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MobiHealth_WP7_EDD_PerRep3_v1_10 12 03

IST

Programme

Project Number: IST-2001-36006 Acronym: MobiHealth

A project funded by the European Community

under the “Information Society Technologies” Programme

(1998-2002)

Periodic Management Report Period: May 2003 – October 2003

Author: Rainer Herzog, Ericsson GmbH, Germany

Preparation Date: December 22, 2003 Classification: Ver 1.0 Contract Start Date: May 01, 2002 Duration: 22 months (February 2004) Project Co-ordinator: Rainer Herzog, Ericsson GmbH,

Germany

MobiHealth_WP7_EDD_PerRep3_v1_10 12 03 2

CONTENTS

1 OVERVIEW OF ACTIVITIES 6

1.1 Submitted deliverables 6

1.2 Achievement towards objectives 7

1.3 Milestones 10

1.4 Deviations from plan 11

1.5 Risks / problems anticipated 12

2 CONTRACTUAL ARRANGEMENTS 13

3 PROJECT MEETINGS (HELD AND FORESEEN) 13

4 DISSEMINATION / EXPLOITATION INFORMATION 14

4.1 Conferences, workshops 15

4.2 Publications, press & media coverage, education 16

4.3 Patents applied for, agreements for exploitation, standardization 17

4.4 Other activities 17

5 MAIN RESULTS 18

6 INDIVIDUAL PARTNER REPORTS 18

6.1 Ericsson (EDD) 18

6.2 GesundheitScout 24 (GSCOUT) 21

6.3 TeliaSonera (Telia) 22

6.4 Lulea University (LTU) 24

6.5 University of Twente (UT) 27

6.6 Twente Medical Systems International (TMSI) 28

6.7 Yucat 30

6.8 Hewlett Packard (HP) 31

6.9 Medisch Spectrum Twente (MST) 32

6.10 Telefonica Moviles Espana (TME) 35

6.11 Corporacio Sanitaria Clinic (CSC) 38


6.12 University Pompeu Fabra (UPF) 43

6.13 Philips Research Laboratories (PRL) 45

6.14 LogicaCMG (CMG) 46

7 PROJECT EFFORT 49


1 Overview Of Activities The following points summarize relevant issues and the most important work and achievements accomplished by the project between May 01 and October 31, 2003.

1.1 Submitted deliverables

Deliverable code & name Planned delivery date

Actual delivery date

Comments

D 2.1: BAN sensors family set

M13 M15 Delay due to more time needed for construction and integration of the BAN (see also chapter 1.4 on this issue).

D 2.3: Trial specific BAN M13 M15 See above.

D 2.4: Service applications M13 M15 See above.

D 2.5: Security BAN services M13 M15 See above.

D 3.2: MobiHealth system M13 M15 See above.

D1.4: Evaluation methodologies

M9 M15 Additional effort had been needed to define sound methodologies, also in light of the delay and uncertainties around UMTS (see also chapter 1.4 on this issue).

D7.2: Quarterly management report

M16 M17

1.2 Achievement towards objectives

WP’s and objectives Progress towards achieving objectives

• WP1: Definition of trial applications and services, identification of their technical requirements. Evaluation of the status of the existing communication infrastructures, development of trial scenarios and evaluation methodologies

• Evaluation methodologies (D 1.4) have been submitted. The delay (deliverable was originally due in M9) was due to the necessary slug tuning with the trial infrastructure and layout – these have to be regarded as concomitant efforts. Further adjustments of evaluation methodologies will be done within WP5.

Goals have been achieved and workpackage has been closed.

• WP2: Development of the MobiHealth services and the integration of the BAN, adapting existing sensors and actuators

• 60 trial-ready BANs (supporting respective trial services) have been integrated and distributed to the different trial sites. Respective deliverables have been submitted (see previous chapter). System updates to follow (next software release v 3.1 will be available mid of November).

• WP3: Preparation and validation of the 2.5 / • Trial-ready GPRS/UMTS networks (D 3.1)


3G infrastructures for the trials (especially of 3 G networks). Issues to be verified: interoperability, handover, licensing.

have been prepared and validated, taking into account the requirements from WP2 (system requirements, incl. security), WP1 (user/service requirements). Back-end systems for all trials have been installed (Sweden, Spain, Netherlands). Contract signed with Vodafone in the Netherlands on the use of their UMTS network/phones for the Dutch trials.

Goals have been achieved and workpackage has been closed.

• WP4: Performance of the MobiHealth trials with continuous feedback and interaction to allow improvement and further adaptation.

• All trial sites have been equipped with BANs in the second half of July. Pr-trials have been started at all trial sites and first feed-back has been obtained. Second round of pre-trials is due to start mid of November on availability of software release 3.1.

• WP5: Design of data collection methods and collection of trial data. Evaluation and analysis of trial results.

• The basis for this WP, the development of evaluation methodologies (D1.4) has been delayed (see WP1 above), but methodologies are now available. Evaluation process will reflect medical, technical and business aspects, also taking into account considerations of users, technology providers and mobile operators. Briefings and meetings with all trial owners have been conducted on how to implement, adapt and carry through respective evaluations and collect data.

• WP6: Dissemination of results according to dissemination plan

• The project has been presented during a number of international events in the second half of 2003 (see also chapter 6.1). Press campaigns and activities have been prepared for the start of the filed trials. Project website and printed material have been updated and articles could be launched (chapter 6.1). Ongoing contacts and talks with relevant market players. In addition, national activities by individual consortium partners have been carried through (see chapter 6). Preparation of press and other communication activities for Medica 2003 in Duesseldorf (19.11.-22.11.03) have been started. Concepts for further commercialization have been elaborated.

• WP7: Project coordination and management. Provision of mechanisms and tools to guarantee effective administrative and technical management.

• Ongoing evaluations, reviews and adjustments of management structures and processes to maintain high quality project work and results. Preparation and provision of two contract amendments. Full project meetings in Santorini, Greece (May 26-28) and in Barcelona, Spain (October 20-22). Preparation of the ATR in Brussels (October 24). Day-to-day management issues and several project management meetings at the UT.


1.3 Milestones • A major technical milestone for the project could be achieved in July 2003, with the delivery

of 60 trial-ready BANs to the different trial sites. These BANs support the individual trial-specific services and applications. In addition, the respective back-end systems could be installed for all of the trial sites, so that each site could embark on starting the pre-trials.

The trial BANs consist of a central unit called the MBU (Mobile Base Unit) plus a set of sensors. The MBU handles coordination, (local) computation and communication functions. The MBU used in the MobiHealth trials is based on the HP iPAQ platform. The BAN Operating System (BAN OS) provides the local functions offered by the MBU. The BAN OS consists of a native OS, such as Linux or Windows CE, a Java virtual machine and a set of generic functions implemented in Java, referred to as BANware.

