1、 ETSI SR 002 564 V2.0.0 (2007-05)Special Report Applicability of existing ETSI andETSI/3GPP deliverables to eHealthETSI ETSI SR 002 564 V2.0.0 (2007-05) 2 Reference DSR/EHEALTH-00018R200 Keywords ETSI 650 Route des Lucioles F-06921 Sophia Antipolis Cedex - FRANCE Tel.: +33 4 92 94 42 00 Fax: +33 4 9
2、3 65 47 16 Siret N 348 623 562 00017 - NAF 742 C Association but non lucratif enregistre la Sous-Prfecture de Grasse (06) N 7803/88 Important notice Individual copies of the present document can be downloaded from: http:/www.etsi.org The present document may be made available in more than one electr
3、onic version or in print. In any case of existing or perceived difference in contents between such versions, the reference version is the Portable Document Format (PDF). In case of dispute, the reference shall be the printing on ETSI printers of the PDF version kept on a specific network drive withi
4、n ETSI Secretariat. Users of the present document should be aware that the document may be subject to revision or change of status. Information on the current status of this and other ETSI documents is available at http:/portal.etsi.org/tb/status/status.asp If you find errors in the present document
5、, please send your comment to one of the following services: http:/portal.etsi.org/chaircor/ETSI_support.asp Copyright Notification No part may be reproduced except as authorized by written permission. The copyright and the foregoing restriction extend to reproduction in all media. European Telecomm
6、unications Standards Institute 2007. All rights reserved. DECTTM, PLUGTESTSTM and UMTSTM are Trade Marks of ETSI registered for the benefit of its Members. TIPHONTMand the TIPHON logo are Trade Marks currently being registered by ETSI for the benefit of its Members. 3GPPTM is a Trade Mark of ETSI re
7、gistered for the benefit of its Members and of the 3GPP Organizational Partners. ETSI ETSI SR 002 564 V2.0.0 (2007-05) 3 Contents Intellectual Property Rights6 Foreword.6 Introduction 6 1 Scope 8 2 References 8 3 Definitions and abbreviations.21 3.1 Definitions21 3.2 Abbreviations .22 4 Background 2
8、4 4.1 Socio-economic development 24 4.2 Current situation and requirements.24 4.3 Policies and strategies 25 4.4 Shift in Health System Paradigms25 5 eHealth action plan.26 6 Deliverables related to eHealth 28 6.1 Various types of deliverables .28 6.2 Selection of deliverables 28 6.3 Mapping of issu
9、es.28 7 Radio 29 7.1 ERM .29 7.1.1 Overview 29 7.1.2 Medical telemetry and telecontrol 29 7.1.3 RFID in eHealth30 7.2 TErrestrial Trunked RAdio (TETRA) 31 7.3 WiMAX31 7.4 UWB 32 7.5 Suggested future work33 8 Network33 8.1 Introduction 34 8.2 Taxonomy of Networks34 8.3 IPv6 networks.35 8.4 Next Gener
10、ation Network (NGN) 35 8.5 Suggested future work36 9 Interoperability and testing.36 9.1 Relevance .36 9.2 Interoperability activities37 9.3 Testing38 9.4 Suggested future work38 10 Smart cards platform 38 10.1 Relevance .38 10.2 ETSI Smart Card Platform .39 10.3 Suggested future work41 11 Applicati
11、on services .41 11.1 Third-party service providers .41 11.1.1 Relevance41 11.1.2 Deliverables 42 11.2 Service capabilities and Quality of Services 42 11.2.1 Relevance42 11.2.2 Technical bodies dealing with QoS 43 ETSI ETSI SR 002 564 V2.0.0 (2007-05) 4 11.2.3 Deliverables 43 11.2.4 Suggested future
12、work 45 11.3 Mobility and single sign-on45 11.3.1 Relevance45 11.3.2 Deliverables 46 11.4 Location based services47 11.4.1 Relevance47 11.4.2 Deliverables 47 11.4.3 Suggested future work 48 11.5 Broadcast, multicast and satellite communication services48 11.5.1 Relevance of broadcast and multicast c
13、ommunications services48 11.5.2 Joint Technical Committee (JTC) Broadcast48 11.5.3 Satellite communication services49 11.5.4 TC Satellite Earth Stations (SES) .49 11.5.5 Deliverables 49 11.5.6 Suggested future work 51 11.6 Multimedia applications .51 11.6.1 Relevance51 11.6.2 3GPP standard on IP mul
14、timedia applications51 11.6.3 Guidelines for real-time person-to-person communication services.51 11.6.4 Suggested future work 51 11.7 Priority services51 11.7.1 Relevance and deliverables.51 11.7.2 Suggested future work 52 11.8 Address book52 11.8.1 Relevance52 11.8.2 Deliverables 52 11.8.3 Suggest
15、ed future work 52 11.9 Grid 53 11.9.1 Relevance53 11.9.2 ETSI Technical Committee GRID54 11.9.3 Suggested future work 54 11.10 Device control 55 11.10.1 Relevance55 11.10.2 Current standards as input.55 11.11 Messaging services.55 11.11.1 Relevance55 11.11.2 SMS 55 11.11.3 Email.55 11.11.4 Deliverab
16、les on SMS 55 11.12 Intelligent houses56 11.12.1 Relevance56 11.12.2 ETSI AT and TM NGNHome.56 11.12.3 Suggested future work 57 12 Emergency communications 57 12.1 Relevance .57 12.2 Future scenario .57 12.3 ETSI Special Committee EMTEL58 12.4 Planned EMTEL work59 12.5 MESA.59 12.6 Emergency call da
17、ta transferring60 12.7 Satellite Emergency Communications60 12.8 Ongoing 3GPP study on Public Warning System 60 12.9 User Profile 61 12.10 Suggested future work61 13 Usability .62 13.1 Relevance .62 13.2 ETSI Technical Committee human factors 62 13.3 Future work 63 13.3.1 Proposal on Personalization
