eHealth: Past, Present & Future Marco Antonio Gutierrez Heart Institute (InCor) University of São Paulo, Medical School marco.gutierrez@incor.usp.br

eHealth . . . "eHealth is the single-most important revolution in healthcare since the advent of modern medicine, vaccines, or even public health measures like sanitation and clean water” Silber D. The case for eHealth. (Presented at the European Commission's first high-level conference on eHealth May 22/23 2003) European Institute of Public Administration 2003.

From Medical Informatics to eHealth Classical Medical Informatics – stand alone era (1970+) Health Telematics – early telecom days (1985+) eHealth – Web era (1995+) Pervasive and ubiquitous eHealth - ambient intelligence era (2005+)

From Medical Informatics to eHealth Classical Medical Informatics – stand alone era (1970+) Systems for the storage, retrieval, sharing and optimal use of biomedical data, information and knowledge Health Telematics – early telecom days (1985+) Regional health care networks Remote diagnosis and telemedicine applications Decision Support Systems

From Medical Informatics to eHealth eHealth – Web era (1995+) Internet based applications and services Medical content for prevision Intranets for health service management Pervasive and ubiquitous eHealth - ambient intelligence era (2005+) Health knowledge infrastructure Wearable and implantable systems Biomedical informatics for personalized health (Genomic data, Bigdata, …) Health GRIDs (EELA-2), Private Clouds, …

EC definition of eHealth the use of modern information and communication technologies to meet needs of citizens, patients, healthcare professionals, healthcare providers, as well as policy makers" http://europa.eu/

WHO definition of eHealth "eHealth is the cost-effective and secure use of information and communications technologies in support of health and health-related fields, including health-care services health surveillance health literature health education, knowledge and research World Health Organization , Ninth plenary meeting, 25 May 2005 Committee A, seventh report

The 5 Steps of e-Health Privacy Integrity Confidentiality Semantics Bigdata … Cloud Environment

Knowledge in Medicine

Thank you ! Marco Antonio Gutierrez Informatics Division Heart Institute (InCor) University of São Paulo, Medical School Phone: +55 11 2661-5441 Email: marco.gutierrez@incor.usp.br Thank you !