The sensor data is transmitted to the MBU via a front-end. A front-end is a device that digitizes the analogue signals from the sensors and transmits this information to the MBU. The front-end ensures that all sensors attached to it operate at the correct sampling frequency and that the measured data is synchronized. Multiple front-ends can be associated with one MBU, enabling customization of the BAN. An improved software release of the BAN operating system (v3.1) will be available from mid November onwards to start the second round of pre-trials.

1.4 Deviations from plan In the evolution of the project work it was realized that the time-frame of some parts of the project work is too tight. This fact, combined with the unclear market situation of UMTS results in some delay regarding the project work schedule.

In particular, these delays are due to:

• The uncertainty and postponement of UMTS network roll-outs.

• The unanticipated difficulty in defining a sound evaluation methodology for the project trials. Medical evaluation methodologies were determined to be unfeasible as they would be too long for the project life-time, while purely technical evaluation methodologies would not be sufficient. Therefore, user and market evaluation methodologies had to be established in addition. All of this necessitated an additional effort on the part of some partners in WP 1.

• The development and integration of a high quality sensor system that is able to accommodate all of the project trials. This resulted in a delay with regard to the start of the field trials. A first round of pre-trials has now been finished (with results available) and a second one will start mid of November with a continuous shift towards full trial scenarios.

Furthermore, we realized, that with the existing schedule, the time available for the analysis of the evaluation results and the according adaptation of the services and systems was too tight.

It is for these reasons that a project no-cost extension of four months was deemed necessary and the respective contract amendment request has been prepared and submitted.

The no-cost extension has shifted the end-date of the project to February 29, 2004. Workpackages 2, 4, 5, 6 and 7 have been extended and now run up to the new end of the project. The respective re-allocation of manpower between workpackages and cost-categories has been defined in the contract amendment. This is also true for the due date of several deliverables that will have to be changed and adapted to the new schedule (see also chapter 1.1 of this report).

1.5 Risks / problems anticipated As already explained several times in previous reports, the currently very difficult telecommunication market situation throughout Europe, especially with regard to the roll-out of UMTS networks, creates some amount of uncertainty for the performance of the MobiHealth trials within a UMTS environment.

A solution to overcome this problem is that the trial scenarios have been set up in a way that they can be carried through in a meaningful way also using GPRS.


For the Enschede trial site, the UT could reach an agreement with Vodafone that allows the project to use Vodafone’s UMTS test infrastructure.

TeliaSonera and Telefonica Moviles are investing considerable effort to make it possible to use MobiHealth in their respective UMTS trial environments. Hence, it should be guaranteed that a number of trials can at least run over UMTS trial networks. For Germany, it is not foreseen to have UMTS trial networks available.

2 Contractual Arrangements A request for contract amendment had been submitted regarding first of all the dissolving of Ericsson Consulting GmbH (project coordinating organization) and its integration into Ericsson GmbH, Germany, with carrying forward of budgets, roles and responsibilities. This amendment also concerned the reallocation of budgets of the University of Twente (UT). It requested the transfer of parts of the UMTS infrastructure budgets to other cost categories (namely labour, travel and other specific costs) and the introduction of a new task (Task 2.6: Refinement, completion and continuous support of the BAN). The UMTS infrastructure budget will not entirely be needed anymore, because a contract with Vodafone could be signed for the use of their experimental UMTS network.

This first amendment contract has finally been issued for signature to the project partners in July.

A second contract amendment has been prepared and submitted. This amendment reflects the following changes:

• Compaq has ceased to exist and became HP in March 2003

• CMG and Logica have merged to become LogicaCMG in October 2003

• At Telia, the project has been shifted from Telia Mobile to TeliaSonera (following a merger between these two companies in April 2003)

• A project non-cost extension has become necessary (see also chapter 1.4 of this report), with the resulting reallocation of resources, manpower and deliverables. The extension will shift the project end from October 2003 to February 2004.

3 Project Meetings (Held and Foreseen) Two full project meeting has been organized and carried through:

• Between May 26 and 28 in Santorini, Greece.

• Between October 20 and 22 in Barcelona, Spain

Various smaller project management meetings have been held at the UT, or over the telephone or the tele conferencing system. This applies also to work-package meetings and coordination meetings between different work-packages.

4 Dissemination / Exploitation Information As already previously explained, MobiHealth aims at delivering marketable concepts and products, dissemination of the results to a large public and their exploitation by the consortium members themselves or by private companies is of major importance.

The two major project results suitable for exploitation and use are: the release of the MobiHealth Body Area Network (BAN) and the MobiHealth service applications.

The target audiences for the MobiHealth dissemination and exploitation activities can be found within the healthcare and telecommunications sector. Suitable elements that should be used for communication in this context are: promotion and advertising, public relations, personal selling/communication activities. Apart from technical issues, it will be crucial to address points like: lucrative business cases, user benefits and acceptance, data security and liability issues.

Based on the Dissemination Plan (D6.2), a detailed concept for market exploitation and commercialization has been created (available to the Commission). This concept is being used by the


consortium to approach and prepare the market and commercially implement the MobiHealth system. The concept details and analyses the following issues:

• Target market segments (potentials, structures, processes, market entry and marketing strategies)

• Key factors of success for commercialization

• Barriers of entry

• Further steps and activities towards commercialization

• Roles, responsibilities and timelines

• Resources needed

A large part of the dissemination activities has been targeted at establishing contact with relevant market players and at preparing the commercialization of the MobiHealth system.

4.1 Conferences, workshops The following table provides an overview of events where MobiHealth has been presented during the reporting period.

• International Congress on Telemedicine (TMED), Genova, Italy (June 19-20)

• Tromso Telemedicine Congress, Tromso, Norway (September 14-17)

• Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Cancun, Mexico (September 17-21)

• Congress on Emerging Technologies and Healthcare Innovations (TETHIC), Washington D.C., USA (September 22-24)

• Workshop on mobile applications in healthcare, Berlin, Germany (September 30)

• Telehealth 2003, Halifax, Canada (October 05-07)

• Telecom 2003, Geneva, Switzerland (October 12-18). Also joint booth with Logica/CMG

Other upcoming events will be evaluated for relevance and participation if appropriate.

In addition to these international events, various project members have engaged in national dissemination activities (see also chapter 6 of this report).

4.2 Publications, press & media coverage, education Book Chapters:

Val Jones, Nadav Shashar, Oded Ben Shaphrut, Kevin Lavigne, Rienk Rienks, Richard Bults, Dimitri Konstantas, Pieter Vierhout, Jan Peuscher, Aart van Halteren, Rainer Herzog and Ing Widya, REMOTE MONITORING FOR HEALTHCARE AND FOR SAFETY IN EXTREME ENVIRONMENTS, IN M-Health: Emerging Mobile Health Systems, Robert H. Istepanian, Swamy Laxminarayan, Constantinos S. Pattichis, Editors, KLUWER ACADEMIC/PLENUM PUBLISHERS, 2003.