18、 and User Profile Management Standardization (e-Inclusion)63 ETSI ETSI SR 002 564 V2.0.0 (2007-05) 5 13.3.2 Proposal on Personalization of eHealth systems by using eHealth user profiles (eHealth) 64 14 Security.64 14.1 Relevance .64 14.1.1 Overview of security relevance 64 14.1.2 Privacy66 14.2 Rang
19、e of technical committees.67 14.3 High level documents.67 14.4 Ongoing work.67 14.4.1 TISPAN security standards development .67 14.4.2 Suggested future work 68 14.5 Roles and access control.68 14.5.1 Roles .68 14.5.2 Access control.69 14.5.2.1 Range of roles .69 14.5.2.2 Role based access control69
20、14.5.2.3 Parameterized access control activities at ETSI69 14.5.3 Range of categories.69 14.5.3.1 Introduction.69 14.5.3.2 Supervision and ownership of responsibility 69 14.5.3.3 Caregiver - Caretaker relationships.70 14.5.3.4 Formal caregiver - informal caregiver relationships .70 14.5.3.5 Parent -
21、 child relationships70 14.5.3.6 Manufacturers and service providers 70 14.5.3.7 Suggested future work.70 14.6 Law enforcement70 14.6.1 Accessing health related data70 14.6.2 Suggested future work 70 14.7 Identification of people 71 14.7.1 General relevance .71 14.7.2 Electronic Signatures 71 14.7.2.
22、1 Relevance71 14.7.2.2 ETSI TC Electronic Signatures and Infrastructures 72 14.7.3 Universal Communications Identifier (UCI) 72 14.7.4 Suggested future work 73 14.8 Identification and tracking of products.73 14.8.1 Use of Radio Frequency IDentification (RFID)73 14.8.2 Suggested future work 74 15 Reg
23、ulation 74 15.1 Relevance .74 15.2 Emergency telecommunication 75 15.3 Currently ongoing work .75 15.4 Suggested future work75 16 Future eHealth standardization activities .76 16.1 Summary of the future ETSI eHealth activities76 16.2 Relations.76 16.2.1 Stakeholder involvement 76 16.2.2 ETSI technic
24、al bodies .76 16.2.3 Standards organizations 76 16.2.4 Relation with European Technology Platforms 77 Annex A: Technical Standards, Specifications, Reports, Guides 78 Annex B: eHealth related work in external standardization organizations .79 B.1 Security, safety and privacy relevant CEN TC 251 stan
25、dards .79 B.2 Security, safety and privacy relevant ISO TC 215 standards.80 B.3 Security, safety and privacy relevant DICOM standards .81 History 82 ETSI ETSI SR 002 564 V2.0.0 (2007-05) 6 Intellectual Property Rights IPRs essential or potentially essential to the present document may have been decl
26、ared to ETSI. The information pertaining to these essential IPRs, if any, is publicly available for ETSI members and non-members, and can be found in ETSI SR 000 314: “Intellectual Property Rights (IPRs); Essential, or potentially Essential, IPRs notified to ETSI in respect of ETSI standards“, which
27、 is available from the ETSI Secretariat. Latest updates are available on the ETSI Web server (http:/webapp.etsi.org/IPR/home.asp). Pursuant to the ETSI IPR Policy, no investigation, including IPR searches, has been carried out by ETSI. No guarantee can be given as to the existence of other IPRs not
28、referenced in ETSI SR 000 314 (or the updates on the ETSI Web server) which are, or may be, or may become, essential to the present document. Foreword This Special Report (SR) has been produced by Advisory Committee Operational Co-ordination Group (OCG). Intended readers of the present document are:
29、 standards developers; developers and equipment manufacturers and providers in the eHealth related area; developers and providers of eHealth related services. Introduction eHealth includes the application of information and communications technologies across the whole range of functions that affect
30、the health sector in an international (e.g. cross-border) perspective, from the doctor to the hospital manager, including nurses, data processing specialists, social security administrators and - of course - the patients. eHealth systems include tools for health authorities and professionals as well
31、 as personalized health systems for patients (individuals) and citizens (community). Examples include health information networks, electronic health records, telemedicine services, personal wearable and portable communicable systems including those for medical implants, health portals, and many othe
32、r ICT-based tools assisting disease prevention, diagnosis, treatment, health monitoring and lifestyle managemen ( this description is based on text at the Europes Information Society eHealth portal 214). The paper on “Home telehealth-Current state and future trends“ presented in the “International J
33、ournal of Medical Informatics“ 228 summarizes the important overall problems regarding healthcare services that most countries are facing such as: increased demand of healthcare due to an increased number of elderly and changed life styles leading to an increase in chronic diseases; demand for incre
