doc.: IEEE ban Submission May 2007 John Farserotu Project: IEEE P Working Group for Wireless Personal Area Networks (WPANs) Submission Title: ETSI in support of eHealth Date Submitted: May 17, 2007 Source: ETSI EP eHealth Chairman; Saad Mezzour, Medtronic Voice: , Re: [N/A] Abstract: This document presents an overview of the ETSI eHealth activies. Notice: This document has been prepared to assist the IEEE P It is offered as a basis for discussion and is not binding on the contributing individual(s) or organization(s). The material in this document is subject to change in form and content after further study. The contributor(s) reserve(s) the right to add, amend or withdraw material contained herein. Release: The contributor acknowledges and accepts that this contribution becomes the property of IEEE and may be made publicly available by P

doc.: IEEE ban Submission May 2007 John Farserotu ETSI, who are we exactly? ICT standards organization, private not for profit Global membership (660+ Members, 80% industry, 20% overseas) Track record of worldwide industrial hits (fixed, mobile, broadcast…) Global network of partnerships International/interregional Founding partner and home of the 3GPP Focus on interoperability (conformance testing, interop testing) All deliverables available free of charge

doc.: IEEE ban Submission May 2007 John Farserotu Global Standards Collaboration Interregional collaboration on selected standardization subjects between (Canada) (USA) (International) (Japan) (Korea) Communications Alliance (Australia) (Japan) (China)

doc.: IEEE ban Submission May 2007 John Farserotu Fora / Consortia Fora / Consortia ETSI’s relations other bodies ITU-T ITU-R GTSC GRSC DECT Forum DVB Project Group EBU GSM Association IEEE IMTC IPv6 Forum TETRA Forum UMTS Forum & 50+ others International bodies Interregional Co-operation Europe

doc.: IEEE ban Submission May 2007 John Farserotu ETSI – a European Standards Organization ETSI was conceived in the late 1980s to respond to particular needs in Europe and in support of European Commission ambitions ETSI continues to produce standards for European industry … … and we produce standards and other material to support European Union and European Free Trade Association (EFTA) regulation and legislation … … for which we are officially recognised at EU/EFTA and governmental levels … … as well as contributing ICT radio frequency requirements to the European co-ordination process ETSI was conceived in the late 1980s to respond to particular needs in Europe and in support of European Commission ambitions ETSI continues to produce standards for European industry … … and we produce standards and other material to support European Union and European Free Trade Association (EFTA) regulation and legislation … … for which we are officially recognised at EU/EFTA and governmental levels … … as well as contributing ICT radio frequency requirements to the European co-ordination process

doc.: IEEE ban Submission May 2007 John Farserotu ETSI – a global standards body ! ETSI was established as a European body and retains European responsibilities. But… …many of ETSI’s Members are global players… …so ETSI seeks to have its standards adopted worldwide Over 100 of ETSI’s Members (about 20% of the total) have no established operations in Europe Many of the other 80% are headquartered outside Europe

doc.: IEEE ban Submission May 2007 John Farserotu GSP Global Standards Producer ESO European Standards Organization SPO Service Providing Organization  ESO:European Standards Organization:  standardization for European needs  GSP:Global Standards Producer:  standardization for the global level  SPO: Service Providing Organization:  services such as interoperability testing, forum management etc. Relationships

doc.: IEEE ban Submission May 2007 John Farserotu The European Standards Organizations (ESOs) in the international standardization scene International level European level National level ISO IEC ITU National Standards Organizations Industry and other stakeholders CEN CENELEC

doc.: IEEE ban Submission May 2007 John Farserotu European Standards Organizations (ESOs) There are only three recognized ESOs: European Committee for Standardization (CEN) Covers a lot of sectors European Committee for Electro technical Standardization (CENELEC) Covers mainly the electro technical sector European Telecommunications Standards Institute (ETSI ) Covers mainly telecommunications and Information and Communications Technologies (ICT) sector

doc.: IEEE ban Submission May 2007 John Farserotu The ICT sector ICT is used by most other sectors Short lifecycle of products requires faster standardization Interoperability is essential Distinguish between Interoperability Compatibility (co-existence) Inter-connectivity ICT is used by most other sectors Short lifecycle of products requires faster standardization Interoperability is essential Distinguish between Interoperability Compatibility (co-existence) Inter-connectivity

doc.: IEEE ban Submission May 2007 John Farserotu The challenge in standardization Sectors have different standardization cultures Different Industries Different regulatory environment “Not invented here” syndrome Bring sectors together Discuss user requirements Discuss feasibility and technology & economic limitations Discuss Quality of Service (QoS) Sectors have different standardization cultures Different Industries Different regulatory environment “Not invented here” syndrome Bring sectors together Discuss user requirements Discuss feasibility and technology & economic limitations Discuss Quality of Service (QoS)

