ITU-Ts activities on e-health Hiroshi Ota ITU, Telecommunication Standardization Bureau 5 February 2013

e-Health is a priority New WTSA-12 Resolution 78 on ICT applications and standards for improved access to e-health services (Dubai, Nov. 2012) calls for a concerted effort in ITU-T towards e-health standardization in coordination with WHO and SDOs working in this domain, as well as promotion of e-health in the regions. It instructs TSB Director to give a priority to expanding the scope of telecommunication/ICT initiatives in healthcare and to coordinate activities related to e-health among study groups, focus groups and other relevant groups. 2

Side event at WTSA-12 Took place on 21 November 2012 Featured e-health experts showcasing different areas of e-health applications. The discussion also focused on the next steps to be taken in standardization to realize the benefits of e-health Presentations were given from standards, regional and industry perspectives 3

e-Health related activities - summary ITU-T Focus Group on M2M Service Layer was established to develop technical reports to support the progress on M2M APIs and protocols. E-health is one of the study cases to be investigated. ITU-T Study Group 13 (Q2/13) is progressing to draft new "Requirements and network capabilities for e-health monitoring services", to classify the e-Health monitoring services, to describe requirements for supporting e-Health monitoring services, and to specify corresponding network capabilities. ITU-T Study Group 16 (Q28/16) is working in transposing Continua Health Alliance Guidelines into an ITU-T Recommendation as well as in developing a new Recommendation on e-health data exchange services. Approval of both standards is expected before 1st quarter ITU-T Study Group 17 (Q9/17) completed work on ITU-T X (E-Health and world-wide telemedicine - Generic telecommunication protocol), to provide wide-area communication, where communication can be usefully undertaken as structured messages. 4

Focus Group on M2M Service Layer (1) Established in January 2012 The Focus Group on the M2M service layer (FG M2M) will study activities currently undertaken by various standards developing organizations (SDOs) 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. 5

Focus Group on M2M Service Layer (2) Had five meetings so far: #5: January 2013, Santander, Spain #4: November 2012, San Jose, United States #3: August 2012, Geneva, Switzerland #2: June 2012, Beijing, China #1: April 2012, Geneva, Switzerland Developing five deliverables: M2M standardization activities and gap analysis: e-health M2M enabled ecosystems: e-health M2M use cases: e-health M2M service layer: requirements and architectural framework M2M service layer:API and protocol 6

Q2/13: Requirements for NGN evolution (NGN-e) and its capabilities including support of IoT (1) The Question addresses the support of emerging services and applications in NGN and its evolution. On the basis of use cases and related ecosystem aspects, the requirements and capabilities imposed on networks (including user networks) will be specified. Emerging services and applications to be considered include Internet of Things (IoT) services and applications in different vertical market areas (key identified market areas include e-health, etc.) 7

Q2/13: Requirements for NGN evolution (NGN-e) and its capabilities including support of IoT (2) E-health related work item under study: Y.EHM-Reqts: Requirements and network capabilities for E-health monitoring services IoT Related Recommendations: Y.2060 (06/2012): Overview of the Internet of things Y.2061 (06/2012): Requirements for the support of machine-oriented communication applications in the next generation network environment Y.2213 (09/2008): NGN service requirements and capabilities for network aspects of applications and services using tag-based identification Y.2221 (01/2010): Requirements for support of ubiquitous sensor network (USN) applications and services in the NGN environment 8

Q28/16: Multimedia framework for e-health applications (1) Focuses on standardization of multimedia systems to support e- health applications Coordinates the technical standardization of multimedia systems and capabilities for e-health applications in ITU T, and will develop corresponding Recommendations 9

Q28/16: Multimedia framework for e-health applications (2) Work items under study: H.MEDX: Multimedia e-health data exchange services: Architecture, services and data dictionary H.IDGPHS: Interoperability design guidelines for personal health systems (equivalent to the Continua Health Alliance guideline specifications) F.ehmmf: Multimedia Framework for e-health applications HSTP.EHMSI: Technical Paper: Multimedia service and interfaces for e-health 10

Q9/17: Telebiometrics (1) This Question studies and develops: security requirements and guidelines for any application of telebiometrics requirements for evaluating security, conformance and interoperability with privacy protection techniques requirements for telebiometric applications in a high functionality network. integrated frameworks and requirements of telebiometric architectures for cloud computing services. requirements of telebiometric authentication for trust identity framework. requirements for appropriate generic protocols providing safety, security, privacy protection, and consent for manipulating biometric data in any application of telebiometrics, e.g., e-health, tele-medicine, e-commerce, online-banking, video surveillance. 11

Q9/17: Telebiometrics (2) Related Recommendations: X : e-Health and world-wide telemedicines - Generic telecommunication protocol X.1081: The telebiometric multimodal model – A framework for the specification of security and safety aspects of telebiometrics X.1082: Telebiometrics related to human physiology X.1083: Information technology – Biometrics – BioAPI interworking protocol X.1084: Telebiometrics system mechanism – Part 1: General biometric authentication protocol and system model profiles for telecommunications systems X.1086: Telebiometrics protection procedures - A guideline to technical and managerial countermeasures for biometric data security X.1088: Telebiometrics digital key framework (TDK) – A framework for biometric digital key generation and protection X.1089: Telebiometrics authentication infrastructure (TAI) X.1090: Authentication framework with one-time telebiometric templates X.1091: A guideline for evaluating telebiometric template protection techniques 12

Q9/17: Telebiometrics (3) Work items under study: X.bhsm: Telebiometric authentication framework using biometric hardware security module X.tam: A guideline to technical and operational countermeasures for telebiometric applications using mobile devices X.th2: Telebiometrics related to physics X.th3: Telebiometrics related to chemistry X.th4: Telebiometrics related to biology X.th5: Telebiometrics related to culturology X.th6: Telebiometrics related to psychology X.tif: Integrated framework for telebiometric data protection in e-health and worldwide telemedicines 13

Tech Watch Report: Standards and e-Health 14 ITUs Standardization Sector has released a Technology Watch Report that looks to the future of e-health. The report observes that e-health development will require more universal e- health interoperability standards, and strategies to overcome technical infrastructure barriers and address privacy, security, and other legal requirements. The report is available: T/techwatch/Pages/ehealth-standards.aspx T/techwatch/Pages/ehealth-standards.aspx

Tech Watch Report: e-Health Standards and Interoperability 15 Institutions developing standards in e-health CEN/TC 251, DICOM, HL7, ISO/TC 215, ISO/IEEE and, in particular, the work ITU-T Rapid advancements in development of e-health standards must accompany three trends : Advancements in healthcare delivery via mobile and wireless e- health technologies; Personalized medicine, including personal health records, medical diagnostic devices, and biometric records; and Interactive healthcare via social media and Web 2.0 applications.

Thank you! 16