34、ased accessibility of care outside hospitals, moving health services into the patients own homes; need for increased efficiency, individualization and equity of quality-oriented healthcare within limited financial resources; difficulties of recruiting and retaining personnel in the healthcare servic
35、es in general and in home and elderly care in particular. It is expected that eHealth will provide partial but significant solutions to the above issues, as it has been recognized as a potential tool to provide access to timely, efficient, and high quality healthcare. Driving forces exist for implem
36、enting new solutions such as the migration to self-managed care and allowing increased patient mobility at an international level (e.g. cross border). However, there are numbers of hindrances and restrictions when it comes to practical and sustainable use of eHealth. One of the major problems identi
37、fied by the participants in the World of Health IT event held in October 2006 in Geneva is the lack of ICT standards especially for interoperability related to the eHealth area. The present document addresses work within the ETSI domain necessary for solving identified problems. ETSI ETSI SR 002 564
38、 V2.0.0 (2007-05) 7 A key ambition of the EU policy is the provision of better care services at the same or lower cost. eHealth is regarded as 214 “todays tool for substantial productivity gains, while providing tomorrows instrument for restructured, citizen-centred health care systems and, at the s
39、ame time, respecting the diversity of Europes multi-cultural, multi-lingual health care traditions. There are many examples of successful eHealth developments including health information networks, electronic health records, telemedicine services, wearable and portable monitoring systems, and health
40、 portals.“ eHealth related work has been done in several ETSI Technical Bodies: however, there is currently no specific committee structure for eHealth standardization work. It is felt that the importance of the subject matter could justify the creation of a new ETSI Technical Body, but before takin
41、g this step, it is necessary to further analyse the work to be performed. The present document provides the results of an analysis of the applicability of existing ETSI and ETSI/3GPP deliverables for eHealth matters, and specifies the need for further work in this area. Based upon the present docume
42、nt, further actions may be undertaken. ETSI ETSI SR 002 564 V2.0.0 (2007-05) 8 1 Scope The scope of the present document is to define which ETSI and ETSI/3GPP deliverables are applicable to the eHealth domain and identify gaps where there is a need for future standardization work. The present docume
43、nt provides an outline architecture to identify relevant standards, standardization activities and stakeholders interests that may be relevant to the eHealth area. However, investigation about the status of standards in other organizations, and identification of necessary External Relationships will
44、 be the task of the ETSI Technical Body and is not covered under the scope of the present document. 2 References For the purposes of this Special Report (SR), the following references apply: NOTE: While any hyperlinks included in this clause were valid at the time of publication ETSI cannot guarante
45、e their long term validity. Radio: 1 ETSI EN 301 839-1: “Electromagnetic compatibility and Radio spectrum Matters (ERM); Short Range Devices (SRD); Ultra Low Power Active Medical Implants (ULP-AMI) and Peripherals (ULP-AMI-P) operating in the frequency range 402 MHz to 405 MHz; Part 1: Technical cha
46、racteristics and test methods“. 2 ETSI EN 301 839-2: “Electromagnetic compatibility and Radio spectrum Matters (ERM); Short Range Devices (SRD); Ultra Low Power Active Medical Implants (ULP-AMI) and Peripherals (ULP-AMI-P) operating in the frequency range 402 MHz to 405 MHz; Part 2: Harmonized EN co
47、vering essential requirements of article 3.2 of the R Radio equipment in the frequency range 9 kHz to 315 kHz for Ultra Low Power Active Medical Implants (ULP-AMI) and accessories; Part 1: Technical characteristics and test methods“. 4 ETSI EN 302 195-2: “Electromagnetic compatibility and Radio spec
48、trum Matters (ERM); Radio equipment in the frequency range 9 kHz to 315 kHz for Ultra Low Power Active Medical Implants (ULP-AMI) and accessories; Part 2: Harmonized EN covering essential requirements of article 3.2 of the R Radio Frequency Identification Equipment operating in the band 865 MHz to 8
49、68 MHz with power levels up to 2 W; Part 1: Technical requirements and methods of measurement“. 6 ETSI EN 302 208-2: “Electromagnetic compatibility and Radio spectrum Matters (ERM); Radio Frequency Identification Equipment operating in the band 865 MHz to 868 MHz with power levels up to 2 W; Part 2: Harmonized EN under article 3.2 of the R Short-Range Devices (SRD) intended for operation in the 862 MHz to 870 MHz band; System Reference Document for Radio Frequency Identification (RFID) equipment“. 8 ETSI TR 102 436: “Electromagnetic compatibil
