1. ARTES 3 ESA MULTIMEDIA PROGRAMME

2. The cornerstones of ESA support to industry Develop applications and involve a variety user groups in early roll-out of services Promote open standards in the satellite industry Develop the key satellite and ground system technology in order to lessen the service deployment risk

3. How ARTES 3 helps to companies to develop a good multimedia business case Co-financed R&D accelerates projects start-up and has a significant multiplication effect on the return on investments “ESA seal of approval” on the technology eases raising of private financing promoting applications and new standards accelerates market penetration of new systems

4. ARTES 3 Funding Activities are co-funded by ESA and contractors on a 50 % basis. Special cases are: Small and Medium Enterprises (SME) funded up to 75%. University, institutes and equivalent research centres funded up to 100%. Companies have an obligation to present a business plan with their offer to ESA Credibility of business plan is a key evaluation criteria

5. The ARTES 3 Multimedia Programme A programme based on innovative approach such as industry driven initiatives and co-funding of development costs. Based on three lines of actions: Line 1: Applications and value added services Line 2: Satellite Multimedia Products. Line 3: end-to-end systems

6. Line 1 : Applications and value added services development of applications in partnership with telecom operators to promote early market start up: tele-medicine tele-education public administration Intranets high speed Internet

7. Line 1 : Applications and value added services developments of standards Open standards are essential for the market to develop and for systems to be interoperable ESA has created an ad-hoc group with Eutelsat, Hispasat, Intelsat, SES-Astra, Telenor, Telesat, Teracom which has elaborated a recommendatuin for a standard for multimedia interactive terminals

8. Line 2: satellite multimedia products System building blocks being developed: onboard processing technology (e.g. Skyplex plus), intelligent antennas, inter-satellite links communications controllers

9. Ground systems: Geo and Non-geo low cost user terminals (Ku and Ka systems) Gateways (ATM/IP) Communication software Line 2: satellite multimedia products

10. Line3: end-to-end Systems Partnership with the main European multimedia systems: Euroskyway, Skybridge and West. Development of end-to-end technology demonstrators and system validation initiatives with an initial investment of 45 MECU

11. Artes 3 Phase 1: –100 MECU – from September 1997 to end 1999 Phase 2: –280 MECU –from April 1999 to end 2002

12. Artes 3 projects in the Field of Telemedicine and Tele-education SHARED: SHARED: DESNET DESNET EUROMEDNET EUROMEDNET Espresso for Schools Espresso for Schools HERMES HERMES MultiMED MultiMED Remote Communities Services Telecentre Remote Communities Services Telecentre European Medical Network European Medical Network

13. Espresso for Schools “ BEST of WEB” via satellite internet specialised content production for primary and secondary schoold Implementation and support of 200 Schools in UK

14. SHARED

15. SHARED sites SHARED Operational Site or under installation Station to be installed in 99 for the EuroMedNet Project (ARTES-3) DICE Operational Site Future SHARED Site

16. DESNET (prime: Marconi - I) Implement a retrofit of the SHARED network to provide automatic access to the telemedicine services (i.e. w/o station operator) Implement a retrofit of the SHARED network to provide automatic access to the telemedicine services (i.e. w/o station operator) EUROMEDNET (prime: TelBios - I) Development of a Telemedicine Operation Centre (TeMOC) providing Web-based service information access, booking and automatic schedulingDevelopment of a Telemedicine Operation Centre (TeMOC) providing Web-based service information access, booking and automatic scheduling SHARED follow-on

17. Continuing Medical Education for medical professionals in Europe in cooperation with major medical associationsContinuing Medical Education for medical professionals in Europe in cooperation with major medical associations Production of content in form of steaming and package delivery for interactive courseware based on Lotus LLS platform Production of content in form of steaming and package delivery for interactive courseware based on Lotus LLS platform 100 sites will be equipped AstraNet dishes 100 sites will be equipped AstraNet dishes Content will be produced in English, German and French Content will be produced in English, German and French European Medical Network (primes: EMN - CH, D. Telekom D)

18. Pilot operations using asymmetrical Internet via satellite Services supported: reference data (content from IAEVEA and EURORAD), teleconsulting, CME Videoconference gateway for multipoint distribution Telespazio platform for Internet via DVB HERMES (prime: Telecom Italia - I)

19. Remote access to the Bristol Medical Simulation Centre through an interactive platform Services available: on-line reference, tailored courseware, passive simulation, active simulations Active simulation employs advanced multimedia techniques such as Photographic Virtual Reality and full remote control of the Human Patient Simulator Pilot focussed on Anaesthesiology MultiMED (prime: ESYS - UK)

20. Development, integration and pilot operations of a shared telecom facility devoted to remote communities Telehealth services (together with other applications) will be provided in four centres in Newfoundland and Labrador Model based on “services / technology / geography / human systems” paradigm Remote Communities Services Telecentre (prime: Telesat - CDN)

21. Telemedicine: ESA effort towards an economic sustainable service

22. cost structure of public health care system organisation of the health care system benchmarking of telemedicine effectiveness Factors affecting a sustainable service model:

23. Telemedicine can improve the efficiency of resources utilisation More efficient diagnosis to treatment cycle Average stay in bed decreases Number of treated cases increases

24. Telemedicine Strategy Humanitarian missions Commercial telemedicine We believe in the synergies between no-profit and market oriented applications

25. Early telemedicine roll-out Telemedicine for emergencies (natural disaster, humanitarian missions): Typical services: teleconsulting and continuing medical education Moderate confidentiality requirements National/International Regulations for Telemedicine not yet available External Support (financial/in kind) required Service provided by hospitals consortium

26. Multiclient service centre Transactional oriented Telemedicine services Medical Insurance companies likely investors National/International patients databases Pharmaceutical companies sponsors/investors High confidentiality requirements National/International Regulations in force Telemedicine service maturity

27. ESA today is the major sponsor of satellite telemedicine projects in Europe ESA will continue supporting telemedicine projects in the continuation of the Artes 3 multimedia programme ESA will continue to select projects on the basis of the commitment of the medical and telecommunication community to co-invest Conclusions