I. Widya, P. Vierhout, V. Jones, R. Bults, A. van Halteren, J. Peuscher, and D. Konstantas, Telematics Support for Disaster Situations, IN M-Health: Emerging Mobile Health Systems, Robert H. Istepanian, Swamy Laxminarayan, Constantinos S. Pattichis, Editors, KLUWER ACADEMIC/PLENUM PUBLISHERS, 2003.

Media Coverage:

• Praxiscomputer (supplement to Deutsches Aerzteblatt) in May, “Mobile Health – Telemonitoring im Dienste des Patienten”

• E-manager (supplement to Handelsblatt) in July, “MobiHealth – mobiles, medizinisches Monitoring”

• IZMF Online and Newsletter (Germany), August 2003, “Medizinische Betreuung wird mobil”


• 3G Newsletter (UK), August 2003, “3G Health Monitoring”

Educational activities:

A number of students (on bachelor and master level) participate at the University of Twente (UT) in the development of the MobiHealth system. Moreover, MobiHealth became part of the UT’s International Telematics Masters Program as a successful Master Course within that Program.

The research carried out in MobiHealth has also been integrated into the Security Ph. D. courses in the UPF as research work, as well as in lectures for the Ph.D. students.

4.3 Patents applied for, agreements for exploitation, standardization Standardization:

So far, existing technical standards have been incorporated. Should the need arise, new technical standards will be targeted during the future course of the project. Regarding standards for the performance of healthcare related issues (e.g. guidelines for implementing and performing mobile patient management), contacts have been established with health insurers and health politics. It is planned to initiate further discussions within the near future.

UPF is also starting a relevant standardization work in the new CEN/ETSI Joint Group on Network Information Security (NIS), established on July 2002. The objective of this group is to address EC Communication COM (2001)298 on “Network and Information Security: Proposal for A European Policy Approach” and prepare a Report with recommendations for standardization in this area. UPF wants to contribute including in the Report security aspects specific to e-health (e.g. anonymity) and mobility (e.g. confidentiality of location).

4.4 Other activities • Preparation of national and international press campaigns for the start of the field trials at the

beginning of August

• Preparation of press activities accompanying the events mentioned above (especially Medica 2003)

• Contact has been established (and maintained) to relevant potential future users of MobiHealth services (health insurers, telecom companies, health politics, service providers) in order to spot and analyze different business opportunities and pave the way to a successful market entry

• Constant maintenance and updating of the project website

• Updating of printed communication material (brochures)

5 Main Results • Development and integration of the different trial-specific BANs (supporting the individual

trial-specific services)

• Distribution of the trial-specific BANs to all trial sites

• Installment of back-end systems for all trial sites

• Agreement with Vodafone in The Netherlands regarding the use of their UMTS network/phones for the Dutch trials

These results have put all trial sites in a position to start performing pre-trials. Hence, a major project goal could be achieved.


6 Individual partner reports

6.1 Ericsson (EDD) WP7:

• Ongoing evaluations, reviews and adjustments of management structures and processes to maintain high quality project work and results

• Handling of day-to-day management issues and regular activity reporting

• Preparation and provision of two contract amendments

• Preparation and carrying through of two project meetings: in Santorini, Greece (May 26-28) and in Barcelona, Spain (October 20-22)

• Preparation and execution of the project ATR in Brussels (October 24)

• Several project management meetings over the telephone and at the UT in Enschede

WP6:

• Constant maintenance and updating of the project website

• Updating of printed communication material (brochures)

• Presentation of the project during several national and international conferences, exhibitions and workshops (see also chapter 4.1)

International Congress on Telemedicine (TMED), Genova, Italy (June 19-20)

Tromso Telemedicine Congress, Tromso, Norway (September 14-17)

Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Cancun, Mexico (September 17-21)

Congress on Emerging Technologies and Healthcare Innovations (TETHIC), Washington D.C., USA (September 22-24)

Workshop on mobile applications in healthcare, Berlin, Germany (September 30)

Telehealth 2003, Halifax, Canada (October 05-07)

Telecom 2003, Geneva, Switzerland (October 12-18). Also joint booth with Logica/CMG

• Launch of articles:

Praxiscomputer (supplement to Deutsches Aerzteblatt) in May, “Mobile Health – Telemonitoring im Dienste des Patienten”

E-manager (supplement to Handelsblatt) in July, “MobiHealth – mobiles, medizinisches Monitoring”

IZMF Online and Newsletter (Germany), August 2003, “Medizinische Betreuung wird mobil”

3G Newsletter (UK), August 2003, “3G Health Monitoring”

• Preparation of national and international press campaigns for the start of the field trials at the beginning of August

• Preparation of press activities accompanying the events mentioned above

• Contact has been established (and maintained) to relevant potential future users of MobiHealth services (health insurers, telecom companies, health politics, service providers) in order to spot and analyze different business opportunities and pave the way to a successful market entry

• Concept for market entry and commercialization of the MobiHealth system has been elaborated

WP3

• Consulting, evaluation and support regarding all matters concerning state, features and performance of 2.5 / 3G networks and related technologies


• Vodafone/D2 in Germany could be gained as sponsors for the field trials in Germany. They equip the trials with free GPRS SIM cards. Continuous support of the relationship of Vodafone/D2 with the MobiHealth project to ensure smooth running of the trial and explore further trial scenarios

WP2

• Support, review and analysis of WP2 technical work (esp. BAN system and back-end system features) with regard to market needs and requirements to enable and facilitate acceptance and market success

WP4

• Contribution and support for setting up and preparing the trials, especially towards EDD’s member GSCOUT, who is responsible for the German trials. Establishment of contacts with Vodafone in Germany on a supportive role within the field trials.

• Analysis of potential benefits for Vodafone from the trials and from the project as a whole

• Identification of required service features needed during trial execution

• Evaluation and exploration of future trial scenarios and related support

WP5

• Continuous preparation and fine-tuning of a trial evaluation system, especially with regard to end-user requirements and market success factors, evaluation criteria and business modeling (in close connection with D1.4)

• Elaboration of a set of questionnaires with regard to user/market acceptance criteria and health economic criteria (also part of D1.4)

• Preparation of a market evaluation model

6.2 GesundheitScout 24 (GSCOUT) WP3:

Task 3.1: GPRS infrastructure

• Configuration of the GPRS network for the MobiHealth trial

WP4:

Task 4.1: Trial set-up

• Performance of a pre-trial

• Report on the pre-trial

WP5:

Task 5.1: Data collection of the trials for the evaluation

• Collection of data from pre-trial in accordance with the evaluation methodology

WP6:

• Release of press-informations

• Contacts with press

• Presentations and demonstrations in professional circles and at trade shows

6.3 TeliaSonera (Telia) During this period TeliaSonera reorganized and certain departments were concentrated to fewer locations. This had the unfortunate consequence that the assigned resources in Luleå could not finish the project. In mid October a new project team in the Stockholm area was assigned to take over the responsibilities.


