INFRASONIC BVBA

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

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. Alarm over IP AoIP Telemedicine Backoffice Music 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 ASB-Security BV

17. System available Registration conform EN50136Transmission time & Availability (1) Receiver Transmission road OK alarm Centeral Web server Telemedicine System Infrastructure server available Monitoring Center ASB-Security BV

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

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 The compatible facilitating system 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

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