY] S3.8.SocialNeedsandSocialNetworkAssessment[,]

[EU][ANY] S3.2.MultiDimensionalEvaluation[,]

[HN][ANY] BO.03.ReferTheAdmitedPatientForCA[,][PC][ANY] BO.03.ReferTheAdmitedPatientForCA[,]

[HN][ANY] BO.05.AssignMembersOfEU[,]

[HN][ANY] BO.08.SendMessageToThePatient[,]

[HN][ANY] P1.ConfirmAppointment[,]

P1.ConfirmAppointment[,]

otherwise

PlatformPlatform


Technological Objective Knowledge Adaptation and Use

• Personalise the Access to the K4CARE platform

• Personalise the Assistance to senior citizens

• FIPs will be inductively learned from the EHCR with the use of new Machine Learning algorithms


K4CARE Platform (MAS)

Knowledge Level

Data Level Communication

EHR XML

OWL KA tool

FIP

K Tailoring

K M.Learning

APO CPO

PlatformPlatform


ValidationValidation

• Pollenza June 2009

• Final pilot test

• 5 Family doctors

QuickTime™ e undecompressore

sono necessari per visualizzare quest'immagine.


Universitat Rovira i Virgili Spain

Centro Assistenza Domiciliare Azienda Sanitaria Locale RM B

Italy

Czech Technical University in Prague Czech Rep.

University of Perugia Italy

Telecom Italia S.p.A. Italy

European Research and Project Office GmbH Germany

Ana Aslan International Academy of Aging Romania

Fondazione Santa Lucia Italy

Computer and Automation Research Institute of the Hungarian Academy of Sciences

Hungary

The Research Institute for the Care of the Elderly UK

Amministrazione Comunale di Pollenza Italy

General University Hospital in Prague Czech Rep.

Szent Janos Hospital Hungary


SHARE-it Supported Human Autonomy for Recovery and Enhancement of cognitive and motor abilities

using information technologies




GoalsGoals

To develop assistive technologies for citizens with disabilities and senior citizens

To study how physical and software agents could support these persons in a known environment

To enhance the possibilities of autonomy and quality of life of this kind users




SHARE-it targetSHARE-it target

To develop next generation assistive systems that empower persons with (in particular cognitive) disabilities and aging citizens to play a full role in society, to increase their autonomy and to fulfill their potential.




More basic ideas

• The most typical mobility assistive devices are power wheelchairs and walkers

• Among the persons in our target population not

every person can have full control over a power wheelchair

• A mobile is considered to be autonomous when it can perform a task in a dynamic environment without continuous human guidance




ServicesServices

Three main kind of services are delivered by an agent based architecture:

• Monitoring services • Mobility/Navigation services• Cognitive services



Three mobility platform are delivered: iWalker, Carmen, Spheric


ServicesServices

Cognitive services• The user has an ADL agenda• The agent can send some activity reminders to the

user

- For example: Reminder of a medical revision

• Triggering of help request messages to caregivers if some abnormal agenda activities happen




ServicesServices

Monitoring• Gather all data from the sensors

- Information will be processed and analysed by medical partners: possible rehabilitation uses

- Agents can determine user’s intentions

- Safety issues




ServicesServices

Monitoring




ServicesServices

Mobility/Navigation

• Users may have a map of their preferred environment and their localization on it (situated intelligence)

• Route to reach some destination and real time indications to follow it

• Assistance tuned to supply just the required amount of help




HOW DO WE ASSIST NAVIGATION?

The user wants to do AComputer wants to do B

Let’s combine it into Cand send C to motors

User

Sensors

On board PC

Power WheelchairWalker


Shared control (some ideas)

• Autonomy, in an agent, can be defined as the ability of performing a activity

• Sharing own autonomy implies the will to give someone some permissions to perform in our behalf

• Why to share? • When to share? • With whom?




Shared control (maybe an answer)

• Autonomy, in an agent, can be defined as the ability of performing a (desired) activity

• Sharing own autonomy implies the will (compromise) to give someone some permissions to perform in our behalf

• Why to share? I know that I have problem and/or comfort

• When to share? [ Never, When need, only at some point]

• With whom? I trust youQuickTime™ e undecompressore



Shared Control Output

K1 K2

HumanEfficiency

Robot Efficiency

JoystickInput

PotentialField

Shared Control Output

K1 K2

HumanEfficiency

Robot Efficiency

JoystickInput

PotentialField

HOW DO WE CALCULATE MOTION?


i-Walker: i-Walker: Mechanical FeaturesMechanical Features

• Basic features

– 4 conventional wheels• 2 castor-wheels and 2 driven

by independent motors

– 2 handles• Force sensors allow

knowing how the user is exerting forces to the walker

– 2 force sensors located on rear wheels measuring the normal force




Computer-controlled brake actionsComputer-controlled brake actions

The walker can guide the user when his/her orders are wrong




x

y

z

Setting Definition & ObjectivesSetting Definition & Objectives

Measurement Measurement of the forcesof the forces

Programm Programm force force

Partial Partial compensationcompensation




Intelligent Platforms

• Enhancing user’s autonomy

• Different ways of interaction

–Voice

–Touch-pad

–Traditional controllers

–Pre-programmed

• Adaptable to the user

• Adaptable to the environment

• Reactive

• Proactive

• Safe







• Enhancing user’s autonomy

• Different ways of interaction

–Voice

–Touch-pad

–Traditional controllers

–Pre-programmed

• Adaptable to the user

• Adaptable to the environment

• Reactive

• Proactive

• Safe







Holonom

Lateral Longitudinal Trasversal




Conclusions

• Disability is a being condition in which people is unable to perform an activity

• technology can compensate or expand the activity of a disabled subject through new forms of human-computer interaction

• technology improve users’ autonomy• technology improve professionals/users interaction

• Technology may contribute to

– to improve home care (medical and social aspects) – to enhance the quality of life of disabled, senior citizens and their

families

– to lengthen the time spent at their preferred environment and to postpone the need for institutionalization

– to reduce institutional and social costs


Thank you for your attention

Roberta AnnicchiaricoRoberta Annicchiaricor.annicchiaricor.annicchiarico@@hsantalucia.ithsantalucia.it

• http://www.ist-shareit.eu/• http://www.k4care.net

Documents

Rome, September 2009 K4Care and Share-It EU projects for the elderly Telematics and Robotics for the Quality of Life of the Elderly Roberta Annicchiarico