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Deliverable 2.3.4 EMPOWER Handbook

1. 55 4 11 1 Login Mobile Application xcs naka Cena o e od n te 55 4 11 2 Main BONBON ake ram ltem kas kayo vias Gad ase S NEUE Odd 56 41137 o 57 4 11 4 Collecting eoe etui ER ei LIED Pee bx ise URL 58 4 11 5 Journals Pages aus eod odo enema end cand testen e 69 4 11 6 Information Material cs coche cdd ed Redi ed ko west rbd vedi cda we ed Edi n edd ald 70 4 11 7 Motivational messages irte uet edocet er estu ede nra ic rtu a esa bb ke dune 72 411 8 Voice GoOmrdlitS ssci cierra es oy tus 73 4 11 9 Voice Feedback Wee UR 74 OGUNGS Rt MED D D E CE 76 4 76 FP7 288209 EMPOWER 1 Summary This document includes the user manuals for the EMPOWER disease management component target group physicians and for the EMPOWER patient portal target group patients and describes all EMPOWER modules in detail In this way this document serves as a handbook for both the physicians and the diabetes patients Additionally to this document a screencast is available demonstrating the EMPOWER prototype by a use case 5 76 FP7 288209 EMPOWER 2 EMPOWER in a Nutshell Patient Empowerment involves patients to a greater extent in their own healthcare process and disease management becomes an integrated part of their daily lives The capability of sel
2. desen nose eee oi die bete dees ai fizi ank ceva bean penk kabap is ae ale 37 4 7 Add Problem Vital Signs Physical Activity 39 48 JOUNNEN ke I DI I DIEI E 39 4 8 1 Adela GIUCOSQ si eot ea to t a tei p ELE 41 4 8 2 Add Blood 2 42 48 3 Add Body Waoelgll e rrr te peze tar kaa ret cen reel 42 48 4 Add Meals iere epi proe LU ee 43 4 8 5 Add Medication 44 ABO dd ud aa t dq ou e De ik Acai dde M LS 45 FP7 288209 EMPOWER 4 8 7 AddOpeiilssues doen esteri e eden dete ve aite eaten 46 48 8 Add Physical AGBVID atat tu En ES ED ERU act coat cata E NU Oe S ood 46 4 8 9 Add ProDlermpu ora p rad KRE A elaine 47 4 8 10 rp es qa imp tue iit quas isses n e eet EE 48 Add S Tessera E EP ER EE ERR Ane ee ER RES RE RETE RA 48 9 iioc M RN 49 4 9 1 Diabetes Passport iess M T 49 4 9 2 EMPOWER Information 2 4 49 49 9 TOP De n 50 4904 a Ata A At 51 4 10 lt 54 4 11
3. Gender female Country undefined Country undefined Additional Info Additional Info About Diabetes Weight 0 0 kg Weight 0 0 kg Nutrition facts Height 0 0 cm Height 0 0 cm Sinan eit 57 76 FP7 288209 EMPOWER i AR E a Eda Aimaz Journals Thursday 10 13 Date of Birth undefined Date of Birth Thu 10 Jul 1980 Gender female np Gender female aa Country undefined Country Turkey Additional Info Additional Inf Weight 0 0kg Weight 58 0 kg About Diabetes Height 0 0 cm Height 160 cm Nutrition facts Settings Sinn eut 4 11 4 Collecting Data The Mobile Application serves primarily for the recording of journal entries the so called Observations of Daily Living The remainder of this section shows the distinct variations of ODL recordings 4 11 4 1 Glucose You enter your blood glucose reading using a submit form Also you are allowed to enter the insulin intake and additional information such as mood level stress level and comment exploiting user friendly widgets rating bars and smileys 58 76 FP7 288209 EMPOWER EN ET 1015 n Eda Aimaz 8 Journals 5 1016 SAVE AUTOMATIC gt Thursday 10 A 08 5 13 Date Thu 10 Jul 2014 Time taken 10 08 Intake calorific intake A About Diabetes lacation hama Nutrition facts 4 Touch to insert insulin EI L Settings Additional
4. 4 7 Add Problem Vital Signs Physical Activity Meals The menu points in the Add main menu correspond to the equally named items in the Journal main menu see section 4 8 for details 4 8 Journal 39 76 FP7 288209 EMPOWER The journal menu item contains sub menu items for recording and collecting observation and patient data relevant for diabetes patients In detail the following items can be collected by web forms Blood glucose Blood pressure Body weight Meals Medication changes Mood Open issues Physical activities Problem Sleep Stress By choosing a category e g Blood Glucose the system lists all the stored entries of this particular journal category see Figure 55 clue 1 It is also possible to add a new journal entry by clicking on the Add button see Figure 55 clue 2 Any of the listed journal entries may also be edited deleted by choosing the corresponding edit delete icons Add 2 Blood Glucose Date Time Blood Glucose value Intake Insulin Mood level Stress level Location Comment 09 00 98 mg dL 13 10 89 mg dL 12 00 87 mg dL Figure 55 Journal Glucose Adding new journal entries is performed in a separate form that provides relevant input fields Some of the input fields are optional some mandatory The latter are marked with a star see Figure 56 clue 1 Whenever all mandatory fields are provided it is possible to store the journal entry see Figure 56 clue 2 40
5. Dashboard elements you can indicate which elements should be presented at your dashboard see Figure 31 clue 6 4 4 Action Plan The Action Plan allows you to list evaluate edit and review the relevant personal information This includes the recommendations of your medical care provider the management of personally defined goals and also the management of planned activities to achieve the defined goals 4 4 1 Recommendations This menu item lists the patient s personal recommendations from his her doctor see Figure 32 clue 2 Additionally you can add own recommendations see Figure 32 clue 1 and clue 3 e g from a health professional not using the EMPOWER application These recommendations can be edited deleted by choosing the corresponding edit delete icons My recommendations for self management from my doctor s Date Care Provider Recommendation Hans Schmidt Take the medications every morning Hans Schmidt Measure and ood sugar and bio Hans Schmidt Check your weight on Sunday morning be Hans Schmidt Change your eating behaviour within the next two months Hans Schmidt Do some sports Hans Schmidt 07 21 2014 Drink less coffee Figure 32 Recommendations Any of the recommendation may further be combined with personal goals This is to report progress to the medical care provider 4 4 2 Goals Often the recommendations of the medical care providers are more general e g Do some sports or
6. What does the moderator do The main tasks are as follows 1 Invite users by email Figure 19 clue 1 or go to group settings and manage users Figure 21 clue 3 4 who requested to join via the bookmark page 2 Select group settings Figure 19 clue 1 and create a pre defined dictionary of bookmark tags Figure 22 3 Manage bookmarks remove add or remove tags submitted by users Figure 19 clue 3 and Figure 20 clue 1 2 4 Add any bookmarks desired by your clinic or doctors empoweren Post 7 Bookmark Topic Sort By Most Recent Popular Filter All Bookmarks Topics Patient Forums EMPOWER 1 views empowerpatientwordpress com patient forums diabetes LIKE ment EMPOWER 0 views empowerpatientwordpress com diabetes LIKE ent Showing 20v items per page Images forum 2 orev 3 n Group Settings amp Invite people E mE Most Active Members H More Top 10 Taas 4 diabetes LIKE forum 1 20f2 Figure 19 The bookmark list for moderators Manage bookmarks and users More Link to this item Edit this item Delete this item Moderate Save Send to Enable email alert Figure 20 Manage a bookmark Remove it or edit the tags 16 76 FP7 288209 EMPOWER Group Settings Members 2 3 4 View member list General All Members 1 Moderators 1 Open Invitations 0 Pending Members 0 Group Members Set as Owner Set as Ordinary member Ban this member Remove this member Name
7. e Lab results e Medication summary including the dosage e Current problems Diabetes Passport Lab results Medication summary Measurement Value Dosage creatinine 079 Mc on morning noon evening High Density Lipo Protein 31 Ramipril HEXAL comp 2 5mg 12 5mg 100 1 0 0 HBA1c 74 Simvastatin Actavis 40mg 50 Filmtbl N2 0 0 1 Height 1850 ASS ratiopharm 100mg TAH 100 0 1 0 Weight 109 0 Carvedilol AAA 12 5mg 50 Filmtbl N2 1 0 0 Diastolic blood pressure 95 Metformin HEXAL 500mg 2x90 Filmtbl N3 0 0 2 Systolic blood pressure 160 Sitagliptin 1 0 0 Low Density Lipo Protein 270 Spot Blood Glucose 3300 Postprandial Blood Glucose 230 0 Active problems Fasting Blood Glucose 1300 Create date Problem name 07 08 2014 Respiratory insufficiency 06 30 2014 Congestive Heart Failure 06 30 2014 Hypertension Figure 71 Diabetes Passport 4 9 2 EMPOWER Information Material 49 76 FP7 288209 EMPOWER When you choose the Info materials option in the Info Menu Figure 70 you will be redirected to the public EMPOWER information site Here you may find answers to many questions ranging from what is diabetes to useful tips on how to manage diabetes in the day to day business EMPOWER DE e Wie kann ich mit Diabetes das Weihnachtsfest genie en Figure 72 EMPOWER Information Material The information material comprises the following categories e About represents the homepage of the information materi
8. 76 FP7 288209 EMPOWER Blood Glucose Date 2014 07 22 B 1512 Blood Glucose Level mg dL When lE Show insulin data Y Location athome at work 5 ata party 7 travelling 5 on vacation dining out other Mood levei 4 72 add 2 Fill in all required fields and click Save ox Cancel Figure 56 Journal Entry Form Glucose 4 8 1 Add Blood Glucose Please insert date time and blood glucose level as mandatory data Optional data are associated meals When e g after breakfast before lunch the location e g at home the mood level the stress level and comment Blood Glucose Date 2014 01 01 1200 Blood Glucose Level 11 When after breakfast Show insulin data Y Location 9 athome at work 5 ata party 5 travelling on vacation 5 dining out other Moodleve o gt aA Figure 57 Blood glucose edit form 41 76 FP7 288209 EMPOWER If you are on insulin you can also insert the insulin dosage calculated as Insulin Units IU the insulin type e g short acting rapid acting and the insulin intake e g intravenous oral as shown in Figure 58 Hide insulin data Insulin dose 2 1U Insulin type rapid acting Insulin intake intravenous Figure 58 Blood glucose edit insulin data 4 8 2 Add Blood Pressure Please insert date time systolic and diastolic values and the pulse as mandatory data Optional data
9. EMPOWER Project title Project acronym Project identifier Project instrument Web link Dissemination level Contractual delivery Actual delivery Leading partner Deliverable 2 3 4 EMPOWER Handbook Support of Patient Empowerment by an intelligent self management pathway for patients EMPOWER FP7 ICT 201 1 288209 STREP www empower fp7 eu PU public 2015 01 31 2015 01 28 SRFG The research leading to these results has received funding from the European Community s Seventh Framework Programme FP7 2007 2013 under grant agreement No 288209 EMPOWER Project FP7 288209 EMPOWER Document History Version Date Changes From Review VO 1 2014 11 18 Initial Document SRFG All Partners V0 2 2015 01 07 Include partner inputs All Partners V1 0 2015 01 26 Finalise SRFG EMPOWER Consortium Contacts Beneficiary Name Phone E Mail SRFG Manuela Pl Bnig 43 662 2288 402 manuela ploessnig salzburgresearch at HMGU Claudia Hildebrand 49 89 3187 4182 hildebra helmholtz muenchen de GOIN Siegfried Jedamzik 49 8 41956161 siegfried jedamzik googlemail com 2 76 FP7 288209 EMPOWER Table of Contents 1 2 3 4 Summa oom eco ea Eos LA t 5 EMPOWER in a 2 erm e he o rh bs c pie n ESTEE 6 EMPOWER DIS6as MAanagEMON ke rro l ta kok ko Ee jn rere be 7 sx EE kai enc ke cs ete eee 7 3