WP1 TeliaSonera have been involved in D1.4, regarding the technical evaluation. In the first months there were ongoing discussions about what kind of BAN and Network measurement is relevant and possible to perform. TeliaSonera has prepared and updated a document, Data logging in MobiHealth system, which can be a guiding document for D1.4, BAN and Network data logging.

WP2 TeliaSonera has been active in the task of finalising the user requirements and trial goals in order to provide the technical partners a complete requirement list of what technical equipment is needed for the different trials. TeliaSonera received 15 BANs to be used for the trials in Sweden, but in a burglary in September 13 of those were stolen. (However, on the 12th of November some of the stolen BANs were returned by the police so trials will be performed with two BANs per trial). Tests of the MobiHealth system to establish a connection between the BAN and the BEsys in order to transmit sensor (patient) data via GPRS were executed. In the end of October the Swedish BEsys were moved to Farsta to be supported by the new project team.

WP3 TeliaSonera had installed and configured an operational version of a Windows based BEsys and were ready for Swedish trial set-up in June. However the technical partners in the project discovered that they could not support authorisation/certification in Windows and prompted that the Swedish BEsys needed to be changed into a Linux based version. This was accepted by TeliaSonera and the work of rebuilding the BEsys started and where finalised in August. IT personnel at the Swedish trial sites have been instructed and informed of what equipment and software need to be executed at their premises. TeliaSonera has been assisting in solving the GPRS connection stability problems. Preparation for trials over TeliaSonera’s pre-commercial UMTS network has been performed.

WP4 TeliaSonera have been active in WP1-5 meetings in order to start planning for trial set up. TeliaSonera and LTU has started joint weekly e-meetings for WP4 and 5 in order to correlate all necessary activities to be taken in order to prepare trail start up and up-coming evaluations. Preparations for help-desk, instructions, manuals, pre-trials and trials have been initialised and conducted during this period. Pre Trial #1 were performed within this period.

WP5 In order to prepare for the technical evaluation to be conducted in WP5, TeliaSonera are analyzing what relevant network data can be collected from the GPRS and UMTS network.

WP6 In May TeliaSonera had a dissemination of the MobiHealth project for Stockholm City. In August the MobiHealth project was demonstrated for the county council districts of Falun and Mora.

WP7 Periodic budget report has delivered for TeliaSonera. New Contract amendments and extension has been prepared for TeliaSonera and delivered. Planning for resources for the rest of the project has been done. TeliaSonera participated on the project meetings in Santorini (May) and Barcelona (October).

6.4 Lulea University (LTU) Work Package 2


May/June: LTU (EISlab) finalised and tailored a version of the activity sensor for use in the Swedish trials, and refined the stand-alone functionality of the EIS sensor; LTU (Frontec) completed a basic version of the manual input function for the MBU, suitable for all trials. July/August/September: LTU translated each new version of the BAN manual for the Swedish trial owners. In the latter half of the period: LTU aided with upgrading the stability of the manual input. Throughout the period: LTU contributed substantially to solutions in the weekly WP2 e-meetings chaired by University of Twente. Work Package 3 Throughout: LTU developed code for positioning for a commercial GPS module with Bluetooth connection, for use in the generic BAN. In September/October: LTU assisted University of Twente with planning evaluation of the communications infrastructure with the MobiHealth telecoms partners, to prepare for that section of the Barcelona meeting. LTU also contributed to the weekly WP3 e-meetings organised by TME Madrid. Work Package 4 Throughout: LTU planned and (September/October) carried out Pre-Trial #1 of Version 3.0 of the BAN system and communications infrastructure, for all four trials, involving the trial-owners and their personnel, to test functionality and usability and respond to the Pre-Trial Questionnaire (see WP5 below). Throughout: LTU cooperated with Telia (WP4 leader) to develop trials and evaluation simultaneously. Set-up of weekly joint WP4/5 e-meeting sessions at Luleå. Work Package 5 Roadshow: May 5th-11th: LTU planned WP5 Roadshow with Enschede, Duisburg and Barcelona. May 12th-15th: LTU’s Roadshow to Enschede & Duisburg to coordinate trial evaluation. May 21st: LTU’s ”Virtual Roadshow” evaluation videoconference with Barcelona. July/August/September/October: Pre-Trial #1 Questionnaire designed and circulated, and following the first all-site pre-trial, wrote the overall Pre-Trial #1 User Evaluation Report, to be used by the technology providers to focus their work on Version 3.1 of the BAN system. At the end of October: LTU designed the refined Pre-Trial #2 Questionnaire. Throughout: Development of next generation of real-trial questionnaire parameters for distribution to trial owners. Also (related to WP1): cooperation with MST on their editing of Deliverable 1.4, with particular reference to the user evaluation. Work Package 6 Throughout: LTU trial owners and managers presented MobiHealth to industrial/ academic clients in Norrbotten, Gothenburg, Stockholm. MobiHealth aims were discussed and presented internally to Tietoenator, Telia, Sunderby. Individual partners went to numerous other Swedish conferences and meetings and discussed the results of MobiHealth with their colleagues. July16th: With local web designers, began update of MobiHealth parts of LTU’s website. September 10th-11th: presented at a dedicated MobiHealth stand at the social care conference “Socialtjänststämman” in Luleå. September 15th-17th: participated in the International Conference on Telemedicine in Tromsö, Norway, and delivered a MobiHealth presentation for the Project Coordinator. September 24th: MobiHealth lecture to LTU’s Department of Systems Technology. End October: planned presentations at a stand and a speech at a parallel session on e-Health at the Science & Cyber conference in November in Luleå, and planned LTU assistance at the MEDICA medical conference in Düsseldorf in November. Also, planned presentation to a health conference “Läkarsstämman” in Stockholm in November. Work Package 7


Throughout: weekly joint chair, e-meeting for WPs 4/5 with trial owners/technical partners. Weekly chair, physical MobiHealth Sweden meetings in Luleå. Overall project management of the LTU departments’ roles. Santorini: May16th-23rd: coordination of LTU’s part in Plenary Meeting, Santorini (all WP5 presentations and planning, trial updates Sweden, management Sweden, logistics). May 24th-28th: participation in 4th Project Plenary Meeting, Santorini, including chair of WP5 parallel session. May 29th-30th: minutes of LTU-chaired portions of Santorini meeting: documentation. Barcelona: September/October: planned Barcelona meeting and Evaluation parallel session. 20th-21st October: attended and participated in Barcelona plenary project meeting. Chief role: chairing the Evaluation parallel session, and reporting on/ motivating the User Evaluations. LTU presented the detailed timetable/methodology for evaluating the pre-trials and the trials on Day One, and delivered a report on the results of the first pre-trial at each trial site. This report gave the technology providers a list of improvements expected in the next trial phase, and for the next version of the BAN system. LTU also took part in an intensive meeting after the main meeting to plan the Technical Review.

