Geneva, Switzerland, 26-27 April 2012 ITU-T Work on Standardizing e-Health Masahito Kawamori Rapporteur, ITU-T Q28/16 NTT [email protected].

Geneva, Switzerland, 26-27 April 2012

ITU-T Work on Standardizing e-Health

Masahito Kawamori Rapporteur, ITU-T Q28/16

[email protected]

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

(Geneva, Switzerland, 26-27 April 2012)

Geneva, Switzerland, 26-27 April 2012 2

ITU-T

ITU-T is working on e-health standardization from the perspective of general ICT infrastructure, such as future networks, multimedia, and biometrics and security.

Requirements and network capabilities for E-health monitoring services (SG13)Multimedia Framework for eHealth Applications (SG16)Telebiometrics (SG17)

Main results to dateITU-T has produced the following Recommendations and documents.

ITU-T Rec. X.108x series on telebiometrics, including security, authentication, interfaces, API and protocols.Y.EHM-reqts (draft) “Requirements and network capabilities for E-health monitoring services”HSTP.EHMSI (draft) “Multimedia Service and Interfaces for e-health ” ITU-T TechWatch Report “E-health Standards and Interoperability”

Geneva, Switzerland, 26-27 April 2012 3

Future activities

ITU-T is working on the following items

ITU-T Focus Group on M2M Service Layer - To study requirements and specifications for a common Machine-to-Machine (M2M) Service Layer with the initial priority on e-HealthIPTV and mobile application for e-health

Application Challenge on IPTV Apps for e-health

Requirements and network capabilities for E-health monitoring services

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Contact details for further info

Masahito Kawamori, [email protected] to general and/or specific web resources

http://www.itu.int/en/ITU-T/studygroups/com16/ehealth/Pages/default.aspx

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[Optional]Additional slides

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Relevant Links

www.itu.int/itu-t/recommendations/ http://www.itu.int/ITU-T/studygroups/com17/sg17-q9.html .

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ITU-T Study Group 16

Lead group on Multimedia issuesReceived Emmy award for its H.264 codec RecommendationStudies issues such as e-health, accessibility, IPTV, video-conferencing, wireless multimedia, etc.

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Geneva, Switzerland, 26-27 April 2012 9

ITU-T Q28/16 focuses on standardization of multimedia systems to support e-health applications.achieve interoperability among systems and to reduce the cost of devices through economies of scale. provide the environment for harmonization and coordination of the development of a set of open global standards for e-health applications.

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Q28/16 Study ItemsIdentification of users' requirementsMultimedia framework (including overall concept) for e-health applications (and telemedicine, in particular)Roadmap for e-health (including telemedicine) standardsGeneric architecture for e-health applications (and telemedicine, in particular)Specific system characteristics for e-health applications (e.g. video and still picture coding, audio coding, security, directory architecture, etc)Considerations on how to help measure and mitigate climate change

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Q28/16 Study Items (cont.)

Creation of Glossary of e-health (telemedicine, in particular)Methods for inputting, transmitting and processing data for e-health (telemedicine, in particular);Databases and knowledge-bases of information and expertise on, and technologies for, e-health (telemedicine, in particular) as well as consultants and specialists, and potential customers of e-health (telemedicine, in particular).Mechanism for querying, finding, identifying, and categorizing consultants and customers in the area of e-health (telemedicine, in particular)Personal terminals for e-health (telemedicine, in particular)

New Work Items

E-health on IPTV: e-health, among other e-services, is a good application of IPTV. Mobile e-health: There are actual products using mobile terminals in the market, but they use proprietary solutions. Unified interfaces for telemedicine/e-health are needed.Wearable and sensor networksNetworked vehicle (e.g. in an accident) in an emergency response (e.g. by an ambulance) situationAccessibility and e-health, it was pointed out that accessibility should be closely tied to e-health

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E-health Apps

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© I2R, NTT

IPTV widget

Phone working as gateway

ScalePedometer

Blood pressure meter

Normal programme

ServerConsolidated reports

© I2R, NTT

Geneva, Switzerland, 26-27 April 2012

eHealth Apps on IPTV• This prototype eHealth App on

IPTV– Collects health data from

healthe care devices such as pedometer and blood pressure moniter in standard format and displays its graph on TV

– Allows the user to send the data to the doctor via e-mail on IPTV

– Receives the reply from the doctor to show his professional advice on the TV screen

© I2R, NTT

Geneva, Switzerland, 26-27 April 2012

Liaison Relations

ITU-D SG2ITU-T SG17 HL7, DICOM, Continuae-Health Standardization Coordination Group (eHSCG)W3C Medical Technology Task Force,ISO TC215ISO, IEC, CEN, ETSI, IETF, IEEE and other relevant standardization bodies

