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Judy-ss edited this page Oct 14, 2020 · 35 revisions

1.Overview

2. Background


SMART is a standards-based health technology platform, composed of source tools, publicly accessible libraries, and open standards, allowing innovators to create applications that can run safely in the healthcare system. The SMART technology is significant to Australian healthcare system as it is highly secure and can provide seamless user experience when run across any healthcare system (Pais, Parry & Huang, 2017).

FHIR is used for resources expansion and adaptation, and no matter how the system is developed, any system can interpret it. FHIR stands for "Fast Healthcare Interoperability Resource". HL7 developed FHIR as a standard in response to the growing use of EHR. FHIR is an interoperability specification for the exchange of healthcare information electronically, as the healthcare industry develops, data interoperability has always become a critical issue for care providers to attract patients, improve the efficiency of clinical workflows, and achieve better medical outcomes. The aim of using FHIR is to try to solve the increasing problem of digitalisation in the healthcare industry and simplify patient medical records to make them easier to access, understand and discover (Levin, 2019).

Therefore, SMART is related to technology of application part, and FHIR is related to data. These two concepts combined together to create a framework for building a medical application without rely on a specific supplier. SMART on FHIR has been wildly used in Australia healthcare system. The SMART Universal Health Application Platform can help integrate FHIR clinical data into one data store through an unlimited user interface. It also can help healthcare providers deploy applications faster and also help users to phase out outdated applications without losing data (Radović, 2019).

Diabetes is a chronic disease. It occurs when the pancreas cannot produce enough insulin to control blood sugar levels or the body develops resistance to insulin.

Diabetes is the biggest challenge to the Australian health system in the 21st century. Diabetes is the fastest growing chronic disease in Australia. Compared with other chronic diseases such as heart disease and cancer, it grows faster. In Australia, about 1.7 million people have diabetes. Diabetes also could cause many complications to patients such as Blindness, Heart disease and Kidney disease, etc.

The purpose of diabetes treatment is to control blood glucose levels (GLU) as close to normal level as possible, so that can prevent both long-term and short-term complications. The diabetes treatment is managed by deliver insulin through a pump, while regularly monitoring of blood glucose levels, taking regular exercise, and following an eating plan and healthy diet.

3. Target user

4. Prototype

4.1 structure and flow
2020-09-15-16-30-35

5. Testing and feedback

5.1 Paper
157431602171375-pic-hd


5.2 Paper TESTING:


Task
1.check the status of the pump battery.
2.Add new diet and personal training.
3.Check the PT that you have done today
4.check the calories of carbohydrates
5.check the GLU curve within 24 hours

Observation 1 Most of the task can be done easily. Took a long time on think about the input of an additional new diet and personal training. Suggestions: Add more specific details about what should input when adding a new diet.

Observation 2: Didn't understand what the meaning of the cube, time? Suggestions: Add descriptions to GLU, DIET and PT

Observation 3: Had a question about the add new diet, the user said what if she doesn't know the total calories of her diet? Suggestion: Add a calorie calculator, so that the user can clearly know the total calories.

Observation 4: Most of the task can be done easily. suggestion: The device status list should be re-ranged, grouped by reminding day and percentage, don't mix them.

Observation 5: Confuse about the colour on the PT page, why there are deep green and light green? Are they represent the same activities? Suggestion: Add more explanation about the colour on the PT page.


5.2 xd 1.0


Link: https://xd.adobe.com/view/e3521436-0089-4b53-823d-1b8ca2a8eb1b-b601/


5.3 USER TESTING1.0:


Task
1.check the connection status of the pump.
2.Add diet after eat an apple.
3.Check the Personal Trainings that you have done yesterday.
4.Check how many carbohydrates you can intake today

78 female Most of the tasks can be done easily, however, the “Adding” button misled her, she thought only the button on the diet page can add a new diet.

  1. The best features of this tool were to check the personal Training.

  2. The worst features of this tool was the "adding" she thought the Add button on the device status page is used to add a new device rather than add new diet and personal training.

  3. I suggest the following improvements for this tool is that make the “adding” button more navigational.

76 Male Most of the tasks can be done easily, but the remaining intake percentage of carbohydrates make him feel inconvenient.

  1. The best features of this tool was check the status of devices.

  2. The worst features of this tool was Check how many carbohydrates you can intake today.

  3. I suggest the following improvements for this tool is that not use percentage to show the remaining carbohydrates, because users don’t know the total carbohydrates that they can intake, should give them a more specific number.

Male, 22 years old, major in sports science In addition to not finding the entrance to add functions, because I am a young man, I have a lot of experience in using the app and it is very smooth to use.

  1. Reset the position of the icon to be added. You can't know what is added before you click in.

  2. Since the training standard is a week as a unit, the training page can be directly turned into weekly

  3. According to Australian health instructions, there is a difference in intensity for 150 minutes a week. For example, in exercises with a heart rate greater than 80%, the calculation time can be multiplied by two.

Female, 52 years old, mild diabetes The abbreviations for blood sugar and personal training on the main page are not clear, which leads to a long time spent on understanding. I was very hesitant when I was looking for additional functions. I clicked on the food interface before I clicked the add icon.

  1. The icons of equipment and settings cannot be understood at once and can be changed to bells and the like

  2. You can add some explanations for each device component

  3. Add function can only add diet and training, you can not add the function in the device and setting interface


SUS result 65.5


5.4 xd 2
5.5 code

6.code description

7.future plan

8. Team work and weekly log

In google doc

9. Reference list


Dave Levin 2019 What is FHIR? https://datica.com/blog/what-is-fhir

This means that all Australians need to exercise 150-300 minutes(5h) a week
https://www1.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines#npa1864


"On average, people with diabetes should aim to get about half of their calories from carbs. That means if you normally eat about 1,800 calories a day to maintain a healthy weight, about 800 to 900 calories can come from carbs. At 4 calories per gram, that’s 200–225 carb grams a day."
https://www.cdc.gov/diabetes/managing/eat-well/diabetes-and-carbohydrates.html

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