6.5 University of Twente (UT) WP1:

WP completed in previous period.

WP2:

The main effort was in stabilizing the MobiHealth system. Version 3.1 was released, which is stable and is the main release for the trials. In addition we have established the operational maintenance of the different Back-End systems for the Dutch, German and Swedish trials.

WP3:

Tests of the Vodafone UMTS system. We have tested coverage, available bandwidth and stability (long transmition time). The test results showed us the capabilities of the network and allowed us to refine the trial organization for the use of UMTS.

WP4:

The UT participates in providing guidance for the organization of the trials. A major effort was for the Dutch trials in collaboration with the MST for the pregnancy trial and the tele-ambulance.

WP5:

First data from the trials are collected and first results are extracted, leading to the implementation of improvements of the MobiHealth system.

WP6:

Different papers were submitted to journals and conferences (ex. IEEE Journal for IT in BioMedicine, ConTEL 2003, FIDJI2003 etc.). In addition we have been invited to present the project results in different international conference, meetings etc.

A press release with Vadafone regarding the UMTS network was given, where MobiHealth was presented as a flagship application for UMTS network.

We have been also contacted and will present the project next December to the ministry of Health of the Netherlands, in the frame of the presentation of the e-health national planning press conference.

We provided support for the presence of the project in different major exhibitions (Medica 2003, Telecom 2003, ICT KennisCongress etc).

WP7:


A contract for the UMTS support with the ITBE (the University of Twente network and computing support department) was singed providing the required infrastructure support for the use of the Vodafone UMTS network and the technical liaison with Vodafone.

W e delivered a release 3.1 Trauma BAN for integration in the xMotion system.

6.6 Twente Medical Systems International (TMSI) 7 items have been worked on:

• Production and delivery of BAN’s

• Production 12 lead system

• Embedded software

• End user software

• Interface, end user software -> backend server

• Test of several trials

• Measurement configuration and algorithms

1. Production and delivery of BAN’S

± 75 systems have been supplied. All development finished.

2. Production 12 lead system

Development done. Production finished.

3. Embedded Software, end user software

All embedded software versions finished and tested.

Of course several last changes are integrated.

4. End user software

Events en comments modules developed and tested, bugs are repaired.

Replay and review is tested, bugs are repaired.

Measurement configurations still a problem, because there are no definitive measurements on the backend server available.

5. Interface, end user software -> backed server

Interface software for streaming data from backend server to end user has been developed and tested.

Bugs are repaired.

6. Test of several trials

For all trials off-line MC’s have been developed.

Not possible up to now to develop the definitive MC’s due to lack of data on the backend server.

7. Measurements configuration and algorithms

For the pregnancy trial several algorithms have been developed.

From the other trials no data is available.

From Sweden we received measurements end of November.

Drop alarm has been developed.


6.7 Yucat WP2

• BSS (Backend Streaming Server) development (included in new system release) allowing for realtime monitoring.

• AS (Alarm Server) development (to be included in future release) allowing for SMS transmission upon alarm button press on MOBI.

• Adjustments to the MH MBU application.

• Further WP2 technical meetings / communication related to BAN / TMSI integration and BAN evolution, PortiLab, MH manual, demo-support, UT – YUCAT backend system development.

• Track of WP2 technical issues and achievements.

• User-requirements part of website update

WP3

• End-user requirements related discussion & BSS security related issues

WP4 & WP5

• Writing, compiling and editing end-user manual and keeping up-to-date.

• Setup 1st line support structure at local office

• Meetings.

• Providing 1st line support for the MH-demo system.

WP6

• Various number of local presentations and demonstrations.

• Demonstration to Sint Antonius hospital in Nieuwegein (prof. Go)

• ICT Kennis Congress, The Hague.

• Local dutch press article.

WP7

• Santorini meeting

• Barcelona meeting

• Common project management issues; hourly report, activity report, financial report

6.8 Hewlett Packard (HP) WP2

Made changes to the “sensorviewer” application:

• Implemented a new ECG filter. This was a requirement reported from some of the trials.

• Cosmetic changes to the user interface, implemented an additional legend window part showing measurement units and min/max ranges. Also made some changes on request from some of the trials.

• Fixed some bugs reported by the trials.

• Debugging of BlueTooth part of the BAN on iPaq. Some problems were seen with this only in the development environment.

On top of this work there was off course general issues like:

• preparing documents, keeping the installation-procedure and -documentation up-to-date


• and small project management issues.

6.9 Medisch Spectrum Twente (MST) Integrated Homecare in Women with high-risk pregnancies

WP4

Selection and information of pregnant women

• From May through July we selected women. We sent vital signs by means of blue tooth. We constructed referent numbers for the real trial. From August through October we enrolled more women for the GPRS trials and instructed them. van der Palen: Advice was given on how to select women. A database was designed for collecting referent numbers and syntax for statistical analysis was made. Assistance was rendered in instructing the women.

Monitoring pregnant women and analyzing the data

• From May through July we monitored 10 women in several time periods and the data were analyzed. From August through October we monitored women over GPRS and analyzed the data. Due to technical problems of the Ipac we spent much time consulting with UT and TMSi. van der Palen: The data were entered/imported and analyzed in co-operation with the gynaecologist. Conferring with TMSi about the test data and modifications in the software.

Designing and co-ordinating trial methodology for all MobiHealth trials

van der Palen: On Santorini and in Barcelona, the design of the trial methodology was discussed.

WP5

Constructing the interview lists

• We constructed interviews for users, patients and doctors. van der Palen: Assistance was given on how to construct the interviews. Databases were designed. Syntax for statistical analysis was constructed.

Interviews with the patients who are monitored.

• We interviewed the pregnant women. van der Palen: The interview data were entered and analyzed and a report was produced.

Internal coordination and conferences

• Coordinating activities. van der Palen: Overall trial co-ordination within the hospital and between partners in MobiHealth.

GPRS trials

• We analyzed the data from the GPRS trials and worked with TMSi in improving the Portilab software. van der Palen: Data from the GPRS trials were entered and analyzed and a report was produced.

WP6

Publicity

• Until end of October there were many interviews and radio and newspaper appearances.

WP7

Work conference Santorini and Barcelona

• We visited the conferences on Santorini and in Barcelona.

Tele Trauma Team

WP4

Providing information to trial participants


• Information was provided to the ambulance services, dispatch center, emergency-department staff, surgical staff, and hospital technical and computer services. Equipment was installed and lines of communication were established and protocollized. van der Palen: Assistance was rendered in instructing the participants and establishing the protocols.

Trial performance/preparation

• No trial was performed yet (UMTS network and equipment not yet operational). The different parts of the equipment were separately tested. Literature and manuals were studied. The portilab software was installed and practised.

