ITU-T Work on Standardizing e-Health 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

ITU-T has produced the following Recommendations and documents. 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

ITU-T is working on the following items 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-Health IPTV and mobile application for e-health Application Challenge on IPTV Apps for e-health Requirements and network capabilities for E-health monitoring services Geneva, Switzerland, 26-27 April 2012

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/ITU-T/studygroups/com16/ehealth/Pages/default.aspx Geneva, Switzerland, 26-27 April 2012

[Optional] Additional slides Geneva, Switzerland, 26-27 April 2012

Relevant Links www.itu.int/itu-t/recommendations/ http://www.itu.int/ITU-T/studygroups/com17/sg17-q9.html . 7 Geneva, Switzerland, 26-27 April 2012

Lead group on Multimedia issues 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, video-conferencing, wireless multimedia, etc. 8 Geneva, Switzerland, 26-27 April 2012

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. Geneva, Switzerland, 26-27 April 2012

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

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) Geneva, Switzerland, 26-27 April 2012

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 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

E-health Apps Server IPTV widget Phone working as gateway Consolidated reports Phone working as gateway Normal programme Blood pressure meter © I2R, NTT © I2R, NTT Pedometer Scale 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

e-Health Standardization Coordination Group (eHSCG) 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

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 requirements and capabilities are currently under work

EHM capability model – under discussion 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]

EHM capability framework - under discussion Data Sensing & processing Device identity Device communication Configuration/management Routing of data based on content Policy, Event or Schedule Based Communication Service provisioning EHMH application Device layer Format management interoperation authorization Network layer Service/Application support layer Application layer Location tracking Security and Privacy Gateway storage Management Communication proxy Data aggregation Data access control Device time synchronization accounting Logging & 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) 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 enabler of applications and services across a broad range of vertical markets (e.g., health-care, logistics, transport, utilities, etc.) ITU-T Focus Group on Machine to Machine service layer Established by TSAG, January 2012. A common M2M service layer, agreed at the global level involving stakeholders from the M2M and vertical market communities, would provide a cost-efficient platform, which can be easily deployed in hardware and software, in a multi-vendor environment, and across sectors. The Focus Group on the M2M service layer (FG M2M) will study activities currently undertaken by various standards developing organizations in the field of M2M service layer specifications to identify key requirements for a common M2M service layer. FG M2M will identify a minimum set of common requirements of vertical markets, focusing initially on the health-care market and application programming interfaces (APIs) and protocols supporting e-health applications and services, and draft technical reports in these areas. It owes its parent study group, SG 11, to its focus on protocols and APIs. FG M2M works in close collaboration with all ITU-T Study Groups, especially SG 11, SG 13 and SG 16 (in particular with IoT-GSI) through collocated meetings, for instance on the coordination of respective work programmes and on the coordination of seminars and workshops. Collaboration with relevant SDOs, government/industry forums and consortia, companies, academic institutions, research institutions and subject matter experts is critical to the success of the Focus Group.

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 (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, 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/