I need help creating an Event Response Table that shows at least 5 Scale2 events from the case study below. An events response table identifies each event(i/e/, an input stimulus that triggers the system to carry out some furntion) and the event responses resulting from those functions. We use it to define all of the conditions to which the sytem must respond. To start, we must name the events and classify them as business, temporal, or signal events.

CASE STUDY (Assisted Living Facility utilizing new technology):

Healthy Air, Healthy Water, Healthy People

A safe and healthy environment supported by connected devices/sensors, or the Internet of Things (IoT) is now well within the reach of many people. However, too often new technologies do not benefit those who need them most: elderly, infirmed and vulnerable residents who are unable to afford this level of protection. The public sector already plays a critical role in protecting the most vulnerable around us, and can now do it more effectively and efficiently with IoT.

Note about the Scale2 Project

Scale2 is a real project being developed for real users in an assisted living facility that is sponsored by a county government. The residents of the facility receive rent subsidies on a sliding scale; the facility is intended for use by those county residents who need financial and other supports to be able to live on their own. An assisted living facility offers fewer clinical services than a nursing home. Residents do not receive regular nursing care from the assisted living center staff there are no medical personnel on the premises. If needed, they may hire their own caregivers who may stay with them to provide needed support for daily living (e.g., bathing, getting meals, etc.). Residents who need skilled nursing care must move to a nursing home.

Scale2 will not capture or retain any health care information on its own. Instead, it will provide a list of personal health records credentials for each consenting resident. During a medical emergency, Scale2 will seamlessly provide these credentials to the authorized emergency medical technologist for a view only access to a limited set of health care data (including current diagnoses, current medications, known allergies and most recent vital signs (if available). Access will be audited for accountability and no one will be able to access any of the clinical data outside of a declared medical emergency.

Scale2 User Profiles

Hector

Its the evening of June 3rd and Hector is home alone in apartment 3B. Hector loves to bake. Hes expecting his grandchildren to visit in the morning and decides to prepare some pastries the night before. He preheats the oven and begins to prepare the ingredients when he realizes that he does not have everything he needs. He leaves to walk to the corner store and get the extra ingredients. He remembers to turn off the stove but a faulty pilot light results in a free flow of natural gas into his apartment. Hes not around to smell the gas. However, the sensor in his apartment detects higher levels of the gas within minutes and sends him an alert to his phone. Normally Hector would have remembered to bring his phone, but this time it was left at home. After getting no response from Hector, the system alerts Bob the building supervisor via his cell phone. Bob gets the message, confirms that he can respond and is in the apartment within minutes. He shuts off the gas to the stove, opens a couple windows, and shortly after Hector gets home. Hector decides to take his grandkids out for breakfast in the morning instead.

Sally

On June 4th Sally wakes up promptly at 6:00am in her home, apartment 3F. She gets out of bed, lifting herself into her wheelchair. She begins to prepare her coffee and as it brews she takes her morning shower. As she turns on the water the flow sensor in her shower head activates a small sensor that monitors abnormal vibrations in the shower, in other words, falls. She hoped this feature would never be needed, but today it was. As Sally reaches for something, she slips from her seat and hits her head, rendering her unconscious. The sensors detect the fall and a small red button in the shower lights up. Sally does not respond after a ten second delay and as a result, the sensor cuts off the water as a precaution. The second level of response is then initiated. Due to her disability, Sally lives in an independent living facility with a building supervisor available on call. The Bob the building supervisor receives an alert on his cell phone that there is a possible problem in apartment 3F. The alert asks for confirmation of his ability to respond. This morning he happens to several apartments away fixing a broken stove and is able to be in her apartment within a minute. Bob finds Sally and calls 911. She regains consciousness shortly after the paramedics arrive and is taken to a local hospital for evaluation.

