1. ITU-T Work on Standardizing e-Health
Joint ITU-WHO Workshop on e-Health Standards and Interoperability (Geneva, Switzerland, April 2012)
ITU-T Work on Standardizing e-Health
Masahito Kawamori
Rapporteur, ITU-T Q28/16
NTT
Geneva, Switzerland, April 2012

2. 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, April 2012

3. 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, April 2012

4. 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, April 2012

5. Contact details for further info
Masahito Kawamori,
Links to general and/or specific web resources
Geneva, Switzerland, April 2012

6. [Optional] Additional slides
Geneva, Switzerland, April 2012

7. Relevant Links www.itu.int/itu-t/recommendations/ . 7
Geneva, Switzerland, April 2012

8. 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, April 2012

9. 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, April 2012

10. 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, April 2012

11. 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, April 2012

12. 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, April 2012

13. 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, April 2012

14. 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 on IPTV
Receives the reply from the doctor to show his professional advice on the TV screen
© I2R, NTT
Geneva, Switzerland, April 2012

15. 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, April 2012

16. 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)

17. 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.

18. 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.

19. 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

20. 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 ]

21. 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

22. 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

23. 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.

24. 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: 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