eHealth dedicated eInfrastructures in Italy

1. eHealth dedicated eInfrastructures in Italy Support to the medical research community on a NREN: GARR experience Federica Tanlongo - GARR - federica.tanlongo@garr.it

2. The collaboration • Three-year (2009-2011) agreement between the Italian Ministry of Health and GARR, the Italian Research and Academic Network, for the interconnection of 44 Centres of Excellence in Medical Research and Healthcare (IRCCS), the Ministry offices and the National Center of Oncological Adrotherapy • 3.3GbpsIP access link aggregate capacity for this user group • The collaboration dates back to 2006, when the first interconnection project was lauched

3. The collaboration Objectives • To enhance IRCCS’s scientific collaboration potential, both at the national and international level, through the provision of reliable, high-bandwidth network connectivity and advanced telecommunication services • To enable the Research and Healthcare centres to access and exploit large Grid infrastructures for research in Italy, and other resources on the network • To enable the Ministry to monitor the Medical Research activities carried out, and ensure bandwidth upgrades for centers which need more capacity

4. Why GARR? • GARR plans and operates the high-bandwidth telecommunication network dedicated to Research and Academics in Italy • Its istitutional mandate is in line with the scientific mission of the research institutes connected to the Ministry of Health • NRENs are non-for-profit organizations, and therefore they do not share an Operator’s or an ISP’s point of view • Worldwide NRENs seamlessy interconnect with each other, thus enabling international cooperation between their users

5. The GARR Network at a glance • 43 Points of Presence (more than 90% hosted by Universities and Research Centres) • IP backbone aggregate capacity • ~ 110Gbps • 62 backbone links • IP access aggregate capacity • ~ 70Gbps • Access links capacity 2Mbps  10Gbps • More than 400 access links • 8 Telecom operators nation-wide + many local ones Optical Fibrer

6. GARR-X: GARR’s Next Generation Network • Adoption of dark fibers both for the backbone and the access links • Increased available bandwidth • Blend of circuit & packet switching • Richer service portfolio • On demand OPN and VPN • Wider support to advanced applications (e-Learning, Mobility, tele-medicine, grids etc) • Widespread coverage over the whole national territory • Minimization of the internal digital divide • Synergies with city councils and regional governments, to exploit exìsting public infrastructures • High-capacity circuits to complete the infrastructure where fiber is not available or technically not advisable • More flexibility • User requirements can be met easily and with the utmost precision • Quicker activation for new links and network services

7. Interconnection to GÉANT and R&E Networks worldwide • Pan-European multi-Gigabit R&E backbone • It interconnects 35 NRENs in Europe • Managed by DANTE, an organization owned by European NRENs • Multi-domain end-to-end services • Interconnects with other continents’ regional backbones through dedicated international links

8. Interconnection of Research&Healthcare centres • Provision of a primary, high capacity link • Provision of a secondary, backup link to ensure fault tolerance and resilience • Provision of user equipment • Maintenance and assistance to technical personnel • Special configuration of equipments to meet specific requirements (projects, applications) PRIMARY LINK GARR Network PRIMARY ROUTER SECONDARY ROUTER SECONDARY LINK

9. Technical solution #1: DH Fiber primary point-to-point link R1 fa0/1 fa1/1 StaticRoute Converter Primary Patch Panel HSRP for high reliability Modem xdsl LAN R2 fa0/1 DSLAM Secondary secondary point-to-point IP link GARR PoP operator’s network end site

10. Technical solution #2: DH Wi-Fi primary point-to-point link R1 fa0/1 Static Route Converter Primary HSRP for high reliability Patch Panel University PoP GARR Modem xdsl LAN R2 fa0/1 DSLAM Secondary secondary point-to-point IP link GARR PoP university, operator’s network end site

11. Technical solution #3: DH xDSL primary point-to-point link R1 DSLAM fa0/1 Static Route Modem xdsl Primary HSRP for high reliability LAN Modem xdsl R2 fa0/1 DSLAM Secondary secondary point-to-point IP link GARR PoP operator’s network end site

