Joint ITU-WHO Workshop on
e-Health Standards and Interoperability
(Geneva, Switzerland, 26-27 April 2012)
ITU-T Work on Standardizing e-Health
Masahito Kawamori
Rapporteur, ITU-T Q28/16
NTT
masahito.kawamori@ties.itu.int
Geneva, Switzerland, 26-27 April 2012
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)
Geneva, Switzerland, 26-27 April 2012
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Main results to date
ITU-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
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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-toMachine (M2M) Service Layer with the
initial priority on e-Health
IPTV and mobile application for e-health
Application Challenge on IPTV Apps for ehealth
Requirements and network capabilities
for E-health monitoring services
Geneva, Switzerland, 26-27 April 2012
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Contact details for further info
Masahito Kawamori,
masahito.masahito@ties.itu.int
Links to general and/or specific web
resources
http://www.itu.int/en/ITUT/studygroups/com16/ehealth/Pages/de
fault.aspx
Geneva, Switzerland, 26-27 April 2012
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[Optional]
Additional slides
Geneva, Switzerland, 26-27 April 2012
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Relevant Links
www.itu.int/itu-t/recommendations/
http://www.itu.int/ITUT/studygroups/com17/sg17-q9.html
.
Geneva, Switzerland, 26-27 April 2012
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ITU-T Study Group 16
Lead group on Multimedia issues
Received Emmy award for its H.264
codec Recommendation
Studies issues such as e-health,
accessibility, IPTV, videoconferencing, wireless multimedia,
etc.
Geneva, Switzerland, 26-27 April 2012
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8
ITU-T Q28/16
focuses on standardization of
multimedia systems to support ehealth 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.
Geneva, Switzerland, 26-27 April 2012
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Q28/16 Study Items
Identification of users' requirements
Multimedia framework (including overall concept) for
e-health applications (and telemedicine, in
particular)
Roadmap for e-health (including telemedicine)
standards
Generic 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
Geneva, Switzerland, 26-27 April 2012
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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 ehealth (telemedicine, in particular)
Personal terminals for e-health (telemedicine, in particular)
Geneva, Switzerland, 26-27 April 2012
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New Work Items
E-health on IPTV: e-health, among other eservices, 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 networks
Networked vehicle (e.g. in an accident) in an
emergency response (e.g. by an ambulance)
situation
Accessibility and e-health, it was pointed out that
accessibility should be closely tied to e-health
Geneva, Switzerland, 26-27 April 2012
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E-health Apps
Server
IPTV widget
Phone working
as gateway
Normal
programme
© I2R, NTT
Blood pressure
meter
Pedometer
Geneva, Switzerland, 26-27 April 2012
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© I2R, NTT
Scale
eHealth Apps on IPTV
•
© I2R, NTT
Geneva, Switzerland, 26-27 April 2012
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
Liaison Relations
ITU-D SG2
ITU-T SG17
HL7, DICOM, Continua
e-Health Standardization
Coordination Group (eHSCG)
W3C Medical Technology Task Force,
ISO TC215
ISO, IEC, CEN, ETSI, IETF, IEEE and
other relevant standardization bodies
Geneva, Switzerland, 26-27 April 2012
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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 requirements
According to the 3 types of EHM services, service
requirements have been identified including, but not
limited, in the following areas:
Service offering
Security and privacy
Accounting
Logging and report
Policy based communication
Location tracking
Data aspects (format management, access
management, storage, identification and routing
based on content, interoperability etc.)
Device management
Gateway aspects
Based on the identified service requirements, network
EHM capability model – under
E-health capability model with support for interconnectivity,
discussion
internetworking and interoperability within an e-health monitoring
system
[based on the e-health user service model interactions from ETSI-TR 102
764]
E-health system
E-health application domain
IO
Application Support
Capability
Application Support
Capability
Networking Capability
IO
IN
Application Support
Capability
Networking Capability
E-health network domain
Connectivity Capability
E-health node domain
IC
Connectivity Capability
IO: Interoperability
IN: Internetworking
IC: Interconnectivity
Figure 9.1 E-health capability model for interoperability
EHM capability framework under discussion
EHMR application
EHMH application
EHMT application
Format
management
Data
storage
Device
management
Service
authorization
Service
provisioning
Data
interoperation
Data access
control
Device time
synchronization
Service
accounting
Service
Logging & report
Service/Application support layer
Policy, Event or Schedule
Based Communication
Routing of data
based on content
Location tracking
Security and
Privacy
Management
Application layer
Network layer
Device
Configuration/management
Data
Sensing & processing
Communication proxyData aggregation
Gateway
Device identity
Device
Device
communication
Device layer
• 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
E-Health monitoring service
scenarios
(Appendixes of Y.EHM-reqts)
Individual / family (indoor and outdoor)
Hospital
Vehicle
Physical examination
Disaster rescue
Prehospital Emergency Medical Service
Smart Ward Service
Chronic disease care
ITU-T Focus Group on M2M
Service Layer – 1
Established in January 2012
To study requirements and specifications for a
common Machine-to-Machine (M2M) Service
Layer
Cost-efficient platform
Across vertical markets
Multi-vendor environment
Initial focus of the Focus Group: E-health
FG 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
ITU-T Focus Group on M2M
Service Layer – 2
FG M2M will coordinate its efforts with the ITU-T
Internet of Things Global Standards Initiative (IoTGSI)
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, Geneva
Chair: 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 work
Terms of Reference and additional information at
www.itu.int/en/ITU-T/focusgroups/m2m/