10. Open the EMPOWER Info material menu option Figure 74 and select the bookmarks option A new browser tab will open and a list of bookmarks will be displayed Figure 75 Diabetes Passport EMPOWER Information Material Forums Figure 74 Opening the bookmark list from the patient portal If you wish to add your own bookmarks please apply to join the group Figure 75 clue 1 Your clinical administrator might already have invited you by mail The bookmarks clue 2 are tagged clue 3 using a simple dictionary to help organize and find bookmarks later Filter and browse the bookmarks by selecting the tags in clue 4 51 76 FP7 288209 EMPOWER G empoweren fi AJ Apply to join this group Sort By Most Recent Popular Fitter All Bookmarks Topics Images gas Most Activ e Members Patient Forums EMPOWER 1 views 2 empowerpatientwordpress com patient forums diabetes LIKE forum 3 Top 10 Tags EMPOWER 0 views 4 p 10 Tag empowerpatient wordpress com diabetes LIKE diabetes 2 UKE 2 forum 1 Showing 20v items per page 1 202 Figure 75 The bookmarks list and how to join the group In Figure 76 the filtered bookmarks are displayed The selected tag is shown in clue 1 Select to add or select to remove a tag from search filter Group items tagged diabetes 1 LA Filter All Bookmarks Topics Es Selected Tags 1 diabetes Patient Forums EMPOWER 1 views empowerpatie
11. D 4 Eda Aimaz Q SA NEN FOOD et Da E Date Thu 10 Jul 2014 COW S SKIM nonfat Thursday 10 Tim 10 20 Milk cow s fluid 2 08 5 13 Milk cow s fluid acidophilus 1 fat Milk cow s fluid acidophilus 2 fat Milk cow s fluid 1 fat orn butt About Diabetes Nutrition facts witt Milk cow s fhid 1 Descnption Carbs COW 5 TIWA SKIM ox Fiber Milk cow s fluid 23 sugar Calones Milk cow s fluid acidophilus 1 fat Protein Milk cow s fluid acidophilus 2 fat Fat Milk cow s fluid 1 Milk cow s fluid skim ornonfat 0 5 or less butterfat ow s fluid filled getable cent fat Milk cow s fluid filled with vegetable cil 4 11 4 6 Sleep EMPOWER mobile app provides functionality on recording the quality of sleep Firstly you can create sleep alarms and schedules your sleep during the week You enter wake up time for specific days of the week or dates Also you can modify the sleep alarm whenever you want to You have the option to listen to lullabies in order to relax and fall asleep There is a music player user interface that allows you to control the built in media player The playing list includes all the media items e g mp3 that are available in the device 65 76 FP7 288209 EMPOWER T
12. Reduce weight To react to those recommendations the EMPOWER patient s portal allows you to define concrete individual goals tailored to your specific requirements and needs e g 10 km running each week To finally achieve the personal goal you may later assign planned activities to the personal goals 25176 FP7 288209 EMPOWER First the already stored goals are listed see Figure 33 clue 1 The colour coding implies the planning status for the current week green activities are linked to this goal in the current week red no activities are linked to this goal in the current week By using the button Create personal goal new goals may be added see Figure 33 clue 2 In a guided wizard see section 4 6 1for details you can describe your goals and also add some motivating gratifications when the goal finally has been reached After finishing the wizard the new goal is immediately shown in the list of personal goals My Personal Goals Create personal PA Date My Goals Goal Description Motivations Comment Figure 33 Personal goals It is also possible to edit delete existing goals by choosing the corresponding edit delete icons When editing existing goals the user has to pass through the guided wizard again 4 4 3 Calendar The purpose of the Calendar is twofold It serves for the planning of activities supposed to help to achieve the goals defined before and if the planning of activities is d
13. clue 1 and click save clue 2 Choose the EMPOWER group that you joined Figure 78 clue 3 3 Afterwards the tag dictionary will automatically appear Figure 79 clue 1 The title is automatic Comments can be added if desired Add tags from the displayed group dictionary to help organize the bookmarks To help others you can select tags to rate the information LIKE DIFFICULT 4 Save the bookmark m Praxisnetz GO IN e V x gt fi D www ooininfo 1 Annotate Save 2 Read Later Ci Screenshot _ AKTUELL m d Figure 77 Click on the Browser bookmark tool icon Diingo and SAVE Qr 18 B i Edit bookmark Praxisnetz GO IN e V GO IN Aktuell 2 vi Private Read Later amp Cache Gef llt mir Diabetes Info Recent Tags Info Recommended aktuell GOIN MAGAZIN Add to a List 2 Share to Group 3 E Share to a Group Create a Group empowerde shared Figure 78 Creating a bookmark the title clue2 is automatic Select the group clue 3 to share 53 76 FP7 288209 EMPOWER Praxisnetz GO IN GO IN Notfallpraxen vi Private 1 Read Later amp Cache Info Recent Tags Info Recommended 1 Group dictionary Blutzucker Diabetes Foren Frage Gewicht Info nsulin ledikamenten Problem Schlaf Sport Stress ohlbefinden Gef llt mir Gef llt mir omplexitat Add to a List T empowerde sha
14. values and optionally the mood and stress level and presses the Save button 60 76 FP7 288209 EMPOWER F 1015 Joumals a Eda Aimaz Thursday 10 08 5 13 About Diabetes W Nutrition facts I Settings MO Sian Ant 4 11 4 3 Weight Blood Pressure Date Time taker Additional Stress Leve Comment You can record your body weight values by visiting the corresponding page clicking the proper icon of the main menu You fill in the Weight value and optionally the mood and stress level and presses the Save button 61 76 FP7 288209 EMPOWER a Eda Aimaz 1T Thursday 10 g ME 08 5 Date Time 10 16 State of dress About Diabetes deeem Nutrition facts Settings Stress Level Comment ndefined 4 Rin nut 4 11 4 4 Physical Activity Using the workout tracker you can record duration distance pace speed elevation and calories of her activity Also you can monitor your route on the map and store your route to follow it next time This scenario is feasible only by enabling GPS for outdoor activities Also you can set a workout goal and get informed about your progress by the voice coach enabled during her session 62 76 FP7 288209 EMPOWER i Eda Aimaz Thursday 10 08 5 13 About Diabetes Nutrition facts TE Settings Sann eunt Choose Actreity x Jogg
15. Role bookmarks topics Alerts T ags owner 2 0 Immediately Email Alert Group Tools v Tag Dictionary Invite Figure 21 Manage users Allow new users in the group The clinics should control their bookmarking group and decide with the patients how patients can access the bookmarks after project ends The bookmarks are public and if nothing is done they will continue to be available The group bookmarks can also be downloaded for backup or reimported into another group 3 4 1 2 The Tag Dictionary The Tag Dictionary see Figure 22 allows the group manager to pre define a tag dictionary to encourage tagging that is consistent with a simple controlled vocabulary The tag dictionary will automatically appear each time a user is tries to bookmark a resource This helps patients organize and discover materials The moderators should create the initial tagging dictionary supporting a simple controlled vocabulary and include tag for rating information material tags rating tags are LIKE LIKE DIFFICULT and DIFFICULT Note the tags may change depending of the used language or the tag dictionary of the pilot installation It is up to the group moderator to set a tagging policy that is best for their patients LIKE is well understood by many users and in context of information materials a resource that is liked is useful or relevant to the patient or doctor It is suggested to use two levels LIKE and LIKE where the starts i
16. activities are coloured according to the following categories see Figure 38 clue 3 e Complete green Activities effectively performed e Incomplete red Activities planned but not performed e Extra brown Activities are not planned as demonstrated on section 4 4 3 but additionally performed and recorded see section 4 8 You may limit the list entries to selected categories by clicking on the category filters see Figure 38 clue 3 Activities marked as Incomplete may be completed by inserting the missing data using the corresponding add icons The activities of the past week may be also shown in a calendar see Figure 39 by pressing the button Calendar view see Figure 38 clue 4 29 76 FP7 288209 EMPOWER EE Review Tue Jul 15 Mon Jul 21 2014 1 Check last week 2 Check Journals 3 Activities Feedback 4 Charts 5 Goals Feedback 6 Update Action Plan for next week Action Plan Weekly Review Step 1 Check your plan from last week today gt Mo Jul 14 all day 08 00 09 00 10 00 11 00 Next Step Jul 14 20 2014 Tu Jul 15 We Jul 16 Th Jul 17 Fr Jul 18 Sa Jul 19 Su Jul 20 Figure 39 Review Step1 calender view 4 4 4 2 Step 2 Check Journal Entries The collected journal entries of the reviewed time range are shown see chapter 4 8 for detailed explanations Opposite to activities e g jogging journal entries are personal observations recordings used to repor
17. an iterative process where executed actions and reported patterns of daily life can be evaluated Recommendations goals and actions can be updated iteratively according to current needs and preferences Finally the services in EMPOWER will embrace semantic interoperability based on health standards such as HL7 and IHE profiles EMPOWER addresses long term goals and short term activities in order to facilitate the self management of patients with diabetes and thus the treatment of chronic diseases The pilot applications in Germany and Turkey will demonstrate that the holistic and patient centric approach of EMPOWER can improve disease management by personalised self management services helping diabetes patients to cope better with their condition 1 http www hl7 org http www ihe net 6 76 FP7 288209 EMPOWER 3 EMPOWER Disease Management This section describes the usage of the EMPOWER Disease Management component and represents the user manual for diabetic care providers EMPOWER aims to support diabetes patients in defining and more important achieving their health goals By collecting and evaluating data related to the patient s physical and mental situation the patient s self management awareness allows a self assured dialog with his or her medical care provider The EMPOWER disease management portal supports physicians are by a recommender engine based on national diabetes guidelines The medical care provider
18. available either ia the direct link above or within the patient portal It is likely that a clinical administrator periodically bookmarks approved material suggested by the medical staff The bookmarked materials are public and accessible by the EMPOWER patient portal however only registered group members can add bookmarks to the group One or more moderators will be assigned from your clinic to moderate this group and will be responsible to invite or add new members to the group 3 4 1 1 Moderating the patient bookmarks by an clinical administrator Should patients create bookmarks or only doctors or clinical staff It is desired that patients add and share bookmarks however it is not required Alternatively staff members and doctors can create bookmarks to useful materials For example the clinic site and materials should be bookmarked How can a staff member or validation pilot administrator moderate the group A signup URL can be forwared to anydesignated moderators from the bookmarking account owner currently SRFG The moderator can then either send invitations to patients or a 15 76 FP7 288209 EMPOWER patient might ask to join via the group site The moderator can remove modify or add bookmarks Who can moderate a bookmarking group A clinical staff member or administrator working with the patient group can moderator the group This person is allowed to invite patients via email to join the commercial bookmarking service