12. Technical solution #4: DH SDH primary point-to-point link R1 fa0/1 fa1/1 ring SDH Static Route Converter Primary ADM HSRP for high reliability Modem xdsl LAN R2 fa0/1 Secondary secondary point-to-point IP link GARR PoP operator’s network end site

13. Technical solution #5: DH Ethernet primary point-to-point link R1 fa1/1 fa0/1 Static Route Primary HSRP Patch Panel Metro ethernet LAN R2 fa0/1 fa1/1 Patch Panel Secondary secondary point-to-point IP link GARR PoP operator’s network end site

14. Additional services • GARR Multi-videoconferencing service • Up to 40 contemporary sites participating to a video/phone conference • Portal with videoconference booking facility • Advanced features (phone interfacing, live streaming etc) • help-desk and monitoring during sessions • Identity Management service • National Federation of Authentication and Authorization Infrastructure dedicated to R&E community • Single Sign on access to all resources provided by partner organizations in the Federation

15. Some successful projects exploiting the infrastructure Health-e-Child • Part of the VPH programme • Aims at developing an integrated healthcare platform for European paediatrics, providing seamless integration of traditional and emerging sources of biomedical information. • Exploits grid technology and large distributed repositories • http://www.health-e-child.org NeuGRID • Grid-based e-Infrastructure for data archiving communication and computationally intensive applications in Neurology • Exploits grid technology and large distributed repositories • http://www.neugrid.eu BiblioSan • Makes available the resources provided by the libraries of biomedical research institutes in Italy through a single information system • Exploits the network connectivity, and the Federated AAI service • http://www.bibliosan.it/ Alleanza Contro il Cancro • Network of excellence involving majorcancer research and care institutes • Collaborates with networks of experts worldwide • http://www.alleanzacontroilcancro.it/

16. Regional Research&Healthcare e-Infrastructure in Sicily Naples Sardinia Bari Continental Italy Messina Palermo Mazara 2000 cores 250 TB Catania Malta GARR-X Fiber Backbone Fiber Infrastructure provided by the Regional Goverment GARR-X Submarine fibers International Submarine Cables Additional fiber to Continental Italy provided by the Regional Government Medical Research&Healthcare centres Large Grid sites dedicated to research Tripoli

17. Not just about network connectivity • Support to national and international project • Coordination of E-Infrastructure initiatives at the national level • To bring together all stakeholders, from the Network layer to the end-user • Bio-Imaging JRU • DECIDE Proposal (currently under evaluation) • Plans to submit other projects to national and EU calls

18. The DECIDE proposal/1 • Diagnostic Enhancement of Confidence by an International Distributed Environment • To provide the Neuroscientific and Medical community with a dedicated Grid-based e-Infrastructure • To deploy a secure and user-friendly service for the early diagnosis and research on dementia and other brain diseases, that will exploit large distributed reference databases of multimodal neuroimages • To validate the e-Infrastructure and service through application to real patient cases • To propose a long-term vision for the sustainability of the e-Infrastructure and its extension to new communities and pathologies • To disseminate the results and provide training programmes to promote the adoption of the DECIDE e-Infrastructure and service.

19. The DECIDE proposal/2 • Indicative Budget:~ 3 M€ • Duration: 24 Months • Submitted to EC Call: FP7-INFRASTRUCTURES-2010-2 – Virtual Research Communities • GARR to provide for overall coordination • Scientific coordination entrusted to neuGRID principal investigator • Involves 13 European Partners + a number of major reference centres in Neurology, and patient advocate societies all across Europe • All stakeholders involved, from the network layer to end-users

20. DECIDE at a glance MRI PET/SPECT EEG APPS layer Grid infrastructure GLOBAL Internet Network infrastructure NREN NREN

21. Thank you for your kind attention! For further information please contact planning@garr.it or Dr. Laura Leone laura.leone@garr.it…or just ask me of course