In Germany, 300 thousands of specialised caregives have to invest daily 2 hours of their work in order to document the activities that they are doing with the residents of the nursing homes. This is due to the regulatory requirements that mandate that documentation, and the reviewing organisations that are in charge of assessing the quality of services delivered.
What it does
Instead of writing papers, or typing on PC, the same data is collected with IOT devices and automatically delivered to the database. A simple user interface allows nursing home manager and regulatory authorities to verify. Through use of digital signature, no data can be "faked" and therefore even the quality of service beinig improved
How we built it
Using FHIR as semantic representation layer allows to reuse existing components and rapid prototype yet wiith scalabilitiy and maintainabilitiy included. Therefore we reused the approach developed for the #wirvsvirus hackaton of embedded IOT with FHIR, https://github.com/lucatoldo/fhir-ebutton, the public FHIR database, and are going to extend that with a FHIR UI reusing the available open source one from https://sap.github.io/openui5-fhir/ A first prototype of the front end is implemented using https://thingsboard.io
Challenges we ran into
Extremely little time available for proper implementation and for connecting with wider audience of stakeholders.
Accomplishments that we are proud of
Quickly established trust relation between problem "owner" and technology provider. Very high reusability of existing approaches.
What we learned
The high bureaucratic need of nursing homes, the great impact that FHIR and IOT technology can give to practical society problems.
What's next for Intelligente Pflegeheim : Zeit mit Bewohner/Innen statt PC
Acceptance required by various stakeholders is needed:
- regulatory organisations
- device manufacturers
- software companies
Additionally, it could also be expanded to mobile-pflegedienste that with the exception of Heimordnungsgesetz have the same documentation requirements ! (last minute contribution )