19. degree of performance in the past week and should be adjusted Activity of last week 0 1 G Incomplete activity 0 1 2 Today and tomorrow This week Complete activity 09 00 Incomplete activity 0 1 Current activity Tue 12 00 14 00 Current activity 0 1 Future activity 2 4 Complete activity 1 1 Future activity 0 1 Recommendations without a goal in this week Goals without an activity in this week Goals planned for every recommendation You have not planned activities for the following goals yet Unassigned test goal EN Current charts 6 Select Chart J Figure 30 Overview homepage items 23 76 FP7 288209 EMPOWER 4 3 Settings In the Settings see Figure 31 you can configure the following items Language English 1 2 Select meal Add meal Blood glucose before a meal lower threshold lood glucose before a meal upper threshold lood glucose after a meal lower threshold lood glucose after a meal upper threshold Systolic blood pressure upper threshold ystolic blood pressure upper threshold Body Mass Index lower threshold Body Mass First hour in the calendar Firsthourinthecaendar 5 Feedback of the past week Today and tomorrow This week Dashboard elements Recommendations without a goal in this week Goals without an activity in this week Current charts Save Figure 31 User settings
20. dictate Blood Pressure the application will load the Blood Pressure ODL page see figure below Wed 16 Jul 2014 Date Wed 16 Jul 2014 Time taken 13 22 Additional inf Comment fine While inserting a new ODL e g Blood Pressure ODL you can dictate a comment related to the ODL As indicated in the following figure the application can either perceive it wrongly or not find a match or perceive it correctly and therefore store it in the corresponding data field of the Blood Pressure ODL record EMPOWER EMPOWER Speak Date Wed 16 Jul 2014 Time taken 13 22 EMPOWER Stress Level Comment Speak No Match Please repeat Stop Date Wed 16 Jul 2014 Time taken 13 50 Comment i am 73 176 FP7 288209 EMPOWER 4 11 9 Voice Feedback Due to the nature of this modality it is not easy to document its operation via screenshots you will be asked to follow the process below to activate voice feedback and realize how it works by experimenting with the application 1 Activate voice feedback aa x x m 13 23 Settings GENERAL SETTINGS Language English Configure Units Metric meter gram Voice Feedback Crucial steps navigation summary of measurements K WORKOUT SETTINGS Workout Coach Voice feedback during activity DATA AND SYNC SETTINGS Sync frequency BLUETOOTH Scan for medical devices pair edit MAE c 2 E
21. e Language possible languages are English German and Turkish see Figure 31 clue 1 e Height Height see Figure 31 clue 2 is necessary for calculating your BMI Body Mass Index By storing it the user does not have to provide it as part of the journal for collecting your body weight see section 4 8 e Meals Meals can be used as part of the meal journal By choosing Add meal the user is provided with a form to enter the meal name and its food items similar to the meal journal edit form see section 4 8 Saved meals can by edited deleted by selecting meal and choosing the Edit meal Remove meal buttons that appear see Figure 31 clue 3 e Thresholds you can insert thresholds see Figure 31 clue 4 e g when your doctor tells you a lower and an upper threshold for blood glucose or for blood 24 76 FP7 288209 EMPOWER pressure These thresholds will be used in the charts for visualising whether your values are within a threshold area respectively below or above a threshold Note These thresholds are a default values based on literature Please contact your treating physician for specifying individual thresholds tailored for your situation and adapted to your needs e First hour in the calendar you can insert the first hour of a day to be visualised in the calendar This way you can adjust the calendar visualization to your daily routine You can still scroll to an earlier later time see Figure 31 clue 5
22. facts About Diabetes Meng EMPOWER About s Being sick blood pressure Blood Sugar i Diagnosis Ciettiar Doctor sa Dring Ematbons Exercise 6 Nutrition facts Forum Symptoms Have D SEARCH Newly Diagnosed Parents Family Care m B Jabetes recipe Diet n Advice plan for aran 71 76 FP7 288209 EMPOWER 4 11 7 Motivational messages Upon successful login the application checks the last time the user went out for physical activity In case you didn t have any physical activity during a week period the application pops up a motivational message as indicated in the screenshot below p X s 14 27 Physical Exercise Info It is high time you went out for some physical activity It will make you feel strong and energized Additionally the application upon login every Sunday checks the physical activity of the user during the last week and pop ups motivational messages related to the number of registered physical activities of the subject during the past week as indicated in the following screenshot 15 14 Physical Exercise Info 8 activities this week Fantastic 72 1 76 FP7 288209 EMPOWER 4 11 8 Voice Commands You can navigate in several pages of the mobile app by providing voice commands For example while being in the Journals page after pressing the microphone icon if you
23. info W Gan Ant a By pressing the AUTOMATIC button you enable the automatic preference and thus you are able to take your measurement using the Glucotel medical device The user takes the measurement and automatically the reading is displayed on the same screen as in manual entry case Just before the first use of the Glucotel you should register in the mobile app the calibration code displayed on the strips package In order to automatically retrieve the measurement from the glucose measuring device to the mobile app you should allow the mobile app to open the Bluetooth communication whenever such a prompt window appears During this process the pairing key should be provided typically this is 9676 but you should check the Glucotel documentation 59 76 FP7 288209 EMPOWER Date Thu 10 Jul 2014 Time taken 10 10 Intake No calorific intake 4 location home 1234567890 A NE 17 a 4 To pair with Date Thu 10 Jul 2014 An app wants to turn on GlucoTel Bluetooth Type the device s required PIN Time taken 1009 gt a a Sd 9676 Intake No calorific intake 4 to type this er device location home Touch to insert Insulin Additional Info 4 11 4 2 Blood Pressure The user is able to record her blood pressure values by visiting the corresponding page clicking the proper icon of the main menu The user fills in the Systolic Diastolic and Heart Rate Pulse
24. park 5 at gym at stadium 5 on the beach 5 on the mountain Figure 66 Physical activity edit form 4 8 9 Add Problem Please insert date time and choose one problem item from the list as mandatory entries Comment is optional and can be used for describing the problem in more details Problems Date Which problem did you perceive 2014 01 01 m 1200 5 Blurred vision my glasses are no longer sufficient for reading 7 Digestive disorders diarrhea constipation bloating spasms nausea vomiting 5 Disturbed sexual function e Dizziness 5 Dry mouth 5 Fast heart rate for no apparent reason Frequent urination 5 Itchy skin 5 Muscular cramps calves thigh 5 Pain head chest legs feet soles thighs 5 Palpitation 5 Restless legs 5 Sleep apnea Figure 67 Problem edit form FP7 288209 EMPOWER 4 8 10 Add Sleep Please insert date time and sleep quality as mandatory data Optional data are one or several sleep symptoms the mood level the stress level and comment Note you can use to describe your sleep problems either by selecting sleep symptoms or by describing your problem as a comment Sleep journals From To 2014 01 01 amp 2014 01 02 From To 23 00 07 00 How would you assess Very bad F your overall sleep quality fairly bad the night before neutral amp fairly good 5 very good Did you realise one or was thirst
25. 111111111 birthDate gender Diabetes type Type 1 2 Impaired Glucose Tolerance IGT Impaired Fasting Glucose IFG Guideline Execution Count 1 Figure 10 An example step in guideline execution Some input fields have a graphic icon next to it like below Weight 60 ao Figure 11 Displaying the visualization charts 12 76 FP7 288209 EMPOWER You click the kz at the end of the line to visualize the chart of the value An example weight chart is shown below Weight last half year JS YE a Weight ke Figure 12 Weight Chart on Guideline Form After the execution is completed you will see the guideline finish screen as in the following figure During the execution based on the values entered by the doctors the Recommender Engine performs some calculations and generate auto recommendations specific to the patients At this step the doctors normally need to go to the recommendation section review them and approve the related ones to be sent to the patients Guideline Assignment Engine Status Recommendations 11111111111 Eda Aymaz Figure 13 Guideline finish screen When you click the button below the patient name the corresponding recommendations will be displayed to you In this page you can edit delete approve recommendations You can delete edit or approve the recommendation by clicking the buttons by given order To be more speci
26. 2 Home Screen e S 8 3 2 1 SSS TNS cosa tee i e a atan 8 3 2 2 Select a oes porke heen ee eee ES Eu 8 2 3 Patient Charts ei o e Coco ec ka ead ae ks 9 3 9 Recommender Engine cache dee eee Di n a a ee 11 3 3 1 PANN PI MAEM wc E A c EE 11 S32 GUIDING Seton k so dee ccs teri sei tere c aa eee 14 3 33 Assignment SO6llOl eerie p a xr kn e kl kk ER RBG eg tee 14 3 3 4 Engine Status SOCUON reel is ee sed see eee 14 3 3 5 Recommendations SOoLIOIT x25 terat ste aes 15 3 4 Information materials for patients T5 3 4 1 Bookmarking information materials on the 15 Patient PO NAL 19 4 4 Eogi Patient eod oe a ee eee 19 4 2 FOME PAG 2 20 SGH Suus oe ctos teet 24 LI OMEN OUO UNES o oc 25 4 4 1 Hecomrengdalloris iic eer eei ie cece 25 442 Dauer dee EL ELM E E 25 AA a eee eee are ai 26 AAA Kee a e cha 28 4 5 cc cp EE 33 4 6 Add Mew e sid e t ih et at e taf ci die 35 4 6 1 ee eg ee eRe eee 35 46 27
27. A Uy Eda Almaz 6 9 Thursday 10 T 08 5 13 Ble Journals About Diabetes W Nutrition facts f x Settings SLEEP TRACKING 66 76 FP7 288209 EMPOWER SLEEP TRACKING Also you can record your movement during your sleep by choosing the sleep tracking button A graph visualizes your body movement during the sleep session Calibration function The process requires 30 seconds to be completed Please locate the smartphone on the mattress in a static position and do not move it until the end of the calibration process Unplug the charger to maximize the accuracy of the results Calibration function 67 76 FP7 288209 EMPOWER Real time visualization of frequency of body movement per minute during the sleep session Steep Tracking oom Duration 00 07 45 Do pou we ave your sleep SLEEP TRACKING Date Thu 10 Jul 2014 Wake up 1331 Time You can also schedule an alarm as indicated in the figures below a a Repeat Never Date Thu 10 Jul 2014 Wake up Time 10 22 Label Label Ringtone default Vibration Lullabies Listen to Lullabies for better Sleep Done Cancel SLEEP TRACKING The EMPOWER mobile app displays an alert notification at the defined wake up time 68 76 FP7 288209 EMPOWER 10 24 e 10 26 Man Tee Wed The Fri md Men Tus Wed Thu Fri Time to Wake up Alarm set
28. Jul 07 Jul 08Jul 09 Jul 10Jul ul 12Jul 13Jul 14Jul 15Jul 16Jul 17 Figure 5 Weight Chart These diagrams provide an initial overview of the patient s development You can get more insights by examining the provided charts as explained in section 3 2 3 3 2 3 Patient Charts For analysing additional data a diagram of choice can be selected from the Select Chart list The selected chart is displayed at the bottom of the page Currently the following diagrams charts can be displayed Chart Name Chart Description Blood Glucose Displays a combined line chart outlining the recorded values for e Fasting Blood Glucose e Postprandial Blood Glucose e Administration of Insulin Blood Glucose Summary Shows the average values of the Blood Glucose pre and post prandialand Insulin administrations for the past weeks in a tabular view Blood Pressure Shows a combined line chart with the values for e Pulse e Systolic Blood Pressure e Diastolic Blood Pressure Weight Shows the weight recordings 9 76 FP7 288209 EMPOWER Body Mass Index Shows the computed BMI along with the Norm Range for BMI Mood amp Stress Shows the mental parameters of recorded values mood and stress level Problems Summary Shows the recorded problems including symptoms recorded with sleep ODLs in a tabular view Nutrition Shows components of recorded values i e Fat Fiber Calories Carbohydrates Suga
