1. eHealth: Past, Present & Future
Marco Antonio Gutierrez
Heart Institute (InCor)
University of São Paulo, Medical School

2. 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/ ) European Institute of Public Administration 2003.

3. 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+)

4. 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

5. 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, …

6. 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"

7. 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

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

9. Knowledge in Medicine

10. Thank you ! Marco Antonio Gutierrez Informatics Division
Heart Institute (InCor)
University of São Paulo, Medical School
Phone:
Thank you !