Patient-oriented telemedical applications in ubiquitous telemedical networks of the future

2. Patient-oriented telemedical applications in ubiquitous telemedical networks of the future Michał Kosiedowski, Aleksander Stroiński {kat, edwin}@man.poznan.pl

3. Presentation plan • The concept of a telemedical network of the future • Examples of telemedical networks enabling services, content and things • Dynamic creation of patient-oriented telemedical applications • Summary: towards ubiquitous telemedical network

4. Telemedical network of the future (1) • Telemedical networks of the future will enable specialized systems and platforms as telemedical services • Telemedical services of such network will be provided to healthcare providers and patients • Healthcare providers and patients will be connected to the network via telemedical nodes, which will allow to access telemedical services and will allow to share the resources of healthcare providers and patients in the telemedical network • Thanks to that it will be possible to dynamically compose telemedical applications tailored to the needs of the particular groups of users (medical personnel and, most importantly, patients) • Telemedicalapplication in telemedical network of the future will be anadequatematching of services and resources enabled by telemedicalnodeswhich will act as sort of telemedical network accesspoints

5. Telemedical network of the future (2) • Goals of telemedicalnetwork of thefuture • bring the patientinto the medicalprocesses (integratespace of patient’shome and space of healthcareprovider’s) • allow to accessmedical services via telemedicalnodesutilizinganyresourceneededintelemedicalapplications • provideinteroperability, high level of security and networkinfrastracture

6. Store-and-forward teleconsultations • SOA-BPM paradigm • The platform for medical teleconsultations enabled as a service thatcan be customized for various medical domains • Management of the teleconsultation service platform is performed using business process management mechanisms • Utilization of HL7 CDA standard with open IHE profiles • Telemedical nodes installed in hospitals

7. Telemedical nodes in hospitals (1)

8. Telemedical nodes in hospitals (2) • Telemedicalnode: • allows to accessanytelemedical services requiredinthehospital • usesOSGimodules to ensurecommunicationbetweenhospital systems and services • implementsmedicalstandards to ensureinteroperability of systems

9. Access to health records • Medical data as content • Integration of EMR/EHR records with PHR records • Utilization of a content aware network for medical data sharing • Utilization of standards: IEEE 11073 to communicate with personal medical devices and HL7, DICOM etc. as data formats in the network 1 2 5 4 3

10. Telemedical node at the patient’s home

11. Media streaming devices in the telemedical network • Hipermed: • a comprehensive platform based on a service orientedarchitecture and high definitionvideoconferencing and streaming for medicalpurposes • system to get live media streams from devices such as: microscopes, endoscopes, cameras and combinethem with videoconferencingequipment.

12. Future medical e-office • Medical office is linked to the telemedical network via a flexible telemedical node: • medical personnel can be mobile • medical personnel has access to necessary tools, services and data „anytimeand everywhere” • Patients also have telemedical nodes: • immersed in the smart home environment • enable use of personal medical devices • enable resources for the needs of telemedical applications • The future medical e-office allows to dynamically create necessary, specialized telemedical applications, personalized to the needs of an individual patient in the context of the current therapeutic requirements

13. Future medical e-officeconcept demonstration

14. Dynamic creation of a personalized telemedical application (1) Step 1. Doctor prepares a personalized application for his/her patients doctor configurespersonalized application Step 2. Patient picks up the personalized telemedical application patient picks up application’s QR code Step 3. Patient installed the personalized application on his/her telemedical node a. patient uploads application installer onto his/her telemedical node b. telemedical node downloads the application patient’s home doctor’s office

15. Dynamic creation of a personalized telemedical application (2) Step 4. Application monitors patient’s activity ALERT! a. application informs the patient of a need to perform action b. patient performs requested action c. aplication informs the doctor of patient’s performance Step 5. Doctor can remotely change application configuration (i.e. to change the therapy or rehabilitation routine) a. doctor changes application configuratio n b. new configuration is transmitted to the patient patient’s home doctor’s office

16. SummaryTowards ubiquitous telemedical network • Telemedical networks of the future will enable a number of telemedical services and any resources of the medical processes actors’ ambient (medical personnel, patients and others) • Services and resources will be dynamically matched into personalized telemedical applications run in specific contexts • Telemedical applications should be accessible „anytimeand everywhere” • Telemedical network must be aware of services, resources and applications running on it and be able to control them • Challenges concerned with building ubiquitous telemedical networks: • adequate network infrastructure • high security of services, applications and data • telemedical interoperability at technical, semantic and organizational levels • patient as a trusted actor of telemedical processes

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