Geneva, Switzerland, 26-27 April 2012 15

Network support of E-health services

ITU-T SG13 “Future Networks including Mobile and NGN”Q3 of SG13 “Requirements and implementation scenarios for emerging services and capabilities in an evolving NGN” Y.EHM-reqts “Requirements and network capabilities for E-health monitoring services” is currently progressed in Q3/SG13 - work started in August 2011 Main contributions from China (China Unicom, Nanjing University of Posts and Telecommunications, others)

Y.EHM-reqts scope

The current scope of Y.EHM-reqts includes:

Classification of scenarios for E-health monitoring (EHM) services;Description of features of EHM services from network perspective;Requirements for support of EHM services from network perspective;Network capabilities for support of EHM services.

Types of EHM services

EHM Healthcare (EHMH) services (for healthy state) EHM Rehabilitation (EHMR) services (for recovery/sub-healthy state)EHM Treatment (EHMT) services (for illness state)

NOTE: EHM services are part of the whole set of E-health services and applications; highly relevant for the actors of the telecommunication market

These 3 types of EHM services share some common features but have also distinguished features , e.g. from the perspective of service coverage, target user number, target user mobility, reliability and priority levels of service data transmission, end point – user relationship, special scenarios.

EHM service requirementsAccording to the 3 types of EHM services, service requirements have been identified including, but not limited, in the following areas:

Service offeringSecurity and privacyAccountingLogging and reportPolicy based communicationLocation trackingData aspects (format management, access management, storage, identification and routing based on content, interoperability etc.)Device managementGateway aspects

Based on the identified service requirements, network requirements and capabilities are currently under work

E-health capability model with support for interconnectivity, internetworking and interoperability within an e-health monitoring

system [based on the e-health user service model interactions from ETSI-TR 102

764]

Connectivity Capability

Networking Capability

Application Support Capability

Networking Capability

Application Support Capability

Connectivity Capability

Application Support Capability

E-health node domain

E-health application domain

E-health network domainIC

IN

IO IO

IO: InteroperabilityIN: InternetworkingIC: Interconnectivity

Figure 9.1 E-health capability model for interoperability

E-health system

EHM capability model – under discussion

EHM capability framework - under discussion

DataSensing & processing Device identity

Device communication

DeviceConfiguration/management

Routing of data based on content

Policy, Event or Schedule Based Communication

Serviceprovisioning

EHMH application

Device layer

Formatmanagement

Datainteroperation

Serviceauthorization

Network layer

Service/Application support layer

Application layer

Location tracking

Secu

rity a

nd

Priv

acy

Device

Gateway

Data storage

Man

ag

em

ent

Communication proxyData aggregation

Devicemanagement

Data accesscontrol

Device timesynchronization

Serviceaccounting

ServiceLogging & report

EHMR application EHMT application

• The above picture is shown here only as an example of the current Q3/SG13 discussions around the capabilities required for support of EHM services, it is not an agreed piece of content of the Y.EHM-reqts document itself

E-Health monitoring service scenarios

(Appendixes of Y.EHM-reqts)

Individual / family (indoor and outdoor) HospitalVehiclePhysical examinationDisaster rescuePrehospital Emergency Medical ServiceSmart Ward ServiceChronic disease care

ITU-T Focus Group on M2M Service Layer – 1

Established in January 2012To study requirements and specifications for a common Machine-to-Machine (M2M) Service Layer

Cost-efficient platformAcross vertical marketsMulti-vendor environment

Initial focus of the Focus Group: E-healthFG M2M is expected to organize its work according to 1) use cases and service models, 2) service layer requirements (and service architecture), 3) APIs and protocols for support of e-health applications and services

NOTE : Machine-to-Machine (M2M) communications are considered to be a key enabler of applications and services across a broad range of vertical markets (e.g., health-care, logistics, transport, utilities, etc.)

FG M2M will coordinate its efforts with the ITU-T Internet of Things Global Standards Initiative (IoT-GSI) FG M2M aims at including vertical market stakeholders that are not part of the traditional ITU-T membership, such as Continua Health Alliance and the World Health Organization (WHO), and will collaborate with M2M communities worldwide (including research and academia), SDOs, forums and consortia First meeting: 17-18 April 2012, ITU, GenevaChair: Mr. Xu Heyuan (China Academy of Telecommunjcation Research of MII)Input welcome: Focus Group is open to any individual from a country which is a member of ITU and who is willing to contribute to the workTerms of Reference and additional information at www.itu.int/en/ITU-T/focusgroups/m2m/

ITU-T Focus Group on M2M Service Layer – 2