1. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Slide 1 Project: IEEE P802.15 Working Group for Wireless Personal Area Networks (WPANs) Submission Title: IEEE802.15.4e Application: Healthcare Date Submitted: November 10, 2008 Source: Seong-Soon Joo, Anseok Lee, Chang-Sub Shin, Wun-Cheol Jeong, Jong-Suk Chae Company: ETRI Address: 161 Gajeong-dong, Yuseong-gu, Daejeon, KOREA Voice: +82-42-860-6333, FAX: +82-42-860-4197, E-Mail: ssjoo@etri.re.kr Re: Abstract: This document defines the healthcare service as one of applications for IEEE802.15.4e. Purpose: To promote discussion on application spaces Notice:This document has been prepared to assist the IEEE P802.15. 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 P802.15.

2. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Slide 2 IEEE802.15.4e Application: Healthcare Seong-Soon Joo*, Anseok Lee, Chang-Sub Shin, Wun-Cheol Jeong, Jong-Suk Chae ETRI

3. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI The Growth of Healthcare Changes in the circumstances of healthcare –Become an aging society the 65 years old aged population will be doubled within 19 years 60% of population will be over 50 years old in 2050 –Grow chronic disease patients Hypertensive, Diabetic –High increasing in healthcare expense for the society Enlarge a gap between public and private health service Healthcare from treatment to prevention of a disease –healthcare is changed what treatments have to be provided to how to prevent a disease. From what to do in medical institution to how to manage the quality of healthy life for a person –Healthcare is the activity to prevent from having a disease by managing the wellness of a person

4. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Changing Definition on Healthcare Hospital Healthcare –Face to face medical service Telemedicine –Digitalized and networked hospital –EMR(Electronic Medical Record), OCS(Order Communication System), PACS(Picture Archiving and Communication System) e-Healthcare –Personalized hospital with Internet and mobile phone –Monitored bio-data, remote diagnosis u-Healthcare –Any place, any time healthcare with wireless sensor networks –Continuous healthcare, customized healthcare, intelligent healthcare

5. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Bio Signal Health Data Analyzed Result Actionable Health Information  Measure bio signal  Convey bio data  Display bio data  Health data mining  Alerting  Prescription Sensing(Transmission) Monitoring(Networking)AnalyzingFeedback u-Healthcare Source: ETRI, “Ubiquitous Life Care”, Aug. 2007

6. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI u-Healthcare Services Healthcare Wellness an Individual Medical Institute Home & Mobile Healthcare U-Hospital Source: SERI, “Economical Effectiveness of u-Health”, July 2007 Remote Diagnosis Wellness Care Mobile Hospital Medical Smart Card Remote Patient Monitoring Patient Tracking Silver-Town Healthcare Mobile Prescription Mobile Stress Management Mobile Work-out Monitoring u-Fitness Video Counseling

7. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Remote Patient Monitoring Sensing –Wearable patient monitoring system Electrocardiogram Oxygen blood concentration Heartbeat rate Networking –In u-Hospital, silver-town, home Centralized monitoring –Monitoring Patient tracking : senile dementia Alarming: cardiac infarction

8. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Silver Care Sensing –Vitality Activities in daily life Sleeping hours –Bio data Blood pressure & pulse Glucose metering Networking –In silver-town, living alone elderly Centralized monitoring –Monitoring Health data mining Alerting

9. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Sensor Networking for u-Healthcare Scalable multi-hop enabled network –Centralized monitoring Multiple sensors per a person Sensing from multiple persons Deployed in hospital, silver-town, home –Fixed sensors and moving sensors Fast association, mobility management Overlapping differentiated networks –Home/building automation network plane Light control, temperature control, … –Healthcare network plane Urgent data relaying Ordinary data relaying MAC Requirements from the healthcare –Multiple grades of service quality 15-08-0621-01-004e –Reliable multi-hop extension to the sink Automation network plane Healthcare network plane sensor for building automation sensor for healthcare sink for building automation sink for healthcare

10. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Slide 10 Grades of Service Quality Service performance requirements on quality –one single frame expected to be delivered to the sink with the probability 0.6 no later than 5sec –train of frames must be delivered to the sink within 1sec –variance of inter-arrival time between consecutive frames needed to be within 100ms –one single frame must be delivered to the sink within 20ms Grades of Service Quality –quality attributes (e2e bandwidth, tolerable frame loss rate, tolerable max delay, delay variance) Specification of the Grades of Service Quality for WPAN MAC –specify required bandwidth, loss rate, delay, delay variance average value, max/min value, distribution –classify the quality in discrete grades high loss rate tolerable, low loss rate required high delay tolerable, low delay required

11. doc.: IEEE 802.15-08-0771-01-004e Submission November 2008 ETRI Required Amendments for Healthcare Amended on –Superframe structure –Frame format –MAC PIB –MLME-SAP –MCPS-SAP Multiple grades of quality –Prioritized accessing –Bounded latency –Reserved bandwidth Reliable multi-hop extension –Time synchronization –Beacon alignment (scheduling) –Channel hopping –Adaptive channel interference detection –Distributed resource allocation (scheduling) –Fast association in distributed manner –Low power consumption