29. Login Patient Portal For using the EMPOWER Patient Portal a login is required The Patient Portal deals with highly sensitive personal and medical data Therefore the login procedure protects the user of a non authorized access Both username and password are provided to the patient during the patient registration Depending on the used EMPOWER installation either Turkey or Germany the Login Page may differ slightly EMPOWER EMPOWER Demonstrator Central Authentication Service CAS Aus Sicherheitsgr nden sollten Sie bei Verlassen der passwortgesch tzten Bereiche sich explizit ausloggen und Ihren Webbrowser schlie en Bitte geben Sie Ihren EMPOWER s Benutzernamen und Ihr Passwort Languages ein English Deutsch Turkish Benutzername Passwort ANMELDEN Figure 23 Login Page Demonstrator Installation Both username and password are provided to the patient during the patient care provider registration or depending on the integration with existing PHR system are used from the external system For login please use the following URL Installation URL EMPOWER Prototype https demo empower fp7 eu empower Turkish Prototype http www empower tr eu German Prototype https empower goin info After successful login you will be redirected to the EMPOWER Home Screen 19 76 FP7 288209 EMPOWER 4 2 Home Page After successful login you will be redirected to the EMPOWER home pa
30. activities for the upcoming week Review Tue Jul 15 Mon Jul 21 2014 1 Check last week 2 Check Journals 3 Activities Feedback 4 Charts 5 Goals Feedback Action Plan Weekly Review Step 6 Update your action Plan for next week The Weekly review is now done In the next step you should specify your activities for the upcoming week Press Finish or go the Action Plan menu to plan other activities Figure 44 Review Step 6 Note It is possible that based on the feedback you realise that a goal is too ambitious e g performing some sport activities five times a week In such cases you can e g break down your goal into smaller steps in a way you can reach it In case of medical goals please contact your treating physician 4 5 Charts Different types of charts support the visualisation of the recorded observations and the evaluation of personal improvement respectively To display a diagram it is required to 1 select the chart menu item 2 choose the type of diagram see Figure 45 clue 1 and 3 optionally specify the time range and end date see Figure 45 clue 2 33 76 FP7 288209 EMPOWER Charts and Trends Time range 1 month Body Mass Index e a Figure 45 User Interface for Selecting a Chart and Adapting its Timeframe Note The more data is recorded the more significance is provided by the diagrams Blood Glucose Blood Pressure and Body Mass Index charts are indicating target
31. al It also includes a tag cloud comprises the most used tags for a quick link to related articles e Diabetes comprises general information about diabetes treatments measurements e Management comprises information about nutrition and exercises e Experiencing Diabetes includes articles about how to manage your emotions about the daily life with diabetes how to deal with signs of troubles and what to do in case of being sick with diabetes e Patient Forums offers you access to established public patient s forums see 4 9 3 4 9 3 Forum This menu item offers you access to established public patients forums for you to communicate with other diabetic patients Currently patient forums in English German and Turkish are offered hosted at http empowerpatient wordpress com 50 76 FP7 288209 EMPOWER Patient Forums English Diabetes forums Forum of the American Diabetes Association Forum of Diabetes co uk German German diabetes forum Diabetesgate Diabetes kids de Turkish Diyabet Forum Figure 73 Patient forums 4 9 4 Bookmarks Bookmarks are references to information materials found on the internet Bookmarks can be created by you other patients and medical staff These are shared within a public online EMPOWER bookmarking group The following sections will describe how to view or create and share bookmarks in the bookmarking group How do you view bookmarks for information material lists
32. al signs the type of meal for the category Nutrition the type of physical activity for the category Physical Activities 37 76 FP7 288209 EMPOWER Next you add a title for the activity see Figure 52 clue 2 and if meaningful you can add a more detailed description see Figure 52 clue 3 1 Associate Goals 2 Activity 3 Pianit 4 Review Select an activity a n 2 6 e category Medications Vitalsigns Nutrition Physical Activities Appointments Fun Other What type of sport or physical activity Name of the activity 2 Please describe your activity Figure 52 Add activity Step 2 4 6 2 3 Step 3 Plan it In Step 3 you plan the point of time and the duration of the new activity based on a calendar view Activities are created by clicking into the calendar add calendar item and dragging the calendar item specify time range as shown in Figure 53 clue 1 Alternatively it is possible to check the weekdays and specify the start and end time Figure 53 clue 2 This is useful for recurring activities To plan recurring activities for a longer period of time specify the end date in the separate field by using a calendar Figure 53 clue 3 Note if you change recurring activities e g the duration this will apply to all activities of this type You can also specify reminders Figure 53 clue 4 by clicking on the Button Reminder Reminders are sent to the inbox see section 4 2 and additio
33. ance was quite low and should be improved Activities and goals with a low degree of performance are listed and can be adjusted by using the corresponding edit icons see Figure 30 clue 1 e Today and tomorrow lists current and upcoming events of today and tomorrow The user can enter results for incomplete events by using the corresponding add icons see Figure 30 clue 2 e This week gives a quick overview of activities of the current week The user can display the associated events by using the corresponding toggle icons see Figure 30 clue 3 e Recommendations without an actvitiy in this week gives you an overview of the recommendations where no goals are assigned for this week Maybe there are good reasons for not assigning them but in the long run you should also assign goals to them see Figure 30 clue 4 22176 FP7 288209 EMPOWER Goals without an actvitiy in this week gives you an overview of the goals where activities are planned for this week Maybe there are good reasons for not planning them but in the long run you should also plan activities for them or modify your goals accordingly see Figure 30 clue 5 Current charts the user can display chart for the past week by selecting a chart type see Figure 30 clue 6 Feedback of the past week Caution you have fulfilled only 0 of your activities in the past week You should definitely adjust your plan The following activities had a very low
34. are the mood level the stress level and comment Blood Pressure Date 2014 01 01 m 12 00 Systolic 120 mmHg Diastolic 80 mmHg Pulse 65 bpm m Oooves Comment Figure 59 Blood pressure edit form 4 8 3 Add Body Weight Please insert date time weight height and state of dress as mandatory data Note the height can be pre specified as part of the settings see section 4 3 Based on weight and height the Body Mass Index BMI will be calculated Optional data are the mood level the stress level and comment 42176 FP7 288209 EMPOWER Body Weight Date 2014 01 01 1200 Weight 70 kg Height 175 cm MENAS State of dress 9 with clothes without clothes 600000 Comment Figure 60 Body weight edit form 4 8 4 Add Meals Please insert date time type of meal e g breakfast lunch and the food items as mandatory data Food items may be added using Predefined meals see Figure 61 clue 1 or Food items see Figure 61 clue 2 and are listed in a table see Figure 61 clue 3 The description of a food item consists of three parts and you can insert both a high level description as well as a detailed description e g 1 amount 1 20 2 unit slice g 3 description bread butter Predefined meals may be added in the settings see section 4 3 The ingredients can be added to the food item table by selecting a meal and clicking on t
35. dit the voice feedback parameters during a Physical Activity monitoring session In particular you can define the time covered distance intervals for getting voice and written feedback by the workout coach 74 76 FP7 288209 EMPOWER Workout Coach Enable Workout coach INTERVAL Distance TRIGGER VOICE FEEDBACK FOR Distance A Duration Cancel speed Ka Calories The above mentioned feedback is dictated by a digital coach and presented in the screen of the smartphone 9 OF 13 30 KA Work MANUAL ENTRY VIEW GOAL Progress Jogging ae 48 00 06 00 0 00 00 00 0 00 4 0 sr Your progress isDistance0 00 Duration 5 8 minutes 58 seconds 00 05 58 speed0 00 Steps48 2 Press the Speaker icon in Journals page of an ODL 75 76 FP7 288209 EMPOWER A dd Journals 9 Blood Pressure i Jun Jul 2014 Aug Monday 7 09 00 145 90 79b Systolic Diastolic Puls 15 36 9 110mmHg 75mmHg 75b Systolic Diastolic Pul Tuesday 8 10 00 4 11 10 Settings Using the setting screens you can set your preferences on voice feedback unit system language data synchronization interval workout voice coach setting scan and pair with medical Bluetooth devices All these preferences can be accessed via the related ODL Screens SENT n Eda Aimaz Settings GENERAL SETTINGS Language English Thu
36. e intention of the Review is three fold 1 Checking whether all result data of the review time range are complete Step 1 and Step 2 If some data is still missing you are requested to complete them These data is the basis for the feedback in the next steps 2 Giving feedback on how successfully you have completed your activities and hence how successfully you have met your goals Step 3 and Step 5 Charts will give you additional visual feedback Step 4 3 Step 6 is a reminder to continue with planning and updating your activities for the next week 4 4 4 1 Step 1 Review past period default one Week The time range to review may be varied between 3 days and 3 years but refers typically to the past week see Figure 38 clue 1 Furthermore the review process is a guided wizard with several steps It is always possible to repeat the previous step if desired At any step some additional information to the current step may be requested see Figure 38 clue 2 The distinct review steps are as follows 28 76 FP7 288209 EMPOWER Review Tue Jul 15 Mon Jul 21 2014 e 1 Check last week 2 Check Journals 3 Activities Feedback 4 Charts 5 Goals Feedback 6 Update Action Pian for next week Action Plan Weekly Review Step 1 Check your plan from last week Next Step Figure 38 Review Step 1 list view The activities and recordings of the reviewed time range are displayed The
37. ecommender Guideline Assignment Engine Status Recommendations Select Patient Figure 8 Recommender Engine Screen After that select the guideline to be executed and click the Save button as shown below There are four guidelines One for the treatment of the newly diagnosed Type 2 patients in Germany One for the diagnosis of diabetes in Primary Care in Turkey One for the treatment of the newly diagnosed Type 2 patients in Secondary Care in Turkey 11 76 FP7 288209 EMPOWER One for the monitoring of the diabetes patients in Tertiary Care in Turkey Recommender Guideline Assignment Engine Status Recommendations Select Patient 11111111111 Eda Aymaz Select Guideline Anithyperglycaemic theraphy of type 2 diabetes Save Figure 9 Assignment window The guideline execution starts immediately by displaying the corresponding fields to the doctor The guidelines are normally executed step by step At each step necessary forms are displayed to the doctors Previously entered data are shown to them and doctors are allowed to edit those data or enter new values to empty fields You can navigate through the steps with gt Next Step and lt Back Step buttons You can pause the instance with button whenever you want and abort the execution with X button as shown below Guideline Assignment Engine Status Recommendations 11111111111 Eda Aymaz Demographic Information Patient ID 11
