08:00 - 09:20
Matthias Frohner (HealthConnect & UAS Technikum Wien)

Welcome to the eHealth SuS 2021! Join us for a virtual coffee with the speakers and use this time slot to ask questions regarding the proceedings of this week. Let us start the week right by getting to know each other!

09:20 - 09:30
Rita Castanheira, Carla Amaral, Stefan Sauermann

During the opening ceremony, you will be welcomed by the CEO of Centro Hospitalar Trás-os-Montes e Alto Douro (CHTMAD) Rita Castanheira, the Pro-Rector Carla Amaral from UTAD, and the vice-rector of the University of Applied Sciences Technikum Wien Stefan Sauermann. Let's start this year's summer school with some insights and thoughts on medical pathways and eHealth approaches. We are eager to meet you!

09:30 - 10:30
Nelson Pacheco Rocha (University of Aveiro), Matthias Frohner (UASTW)

Topic Details: eHealth Research, Telehealth and Telecare

Nelson Pacheco Rocha - eHealth Research

Matthias Frohner - Telehealth and Telecare - Example Project Linked Care

11:00 - 12:30
Filipe Mealha (SPMS - PT) & Stefan Sauermann (UASTW)

Topic Details: IT and mobile data infrastructures in regional, national and international scales

Filipe Mealha - Powering health data with interoperability in Portugal

• Context and landscape of the Portuguese National Health Service information systems ecosystem;
• State of the art of technical and semantic interoperability and the Electronic Health Record in the Portuguese National Health Service;
• How interoperability leveraged the Covid-19 Digital Certificates in Portugal

Stefan Sauermann - National Electronic Health Record of Austria

A walkthrough of the Austrian Electronic Health Record System ELGA. From the beginning, towards the implementation and recent numbers.

09:00 - 10:30
Dario Carreira (CEISDTAD), João Pavão (UTAD) and Philipp Urbauer (UASTW)

Topic details: Cyber Resilience for Health Services and Infrastructures: Emerging Challenges, Security aspects in healthcare systems

Philipp Urbauer - IT-Security: The Human Factor

João Pavão - IoMT Cybersecurity Risks

The same way the IoT technology grows in our everyday life, so IoMT technology grows in the healthcare context. How perceptible to health professionals are the cyber-risks of using connected medical devices? Wherefrom those risks come from? How can they be mitigated? The first step is awareness. That’s the main goal of this presentation; the second step is a consequence of the first: to involve health professionals in the discussion about cyber-risks related to IoMT in a healthcare organization; the third step, also the secondary goal of this presentation is to show that only an integrated program can provide mitigation of those risks. That integrated program is called cyber-resilience (Note: cyber-resilience is not presented in this presentation).

Dario Carreira - Cyber Resilience for Health Services and Infrastructures: Emerging Challenges

The healthcare industry has the highest average cost associated with data breaches, about 6 million € and a data breach lifecycle of 329 days, 96 day more than the industry average. In fact, four-fifths of executives at healthcare providers and payers say their information technology has been compromised by cyber-attacks. To make matters worse, during the pandemic situation, many healthcare organizations have experienced revenue losses of as much as 30 to 50 percent.

11:00 - 12:30
Matthias Frohner (UASTW)

Topic details: Electronic medical reports in patient and public healthcare. Communication requirements and application examples within and across hospitals.

Matthias Frohner - Clinical Documents and Interoperability

Clinical Documents are meant to share medical/health information between the healthcare providers and the patient. Using modern IT-technologies to share these information the “simple” exchange of a MS word document or pdf is not sufficient. Technology should assist a treating physician and should not demand the physician to search in countless documents. Therefore, software should be enabled help searching. Requirements that are place on such documents are discussed, the HL7 CDA standard is introduced and the process how HL7 CDA can be implemented is demonstrated.

09:00 - 10:30
David Gonçalves (BBraun), Monica Costa (CLINIFAR), Pedro Santos (UASTW)

Topic Details: From History to Present & Mobile Nursing Stations. Intensive Care Solutions to Clinical Decision Support Systems

David Gonçalves - At the ICU bedside – hardware, software and systems integration

Automated Infusion Systems (AIS) in the ICU, medical devices and software that help ICU daily tasks and integration with other clinical and hospital IT solutions.

Monica Costa - M-Connect IT–Solution at the Centro Hospitalar Trás-os-Montes e Alto Douro – Present and future

Analysis of the Monitoring model and IT solution installed in CHTMAD. Expansion possibilities and benefits for users.

Pedro Santos - Clinical Decision Support Systems

The two faces of Clinical Decision Support Systems.

11:00 - 11:40
Antonio Martins (HL7 - PT, Sectra)

Topic Details: Interoperability in Health

Problems around lack of interoperability. Standards. Interoperability definition. Challenges and solutions in the healthcare interoperability area.

11:50 - 12:30
Jose Paulo Carvalho (Hope Care SA)

Topic Details: From requirements to solutions in multi-professional scenarios challenges for professional nursing services within communities.

Jose Paulo Carvvalho - Digital Health, the new challenge for Healthcare?

The pandemic has challenged the status quo of health organizations. It means that what was taken for granted is no longer so and that it is necessary to change enormously the way health care is provided. Digital systems have demonstrated that new care pathways, such as video consultation, telemonitoring patients at home, developing new care techniques, new vaccines, all this is possible.

09:00 - 10:30
Gustavo Norte (CHTMAD), Eurico Gaspar (CHTMAD), Mathias Forjan (UASTW)

Topic Details: Simulations to improve team performance. Emergency situations in Paediatrics and Neonatology (from single-process training to holistic simulation).