WP5

Constructing interview lists for trial participants

• To evaluate the outcome of future trials from the perspective of the health-care providers (medical specialists involved in the trauma team) questionnaires were composed and pre-tested. van der Palen: Assistance was given on how to construct the interviews.

Internal coordination and conferences

• Conferring and coordinating activities were necessary on a regular and frequent basis. This involved both the Tele Trauma Team participants inside the hospital as well as outside the hospital. van der Palen: Overall trial co-ordination within the hospital and between partners.

WP6

• There are no results to report yet. However, the trials has been publicised in the newspapers.

WP7

Work conference Santorini and Barcelona

• Visited and prepared for the MobiHealth Project Meeting in Barcelona.

6.10 Telefonica Moviles Espana (TME) Although during this period WP1 should be over, the delivery of Deliverable D1.4 “Description of the trial evaluation methodology” of WP1 (Definition and specification of the MobiHealth trials applications) was still open. TME has executed it as part of the technical evaluation in WP5.

TME has participated actively in WP2 (Services and BAN integration) following the development of the BAN, installing and testing the software developed for the MobiHealth system. Besides TME has attended to the WP2 weekly e-meetings.

The BANs for the Spanish trials have been updated with the software release 3.0. Connectivity tests, between the several components of the BE System and for the GPRS link, have been carried out. TME has tested over the MoviStar GPRS network the mechanisms that improves the BAN startup reliability and has supported CSC in the integration of these software modifications in the trials owners BANs.

The new version of the client application for the hospital site, Portilab2, has been tested too. TME has also provided GPRS subscriptions to CSC to allow the access to the BE System installed in TME premises through GPRS. Thus, medical professionals can use Portilab2 application in a laptop to access wirelessly anytime and anywhere to the patient data.

TME has collaborated in the translation into Spanish of the interface of the manual input. In the same way, TME has participated in the improvement of the BAN and Portilab2 manuals.

CSC has been supported by TME answering their questions and providing them technical information and material (iPAQs, GPRS sleeves and SIMs) for their tests of the MobiHealth system during this period.

The initial scheduled planning for WP3 (2.5 - 3G Communications Infrastructure) finished in May 2003. For that reason, the activities that were not close after May 2003 related to the infrastructure of the BE System have been carried out using the man-efforts of WP4.

TME has arranged the updating of the BE system installed in their premises. The BDR was updated with the software release 3.0 and the WSB has been configured for the new required security


functionalities. Besides, UPF deployed and tested their security mechanisms using the Spanish BE System.

TME as leader of the WP3 has supervised the installation of the BE System in the Netherlands, Sweden and Spain.

As in the previous periods, WP2 and WP3 have been working closely in order to integrate the communication requirements into the BAN developments. As a result of this collaboration, during Santorini Plenary Meeting, there was a joint WP2 and WP3 meeting where the common issues where discussed between the participants of both workpackages.

Deliverable 3.2 and deliverable 2.3 have been affected too by this WP2 and WP3 collaboration. The similarities between them have been solved working all the participants in a joint version. TME has helped CMG in the coordination of the Deliverable 3.2 and contributed working in the documentation referred to the Spanish trial site.

WP3 follow-up e-meetings have been organized weekly during all this period in order to manage the evolution of WP3 tasks.

The main WP3 results regarding to the MobiHealth infrastructure has been presented by TME during the technical review in Brussels.

The activities related to WP4 (MobiHealth Trials) in which TME has been involved are the ones for the support of CSC during the MobiHealth system tests and pre-trial phase in relation to the GPRS network infrastructure. These activities are inherited from WP3.

TME has collaborated in the definition of the technical support protocol. TME will provide the first line support for the Spanish trials as well as the second line support for the GPRS connectivity issues.

TME has been working for the availability of its pre-commercial UMTS network for the MobiHealth trials. TME is defining how the tests can be executed over the actual UMTS infrastructure.

The technical evaluation included in deliverable 1.4 has been analysed in detail in WP5 (Assessment and Evaluation of the trials). TME has discussed internally the aspects related to the GPRS network that are relevant for the GPRS communication evaluation and has shared the results with the rest of the partners involved in this technical evaluation.

Passive measurements have been carried out over the TME GPRS network during the pre-trial phase and several active measurements were realised in the plenary project meeting in Barcelona. Regarding to UMTS pre-commercial network, TME has been analysing what type of passive and active measurements are possible to arrange.

TME has attended to the joint WP4 and WP5 weekly e-meetings during this period as participant in both workpackages and as WP3 leader.

Regarding to WP6 (Dissemination of results), TME has arranged the inclusion of the MobiHealth project in the Demo Center of TME. Telefónica Móviles Demo Center (Plaza Independencia 6, Madrid) has an area dedicated to health applications in which the project will be available. There it will be possible to show demos of the system to all customer-visitors that are interested in health applications.

Because of the resulted delay of the release 3.1 due to the inclusion of the modifications requested after the pre-trial phase, the project will be available as soon as the definitive BAN will be ready.

TME has maintained the WP3 section in MobiHealth web site regularly updated with the latest news of WP3 activities.

Related to the activities of WP7 (Project Management), TME has continued coordinating the management tasks related to its role as Principal Contractor, the ones due to its WP3 leadership and the coordination with other WPs.

TME has controlled all the financial, legal and administrative activities during this period as the preparation of the periodic report, the project extension and the contract amendments.

TME attended to the Plenary Meetings in Santorini (Greece), where TME could present the aspects related to TME and WP3 activities during the project. Besides, TME has attended to the last project meeting in Barcelona (Madrid), where in addition to the discussion of the work progress, TME collaborated in the preparation of the Technical Review session. TME also presented the main aspects


of GPRS and UMTS infrastructures used for the project to the CE during the Technical Review in Brussels.

6.11 Corporacio Sanitaria Clinic (CSC) WP2

In cooperation with TME, CSC has supported the development and customisation of the BANs according to the trial particularities. Also, the communication between the BAN and Portilab software has been checked with the overall goal of ensuring that monitoring of the vital signs was done properly and fits the professionals’ needs.

In preparation for the pretrial #1 it was necessary to tune all the technological set-up that was required according to the technical partners. This took place immediately before the delivery of the equipment and was checked later on. In order to do so, different tests have been performed to visualise the signals sent by the BAN and how they look like in the iPaq via the ‘sensor viewer’. Some examples were shown to the professionals in charge of conducting the trials so that they could evaluate if the signals being sent were acceptable enough from the clinical point of view. The professionals have also being informed by the technicians of how the BANs are set up in the global system and have been provided with a document describing specifically how to connect the sensors into the MBU and the process in order to communicate the MBU with the iPaq.