38. f management opens to them the possibility for patients not only to contribute to their own healthcare but also to be more in control of their disease EMPOWER develops a modular and standard based Patient Empowerment Framework which facilitates the self management of diabetes patients based on PHRs and on context aware personalised services EMPOWER focuses the research and development efforts on a patient centric perspective that also involves healthcare professionals EMPOWER provides knowledge based Self Management Pathways for diabetes patients This includes 1 Services for the specification and execution of actions to change behaviour according to diabetes specific health care needs Patients can develop personalised action plans which include recommendations from the treating physicians and patients preferences Patient EMPOWER Self Management Services for monitoring of vital Pathways physical mental parameters as well as physical and lifestyle activities based on health standards EMPOWER semantically integrates multiple information sources EHR PHR diabetes guidelines patterns of daily living for a shared knowledge model The Self Management Pathways facilitate the specification of recommendations that allow specifying individual goals for the patient Based on these goals relevant information and their preferences patients can specify their individual diabetes specific actions The Self Management Pathways are
39. f the buttons is as follows Guideline The available guidelines are displayed when clicking this button Currently there are four guidelines Three guidelines for Turkey and one guideline for the treatment of the newly diagnosed Type 2 patients in Germany e Assignment The guidelines can be assigned to the patients here In order to execute a guideline it should be assigned to a patient In this section the guidelines can be assigned to related patients e Engine Status Either the current executing guidelines or previously executed guidelines are displayed here In this section the doctors can see the status of the Recommender Engine in terms of executing and executed guidelines e Recommendations This section provides the recommendations of previously executed guidelines Here the doctors can examine their previous decisions approved recommendations about the patients In the following subsection a sample run to execute a clinical guideline is presented For ease of use the redirection of the above mentioned sections are performed automatically After the Sample Run subsection these windows are presented briefly 3 3 1 A Sample Run Click the Recommender button on the top of Figure 7 As the start page the Patient Selection is presented as shown in Figure 7 Here first click the Select Patient button and select a patient When the patient is selected the patient name is displayed together with the patient ID R
40. fic x button deletes the recommendation button edits the recommendation and y button approves the recommendation In addition to self management recommendations which will be sent to the patients there may be treatment recommendations which are specifically for the medical professionals Diabetes Guideline for Monitoring of the Diabetes Patients in Turkey Recommendations Type 1 test should be performed every three months and it should be less than 6 5 self management x J a Eye heart kidney teeth and foot examination by a physician should be performed every year self management x S uy Each patient should get the flu vaccine every year self management x J a Normal patients diabetes patients who have no other serious problems should take 45 min brisk walk three times in a week x 2 Di movement e g not using elevator going to shopping by walk get off the M x Pa Patient has hypertensions and should do active exercise at home if the weather is too hot or too cold self management x a Patients having knee replacement should not do brisk walking self management x If the glucose measurement is more than 250 the patient should not do exercise at that moment self management x AS Ihe everrise should he dane at least 1 5 hours hefnre meals self mananement P wg 95 J ON FP7 288209 EMPOWER Figure 14 Recommendations 3 3 2 Guidel
41. for 48 seconds from now 4 11 5 Journals Pages By pressing the Journals button you have access to the overview of the recorded ODL values in list and charts mode 69 76 FP7 288209 EMPOWER EN EX exo n Eda Aimaz S Journals 6 Journals Blood Glucose E Journals 9 Blood Pressure Jun Jul 2014 Aug Thursday 10 Monday 7 09 00 145 mmHg 90mmHg 79b Systolic Diastolic Puls 15 36 4 110 mmHg 75mmHg 75b About Diabetes Systolic Diastolic Puk Tuesday 8 Nutrition facts 10 00 167 mmHg 120 mmHg 99 7 Settings Sinn nat a Eda Aimaz 18 Journals 4 Sh 4 6 Journals 9 Blood Pressure 93 Journals 9 Blood Pressure Jun Jul 2014 Aug Jun Jul 2014 Aug Diastolic 75mmHg 75 bi Systolic Diastolic Tuesday 8 Nutrition facts 10 00 167 mmHg 120 99 Settings Sinn et 4 11 6 Information Material You have access to informational material about diabetes through the EMPOWER portal by pressing the About Diabetes button or through a Nutrition Facts link This link directs you in a pilot site specific web page different in Germany in Turkey and for the demo version of the application 70 76 FP7 288209 EMPOWER LL M EV Eda Aimaz 9 Thurgdag 10 About Diabetes Nutrition facts 9 Eda Aimaz Abdlit Diabetes a Nutrition
42. ge Action Pi Welcome to your dashboard Manfred Maier You can find an overview of the most important data for this week here Feedback of the past week Caution you have fulfilled only 0 of your activities in the past week You should definitely adjust your plan The following activities had a very low degree of performance in the past week and should be adjusted Activity of last week 0 1 Incomplete activity 0 1 Today and tomorrow This week Complete activity Tue 03 00 Incomplete activity 0 1 Current activity Tue 1200 1400 Current activity 0 1 Future activity d 12 14 00 Complete activity 1 1 Future activity 0 1 Recommendations without a goal in this week Goals without an activity in this week Goals planned for every recommendation You have not planned activities for the following goals yet Unassigned test goal Current charts Select Chart Figure 24 EMPOWER home page In the upper area of the screen you find the menu With the menu bar all the functions of the EMPOWER patient portal are available 20 76 FP7 288209 EMPOWER G Action Plan Add Journal Info Recommendati Goal Blood Gluc Diabetes Passport Goals Activity Blood Pres EMPOWER Information Material Calendar Body Weig Forums S Review Problem Meals Bookmarks Vital Sign Medication Change Charts Physical Meal Open Issue Physical Activity Problem Sleep Stress Figu
43. hanges as needed edit form Medication changes From To 2014 01 01 Medication name beta blockers Dosage asneeded Amount In the morning 1 J At noon 0 In the evening 1 zi At night OK Cancel Figure 63 Medication changes regularly edit form 4 8 6 Add Mood Please insert date and your perceived mood level as mandatory data Comment is an optional entry 45 76 FP7 288209 EMPOWER Mood level Date 2014 01 01 mE e e e e e Todays meeting went well Comment Figure 64 Mood edit form 4 8 7 Add Open Issues Please insert date and the topic for the open issue as mandatory data Optional data are the recipient and comments For example you can insert a question for your doctor at the next consultation Open issues Date 2014 01 01 Issue What should do if hungry after 23 o clock Recipient Dr Jones Comment Can eat some fruits OK Cancel Figure 65 Open issues edit form 4 8 8 Add Physical Activity Please insert date time type of activity and exercise intensity as mandatory data Optional data are location mood level stress level and comment 46 76 FP7 288209 EMPOWER Physical Activities Type of Activity Date From Exercise intensity Location Cycling M 2014 01 01 12 00 13 00 5 light moderate gt hard very hard at home amp atthe
44. he corresponding Add button For inserting additional food items define the amount unit and description and click on the corresponding Add button The button is only clickable when amount unit and description are defined Optional data are the mood level the stress level and comment 43 76 FP7 288209 EMPOWER Meals Date 2014 01 01 0900 TypeofMeal Breakfast 1 Predefined meals Select meal M z 1 slice s 20g Figure 61 Meals edit form 4 8 5 Add Medication Changes Please insert date medication name and dosage as mandatory data If you start with a medication or you want to insert a medication change please use the start date from If you finish a medication please indicate the end date to In case of an occasional or singular medication please choose as needed for dosage see Figure 62 and indicate the unit e g pill drops mg and the amount of the medication e g 1 for 1 pill In case of a permanent medication please choose regularly for dosage see Figure 62 and indicate the unit and the amount in association of the time of intake in the morning at noon in the evening at night Optional data are the mood level the stress level and comment 44 76 FP7 288209 EMPOWER Medication changes From To 2014 01 01 Medication name aspirin Dosage regularly n pill s Amount 1 e 6 e e 9 Figure 62 Medication c
45. he new activity Next you describe the activity Step 2 and plan it with a calendar Step 3 In Step 4 you can continue with planning further activities or you can finalize your weekly planning 4 6 2 1 Step 1 Associate goals Step 1 presents an overview of all your personal goals The colour coding implies the planning status for the current week green activities are linked to this goal in the current week red no activities are linked to this goal in the current week For planning a new activity you should associate this activity to one or more of your personal goals You may choose all your goals see Figure 51 clue 1 or choose just one or several distinct goals as shown in Figure 48 clue 2 ciate Goals 2 Activity 3 Planit 4 Review on personal goals are relevant to your activity e pe My Goals 07 15 2014 Meditation 07 22 2014 Marathon Figure 51 Add activity Step 1 Note The assignment of activities to goals is crucial for the weekly review The successful achievement of goals is linked to the execution of the planned activities It also reminds you of the reason why you perform an activity Hence if possible assign a goal to your activities 4 6 2 2 Step 2 Activity You specify the activity in more details starting with indicating an activity category see Figure 52 clue 1 Depending on the activity category some more information might be required in particular the type of vital sign for the category Vit
46. ine Section Quideline Assignment Engine Status Recommendations Available Guidelines Guideline Name Anithyperglycaemic theraphy of type 2 diabetes Diagnosis of type 2 diabetes in Turkey Treatment of type 2 diabetes in Turkey Diabetes Guideline for Monitoring of the Diabetes Patients in Turkey Figure 15 Available guidelines The available guidelines are displayed to the medical professionals as shown above In the scope of EMPOWER project one guideline Antihyperglycaemic theraphy of type 2 diabetes is developed for German pilot and three guidelines are developed for Turkey You can find details about these guidelines in the EMPOWER s public deliverable Deliverable 5 2 1 Diabetes based Personalised Adaptive Recommender Engine Prototype 14 3 3 3 Assignment Section Recommender Guideline Assignment Engine Status Recommendations Select Patient 11111111111 Eda Aymaz Select Guideline Anithyperglycaemic theraphy of type 2 diabetes Save Figure 16 Assignment Screen For executing the guideline first it should be assigned to a patient When the button Select Patient is clicked the consented patients are displayed After selecting the patient the available guidelines are presented You can make the assignment by clicking the Save button 3 3 4 Engine Status Section 3 See http www empower fp7 eu publications public deliverables 14 76 FP7 288209 EMPOWER Guideline Assignment Engine Status Recomme
