Multimedia framework for e-health applications
(Continuation of Question 28/16)Motivation
The evolution of advanced digital telecommunication techniques has enabled the development of multimedia systems to support e-health applications, including telemedicine.
E-health uses information and communication technology (ICT) to support health needs, while telemedicine is considered as that part of e-health where telecommunication systems which allow interconnecting remote locations and to access distant resources. Examples of telemedicine applications are teleconsulting, teleradiology, telesurgery, etc.
NOTE – According to the World Health Organization (WHO), telemedicine is "the use of information and communication technology to deliver medical services and information from one location to another", while e-health is "a new term used to describe the combined use of electronic information and communication technology in the health sector".
This Question focuses on standardization of multimedia systems and services to support e-health applications.
In order to allow a wide deployment of e-health applications, in particular in developing countries, it is important to achieve interoperability amongst systems and to reduce the cost of devices through economies of scale. Consequently, the development of global international standards with the involvement of the major players (governments, inter-governmental organizations, non-governmental organizations, medical institutions, doctors, manufacturers, etc.) is a key factor to achieve these objectives.
Considering the fact that many organizations are already active in this field (with which ITU has existing cooperation agreements) and that, in addition to technical issues, there are a number of other aspects to be considered (e.g. legal, ethical, cultural, economic, regional), it is considered that ITU‑T can provide the right environment to harmonize and coordinate the development of a set of open global standards for e-health applications.
In the framework of this Question, Study Group 16, as lead study group for multimedia coding, systems and applications, will coordinate the technical standardization of multimedia systems and capabilities for e-health applications in ITU‑T, and will develop corresponding Recommendations and other deliverables.
NOTE – Improvements and additions to the specific characteristics of multimedia systems and terminals under the responsibility of other Study Group 16 Questions will be addressed within those Questions.Study items
Study items to be considered include, but are not limited to:
- 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.
An up-to-date status of work under this Question is found in the SG16 work programme
- ITU‑T H.300-series, H.260-series, H.420-series, H.700-series, T.80-series, T.800-series, V.18
- All Questions of Study Group 16
- ITU‑T SGs 9, 12, 13, 17 and 20
- ITU‑R SG5
- ITU‑D SG2
- WHO, ICAO
- HL7, IHE, DICOM, Personal Connected Health Alliance (Continua), GSMA, DAISY Consortium, and other relevant forums and consortia
- ISO (TC215 in particular) IEC (TC100 and TC108 in particular), CEN, CENELEC (TC108X in particular), ETSI, IETF, IEEE (11073 WGs in particular) and other relevant standardization bodies