Gustavo Norte - Simulate to improve team performance

Medical simulation has been growing worldwide and has been applied not only to improve technical and clinical performances but to enhance teams communication, decision-making and work-flow. In this presentation, we will discuss the history and purposes of medical simulation use, simulation modalities characteristics, non-technical skills in simulation and future perspectives of medical simulation.

Eurico Gaspar - Emergency Situations in Paediatrics and Neonatology. From single training process to holistic simulation

The daily clinical practice, necessary for health care in institutions, has to respond to the patient's needs, in a fast, uniform, up-to-date way, that leads to the best final result for patient's treatment with the least possible risk. This practice must also be, standardized and understood by all stakeholders, in a clear way, allowing for teamwork with knowledge of the various individual skills. Two emergencies in Paediatrics and Neonatology are presented, rare, but needing quick response. The approach of new-born’s in their birth process and hospital treatment of seizures require teamwork, in a coordinated and rapid manner, to avoid serious complications for the patient or even death. Conventional training in conventional theoretical sessions, practical work or demonstration of procedures, is not enough to obtain better knowledge and perception of the functioning in a real environment. The simulation aims to respond to the best approximation of the real environment. A better knowledge of leadership attitudes and teamwork can be achieved, with the perception of operating times and identification of the best response to deviations to the procedure rules. The entire process takes place without risk to the patient. It requires the definition of standards for scientific performance, with standardization of procedures and their use, as well as a great technological support to bring the entire environment closer to the patient's reality.

Mathias Forjan - The ICU at the University of Applied Sciences Technikum Wien

11:00 - 11:45

Ricardo João Cruz-Correia (University of Porto, Faculty of Medicine)

Topic Details: Action plan for the digital transition. The digital transformation in health and its impacts at the socio-economic level.

Ricardo João Cruz-Correia - The need for interoperability

• Health ecosystem
• The need for communication
• Interoperability levels
• Opportunities and challenges in interoperability

11:50 - 12:30
Luís Torres Pereira (UTAD), Eduardo Pires (UTAD), Argentina Leite (UTAD)

Topic Details: Biosignals, Biostatistics and Classification of Signals

Luís Torres Pereira - Biomedical signals data acquisitions

Biomedical signals are mainly analogue and sig information in the real world. These data can be acquired and processed for useful applications. Data acquisition is the process of sampling signals that measures real world physical conditions and converts the resulting samples into digital numeric values that can be manipulated by computer. Data processing is, broadly, “the collection and manipulation of data to produce meaningful information”.

Eduardo Pires - Classification of data

Classification is an essential field of machine learning and data analytics problems that assign a class label to examples of a problem. In this talk, the major classification steps are enumerated, and the most popular classifiers are presented.

Argentina Leite - Biostatistics and classification of signals: The analysis of Heart Rate Variability (HVR)

The characterization and classification of the dynamics of a system has become an important problem, namely in cardiovascular systems. The analysis of Heart Rate Variability (HRV) has proved important to assess the integrity of the cardiovascular regulatory system. This presentation focus on the detection of diseases from the HRV series using an artificial neural network. First, non-linear methods are used to extract sequences of features that characterize the HRV series. These time sequences are then used as input for the network.

09:00 - 10:30
Telmo Fonseca (B-Simple), Sergio Prata (B-Simple), Mathias Forjan (UASTW)

Topic Details: Medical Room Planning - Requirements, concepts and new tools. Hospital data analysis, data visualisation and accessibility.

Telmo Fonseca & Sergio Prata - Bsimple PatientCare ICU – supporting ICU medical decisions and care plan?

The PatientCare software is a platform integrating several data input sources which provides a global clinical record during the ICU stay. While supporting the physician with different data from other systems, calculated scores and nursing assessment, the Nursing team will also benefit with a detailed care plan while making sure nothing is missed out during difficult shifts and respecting every ICU assessment and decision. Besides the basic demographic information, diagnostics and drugs in the ward inserted in the Hospital information system, the platform receives real-time monitoring and ventilation readings, lab results, blood gas results, renal replacement therapies, infusion pumps and ECMO readings. All the information gathered continuously fills the different forms for each record, while collecting data to trigger alarms and focus on each patient, like low readings for a specific sample or positive results from a specific pathogens. The user receives alerts regarding the patient while documenting their daily care, without the need of accessing different software. Highly personalized, PatientCare is the evolution of our ICU platform used in most ICU’s from  Portugal and several others in Spain. With this software we aim to continue the path to the best informed care while adopting the latest technologies from software development and medical device integration.

Mathias Forjan - Simulation used in Medical Room Planning

10:30 - 11:00
Paulo Nunes de Abreu (Digital Health Portugal and Health Data Forum Firestarter)

Topic Details: Digital Health Portugal is a civil society initiative that congregates founders, guest CXOs and top managers from a mix of Portuguese organizations comprising patient associations, health services and technology providers and the Ministries of Healthcare in mainland Portugal and the autonomous regions of Madeira and Azores.

Paul Nunes de Abreu - Digital Health Portugal Initiative

Digital Health PORTUGAL is born out of the need to lobby for the Portuguese healthcare technology offer, and the creation of international demand for digital health products and services. Digital Health Portugal is a civil society initiative, a concept that is halfway between a simple network and a community, that joins founders, patient’s associations, company managers, healthcare services, technology providers, and Portuguese ministry of Healthcare and the autonomous regions of Madeira and Azores

11:30 - 12:30
Monika Moritz (City of Vienna MA15 and UASTW), Matthias Frohner (UASTW)

Topic Details: Data Protection and Ethics

Monika Moritz - GDPR and Ethics at the Vienna Public Health Association

Matthias Frohner - Introducing the MEESTAR Model