05 Laboratory Exercise 1
05 Laboratory Exercise 1
Laboratory Exercise
Identifying User Stories and Use Cases
Objectives:
Instructions:
Medical Monitoring technology has advanced significantly in the last decade. Monitoring that once required
a visit to a health-care facility can now be performed by devices located in a patient’s home or carried or
worn at all times. Examples include measures of glucose level (blood sugar), pulse, blood pressure, and
electrocardiogram (ECG). Measurements can be transmitted via telephone, Internet connection, and
wireless data transmission standards, such as Bluetooth. A particularly powerful technology combination is
a wearable device that records data periodically or continuously and transmits it via Bluetooth to a cell phone
app. The cellphone app can inform the patient of problems and automatically transmit data and alerts to a
central monitoring application (See Figure 1).
Health-care providers and patients incur significant costs when glucose levels are not maintained within
acceptable tolerances. Short-term episodes of very high or very low glucose often result in an expensive
visit to urgent care clinics or hospitals. In addition, patients with frequent but less severe episodes of high or
low glucose are more susceptible to such expensive, long term complications as vision, circulatory, and
kidney problems.
Sandi Medical Devices (SMD), an Albuquerque manufacturer of portable and wearable medical monitoring
devices, has developed a glucose monitor embedded in the wristband. The device is powered by body heat
and senses glucose levels from minute quantities of perspiration. SMD is developing the Real-Time Glucose
Monitoring (RTGM) device in partnership with New Mexico Health System (NMHS), a comprehensive health
delivery service with patients throughout New Mexico.
SMD will develop the initial prototype software for smartphones with Bluetooth capability running the Google
Android operating system. If successful, NMHS and its patient will have free use of the software, and SMD
will resell the software to other health systems worldwide.
As the project began, interviews with patients and physicians about potential RTGM capabilities and
interaction modes identified several areas of concern that will need to be incorporated into the systems
requirements and design. The relevant patient concerns include:
▪ They do not want to be the “first line of response” to all alerts. They prefer that nurses or physician
assistants be charged with that role and that physicians be notified only when frontline personnel
determine that an emergency situation exists.
▪ They want to be able to monitor and view past patient data and trends in much the same way as
described for patients.
▪ They want all their actions to be logged and patient-specific responses to be stored as part of the
patient’s electronic medical record.
REFERENCE:
Satzinger, J., Jackson, R., & Burd, S. (2015). Systems analysis and design in a changing world –
Course Technology. USA. Cengage Learning.