47. ing I 00 00 00 0 00 00 00 0 00 00 00 19 0 00 ou on Progress T De a 63 76 FP7 288209 EMPOWER You can record manually your workout by pressing the Manual Entry button at the main page of the Physical Activity ODL After doing so you are prompted to enter the workout information and additional information i e stress mood comment etc 02 D New Workout F E73 10 52 SAVE Workout Info Activity Date Time taken Duration Distance Steps Calories location park Intensity light Additional Info Aerobics Tue 10 Dec 2013 10 51 00 00 00 5 0 km 161 149 4 11 4 5 Meals 2 W E 10 55 Choose Activity Aerobics Basketball Cycling Dancing Football Gardening Hiking Ironing Jogging Mopping Mountain Biking You can record your nutrition details by visiting the corresponding page clicking the proper icon of the main menu You select the type of meal breakfast lunch dinner snack and then you either select items form the embedded food database or insert from your personal list of food items Additional information can also be registered as with the other ODLs Also the details of the food items in the personal list can be updated by pressing continuously the food item line A pop up window appear where the food details can be edited 64 76 FP7 288209 EMPOWER LM 9 WE 10
48. l be redirected to the EMPOWER home screen 7 76 FP7 288209 EMPOWER 3 2 Home Screen After the successful login the home screen of the EMPOWER disease management portal is shown In the upper area of the screen you find the menu bar With the menu bar all the functions of the EMPOWER disease management portal are available The EMPOWER web portal provides a single access point for both patients and doctors Depending on the role of the user the portal shows either the functionality for the patient or for the medical care provider When a medical care provider connects to the system his her home screen showing the available options is displayed see Figure 2 GY Recommender amp A Ahmet Yilmaz Select Patient Time range 1 month To Date 2014 07 09 Figure 2 Home Screen Note The menu bar showing your logged in name and the available options is visible at any time By using the EMPOWER logo on the left side of the menu bar the home screen is opened again With the home screen you can get a quick overview of your patients by selecting a patient from the list see Section 3 2 2 for further details Your second option is the Recommender Engine which allows a step by step examination of the patient s data in comparison with particular Diabetes Guidelines 3 2 1 Settings The EMPOWER user profile captures personal preferences and individual setting You can specify your preferred language as shown in Figure 3 The fo
49. llowing languages are supported German English and Turkish aq Recommender amp A HansSchmidt Language English Figure 3 Settings specify Language After changing the language setting the Home Screen is displayed in the desired language 3 2 2 Select a patient When the home screen is shown see Figure 2 you may select a single patient from the list of assigned patients Additionally you may choose the desired time range to verify the patient s data as already shown in Figure 2 Given the consent of the patient the system shows the patient s recordings such as occurred problems or the latest blood glucose values see Figure 4 8 76 FP7 288209 EMPOWER Problems Summary Date Problems 8 7 2014 Palpitation Sleep Symptoms have been in pain feet sole of the feet calf of the leg elsewhere Pain head chest legs feet soles thighs had restless legs was thirsty Blood Glucose weakly averages Date 2014 07 08 2014 07 14 2014 07 15 2014 07 21 2014 07 01 2014 07 07 2014 07 08 2014 07 14 Breakfast Lunch Dinner Insulin BG Pre BG Post Insulin BG Pre BG Post Insulin BG Pre BG Post 5 3 134 137 3 146 226 185 137 5 182 4 205 222 Figure 4 Patient s Problem and Blood Glucose Summary Example In addition to the Blood Glucose Summary a diagram outlining the patient s weight recordings is shown Weight e a un 23Jun 24un 25Jun 26 01 Jul 02 6
50. mplies a stronger meaning However info material rated as DIFFICULT might be difficult to read for whatever reason In combination a patient might like the material very much but she rates the material as difficult because of either the medical language used or the time it took to read and comprehend the information A resource that is not tagged with a DIFFICULT tag is assumed to be readable to the user 17 76 FP7 288209 EMPOWER Tag Dictionary Choose a pre defined set goals Add Tags Space separated Use for tag with multiple words askdoctor Edit Delete questions Edit Delete problems Et Delete hba1c Edit Delete Weight Edit Delete DIFFICULT Edit Delete lifestyle Edit Delete nutrition Edit Delete sport Edit Delete diabetes Edit Delete forum Edit Delete Figure 22 Create a pre defined dictionary of bookmark tags 18 76 FP7 288209 EMPOWER 4 Patient Portal This section describes the usage of the EMPOWER Patient Portal including the EMPOWER mobile application for smartphones and represents the user manual for diabetes patients EMPOWER aims at supporting diabetes patients in defining and more important achieving their health goals By collecting and evaluating data related to the patient s physical and mental situation the patient s self management awareness allows a self assured dialog with his or her medical care provider 4 1
51. nally via E mail in case the corresponding checkbox is selected The time span for the reminder varies between 5 minutes and one week Note By using the edit and delete symbols Figure 53 clue 5 it is possible to adjust the settings for an activity or to remove it entirely To complete your planning and save the new activity press the button Save and review Figure 53 clue 6 38 76 FP7 288209 EMPOWER Basketball 1 Associate Goals 2 Activity 3 Plan it 4 Review 4 Reminder e 7 m E mail 4 2 NS Jul 21 27 2014 Ube ETC IL Mo Jul21 Tu Jul22 We Jul23 Th Jul24 Fr Jul25 Sa Jul26 Su Jul27 1 all day Current Schedule ET Previous Step CL Figure 53 Add activity Step 3 4 6 2 4 Step 4 Review The final step of the activity gives you an overview of the already planned activities of the current week see Figure 54 clue 1 and an overview of goals without activities in the current week see Figure 54 clue 2 1 Associate Goals 2 Activity 3 Plan it Planned activities in this week Goals without an activity in this week 2 v Basketball Lose 1kg per week Limit coffee twice per day G Havefun v G Measure BP Plan another activity Finish planning Figure 54 Add activity Step 4 If you want to add further activities for the current week press the button Plan another activity If you have already finished the planning press the button Finish planning
52. ndations Engine Status Patient ID Patient Name Guideline Name Creation Time Status Action code targetperson MANFRED MAIER Anithyperglycaemic theraphy of type 2 diabetes Fri Jan 03 17 05 00 EET 2014Not Started p gt x Figure 17 Engine Status Section In this window you can see all executing executed aborted guidelines too If required you resume a guideline instance as well 3 3 5 Recommendations Section Guideline Assignment Engine Status Recommendations Recommendations Patient ID Patient Name Guideline Name Status Creation Time code targetpersonM ANFRED MAIER Anithyperglycaemic theraphy of type 2 diabetes UnknownFri Jan 03 17 05 00 EET 2014 Figure 18 Recommendations Section In this section all the previously successfully finished guidelines recommendations are presented You can go over the list and examine the past recommendations to his patients 3 4 Information materials for patients German Pilot info material and bookmarking site EMPOWER Info material http empowerpatientde wordpress com Bookmarks of any info material https groups diigo com group empowerde Turkish Pilot info material and bookmarking site e EMPOWER Info material http empowerpatienttr wordpress com e Bookmarks of any info material https groups diigo com group empowertr 3 4 4 Bookmarking information materials on the web Patients and medical staff can join the bookmarking group to add or view bookmarks The bookmarks are
53. nt wordpress com patient forums diabetes LIKE forum Hood E ent Morey 28 Like E3 forum EMPOWER 0 views empowerpatientwordpress com diabetes LIKES Commen Mor Related searches Comment lorey Search diabetes matching in title tags annotations and url of group items Showing 20v items per page 1 20f2 Search in Google Figure 76 Filter and browse the bookmarks by selecting the tags in clue 2 Clue 1 shows the current filter How can you join the EMPOWER bookmarking group and create bookmarks for the group 1 Join the bookmark group At the listing of bookmarks select the button for joining the group and you will be guided to create a user account A moderator will add you later to the group Alternatively your moderator might invite you in advanced Please ask about this at the workshop training 2 Install a bookmarking tool for your browser https www diigo com tools For Web browsers Chrome IES Firefox e n Smart phones it is possible to view or create bookmarks Please the check tools section above or an app site for your Smart phone How can you create a bookmark for a web page Chrome https chrome google com webstore detail diigo web collector captu oojbgadfejifecebmdnhhkbhdjaphole SIE Internet Explorer https www diigo com tools toolbar client ie 7 Firefox https www diigo com tools toolbar client ff 52 76 FP7 288209 EMPOWER 1 Go to the page open your bookmarking tool Figure 77
54. ompletion rate of the activity and a visualization of associated recommendations and goals when toggling Show associated recommendations and goals In case the event is not yet complete you can also enter results in terms of a dialog See section 4 8 for details or edit the activity Current activity Status progress Enter results Completion 0 1 096 Edit activity G Hide associated recommendations and goals Assigned test goal 2 Assigned test goal Figure 35 Activity details Usually each activity is assigned to a personal goal When you press the button Goals feedback see Figure 34 clue 3 you can see which activities are associated to which goals see Figure 36 Furthermore you can see the degree of fulfilment for goals in the current week Whenever an activity is performed and recorded the progress for this particular goal is adjusted Goals feedback Your goal feedback My Goals Performance Associated activities Tips Assigned test goal 50 1 2 Current activity Complete activity Assigned test goal 2 0 0 1 Current activity Figure 36 Goals feedback As shown in Figure 34 the distinct activities are coloured differently and marked with symbols Activities coloured in blue represent current or future activities They may be edited or deleted Activities coloured in red represent out dated past activities They may be reactivated 27 76 FP7 288209 EMPOWER The calendar events a
55. one it gives an overview of already planned activities As an example it is feasible to plan several running units in order to achieve the previously defined goal of 10 km running per week 5 Add activity 3 genda view A 4 Download calendar Goals feedback toda Jul 21 27 2014 G li complete Mo Jul 21 Tu Jul 22 We Jul 23 Th Jul 24 Fr Jul 25 Sa Jul 26 Su Jul27 1 activity n all day 08 00 Current on activity 09 00 Complete activity G li Future 10 00 activity 11 00 li incomplete activity on Fe menen Activity of last week Figure 34 Calendar Application The Calendar Application lists all planned activities see Figure 34 clue 1 The week may be adjusted by using the navigation arrows see Figure 34 clue 2 New activities can be added by choosing Add activity see Figure 34 clue 3 or clicking on an empty calendar slot Existing activities can be edited deleted by choosing the corresponding edit delete icons of the activities highlighted in blue see Figure 34 clue 3 Furthermore past activities may be 26 76 FP7 288209 EMPOWER reactivated by choosing the corresponding repeat icons of the activities highlighted in red see Figure 34 clue 3 For further information about adding activities see section 4 6 2 By clicking on a calendar event you are provided with a dialog showing activity details see Figure 35 You can see the status of the selected event the c