Irma

Irma beats her 6:30am alarm, again. Her body clock wakes her up at 6:29am in her home, apartment 2A. She turns off the alarm and heads to the medicine cabinet in her bathroom. She checks her blood glucose. Her fasting blood glucose is 139 mg/dl and it appears to be in the proper range. The reading registers in the systems that helps monitor her vitals. As she cooks her breakfast she is reminded to check her blood pressure. It is 104/68. She sits down to rest for a moment and begins to drift off. She wakes up in a room full of smoke. She stands up as the smoke alarm in her apartment begins to go off. She is incapacitated by the smoke and falls to the floor. This alarm does more than just blink and make sound. It sends a signal to two people: her and Bob the building manager. She does not respond within the set time and neither is Bob, who is busy attending to a Sally two floors away. The alert system the alarm is connected to then sends an alert to the fire department. At the same time the system alerts all of the building residents with a targeted alert. A possible fire event has been detected in the building. Please evacuate via the nearest emergency exit. The fire department arrives several minutes later, much sooner than they would have if not for the automated alert. Many residents have already left the building. They locate Irma and an ambulance transports her to a local hospital. The fire department puts out what amounts to a small kitchen fire, but could have been much worse.

Chuck

Chuck, a chronically ill patient with congestive heart failure, has also been ill with pneumonia lately. His only family members live many hours away and a home health aide has been hired to check on him every couple of days. He is taking medication and has several medical devices in his apartment to help manage his congestive heart failure. These include a respirator, a pulse-ox device (for measuring heart rate and oxygen saturation), a blood pressure device and a single-lead ECG machine. These are integrated into the HomeICE personalized medical device interface^[1]. HomeICE provides access to his current and previous medical device readings on a dashboard that runs on a web browser in a tablet or on a personal computer. HomeICE may be accessed by Chuck and by those he has authorized (his home health aide, his family members and his clinical care team (nurse and physician) at MoCo Medical Center.

On this morning, June 4th, the home health aide arrives to check on Chuck and make sure that he is taking his medication but finds that there has been a small fire and no one is being allowed to enter the building. She leaves Chuck a message that she will return either later in the day or the next day. It does not register with her that the air in his home, apartment 3H might be affected by the smoke from the fire and she is also unaware of a small gas leak in a nearby apartment the night before. Chuck sleeps through the alerts and when awoken by the commotion from fire trucks he decides he should try to leave. As he slowly gets dressed it becomes harder and harder for him to breath. He sits back down and tries to gather his strength and breath. Suddenly the phone rings. The air quality sensors in his apartment have detected higher than normal levels of natural gas and particulates in the air. The system has alerted him, his home health aide, building supervisor and family by automatically placing them on a conference call. Chuck is too weak to reach his phone and the supervisor is preoccupied with the events in the building but the aide and his family answer. The aide lets the family know she was unable to get into the building that morning and the family realizes that Chuck is not responding. They log into his HomeICE dashboard and realize that his vital signs have deteriorated since that morning.

The system asks the family if they would like to be connected with emergency dispatch. The 911 operator joins the call and they inform the dispatcher of the situation and Chucks health condition. The 911 operator radios to the firefighters on the scene and they find Chuck in apartment 3H barely conscious. The building supervisor shows them the HomeICE dashboard and they bring the tablet with them in the ambulance to the MoCo emergency room, where his aide meets him.

Julien

Julien is an Alzheimers patient living his wife, Celeste, in apartment 1E. Celeste woke at 6:00am and began her morning routine before Julien rose for the day. Realizing that theyd run out of coffee yesterday, Celeste put on her shoes and left for the coffee shop to get beans. Before she left, she activated a bracelet Julien wears with a radio transmitter that can relay his location in the building, or transmit a signal for triangulation if hes outside of it.

While she was out, the fire alarm sounded and the building was evacuated, Julien along with everyone else. He was able to leave the apartment with the other evacuees; the bracelet recognized that he was leaving the building and activated the out-of-building tracker. Once outside, he looked around, not recognizing his new surroundings.

Confused, Julien wandered around the corner in hopes of finding a familiar place or a familiar face.

By the time Celeste had navigated the morning crowd at the coffee shop, returned with her beans, and walked back to the senior living facility, the fire was contained and residents were evacuated. Shed received a text message while she was out, alerting her that Julien had left the building with his bracelet on, but hadnt seen it in line at the coffee shop--she kept her phone in her purse and hadnt felt or heard it in the bustle. She quickly scanned the milling crowd for Julien, becoming more and more alarmed when she couldnt find him. Celeste hurriedly rooted through her purse, which had a text waiting, asking if she wanted to publish the radio transmitter identifier to the police and issue a Silver Alert for Julien.

