1. INFRASONIC BVBA Poppe Wijnsma presents: TELEMEDICINE NEEDS STANDARDS

2. Telemedicine origins  Delivery of medicine at a distance.  The Greek word τελε (tele) meaning 'far', and medicine  Smoke signals to warn people for serious disease  In the early 1900s, Australia used two- way radio system, to communicate with the Royal Flying Doctor Service

3. Telemedicine development  In absentia health care, which - thanks to modern communication technology – has metamorphosed into modern telemedicine Telemedicine nowadays  Utilizing modern information and telecommunication technology for:  Transfer of electronic medical data from one location to another location  Transfer medical information for diagnosis, therapy and education

4. Our Telemedicine expectations (1) Improvement of health care information  Distribution by using modern communication tools:  (Video) Phone  Video conference facility  (A)DSL (broadband) connection, secured and monitored  GPRS data connection as basic or back-up

5. Our Telemedicine expectations (2)  Improvement of healthcare quality:  Clearness of information  Faster information transfer  Instant information access and less time waist (waiting hours) in case of information lack  Diagnostic results and information will be safe transferred  Monitoring at home with safe and secured connection

6. Elderly Care Elderly are looking for:  Secured home environment  Staying at their own premises as long as possible  Optimal health care

7. Elderly Care Secured home environment  Combination of a security system with home automation and telemedicine  Advantages: –One system (plug and play) –One IP connection, monitored 24/7 –One alarm center for all services

8. Elderly Care Staying at their own premises as long as possible  The system will facilitates all kind of domotica services such as: –Remote control –Lighting control –Heating control –Smoke detection –Personal alarm –Video conferencing

9. Elderly Care Optimal health care The system will include:  Video conferencing system (touch screen + webcam)  Making a direct connection with healthcare providers such as: - Family doctor - Home care organization - Medic specialist at the hospital - Other health care providers  All monitoring abilities

10. Types of Telemedicine Telemedicine types suitable for “Elderly care”  Tele consulting  Tele diagnostics  Tele information / education  Tele monitoring  Tele rehabilitation

11. The System Definitions:  Secured information transfer to guarantee: –User privacy An open compatible facilitating system –Every healthcare organization should be able to use own software –Facilitates a wide range of health care services  Combination of telemedicine with domotica and an intruder alarm system –Making the system financially more feasible for faster implementation

12. The System Realization  Secured information transfer  Monitoring the IP connection between system and server for 24 hours / day  An open compatible facilitating system  The health care data will be transferred via the alarm center secured web server  Combination with intruder alarm and domotica  Safety improves quality of health care

13. The System

14. Telemedicine standards New standards needed ?  Adopt existing standards first  Existing standards can be applicable for:  Secured information transfer  The open compatible facilitating system  The telemedicine system

15. Existing standards Secured information transfer  Monitoring the IP connection between the system and the server for 24 hours per day

16. Music Alarm over IP AoIP ASB-Security BV Telemedicine Backoffice Alarm Narrow Cas. Video Conf. Phone Tele banking Entrance y Without full Monitoring:  The alarm signal and private telemedicine information is not secured  The time of message arrival is not guaranteed

17. Registration conform EN50136 Transmission time & Availability ASB-Security BV Infrastructure Telemedicine System Centeral Web server Monitoring Center System avail able server avail able alarm Transmission road (1) Receiver OK

18. Alarm Tele medicine Domotica Systeem EN 50136-1 Web server facilitating Healthcare Software connection EN-50136-1 Infrastructure Central server (A)DSL Modem A Plug and Play System A Plug and Play System Health care organisation Alarm telemedicine data transfer Patent NL 1030493 EN-50136-1

19. Existing standards Secured data transfer  Monitoring the IP connection between the system and the server for 24 hours per day Certified in accordance with:  EN 50136-1-1 requirements for transmission systems  EN 50136-2-1 transmission systems and equipment  EN 50136-2-2 equipment requirements systems with dedicated alarm paths (IP)

20. Existing standards Joint Initiative on SDO Global Health Informatics Standardization CHARTER (March 2007) Participating SDOs are ISO/TC215, HL7 Vs3 and CEN TC251 Adopting EN 7510 BS/ISO 7799 The compatible facilitating system

21. Telemedicine standards The system complies with following European standards  EN 50131-6 Requirements for power supply  TS 50131-3 Requirements for Control and Indicating equipment  EN 50131-5-3 Test for Wire free system components  EN 50130-4 EMC requirements for alarm components  EN 50130-5 Environmental test methods  EN 301 489 Part 1&3 EMC test  EN 60950 Safety test

22. Infrasonic-Security BVBA Belgium www.infrasonic-security.com Tel: +32 14 43 14 19 Email: info@infrasonic-security.com System developer