WP4

During the current reporting period, a great effort has been put into the localisation and setting-up of the trial scenario. Again these tasks have been carried out in collaboration with TME, our direct technical support. As the back end system is placed in Madrid and the CSC is going to connect to it from Barcelona, a way of communication between the two settings had to be decided. First, it was thought that a VPN between the two places would solve the problem of having the server or back end system far away from the place where the trials were going to be developed. Most of the work focused in creating a VPN between the backend system located in Telefónica (Madrid) and a server in CSC (Barcelona). Important limitations derived from the security policies in force in both institutions that had to be overcome and close collaboration between the two institutions was maintained for quite a long period of time. After creating the VPN many test and connections were done to make sure that the connection or tunnel created was properly done under the necessary security necessities. The reason for not using any other method for the transmission of the data files was that the communication should be as close as possible to on-line transmission, mainly because of the needs of the outdoors-training scenario.

A late finding was that the second release of the portilab software (the one available in the Mobihealth web page) does not run with the Windows NT Server operating system, which is the one installed in the CSC server. As a result of this fact, the Portilab application couldn’t be installed and although different solutions where studied, we were forced to find an alternative solution to the previously considered pilot set-up. After thinking about the possibilities with our technical support TME, it was decided that the most convenient solution due to the real time transmission needed for the second scenario proposed, was the use of GPRS directly from the portable pc that the professional was going to use and the back end system located at TME. The pc’s have already been configured to work with the SIM cards provided by TME to CSC and the PCMCIA Nokia D211 provided by CSC. Tests have been done to make sure that we can accede to the private IP of the server placed in TME and actually the connection works properly and is ready to be used when the trials start.

At this moment, the delivery of the BANs and iPacks is delayed because of the configuration work being carried out. This could potentially further delay the start of the trials.

During the actual period of time, the two main tasks that have been due to term are: on one side the evaluation of the technology available except for the iPaqs and the MBU that were still being configured, and on the other side the evaluation of the global system once the iPaqs were delivered. After the decision of using GPRS connection for retrieving data from the BEsys was taken by both parts (TME and CSC), the configuration of the PCMCIA card with the SIM provided by TME was performed as stated above. It worked perfectly OK and as a result, it was possible to access to the private area of TME directly from the portable PC where the software was going to be installed. It is necessary to remark that especial parameters were needed to make the communication between the two points because it is not a standard GPRS connection, the connection supplied by TME uses a non-


commercial channel and this implies integrity and confidentiality of the data guaranteed. Once the access to the back end system was solved, it was time to install the Portilab and try to familiarise with it and the options available for monitoring patients. As no manual was provided (at least not a specific manual that could be follow to understand all the possible actions), it took CSC quite a long time to understand some of the possibilities. In fact, the study of the functioning of the application was made in such a detail, that CSC discovered new ways of including configurations into the system in a different way than the ordinary one. This information was provided to TMSI so that they could include it into new manuals of the application. Being more specific, the main points that were reviewed and tested were for example: to find a link between the patient ID and the BAN ID, it was also tested if the professional could monitor more than one patient at once or visualize different measurements at the same time and real time transmission was also studied and discussed between TME and CSC.

At the same time as the Portilab was being tested, CSC started to generate a document so that all the work done during the present period could be reflected specially from a user point of view, and also with the objective of generating constructive feedback from those who are supposed to be the users. The document written tries to make an accurate and detailed analysis of the existing and delivered material, with special emphasis on the problems encountered by the users. It also gives some suggestions in order to improve the system. In this document, the information about the work done both before the BANs delivery and after the BANs delivery is written and analysed from the technical and clinical point of view.

The BANs were finally delivered the 26th August. As it has been described previously, CSC has worked before the delivery to minimize the time between BAN delivery and the beginning of the trials. In order to do this, when the BANs were delivered, the technicians at CSC were already completely familiar with the devices, procedures and applications available. Due to this fact, it only took one day to test the global system with the BANs and the transmission of the information from one end to the other. This allowed to speed up the whole process and to have a demo of the global solution for the professionals who were going to be involved in the trials on August 28th. The aim of this demo was to show them how the system was supposed to work, learn the howto’s and be able to use it by themselves. A feedback was expected in order to improve and optimise the results or even to lightly modify the trials if major problems were encountered.

With all the steps named above, we have been able to draw major conclusions in order to improve and obtain a usable and friendly system which have been taken into account by the developers of the application. The conclusions extracted were based on two main tasks done by CSC. One was the testing of the establishment of the communication related to GPRS and the transmission of the data from the iPaq to the BEsys. A big number of tests have been done from the end of August till the end of October and all the necessary measures to get a successful GPRS connection have been taken into account, as for example: having the iPaq battery more or less full as well as the GPRS jacket and also follow the process (specific steps described by TME) to establish correctly the communication. The second conclusion was extracted from the comments coming from the professionals who evaluated the application.

Another issue that was carefully addressed was the iPaq’s software in terms of monitoring and sending the data coming from the sensors. Both technicians and professionals were involved in this task so that real data from real people was sent via the iPaq and therefore, professionals could evaluate from a realistic point of view with real measurements what the result provided by the iPaq’s sensor viewer was. There were several days and also at different moments during the day that information was being sent to the back end system. After that, the information was accessed via GPRS and the files loaded analysed by professionals.

After all this testing and analysis, the main points and conclusions were finally written in the document named above, and it was sent to all of the users so that it could help to the other trials involved in the project to extract and compare their own conclusions. It is important to remark that besides all the work stated above, there is a last section in the document developed which address the possibility of including this new service as a new module on the existing platform at CSC. It was internally discussed in different meetings maintained between technicians and professionals, to find the best way of adding this telemonitoring service as a way of improving patient’s life in home care assistance.

WP5

The initial steps within this WP were carried out in late April and May, before the Consortium meeting held in Santorini. In co-ordination with the University of Lulea, the specific scenarios were reviewed with special attention being devoted to the evaluation implications. On this basis a general framework


was designed and discussed during the Santorini’s meeting. After it, though, it was considered necessary to modify some parts of this framework stressing the demonstration of feasibility component and not so much the clinical and/or social impact. This led to a series of new meetings / communications to rework these aspects (usability questionnaire and variables for the evaluation).

Furthemore, representatives of the Lulea University had the opportunity to perform an on-site visit to CSC infrastructure for the trials in a meeting held in June, 10th.

The results of the pre-trial#1 corresponding to the first release of the Mobihealth prototype showed a number of problems that could be difficult to handle by the end-users (professionals –physitotherapist, nurse- and patients). Several rehearsals of the situations to be faced by the professionals and the patients were carried out in order to get a more accurate feeling on the system performance once it was up and running. These exercises involved two technicians, four health professionals (physiotherapist, nurse practitioner and two medical doctors) and two students (acting as patients). As a result, they were rather time consuming, especially because in most cases the human intervention was necessary in order to overcome problems caused by the unstable system performance. However, all in all, this activity was considered very positive and it was a valuable input for the pre-trial#1 report.

