SAA, 1st version - Net!Works

eMobility – Strategic Applications AgendaHealth and InclusionFurthermore, the use of such pervasive healthcare systems raises several other challenges.Considering the fact that healthcare systems are intended to be used by beginner or moderately computer literateusers, it is of high importance to build a user-friendly platform reducing complexity through better design. Thususability issues such as user friendliness, HCI and ergonomics to increase the functionality that users need is animportant factor in the design of such systems. To enable the ease of use of such systems there is a need tomake wireless diagnostic and disease management systems more intelligent, using trends from the artificialintelligence discipline. Machine learning smart-phone systems using advanced sensors that gather data about thephysical world, such as motion, temperature or visible light, together with machine learning algorithms whichanalyzes the sensor data to enhance the healthcare services are recommended.Personal data security and location privacy are considered to be the most important future challenges. Howeverenhancement of the main functionalities in terms of speed and data compression are also considered important.II.3. Hospital consultation and emergency scenariosII.3.1. DescriptionHospital consultation and emergencies are among the most challenging scenarios, due in particular to therequirements of high medical quality for multimedia data and often high mobility and real-time operation.Hospital consultation includes streaming of medical video data from the patient site to the hospital, wherespecialists can perform a diagnosis according to the data received.Emergency scenarios include data transfer between ambulance and hospital and temporary communicationsystems deployed after disasters (earthquakes, war ...).Real-time Mobile/Wireless Telemedicine services for teleconsultation (videoconferencing), teleradiology andmedical images and video transmission through IP and Mobile Web platforms could be useful in patients to carers(P2C) communication and also in health providers‘ interaction. Devices such as mobile phones, personal digitalassistants, laptops, ultra mobile portable computers (UMPC) and tablet PCs are proposed for accessing theseservices. Broadband wireless networks such as WiMAX, WLAN, 3G/HSPA, digital TV, broadband satellite andmobile TV (terrestrial and satellite) are becoming increasingly available and affordable to permit theseapplications.A demanding real-time hospital consultation application consists of wireless robotic ultrasonography. A fullyintegrated end-to-end mobile tele-echography system for people that are not served locally, either temporarily orpermanently, by medical ultrasound experts was developed in the OTELO [46] [43] project, comprising a fullyportable tele-operated robot allowing a specialist sonographer to perform a real-time robotised tele-echographyto remote patients.An important example of what an emergency application consists is the transmission of medical data from anambulance. If the ambulance is equipped with a portable ultrasound device, an ultrasonography can beperformed on the patient on the way to the hospital, in order to check possible internal injuries or heartproblems, and the acquired video sequence can be sent to the hospital via a mobile broadband platform (such asWiMAX). The proper actions can be prepared in the hospital according to the diagnostic data received. Avideoconference session with the specialists at the hospital can also be set-up and live images of the patient canbe transmitted. Similarly, a medical doctor may be traveling and his expertise may be urgently required. In thiscase, patient‘s data can be immediately transferred to the specialist‘s PDA enabling an immediate first diagnosis.The described telemedicine scenarios require real time services and applications such as voice and video over IPin an environment capable to support real time communication in case of emergency. Such telemedicalapplications can be classified in terms of [42]:Needed bandwidth;Tolerated delay;Minimum accepted quality;9