Development of a flexible and interoperable architecture to customize clinical solutions targeting the care of multimorbid patients

According to the European Union, the European health care sector is still lacking adoption of healthcare standards and interoperable solutions [11] [13]. The EU expects through the exchange of interoperable health data (i) a better access for the European citizens to health services, (ii) increasing patients' sovereignty and empowerment and (iii) a better service provision through the access to health data for research and innovation, policymaking, and regulatory decisions. To address this challenge, we present in this paper some further developments of our distributed and interoperable e-health framework [47] [23] [42] [34]. We extended the architecture with a streamlined and customized design thinking process to rapidly acquire software requirements and specifications. This paper is designed as a proof-of-concept around the Horizon 2020 research project ESCAPE. User requirements and specifications were gathered using the design thinking process and implemented in the flexible architecture. The result is a comprehensive and customized clinician dashboard which is embedded in the interoperable architecture as a customized clinical solution for care managers in an intervention of multimorbid patients.