YES

The response kicked off an alert to Bob, asking if he knew where Julien was. Bob couldnt answer his text, occupied with other events in his building. Ten minutes after Bobs lack of response, the service issued a Silver Alert to the local police department, along with the unique identity of the radio bracelet. Each police cruiser in the district receives the Silver Alert update, including the last known location of Julien, his senior living facility. Two cruisers diverted along the roads leading away from his apartment, both looking for Julien and gathering signal data. Soon, they collected enough data to triangulate his position to within a block--the converged on that area and found him wandering across the street. Guiding him gently into the cruiser, the police returned him to Celeste before any real harm was done.

Firefighter Steve

Firefighter Steve is a battalion chief at station 17. Station 17 is a joint fire and EMS service station. A midsized senior assisted living facility is located in his area. Shortly after 6:50am on June 4th a call comes in regarding a possible fire at the senior assisted living facility in apartment 2A, where Irma Johnson lives alone with her cat. His crew had already been to the building earlier in the morning after a resident had fallen in the shower and his ambulance crew was transporting the patient to the hospital. He requests assistance from the closest ambulance. Both an ambulance and a fire truck are dispatched to the facility. En route Steve pulls up the preplans of the building. The building is equipped will cell phone detection sensors that can be activated in an emergency. It is also equipped with atmospheric sensors in each dwelling. Steve can see that residents appear to be evacuating the building by the movement of phones towards exits. He sees that the phone in apartment 2A is not moving. He can tell that the temperature in 2A is elevated with significant amounts of smoke. None of the other units have elevated temperatures and only slightly elevated amounts of smoke. Steve feels confident that there is in fact a small fire in the apartment but that for the moment it is contained. He is also able to see that one of the two nearby fire hydrants has very low pressure, so he positions his trucks to use the hydrant with proper pressure. He arrives on the scene, sends his men directly to apartment 2A where they promptly evacuate Irma and put out the small fire in the kitchen. While on the scene Steve gets a radio call that there may be a resident in distress in apartment 3H. Bob the building supervisor is working with first responders and provides remote access to the unit. When Bob requests emergency access he is notified of an isolation request put in place by the resident to ensure his infection doesnt spread. Bob alerts first responders so that they can take the appropriate precautions.

EMS Tech Sumiko

EMS Tech Sumiko and her crew were the closest unit when the call came in for assistance. En route they get word that there may be a resident by the name of Irma Johnson in distress in apartment 2A. When they arrive, first responders enter Irmas apartment where they immediately retrieve her HomeICE monitoring device. They assume she has suffered from smoke inhalation but they are immediately given access to her HomeICE dashboard and see that she is diabetic and had a normal blood glucose level approximately 30 minutes earlier. So they hold off on an insulin injection until they can check her levels further. Irma is admitted to a local hospital where she will be monitored for several days. In the meantime, she grants her neighbor access to her apartment from her cell phone so that her cat can be fed.

Bob the Building Supervisor

In the aftermath of a very hectic day at the apartment complex, Bob gets some well deserved rest but continues to monitor the health of his building. A June heat wave is causing air quality issues and the lingering smell of smoke has caused many residents to leave their windows open. Indoor and outdoor air quality sensors detect some lingering problems with particulates in the air and dangerous ozone levels outside. Given the high number of respiratory issues in his building some residents are relocated temporarily and extra fans are distributed to residents. Small LED indicators inside the apartment of each resident with a respiratory concern light up either red, yellow or green depending on the air quality factors outside the building.

Non-Event Use Cases (Not Driven by Emergency Response)

Bob the Building Supervisor

One of Bobs duties is keeping the residents comfortable and balancing that with keeping HVAC costs under control. By gathering temperature data and HVAC run time data from various areas of the facility, including individual rooms, and common areas Bob can more rapidly detect problems with the building HVAC system. Using smart building algorithms Bob can better manage energy efficiency and participate in energy demand response events. Using additional air quality sensors throughout the building Bob can also monitor levels of dust, mold and pollen to help identify optimal times for air filter changes or modifications to the HVAC.

Thank you!

^[1] HomeICE is an open source-based clinical dashboard using the MD PNP architecture. See http://www.mdpnp.org/MD_PnP_Program___OpenICE.html