WP6

Lecture to the pre-graduate medical students on mobility and telemedicine (16th May 2003)

Oral communication presented on May, 27th at the ordinary session of the ForumCIS (Catalan Forum on Health and Informatics)

Barcelona, September, 10th: On-site visit and full hands-on presentation. The current Mobihealth set-up of the two Barcelona pilots (home visits and outdoors training) was shown and discussed to professor Stan Kanowski and two of his colleagues representing Johnson & Johnson (USA). The reason for this visit is that Johnson&Johnson is exploring ongoing mobile health care experiences that could be interesting from a commercial perspective in the near future.

WP7

Regular management tasks.

Organisation of the Consortium meeting in Barcelona, October, 20th-21st. CSC also participated in the ATR preparatory meeting that was held immediately after the plenary one (October, 21st – 22nd).

6.12 University Pompeu Fabra (UPF) WP2 Work on MobiHealth services and BAN integration has been finished, centred in the Refinement of requirements and in the Security Platform Setup. Work on the MobiHealth security packages for the MBU and the Back-End System has been finished. In these tasks, UPF has implemented the HTTPS proxy authentication mechanism for the secure connections, the HTTPS connect mechanism, and the HTTPS persistent connections, all of them required for the new features of the WSB. In these tasks, UPF has upgraded the developed HTTPS Connector Class to support HTTP Connect + HTTP Proxy-Authorization + HTTPS persistent connection, all of them required for the new features of the WSB. The Java sockets Connector Class (that were using until that moment and that was modified to support SSL secure connections) is not used anymore in the BAN and BESys software. Now, the Netscape HTTP class is used. UPF has been forced to integrate the existing security communications developments (OpenSSL JNI + HTTP Connect + HTTP Proxy-Authorization+ SSL connection + HTTPS persistent connection) into Netscape HTTP class. UPF has also integrated the new modified Netscape HTTP class into the MobiHealth BAN + BESys Software. Additionally, UPF has setup of MobiHealth PKI Server, supporting Get CA certificate, Request a certificate, Get requested certificate, Certificate requests list, Valid certificates list, Convert PKCS#12 to PKCS#10.


WP3 Work on 2.5-3G communication infrastructure has been finished, contributing to the Fine tuning and integration with the BAN applications. WP4 Work in MobiHealth Trials has been done, centred in the development of the security software for the trial platform. The contribution to the Trial set-up has finished, while contribution to the GPRS and to the UMTS based trials for health and parahealth services has continued. WP5 Work in the Assessment and Evaluation of the trials has been done, centred in the design of collection methods and data collection of the trials for the evaluation. WP6 UPF has also done dissemination work, mainly in the security field in some international conferences. UPF has also finished the standardisation work in the CEN/ETSI Joint Group on Network Information Security (NIS), established on July 2002. The objective of this group is to address EC Communication COM(2001)298 on “Network and Information Security: Proposal for A European Policy Approach” and prepare a Report with recommendations for standardisation in this area. UPF has contributed including in the Report security aspects specific to e-health (e.g. anonymity) and mobility (e.g. confidentiality of location). In the standardisation activities, UPF also participated in the Kick-Off meeting of the CEN/ETSI New Workshop on Data Protection and Privacy, that will implement various recommendations of the Report of the IPSE (Initiative for Privacy Standardization in Europe) Steering Group, specifically with the chapter on data protection. The research carried out in MobiHealth has also been integrated into the Security Ph. D. courses in the UPF as research work, as well as in lectures for the Ph.D. students.

6.13 Philips Research Laboratories (PRL) WP2 Configuration of ZigBee Prototype A two way wireless data link was prepared as an option for the BAN as part of WP2. The link provided a low power data link that could be used instead of Bluetooth to transfer data from the TMSI front end to the iPAQ. Trial requirements demand a bi-directional link, configured with a main channel from the sensor front end to the iPAQ capable of 5.1kbit/s. This is augmented with a low data rate back channel used for controlling the front end, which can deliver about 0.5kit/s. Although this requirement was met in the pervious 6 months, Bluetooth was chosen as the wireless link for all variations of the BAN as it met the requirements for all the trials. However some effort was required to complete the integration, by testing it with the BAN operating system. Integration of ZigBee Low Power Wireless Data Link and BAN OS The ZigBee prototype system was developed separately from the BAN OS. Therefore work was needed to interface these components. In order to control the TMSI front end a control signal must be sent along the ZigBee prototype’s low data rate back channel from the iPAQ to the front end. The ZigBee prototype cannot buffer data, so a test program was written which used manual hardware flow control was used to control the data sent to the iPAQ serial port. The existing BAN OS software configured and tested for Bluetooth used a different scheme as it used the kernel to poll the serial port to check for


the availability of data. However, this was found not to work despite a number of different configuration attempts. The ZigBee prototype used a Maxim UART chip that needed a manual flow control method in order to detect data. The software was required to produce a rising edge on the RTS line to cause the UART chip to register its readiness to receive data. The CTS signal would then be set allowing data to be read by the UART. PRL assisted UT with a modification to the BAN OS to use manual signaling and to use a direct read instead of polling for ZigBee integration.

6.14 LogicaCMG (CMG) WP1

• No Work done in this period.

WP2

• Interoperability test organized with the Body Area Network (BAN) and the Wireless Service Broker.

• Creating Deliverable D2.4 MobiHealth Service Applications

• Creating Addendum for deliverable D2.4

• Deliver D2.4 MobiHealth Service Applications, final version

WP3

• Research is done about security items e.g. VPN tunnelling for secure connection from GGSN and Wireless Service Broker.

• Hosting the Wireless Service Broker and give support for recurring connectivity.

• Upgrade the Wireless Service Broker at the UT Twente due to security reasons.

• Configure the VPN at location Lulea and Madrid (TME)

• Consulting Authentication tests and Security tests in Spain together with UPF and TME.

• Creating Deliverable D3.2 MobiHealth System

• Creating Addendum for deliverable D3.2

• Deliver D3.2 MobiHealth System, final version

WP4

• Give support for BeSystem to trial sites

• Execute performance tests with respect to the Wireless Service Broker

• Tune BESystem on trial sites.

WP5

• No Work done in this period.

WP6

• Inform sales organization from CMG Wireless Data Solutions and make plans for dissemination, workshops etc.

• Sales department of CMG is working on workshops and do sales activities with Phillips and other medical organisations.

• Prepare international press release.

• Prepare Telecom Geneva together with Ericsson (demo)

• Participate on ICT Kenniscongress at Den Haag

• Prepare Business case to go further after the project is finished.


WP7

• Intern project management activities done by CMG Wireless Data Solutions.

• Attend of several meetings with UT.

• Attend of several meetings intern CMG Wireless Data Solutions.

• Attend of several meetings MobiHealth Project e.g.:

• Attend Plenary Meeting at Santorini, Greece

• Attend several telephone conferences.

• Attend weekly E-meetings WP3

• Attend Plenary meeting at Barcelona, Spain

• Participate ICT Kenniscongress Den Haag.

7 Project Effort Please see Appendix I.

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