The PICASO project is in its final stages with only three more months to go and we are eager to share the accomplishments of the project. We would therefore like to invite you to join us at our interactive webcast: The PICASO Innovative Solutions for Integrated Care on 26th March 2019 at 10:00CET. To join click here.

This first of two webcasts will be aired live on 26th March 2019 at 10:00CET. To participate in the webcast click here. In this link you can also see the agenda and choose to receive a reminder 24 hours, 1 before and when the webcast starts. and you can participate and see the agenda here. The webcast platform allows online viewers to participate in the debate via an easy to use chat function.

In this post you can read more about the PICASO results that will be presented and discussed at the webcast. We hope that you will join us on the 26 March.

Agenda Tuesday 26 March 2019, 10:00-11:30CET


Workshop and Webcast:

The PICASO Innovative Solutions for Integrated Care

10:00 Welcome by Carlos A Velasco, Project Coordinator

Instructions for live online participants by Jesper Thestrup, Webinar Moderator



PICASO technical overview and architecture, by Peter Rosengren, CNET
Q&A session


The FHIR platform as an interoperability basis. Clinician Dashboard overview, by Carlos A Velasco, Fraunhofer
Q&A session


Web based technologies employed in integrated data visualisation (Data Resource Browser, Patient Data Viewer), by Jan Hreno, TUK
Q&A session
10:50 The PICASO Risk Manager and DIVA, by Armanas Povilionis, INUIT
Q&A session
11:05 Patient Dashboard, by Peter Rosengren, CNET
Q&A session
11:20 Summary and final comments
11:30 End of webinar

Presentation Abstracts

The following five topics will be presented at the workshop that will be webcasted live on 26 March 2019.

PICASO technical overview and architecture
Presented by Peter Rosengreen, CNet Svenska AB

The PICASO integration platform is built on a federation of multiple external and internal cloud solutions in order to match the needs of future care provision, while still respecting the legacy structure of today’s health care systems. The platform consists of three major cloud subsystems:

  • Multiple legacy care information systems, each operating as a private cloud or cloud-like internal business structure with strict access control and limited access rights, including secure storage of patient data. The PICASO care management system (for creating care plans) is located inside the secure private cloud due to the need for accessing multiple critical data repositories
  • The PICASO integration platform operating as a public cloud solution and providing the central integration service platform, such as management of secure data exchange between the multi-disciplinary actors, secure data collections from patients’ homes, and secure execution of care plan services
  • Multiple patient and environment monitoring systems running in the patients’ homes. Each of them exposes cloud web services and are thus regarded as the patient’s ‘private cloud’.

The FHIR platform as an interoperability basis. Clinician Dashboard overview
Presented by Dr Carlos A Velasco, Fraunhofer Institute for Applied Information Technology FIT

This presentation will describe how we use the HL7®/FHIR®© standard to leverage our platform by enabling interoperability across distributed data sources coming from different health institutions and service providers. The project has developed the Reference Data Server (RDS), which is built upon a scalable NoSQL database that supports data clustering. The Reference Data Server offers a standard REST interface (also based upon the FHIR specification), supporting the extensibility of the functionality for different target groups.

Within PICASO it is used to store standard and customised code systems and value sets, medications, and templates that support the creation of services for patient care plans.  The Clinician Dashboard is part of the PICASO Integrated Care Platform, providing a tool for sharing patients’ care plans across multi-actor care spaces from different institutions and service providers. The platform dynamically adjusts the content and management of the delivered care services, to ensure that they are always adapted to the patient’s personal health status and ability.

Web based technologies employed in integrated data visualisation (Data Resource Browser, Patient Data Viewer)
Presented by Jan Hreno, The Technical University of Kosice

Several aspects of clinical data browsing were considered for combining available visualisation technologies to present information to a clinical professional. The requirement for a quick overview is met by presenting an interactive mind map-like structure with the patient in the centre and providing the latest available observation values as nodes related to the patient. Tables, charts and timelines are then used to further investigate available data in detail, including historical data if available. Different time-specific data can be also compared on one common timeline, if needed. The developed visualisation tools provide plenty of features that support clinical professionals, creating an overview of the health status of patients with comorbidities, thus explicitly recognising possible conflicts in the treatment plan

The PICASO Risk Manager and DIVA
Presented by Armanas Povilionis, Fondazione Inuit Tor Vergata

The Risk Manager provides patient-specific risk estimates at the clinician’s fingertips. A selection of risk scores from standard risk charts as well as novel risk scores that use machine learning to fuse data from the entire patient history into a single integrated risk score  are deployed in one single tool. This includes the effect of co-morbidities as well as genetic, social and behavioural data. Such an integrated simulation tool allows the clinicians to explore with their patients what lifestyle changes will have the strongest impact on improving outcomes.

DIVA (DIstributed Validation Authority) ensures that data is only shared if all policies and transaction-specific privacy and security requirements are met. DIVA is combination of three components: Access Manager, Identity Manager and Policy Manager which ensures the following:

  • A secure connection to the PICASO Public Cloud and secure communication between Public and Local Clouds
  • That all actors are identified and authenticated while accessing PICASO services and that access to data is gained only if all necessary requirements are met
  • That data transactions are valid and compliant with pre-defined consent policy rules

Patient Dashboard
Presented by Peter Rosengreen, CNet Svenska AB

Measuring and monitoring of physiological parameters at home have clinical benefits and positive effects on the quality of life for chronic patients, because patients can play a more active role in their own care. The PICASO patient solution entails an easy-to-use dashboard where patients can measure important physiological parameters and monitor their health status for increased knowledge, a better overview and more control. The main functions include:

  • Care plan diary with schedules for medication intake
  • List of health measurements to do
  • List of clinical appointments
  • Integration of multiple care plans for easy overview and adherence
  • Sharing of monitored data with relevant stakeholders based on informed consent.




We hope that you will join us on 26th March 2019 at 10:00CET.

The PICASO Innovative Solutions for Integrated Care