56. r Protein Physical Activity Shows Intensity Duration and Steps recorded for Physical Activities Blood Glucose and Displays a combined chart outlining the recorded values for Physical Activity Blood Glucose combined with Duration and Steps recorded for Physical Activities Table 1 Available Chart Types Fehler Verweisquelle konnte nicht gefunden werden 7 present chart examples namely for blood glucose combined with physical activities and the blood pressure Select Chart Blood Glucose amp Physical v Blood Glucose amp Physical activity mg dL min Iu Apr 10 Apr 17 Apr 24 May 01 May 08 May 15 May 22 May 29 Jun 05 Jun 12 Jun 19 Jun 26 Figure 6 chart for Blood Glucose and Physical Activity Select Chart Blood Pressure t Blood Pressure bpm mmHg lun 12un 1Bun 19un 20un 21un 22un 23un 24un 25 091 10 11 1 171 13 14 151 1 amp lul 17 Ra 7 2Aun 2 29un JOU 01 1 021 031 ORE 0711 Figure 7 Chart for Blood Pressure 10 76 FP7 288209 EMPOWER 3 3 Recommender Engine The Recommender Engine helps the medical professionals to carry out best practice clinical guidelines Normally the clinical guidelines are in textual format but in EMPOWER project they are developed to be machine processable so that the medical professionals can execute them step by step like a workflow The Recommender Engine screen is displayed in the Figure 7 The functionality o
57. ranges values see Figure 45 clue 3 as provided in the user settings Measurement results are drawn as lines whereas mental parameter and physical activity recordings are drawn as bars within the diagrams see Figure 45 and Figure 47 Charts and Trends Select Chart Time range 1 month To Date Blood Glucose amp Physical act 2014 07 22 u Blood Glucose amp Physical activity Figure 46 Chart showing Blood Glucose and Duration of Physical Activities in one plot for one month The Blood Glucose and Physical Activities diagram depicts the recorded blood glucose values in combination with the recorded Duration of physical activities This may give valuable feedback to the patients regarding the effects that physical activities may have on their blood glucose levels 34 76 FP7 288209 EMPOWER Charts and Trends Select Chart Time range 1 week To Date Blood Glucose 2015 01 10 m Blood Glucose us 1 34 Figure 46 Chart showing Insulin Administration and Blood Glucose in one plot for week The Blood Glucose diagram is showing the recorded insuling doses as well This combined presentation that in addition shows the target range for the blood glucose level gives a comprehensive overview on the actual situation as well as on existing trends regarding the recorded blood glucose and insulin values Mood amp Stress 412 Figure 47 Chart showing mental parameters Mood and St
58. re 25 menu bar overview The main menus also contain several sub menus as shown in Figure 25 The distinct menu items are as follows e Action Plan Allows you to review the recommendations of your medical care provider your personal goals typically based on the doctor s recommendations opens your calendar with your activities offers you a review of the past activities and give access to charts In addition you may define your personal goals and plan your activities e Add Provides shortcuts to the most often used functions when managing targets and planning activities e Journal Collects and reviews your data e Info Provides additional information with respect to diabetes and its implications e Consent Editor Grants or denies access to your medical care providers When choosing clicking one of the functions the system loads data from the EMPOWER system or stores your input During the processing the menu bar shows a global activity symbol see Figure 26 As long as the activity symbol is visible the processing of your requests is not yet finished Figure 26 Logged Username Activity Symbol When you choose the mail icon see Figure 27 a list of active messages such as reminders will be presented The mail icon will indicate new messages in terms of a red number and after opening the list the user can see all unread messages and read messages when scrolling down By clicking on a message the user is provided wi
59. re coloured too Green represents completed events orange represents events that are in progress red represents incomplete events and grey represents events that are in the future Stored activities may be shown in an agenda view see Figure 37 by pressing the button Agenda view see Figure 34 clue 2 Add activity Calendar view 4 Download calendar 1 month Goals feedback t bacs Jul 21 27 201 4 G li Complete Mo July 21 2014 e Title Time Incomplete activity 12 00 14 00 Current activity on Tu July 22 2014 Title Time C B Future Complete activity 09 00 11 00 activity 0 Current activity 12 00 14 00 We July 23 2014 lli Incomplete 3 activity on mtie Gra es _ C Activity of last week Figure 37 Calendar Application Agenda View Note The Agenda view is useful when printing planned activities Lastly the calendar events can be exported to external electronic calendars by selecting the Download calendar option see Figure 34 clue 4 The timeframe for the export can be selected using the slider next to the export option see Figure 34 clue 5 Consequently an email is sent to the patient s registered email address with an iCalendar formatted file for the period desired 4 4 4 Review The review aims at examining past activities and their recordings in order to evaluate the success and how successfully you have met your personal goals Th
60. red Figure 79 The group dictionary appears for the selected group Are bookmarks removed at the end of the project The clinics should control their bookmarking group and decide with the patients how patients can access the bookmarks after project ends The bookmarks are public and if nothing is done they will continue to be available The group bookmarks can also be downloaded for backup or reimported into another group 4 10 Consent Editor The Consent Editor allows the patient to control the visibility of his or her recordings to the medical care providers The patient may control who role based or individually may access which kind of data The data managed by the EMPOWER patient portal can be split into the categories Recommendations Journals Medication Journals imported Electronic Health Records The data managed within the EMPOWER system is treated as private thus invisible to everyone by default Whenever the Consent Editor is invoked the current list of consent items is displayed The example shown in Figure 80 indicates that ALL care providers may access recommendations journals and medication journals Patient Manfred Maier XACML Dokument ffnen 2 Consent Dokument Resources Erstellen Recommendations Yes Journals Medication Journals Gesundheitsdaten T Figure 80 Consent Editor Overview 54 76 FP7 288209 EMPOWER In the above figure description of the parts is as follows Pa
61. ress for one month The Mood and Stress diagram depicts the recorded values for both mental parameters in one plot The graphical visualization of the mood and stress levels can help to recognize patterns in time or to detect particular situations that influence wellbeing 4 6 Add new data The main menu item Add allows adding new activities goals or other observations quickly Many of the provided functions are also available at other menu items e g Action Plan However below the Add menu item they are co located together 4 6 1 Goals Adding new goals starts a guided wizard with two steps First the medical care provider s recommendations are displayed than you can specify a new personal goal 4 6 1 1 Step 1 Select recommendations 35 76 FP7 288209 EMPOWER Step 1 presents an overview of all recommendations specified by one of your medical care providers or by you For specifying a new goal you should associate this activity to one or more of these recommendations You may choose all recommendations see Figure 48 clue 1 or choose just one or several distinct recommendations as shown in Figure 48 clue 2 f manag 2 My Goal Try to choose at least one new treatment goal that you might enjoy doing This can be even smail things such as going for walk twice a week e My recommendations for self management from my doctor s Provider Recommendation 08 2012 Hans Schmidt Take the medications e
62. review time range The column Performance see Figure 41 clue 2 center describes the performance in percent e g 4396 and indicates the number of completed activities e g 3 7 means 3 activities from 7 activities were completed The column Tips see Figure 41 clue 3 right shows some additional improvement tips Review Tue Jul 15 Mon Jul 21 2014 1 week 1 Check last week 2 Check Journais 3 Activities Feedback 4 Charts 5 Goals Feedback amp Update Action Plan for next week Action Plan Weekly Review Step 3 Activities Feedback Overall performance Performance 33 1 3 Tips Activate the EMPOWER feature Reminder to not forget an activity Activity Performance Tips Complete activity of last week 100 1 1 Well done Keep up the good work Activity of last week 0 0 1 Activate the EMPOWER feature Reminder and don t forget to record the results of this activity Incomplete activity 0 1 Activate the EMPOWER feature Reminder and don t forget to record the results of this activity Previous Step Next Step Figure 41 Review Step 3 4 4 4 4 Step 4 Charts To get a quick overview of the personal progress the recordings of blood pressure blood glucose and weight are shown Charts based on other data can be selected as described in section 4 5 31 76 FP7 288209 EMPOWER Review Fri Jul 4 Thu Jul 10 2014 1 week 1 Check last week 2 Check Journals 3 Activities Feedback 4 Cha
63. rsday 10 08 5 Configyre Units 13 Bk About Diabetes 1114034000446084 0095 94 GhucoTet 9907 80 84 C4 00 484495720 Nutrition facts D Settings Sinn nat 76 76
64. rt 1 The current consent of the patient is presented in this tabular format The empty cells means NO by default Part 2 In this part the patients can download the XACML eXtensible Access Control Markup Language file showing their consents Part 3 The patients can edit their current consents with this button When the patient gives explicit consent to others either by role or by explicitly naming the trusted care provider access is granted to the concerned persons When consent is given to a role e g doctor then all medical care providers of this particular role may access the data Patient Manfred Maier XACML Dokument ffnen Bearbeiten Consent Dokument Subjekte 2 Resources 3 Zugriffsrechte 4 a Rollen Recommendations Erstellen Eriauben Abiehnen Art Journals Read Erlauben Ablehnen ation Journals Person Gesundheitsdaten Hans Schmidt undefined Consent Regeln Subjekt Resource Aktion Zugrifisrecht Art Recommendations Read Yes 5 Arzt Journais Read Yes Figure 81 Consent Editor Modify Consent In the above figure description of the parts is as follows Part 1 The patients can either give consent to a role or a specific person Part 2 The resource types are shown in this part Part 3 The rights are shown here Part 4 The user can add the consent by clicking this button Part 5 The user can delete a consent with this button Beside the web based EMPOWER patient portal there i