doc.: IEEE ban Submission May 2007 John Farserotu Typical Standards Development Process in ETSI (Unit) Conformance Testing Interoperability Testing Products mature from prototypes to commercial products ETSI: Development of base standards Certification Industry time Conformance Test Specifications Interoperability Test Specifications Iterative feedback

doc.: IEEE ban Submission May 2007 John Farserotu Different Kinds of ETSI Test Specifications Conformance Robustness Performance Interoperability Network Integration RF/EMC

doc.: IEEE ban Submission May 2007 John Farserotu EC Mandate M/403 in the field of ICT applied to eHealth Source :

doc.: IEEE ban Submission May 2007 John Farserotu Time to results Basic Research/ Invention Innovation/ Industrial R&D Promotion/ Deployment Policy / support to Deployment Mid TermLong Term Telemedicine Services eHealth COMM Action Plan I EHR, Decision Support, Patient safety Wearables, Implantable Personal Health Systems, AAL II HealthGrid III Biomedical informatics Virtual Physiological Human, ETP Innovative Medicine Source : EC – ICT for eHealth Current Activities and Plans

doc.: IEEE ban Submission May 2007 John Farserotu What is eHealth? e-Health includes the application of ICTs across the whole range of functions that affect the health sector in an international (e.g. cross-border) perspective (…) Examples include health information networks, electronic health records, telemedicine services, personal wearable and portable communicable systems including those for medical implants, health portals, and many other ICT- based tools assisting disease prevention, diagnosis, treatment, health monitoring and lifestyle management, etc. See European Information Society eHealth portal )

doc.: IEEE ban Submission May 2007 John Farserotu ICT and eHealth Electronic MULTIMEDIA communications Voice, data, images Real-time requirements, delays (delivery, round-trip) Bandwidths, speed Security: data integrity, data protection, encryption etc. Authentication, authorization Reliability, availability of service Sources, storage of data, SmartCard Regulated universal services vs. non-regulated services Networks: access types (fixed, radio) Usability: harmonized user interfaces Accessibility…. The communicating partners People (patients, physicians, service providers, emergency services) Machines (imaging machines, SmartCard readers/writers) eLearning (health information on the web)

doc.: IEEE ban Submission May 2007 John Farserotu ETSI in regards to eHealth Emergency communications Citizen to authority Emergency calls with data transfer (e.g. eCall) Authorities to citizen Cell broadcasting Authorities to authorities TETRA, MESA Wireless medical devices (e.g. wearable BAN devices) Human Factors Usability aspects of man-machine-interfaces Accessibility aspects (Design for All and Assistive Technologies) TeleCare

doc.: IEEE ban Submission May 2007 John Farserotu The early days ETSI eHealth Starter Group (August 06-November 06) investigate which ETSI/3GPP deliverables are applicable to eHealth and identify gaps. outline architecture to identify relevant standards, standardization activities and stakeholders interests that may be relevant to eHealth. STF (STF 309) to support starter group up/PrepMeet/ToRQRv005_eHealth_StarterGroupSupport.doc up/PrepMeet/ToRQRv005_eHealth_StarterGroupSupport.doc Final report for the GA, 10th of November

doc.: IEEE ban Submission May 2007 John Farserotu Report Applicability of existing ETSI and ETSI/3GPP deliverables to eHealth Applicability of existing ETSI and ETSI/3GPP deliverables to eHealth (ETSI SR v ) Major aspects covered in this report Security, Safety and QoS (ETSI TISPAN, GRID) Radio (ETSI ERM, TG28, TG30, WiMAX, TETRA, UWB, RFID) Network (IPv6, NGN) Interoperability and testing Smart Cards platform (ETSI Smart Card Platform) Emergency communications (ETSI EMTEL) Proposal for the creation of a TC Health Terms of Reference at Terms of Reference for TC HEALTH ( of Reference for TC HEALTHhttp://portal.etsi.org/ehealth/ehealth_tor.asp The Results – ETSI Project (EP) eHealth

doc.: IEEE ban Submission May 2007 John Farserotu Next steps Continue investigation among membership Continue investigation among external organizations On developed markets On emerging markets (e.g. Mobile health?) Set up all necessary External Relationships Propose further roadmap (6/12 months work plan) to Board

doc.: IEEE ban Submission May 2007 John Farserotu ETSI website ETSI portal making better standards Plugtests The policy context WTO/TBT The Role of Standards i A European Information Society for growth and employment Getting information

doc.: IEEE ban Submission May 2007 John Farserotu Thank you