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E-health and standardization

The evolution of advanced digital telecommunication techniques has enabled the development of multimedia systems to support e-health applications, in particular in the area of telemedicine .

In the Standardization Sector of the ITU (ITU-T), this is handled by Question 28/16 (Multimedia framework for e-health applications), which focuses on standardization of Multimedia Systems to support e-health applications. Q28/16 is allocated under ITU-T Study Group 16 , which is inter alia the Lead ITU-T Study Group on e-health. This high-level Question will coordinate the technical standardization of multimedia systems and capabilities for e-health applications in ITU-T and will develop corresponding Recommendations.

Q28/16 also collaborates with the World Health Organization (WHO), in particular on safe listening systems.

Completed deliverables

Recommendation ITU-T H.810 series, Interoperability design guidelines for personal health systems
2017 (Ed.4-Keratin) | 2016 (Ed.3-Iris) |
2015 (Ed.2-Genome) | 2013 (Ed.1-Endorphin)
ITU-T Technical Paper HSTP-H812-FHIRInteroperability design guidelines for personal health systems: Services interface: FHIR Observation Upload for trial implementation (2017)
Suite of conformance testing specifications of ITU-T H.810 personal health systems
(Recs ITU-T H.820 to H.850 series)
Ed.4 | Ed.3 | Ed.2 (delta / complete) | Ed.1
Technical Paper ITU-T HSTP-H810, Introduction to the ITU-T H.810 Continua Design Guidelines
2017 | 2014
Technical Paper HSTP-H810-XCHF, Fundamentals of data exchange within ITU-T H.810 Continua Design Guideline architecture
2017-10 | 2017-01 | 2015
Recommendation ITU-T H.860 (2014), Multimedia e-health data exchange services: data schema and supporting services
Multimedia brain information (ITU-T H.861.x series)
H.861.0 (Platform)
H.861.1 (Brain healthcare quotients)
Technical Paper ITU-T FSTP-RTM (2006), Roadmap for Telemedicine

List of all Technical Papers

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Terminology
ITU-D Study Group 2 Question 2/2, Information and telecommunications/ICTs for e-health

Masahito KAWAMORI
Rapporteur, Q 28/16 (WP 2/16)
Keio University, Japan
Noah LUO
Chairman, ITU-T SG16
Huawei Technologies, China
Simão CAMPOS
Counsellor, ITU-T SG16
ITU

Study items
Tasks

identification of user requirements;
multimedia framework (including overall concept) for e-health applications (e.g., personal connected health, diagnostics, telemonitoring for communicable disease control, telehealth, mobile health and telemedicine) that leverage various information (e.g., brain information, physiological information and ambient information);
impact of new areas of study such as artificial intelligence, bioinformatics (genomics in particular), health software, pharmavigilance, gamification, and virtual reality in standards for e-health;
consideration of usability of e-health systems and devices;
roadmap for e-health standards;
generic architecture for e-health applications;
specific system characteristics for e-health applications (e.g. video and still picture coding, audio coding, security, directory architecture, safe listening, etc.);
creation of glossary of e-health (e.g., telehealth and telemedicine);
consideration of structure and format of data (including metadata) for e-health, and methods for inputting, transmitting, storing, querying, finding, identifying, categorizing and processing them;
personal connected health devices, and personal health devices, systems and services;
leverage multimedia and e-health technologies in meeting requirements from, e.g., WHO and other stakeholders (e.g., NCDs, and/or epidemic outbreaks) considerations on how to use multimedia for e-education related to health;
development of conformance testing specifications and capability maturity models for standards in the above mentioned study items.

Tasks include, but are not limited to:

multimedia framework for e-health applications such as IPTV and mobile;
maintain a high-visibility web page documenting the progress of the Question;
roadmap for e-health/telemedicine standards, compiling and analysing standardization requirements from e-health stakeholders and identifying standardization items with priorities;
update the inventory of existing e-health/telemedicine standards;
support of ITU‑D e-health activities, including capacity building;
provide inputs for extension and improvement of existing Recommendations on multimedia systems (ITU‑T H.323, H.420, H.700-series; H.264, H.265; V.18, etc.);
considerations on how accessibility to e-health applications may be enhanced;
consideration on the application of already existing mature and stable technologies rather than only on future advanced technologies;
maintenance and expansion of the deliverables under the responsibility of the Question: ITU-T H.800-series; FSTP-RTM, HSTP-H810, HSTP-H810-XCHF.