ITU Workshop on
“E-health services in low-resource settings:
Requirements and ITU role”
(Tokyo, Japan, 4-5 February 2013)
Session 1: Setting the context: e-health implementation in low-resource settings
mHealth services in Japan
- Services provided by NTTDATA Shigeru Tomita,
Head of Strategy Planning Office
NTTDATA CORPORATION
tomitasg@nttdata.co.jp
Tokyo, Japan, 4-5 February 2013
Contents
 Introduction
 mHealth
Services
PHR: Creative Health Next
Emergency Medical Service
with Digital Pen
Mobile Healthcare for post disaster
 Conclusions
Tokyo, Japan, 4-5 February 2013
and Recommendations
2
Introduction
The Change of Disease Trend
- Increasing NCDs
The number of patients with NCDs is increasing
Prevention is more important in LMIC
Diabetes：
・3.4 million people died.
・More than 80% of deaths
occur in LMIC
COPD
・3 million people died
・90% of COPD deaths
occur in LMIC
CVD
・17.3 million people died.
・Over 80% of CVD deaths occur
in LMIC
CANCER：
・7.6 million people died.
LMIC: Low-middle income countries
Tokyo, Japan, 4-5 February 2013
WHO Factsheets
http://www.who.int/mediacentre/factsheets/fs297/en/index.html
3
Introduction
The change of Communication
Infrastructure
The number of Mobile-Cellular telephone
subscriptions is growing.
Active mobile-broadband subscriptions is also
increasing, expecting the growth in the future
Global ICT developments, 2001-2011
Tokyo, Japan, 4-5 February 2013
http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf
4
Introduction
The Growing of Mobile cellular
subscriptions
The number of Mobile cellular subscriptions is
increasing in developing countries as well as in
developed countries.
Mobile-cellular subscriptions, 2001-2011,
world and by level of development
Tokyo, Japan, 4-5 February 2013
http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf
5
Introduction
mHealth service implementation is
spreading
mHealth initiatives are reported
world-wide
mHealth is a range of
healthcare services
provided by using
mobile terminals、such
as mobile celluler
phones, smart phones
and tablet terminals
http://www.who.int/goe/publications/goe_mhealth_web.pdf
Tokyo, Japan, 4-5 February 2013
6
 Introduction
 mHealth
Services
PHR: Creative Health Next
Emergency Medical Service
with Digital Pen
Mobile Healthcare for post disaster
 Conclusions
Tokyo, Japan, 4-5 February 2013
and Recommendations
7
mHealth Services
PHR: Creative Health NEXT
Purpose
PHR：Personal Health Record management
Provide individuals with Personalized
Healthcare Program
Service
Data Management; Personal Health Data,
Medical History
Data Referal; Health check-up data, Medical
Fee, Drug intake
Technology
Near Field Communication
M2M
Tokyo, Japan, 4-5 February 2013
8
mHealth Services
PHR: Creative Health NEXT
予防
Prevention
Hospital
Healthcare Insurer
PHR Cloud Service
Health check-up
mHealth Services
PHR:Creative Health NEXT
- Self management
Immunization
Shots
Life style
Memo
Drug Intake
Medical
History
Allergies
PHR: Creative Health NEXT
- Health check-up Data Information
mHealth Services
Date, Age,
Name of Healthcare center
Health check-up result
・General comments
・Health Risks
・Health Level
・Metabolic syndrome assessment
・eye sight test
・audiometry
・Height、Weight,
・Blood Pressure
・Blood test
Tokyo, Japan, 4-5 February 2013
11
mHealth Services
PHR: Creative Health NEXT
- Personal Health Data Management
※画面デザインは変更されま
す。
•Weight
•Blood Pressure
•BMI
•Calories burned per day
•Sleeping hours
Chart
mHealth Services
PHR: Creative Health NEXT
- Medical Fee Information
Total Medical Fee
per month
Detailed Medical fee
・Hospital Name
・Date
・Treatment term
・Total Fee
・Fee paid by Insurer
・Fee paid by Insured
mHealth Services
PHR: Creative Health NEXT
- Walking Program
Achievment
per day
Tokyo, Japan, 4-5 February 2013
Weekly Chart
Walking route
14
 Introduction
 mHealth
Services
PHR: Creative Health Next
Emergency Medical Service
with Digital Pen
Mobile Healthcare for post disaster
 Conclusions
Tokyo, Japan, 4-5 February 2013
and Recommendations
15
mHealth Services
Emergency Medical Service
with Digital Pen
Purpose
Patients data sharing between an ambulance
and a hospital for better and seamless
emergency medical service
Service
Patients observation data sharing
written with a digital pen
Measured by vital sensors
Data sharing between ambulance and hospitals
Technology
Digital Pen, Tablet terminal, Vital sensors
M2M
Tokyo, Japan, 4-5 February 2013
16
Emergency Medical System at Kagawa
Emergency Medical Service
Prefecture
mHealth Services
with Digital Pen
Patient observation data written with a digital pen
Then shared with the hospital
Emergency staffs at
hospital receive the data
and prepare for the arrival
香川県高松市番町4-1-10
さぬき たろう
讃岐 太郎
12
12
12
087 111- 1111
香川県高松市番町4
香川県高松市番町4-1-10
さ ぬき
たろ う
讃岐 太郎
12 12
12
087 111
111- 1111
香川県高松市番町4
香川県高松市番町4-1-10
Patient observation sheet
さ ぬき
讃岐
たろ う
太郎
12
12
12
087 111
111- 1111
17
 Introduction
 mHealth
Services
PHR: Creative Health Next
Emergency Medical Service
with Digital Pen
Mobile Healthcare for post disaster
 Conclusion
Tokyo, Japan, 4-5 February 2013
18
mHealth Services
Mobile Healthcare for post disaster
Purpose
Provide better healthcare service at the
shelters after the earthquake
Service
Sharing medical records with doctors in some
Medical Service Teams
Technology
OnDemand VPM、IPSec+IKE、HL7
Tokyo, Japan, 4-5 February 2013
19
mHealth Services
Mobile Healthcare for post disaster
-System Image
Doctors refer to patients’ medical record
by using Tablet terminals
Fukushima Pref.
Med Univ. Hospital
Shelters in
Fukushima
Clinical Recored
(Paper Documents)
Shelters
Commercial
Closed
Network
reffer
Upload
Inernet
（IＰSec+IKE)
Tablet terminal
Patients
PC
Doctor
ODVPN Rooter
Scanner
Clinical Record Database
Mobile Medical Service
Support System
Shelters
Healthcare information
exchange Platform
Geneva, Switzerland, 26-27 April 2012
20
 Introduction
 mHealth
Services
PHR: Creative Health Next
Emergency Medical Service
with Digital Pen
Mobile Healthcare for post disaster
 Conclusions
Tokyo, Japan, 4-5 February 2013
and Recommendations
21
Conclusions and Recommendations
-Positive Impact of mHealth
mHealth enable doctors and patients
to interact
wherever and whenever
“m” in mHealth shouldn’t stand for
“mobile”, but for “me”
Tokyo, Japan, 4-5 February 2013
2012 mHealth Summit Insider
December 2012
22
Conclusions and Recommendations
-Issues to be solved
Adapt to the regulations and laws of each
country
Security and Privacy to protect the personal
information
Technical solutions are needed
To prevent data from leaking and spreading
over the Internet
To delete leaked and spread data
Rules, system and technical solutions for
long term data storage
Tokyo, Japan, 4-5 February 2013
23
Thank you
for
Listening!
Skytree
@Pink Ribbon
Campaign
Tokyo, Japan, 4-5 February 2013
24