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Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization Promotion Office, National Institute of Information and Communications Technology [email protected] Joint ITU-WHO Workshop on e-Health Standards and Interoperability (Geneva, Switzerland, 26-27 April 2012)
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Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Mar 27, 2015

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Page 1: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Geneva, Switzerland, 26-27 April 2012

Healthcare ICT in disaster-stricken area and hints to e-Health standards

Masahiro KurodaManager, Standardization Promotion Office,

National Institute of Information and Communications Technology

[email protected]

Joint ITU-WHO Workshop on e-Health Standards and Interoperability

(Geneva, Switzerland, 26-27 April 2012)

Page 2: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Disaster Recovery Stage of 311

Geneva, Switzerland, 26-27 April 2012 2

Phase 0 (- 24h)Initial emergency

Phase 1 (-72h)Urgent

measures

Phase 2 (30days)Temporary measures

Cut lifeline utilities

Confusion by evacuees increase

Increase constipated people

20115 8 113

20121… …

2013

Health-check kiosk at a center Open centers in temp. houses

The second stage

The first stage

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Page 3: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

1 Year After the Disaster

Geneva, Switzerland, 26-27 April 2012 3

More than 344 thousand evacueesMore than 53 thousand temporary houses and 88 thousand rental housings900 temporary housing communities

Page 4: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Health-check Kiosk in Community

Geneva, Switzerland, 26-27 April 2012 4

Sphygmomanometer

Android

IC card

Sensor and IEEE802.15.6

Height

Management screenU

SB

co

ord

inato

r

Send measured data

A support center

To family doctor

BP 130 75…BP 135 80

Kiosk

他の仮設住宅群他の仮設住宅群

Scale

Community

Page 5: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Healthcare ICT

Prevent lifestyle-related illnesses for incipient and healthy people

Hypertension(H), Abdominal obesity(O), Glucose intolerance(G), Lipidemia(L) and so on

Alcohol(A)Smoking(S1)Salt intake(S2)Saturated fat(S3)Stress(S4)Sleeplessness(S5)Lack of Exercise(E) and so on

Lifestyle-related illness

Lifestyle irregularity

Living environment

change …

5

From Prof. Osamu Tochikubo, Medical School, Yokohama City University

Page 6: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Feedback Loop of Preventive Medicine

Analysis bank

Meal delivery industry

Association of preventive medicine

Hospital

Acute care hospital

General medical checkup

Nutritional supplements or exercise instruction

Sensor selection

Ear-type blood-flow meter

Salt meter etc

Pedometer

Ring-type SpO2 sensor

Accessory-type ECG

Health industry

Ubiquitous sensing

Wrist-watch type pulsimeter

9.4 g

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Body Area Network (BAN)

From Prof. Osamu Tochikubo, Medical School, Yokohama City University

Page 7: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Solution to Aging Population

Japan* : National Institute of Population and Social Security ResearchFrom http://www2.ttcn.ne.jp/honkawa/1157.html

FranceGermanyEnglandItalySwedenU.S.A.KoreaChinaJapan*Japan (UN)

Over 65 years old

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Page 8: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Breath and SpO2 sensors during sleep

Android terminal(BAN coordinator)

SpO2 sensor

Breath sensor on bed

Breath sensor

Heart rate analysis during sleep

BAN consisting of a breath sensor and a ring-type SpO2 sensor used as a fail-safe system at nightAt night it is difficult to wear if the sensor becomes an obstacle

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Page 9: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Watch-type pulsimeter with accelerometer

Heart beat

Body movement

Time (Hour)

HR(bpm) Duration 23:41:00-19:55:04

Evaluate stress for preventive medicine during daytime as a component of BAN

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From Prof. Osamu Tochikubo, Medical School, Yokohama City University

Page 10: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

IEEE802.15.6 Published

NICT contributes to the administration by providing the vice chairman and secretary

First Medical BAN Standard

◆Activities to Achieve International Standard)

May 2006: BAN Interest Group (IG) established …

Feb 2012:IEEE802.15.6 Standard published10

Page 11: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

IEEE802.15.6

PHY NB

PHY UWB

PHYHBC

Media AccessContro

l(MAC)

1 common MAC with 3 PHYs

From 15-11-0826-01-0006-ieee-802-15-6-tutorial

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Page 12: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Geneva, Switzerland, 26-27 April 2012 12

Short-range Wireless Candidates for Healthcare

May not enough for Medical/HealthcareISO/IEC 14443 TypeA, TypeBIEEE802.15.1 (Bluetooth)IEEE802.15.4 (ZigBee)

Medical BAN just publishedIEEE802.15.6: Low energy+QoS+Priority control and PHYs

Appear in the near futureIEEE802.15.4j (2.36GHz) targeted for U.S.IEEE802.15.4n targeted for China

Page 13: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Geneva, Switzerland, 26-27 April 2012 13

Healthcare BAN toward e-Health

Simple and efficient data formatWork on a coin-size rechargeable battery

Common media accessAccommodate various PHYsQuality of service and priority control

Low-energy modulation/demodulationMature technology

Spectrum allocation depending on area

Page 14: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Conclusions and Recommendations

Explained commonality of Healthcare ICT in disaster-stricken area and aging societyIntroduced IEEE802.15.6 and targeted sensors and BANListed up various short-range wireless communicationsIt is time to create an standard of BAN for healthcare ICT toward e-Health

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Page 15: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Before and After

Wireless sensors and a BAN

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Page 16: Geneva, Switzerland, 26-27 April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization.

Thank you

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