65. rts 5 Goals Feedback 6 Update Action Plan for next week Action Plan Weekly Review Step 4 Charts Blood Pressure bpm Blood Glucose mg dL Back Jui 04 Jui 05 Jui 06 Jui 07 Jui 08 Jui 09 Figure 42 Review Step 4 4 4 4 5 Step 5 Goals Feedback Typically activities are associated to personal goals This step see Figure 43 presents you an overview how successfully you have met your goals with the activities of the review time range A goal can be related to one or several activities The column Performance describes the performance in percent e g 4396 and indicates the number of completed activities that are related to the associated goal e g 3 7 means 3 from 7 activities have contributed to the associated goal The column Tips shows some additional improvement tips 32 76 FP7 288209 EMPOWER Review Tue Jul 15 Mon Jul 21 2014 1 week 1 Check last week 2 Check Journals 3 Activities Feedback 4 Charts 5 Goals Feedback amp Update Action Plan for next week Action Plan Weekly Review Step 5 Goals Feedback Your goal feedback e My Goals Performance Associated activities Tips Assigned test goal 100 1 1 Blood Glucose Assigned test goal 2 0 0 2 Incomplete activity e Activity of last week Previous Step Next Step Figure 43 Review Step 5 4 4 4 6 Step 6 Update Action Plan for next week To finalize the review process the user may plan his or her
66. s e g doctors diabetic assistants are linked into this process by providing the patients with recommendations and evaluating the collected data from the patients from a medical perspective 3 1 Login For using EMPOWER it is required to login with your personal credentials The disease management portal deals with highly sensitive personal and medical data Therefore each access to the portal is controlled If the required login credentials are missing a login page is displayed to the user see Figure 1 Depending on the used EMPOWER installation either Turkey or Germany the Login Page may differ slightly EMPOWER EMPOWER Demonstrator Central Authentication Service CAS Aus Sicherheitsgr nden sollten Sie bei Verlassen der passwortgesch tzten Bereiche sich explizit ausloggen und Ihren Webbrowser schlie en Bitte geben Sie Ihren EMPOWER Benutzernamen und Ihr Passwort Languages ein English Deutsch Turkish Figure 1 Login Page Demonstrator Installation Both username and password are provided to the user during the patient care provider registration or depending on the integration with existing PHR system are used from the external system For login please use the following URL Installation URL EMPOWER Prototype https demo empower fp7 eu empower Turkish Prototype http www empower tr eu German Prototype https empower goin info After successful login you wil
67. s stored it is immediately shown in the list of available current goals and it is possible to plan activities for this goal see section 4 4 2 Note Sometimes it might be difficult for you to specify a convenient personal goal or realistic activities for a week In this cases it could be useful to you looking at the EMPOWER Tips 36 76 FP7 288209 EMPOWER see Figure 49 clue 4 They might give you some ideas how to cope with the current step see Figure 50 Tips If it is difficult for you look for options or alternatives e you can share your goals with the family friends health professionals or use the Internet or e you could break down a goal in smaller sub goals with a higher likelihood to be achieved And most importantly think about HOW you are going to reward yourself for reaching the goal What about going to the movies on Saturday or sleeping in an extra hour on Saturday Imagine and describe the benefits of reaching your treatment goals and what other benefits you want to receive Try to find partners who would like to reach the same goals Look in your close surroundings Is there any friend who would like to go for regular walks with you Share your success with other people Tell your doctor friends or family about the activities that you are doing Figure 50 EMPOWER Tip example 4 6 2 Activity Adding new activities starts a guided wizard with several steps First you choose one or more goals to be associated to t
68. s the possibility to record journal entries with the EMPOWER Mobile Application The following sections gives an overview of the EMPOWER mobile application based on screenshots 4 11 Mobile Application 4 11 1 Login Mobile Application In order to use the mobile application you have either to login in order to let the application synchronize with the EMPOWER framework or select to use it in offline mode The credentials for login to the mobile application are identical to those for accessing the EMPOWER patient portal The Offline mode is the only way of using the app in the absence of WiFi or mobile 3G network connectivity While using the app in Offline mode the edited ODLs are stored locally and whenever you log in and network connectivity is available the local database is synchronized with the EMPOWER database The user is given the option to store her credentials by selecting the Remember me option By this way there is no need to re enter the credentials whenever opening the application 55 76 FP7 288209 EMPOWER EMPOWER CETTE m 770 EMPOWER Remember me testuser v Remember me Login error Credentials are not Correct insert correct credentials or Continue m off line mode me Try again 4 11 2 Main Screen Upon successful login the EMPOWER mobile application s main screen is displayed From the main screen the most important functions are directly accessible As an e
69. t the patient s progress to the medical care provider or for your personal needs Review Tue Jul 15 Mon Jul 21 2014 1 Check last week 2 Check J Action Plan Weekly Review Step 2 Check your Diaries Blood Glucose Blood Pressure Body Weight Meals Medication Change Mood Open Issue Blood Glucose Date Time 2014 07 22 0900 2014 07 18 13 10 2014 07 17 12 00 Blood Glucose value Intake Insulin Mood level mg dL 89 87 Previous Step Next Step Figure 40 Review Step 1 week ournals Activities Feedback 4 Charts 5 Goals Feedback 6 Update Action Plan for next week Physical Activity Problem Sleep Stress Stress level Location Comment 2 Note The collected data is private by default To grant access to the medical care provider explicit consent of the patient is required see chapter 4 10 Consent Editor for details 30 76 FP7 288209 EMPOWER As part of the review you should check whether you have recorded all necessary data of the review time range If some data missing you can add them by clicking on the Add button or edit delete data by choosing the corresponding edit delete icons 4 4 4 3 Step 3 Activity Feedback The system provides an overall feedback how successfully you have completed your planned activities within the time range for the review Figure 41 clue 1 indicates your overall performance based on all planned activities of the
70. th additional information and the message is marked as read All activity reminders or other messages will be sent to the user inbox however the user can also send reminders to an email address from the patient registration information created by an EMPOWER clinical administrator of the pilot study 21 76 FP7 288209 EMPOWER Note To ensure patient safety only the administrator can change the email address Figure 27 User inbox When you choose the help icon see Figure 28 this document the User Manual and other help material will be presented Figure 28 Help When you choose the print icon see Figure 29 you can print the current page Figure 29 Printer The EMPOWER logo see Figure 25 clue 1 within the menu bar opens the home screen again The homepage includes a dashboard giving you an overview of your most important data for the current week All items are colour coded using the following pattern e Green Everything is complete okay e Orange Something should be in progress at the moment e Red Something is incomplete wrong Grey Something to come up in the future additional information The items to be shown at your dashboard can be configured in the settings see section 4 3 Figure 30 gives an overview about the dashboard items e Feedback of the past week points out when you did a good job in the last week e g you completed most or all of your planned activities or when your perform
71. very morning 02 08 2012 Hans Schmidt Measure and record blood sugar and blood pressure daily 02 08 2012 Hans Schmidt Check your weight on Sunday morning before breakfast Hans Schmidt Change your eating behaviour within the next two months Hans Schmidt Do some sports Hans Schmidt Lose 5 kg 07 21 2014 Myself Drink less coffee Figure 48 Add goal Step 1 Note The assignment of goals to recommendations reminds you why you specified a specific goal and establish a connection to the recommendations specified with your doctor at a past consultation Hence if possible assign recommendations to your goals 4 6 1 2 Step 2 My goal In the next step you can specify a new goal by indicating a goal title specify a goal and a description of the goal goal description see Figure 49 clue 1 Goals are sometimes challenging and often needs some overcoming and discipline to be achieved Hence you should also think of how you would keep your motivation and how you would reward yourself when you have reached the goal see Figure 49 clue 2 Please specify your personal self management goals 1 Select Recommendations 2 My Goa Specify a goal afe Goal Description Describe any rewards or motivations that mignt help you achieve your goal Comments Previous Step 3 Figure 49 Add goal Step 2 To complete the specification for a new goal press the button Save goal see Figure 49 clue 3 Whenever a goal i
72. xample the most often used functions for journal recordings blood glucose weight are situated at the main screen 56 76 FP7 288209 EMPOWER Home Button shows hides SideBar menu My Profile 1 vournals User Information ODL Shortcuts navigation to the related submit forms for recording a new ODL Journals page i e overview of collected ODLs Access to diabetes information material nutrition facts About Diabetes Access to the app Settings Nutrition facts Sign out from the app Settings eThe sidebar is hidden so as to make the most of the available area of the device s physical screen Sian ant The sidebar appears either when the home button is pressed or swiping horizontally from left to right 4 To hide the sidebar the user acts similarly For the first usage of the Mobile Application it is recommended to specify the personal profile for this application 4 11 3 Profile By pressing My Profile icon you are directed to the page with your profile details There you can edit these details by pressing the Pen icon It is important to fil in the Height value in order to enable calculation of the Body Mass Index BMI in the context of the Weight ODL EM _ My Profile I My Profile Edit 6 9 Surname Surname Personal Info Personal Inf Date of Birth undefined Date of Birth undefined Gender female
73. y more of the following had restless legs symptoms during your was sweating sleep woke up being hungry 1 was snoring lot woke up after stopped breathing several times OK Cancel Figure 68 Sleep edit form 4 8 11 Add Stress Please insert date and your perceived stress level as mandatory data Comment is an optional entry Stress Date 2014 01 01 nervous or stressed on this day Comment Got a lot of work to do 48 76 FP7 288209 EMPOWER Figure 69 Stress edit form 4 9 Info The info menu provides further information pertaining information material forums and your patient data from appointments with your doctor Diabetes Passport You are strongly encouraged to read the information material carefully in order to gain knowledge about diabetes and the challenges when facing diabetes Also the forums listed enables communication between other people facing diabetes Lastly bookmarks reference additional material that might be of interest these are created by the medial staff and other patients Diabetes Passport EMPOWER Information Material Forums Bookmarks Figure 70 Info Menu 4 9 1 Diabetes Passport The Diabetes Passport provides an overview about your patient data recorded at a consultation with your doctor When you choose the date of the consultation list see Figure 71 clue 1 the available patient data of this consultation will be displayed

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