Alerts and measurements

Alerts and measurements are the key building blocks of Luscii. Everything within Luscii revolves around patients taking readings or filling out questionnaires. These actions generate measurements that are sent in to the Luscii platform. They are also projected to FHIR Observations that can be shared with other systems.

The type of measurement and the way it is interpreted can be extensively configured within the Luscii builder. These measurement types are called Instruments within Luscii. Instruments are used to take measurements, and as such, define the type of measurement that is taken. To make instruments more interoperable they can also be assigned a Snomed CT code to indicate what type of value they generate.

Once the measurement is sent in, the Luscii platform analyzes the measurement. Based on the configuration for the specific patient, it will check if it needs to generate an alert for the patient or not. Alerts can be generated based on individual measurements or on a combination of measurements. The alert also contains a priority, to signal how important it is to assess this patient. Alerts are projected to FHIR Flags that can be shared with other systems.

Alerts can be generated based on incoming measurements, but can also be generated from other situations like patients forgetting to do a measurement or not following their measurement schedule or when leaving a comment for the healthcare provider. This is all configurable within the Luscii platform.

Programs

Every care pathway has its own program in Luscii. Programs are created by Medical Developers - i.e., doctors and nurses that have received specific training from us and are certified by us. Programs describe a full configuration of everything that can be personalized for a patient. Programs contain, among other things:

1. The types of measurements that the patient can do
2. The measurements schedule
3. The alert configuration
4. Notification settings sent to the nurse and patient
5. Patient information and education lessons
6. Important moments during the course of treatment
7. Care network settings

Patients and accounts

Patients can have one or more accounts within Luscii. Each patient account has one Program associated with it. Hence, if a patient needs to be enrolled into multiple programs (because of comorbidities for instance) multiple accounts will be created for this patient. A patient can be logged in to multiple accounts at the same time in the Luscii app, and alerts are automatically routed to the right care network for that specific disease.

Patients have a flexible set of identifiers, based on the interoperability needs of connecting systems. Internally, patient accounts have a UUID and a unique username (often the email address, but not necessarily the email address) that is used to identify them. Next to that, accounts can be associated with other, external, IDs, like BSN (dutch social security number), NHS number, workflow ID, etc.