Internatinal Telecmmunicatin Unin Current Status f e-health Applicatins in Emerging Hme Netwrk Technlgy and Need f its Standardizatins Yun Sik Kwak Kyungpk Nat l Univ Sch Med, Daegu, Krea ISO/TC 215, Health Infrmatics
Internatinal Telecmmunicatin Unin U-Health Systems
Ratinale Life Saver : Right Infrmatin at Anytime and Anyplace and Any Device and Any Line (Ubiquitus : u-health) 3
Benefits f Health Infrmatics ITU-T Level f Benefits Citizen Sciety Physician Sciety/Public (Empwer!) Clinic Hsp 4
Health Care Mdels H e a l t h CHF Diabetes Case Wellness Management Illness Management Age: Life Span [Cited frm SK Mun] 5
U-Health : Hme Health Mnitring Chrnic disease management - High Bld Pressure - Diabetes Mellitus - Chrnic Heart Disease - Pre-natal Care - Hyperchlesterlemia - Drug Dispensing Management System - Emergency Alert 6
U-Health : Hme Health Mnitring (2) Hspital Based Hme Care Physical Fitness - Bdy Strength Management - Bdy Weight Cntrl - Health Mnitring Screenings - Child Develpment Mnitring - Prgnsis Mnitring - Emergency Alert 7
Custmer Management Prgram (Custmer Fcused) Birthday Card with Health Reminder Test Results with its Interpretatins Vaccinatin Reminder Medicatin Directives and Drug Infrmatin Appintment Reminder Seasnal Disease Infrmatin and Epidemic Alerts 8
Devices fr u-health Prtable Bi-sensr Analyzers ECG Bld Pressure Measuring Devices Vital Sign check Fetal Heart Sund Mnitr Exercise Mnitring Device Bdy Weight & Height Measuring Dev. Wearables Diet Analyzing Device PDA, Mbile phne, etc 9
Rle f Technlgy ITU-T Set f tls t be used Wh shuld use it? What is the cst f it s use? Whse cst is it? Hw can a stand alne technlgy be integrated int rutine healthcare system? There are many discnnects. [Cited frm SK Mun] 10
Rle f Technlgy Quality Access Cst [Cited frm SK Mun] 11
Balancing and Cmpeting Where des yur technlgy fit? Charge Mre Spend Less Prviders Physicians Hspitals Suppliers Patients Mre Benefits Pay Less Payers Insurance Gvernment Patients [Cited frm SK Mun] 12
In Clsing Healthcare is a highly cmplex business f multiple cmpeting prcesses Stand alne technlgy will nt be useful Technlgy insertin requires prper business mdel Wh will pay fr the use f technlgy? [Cited frm SK Mun] 13
Internatinal Telecmmunicatin Unin Business Mdel fr Hme Health Mnitring
Scenari Cmmunicate patients directly t care prvider d nt wrk well Citizens (Patients) initiate service via business service center; service center screens results f health mnitring; in case clinical care is needed, service center will then cnnect patients t care prviders. 15
Internatinal Telecmmunicatin Unin Bi Measurement Health G/W Hme Health Mnitring HC Service Center Dig.Frame Zigbee Hme G/W Service Feedback Zigbee Health indicatr Emergency Message Alarm Hme G/W Hme Server Danger Alarm ID, Resp., EKG I Health N indicatr T E R N E T Feedback Bi Data Trans. IDS Alarm& Hme Appliance Cn. CDMA/PSTN Zigbee Mgt HC Device Authenticatin Health Data Cmmunicatin HC Feedback Mdule Healthcare Device Mgt Bdy Cmp Interview Exercise Diet CDSS (Sleep mn.) (EKG, Vital Sign, etc) Cntent DB Health Indicatr Excersice Emergency System Exercise Mnitring Healthcare User DB Emergency Care Diet
In Clsing e-health (u-health) is an imprtant cmpnent f emerging Hme Netwrk Technlgy. 17
Internatinal Telecmmunicatin Unin Glucse measurement result message & transmissin prtcl
1. Backgrund Current Methds f Glucmeter Data Management TYPE 1 : RS232-C r Ir transmissin uplad bld glucse results frm glucmeter t PC. TYPE 2 : UWB (Bluetth) r phne line transmit glucse results frm glucmeter t remte server and manage cumulative data Internet Applicatin system (ex: HIS ) 19
A B C Different data cntent depending n device (glucse result) (glu. result, meal time f analysis) (glucse result, name, time f analysis) Issues Interface fr A Interface fr B Interface fr C Different transmissin prtcl depending n manufacturer Internet Applicatin system (ex: HIS ) 20
Standard Mde ITU-T Standardized uplad Standard message Standard message Glucse data mgr Standard message Transmissin methd Standard Transmiss. prtcl Internet Applicatin system (ex: HIS ) 21
User 4. 기대효과 Effects f Standardizatin - Platfrm free and device free : seamless interperable Manufacturer - Reusability f S/W and platfrm internet Re-useable part Applicatin system (ex: HIS ) 22
5. 사전연구 (2) Message Frmat fr Glucse ITU-T Header Bdy Tail Requirement Fields Length (bits) Descriptin Mandatry field result 10 - Glucse value [mg/dl] year 7 - Analysis year, - Device value plus 2000 mnth 4 - Analysis mnth, - mm day 5 - Analysis day, - dd hur 5 - Analysis time, - hh minutes 6 - Analysis minute Optinal field temperature 6 - Bdy temperature stress 1 - With stress 1, withut stress 0 exercise 1 - After exercise 1, befre exercise 0 meal 1 - After meal 1, befre meal 0 Plasma (serum) 1 - Basis fr sample reference value Extensin field Variable length - Blank fr future use 23
Internatinal Telecmmunicatin Unin Need f Standards fr e-health Applicatin f Hme Netwrk
What Standards? Interperability - Device Interface (IEEE,ISO/TC 215, CEN/TC251 jintly develping) - Data Transmissin Prtcl - Dcument (HL7 Clinical Dcument Architecture : CDA- XML based) - Security - Terminlgy Cdes - Integrate dcuments t Electrnic Health Recrds 25