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Professor Dr. Christoph Thuemmler
Edinburgh Napier University, School of Computing
MITI Institute, Technical University Munich
HEALTH 4.0
Cyber Academy, Edinburgh; 27.08.2015
OUTNUMBERED
Demographic and socio-economic aspects
Cyber Academy, Edinburgh; 27.08.2015
Population tree
United Kingdom Democratic Republic of Congo
Cyber Academy, Edinburgh; 27.08.2015
330
360
550
2006 2011 2020
HEALTH SPENDING:
GERMANY (IN BILLION USD)
Cyber Academy, Edinburgh; 27.08.2015
156
357
1000
2006 2011 2020
HEALTH SPENDING:
CHINA (IN BILLION USD)
Cyber Academy, Edinburgh; 27.08.2015
Time Series Chart of UK Public Spending
Cyber Academy, Edinburgh; 27.08.2015
Hospital beds
Cyber Academy, Edinburgh; 27.08.2015
OUTDATED
Why we need to change the way we deliver healthcare
Cyber Academy, Edinburgh; 27.08.2015
Changing the Way Healthcare is
Delivered
Virtualization of Care
Money
Technology
People
Cyber Academy, Edinburgh; 27.08.2015
Shifting the point of care to the
periphery
Hospital
Tele-
Health
M-Health
Community-
nurse
Hospices
Day-
Surgery
Day-clinics
Physio-
therapist
Social Care
Psycho-
therapists
Cyber Academy, Edinburgh; 27.08.2015
OUTGROWN
Why we need new technologies and to update our digital infrastructures
Cyber Academy, Edinburgh; 27.08.2015
• Mobile data up year on year
2013 – 2014 by 70%
• Globally mobile data will grow
10 fold from 2014 – 2019
• Globally, mobile data traffic will
reach 24.3 Exabytes per month
by 2019 (the equivalent of 6,079
million DVDs each month), up
from 2.5 Exabytes per month in
2014.
• 97% will be smart traffic by 2019
(50% video content)
• Data traffic grows much faster
than network capacity
• http://www.cisco.com/assets/sol/sp/vni/for
ecast_highlights_mobile/index.html
Cyber Academy, Edinburgh; 27.08.2015
Global Mobile Traffic Forecast
Cyber Academy, Edinburgh; 27.08.2015
Source: Cisco VNI Mobile, 2015, CAGR = Computed Annual Growth Rate
What kind of wireless devices will
drive traffic Increase?
Cyber Academy, Edinburgh; 27.08.2015
Source: Cisco VNI Mobile, 2015, CAGR = Computed Annual Growth Rate
What will be driving the network
traffic until 2019?
• 4G (Voice)
• M2M (Car-to-car, smart health, etc.)
• Mobile Cloud Traffic (Video, Audio, Gaming,
Social Networking)
• WiFi - Offloading
Cyber Academy, Edinburgh; 27.08.2015
mHealth Market Potential
http://ec.europa.eu/digital-agenda/en/news/mhealth-what-it-infographic
28%
5%
30%
30%
7%
Forecast: estimated global market value in 2017
17.6 billion EUR
Divided as follows
EU-China IoT Workshop
London 2014 Cyber Academy, Edinburgh; 27.08.2015
Distributed Patient Centered Care
Requirements
• Virtualization
• Real time = Low Latency
• Far more devices to be connected
• Interoperability
• Safety, Security
• Privacy (Role based Security, Geofencing,
Federated Identity)
• Reliability ( 5/9 99.999 % in some cases even
100%)
Cyber Academy, Edinburgh; 27.08.2015
Software to Data Paradigm
Cyber Academy, Edinburgh; 27.08.2015
IoT SDOs and
alliances landscape
Service & App
B2C (e.g.,
Consumer
Market)
B2B (e.g.,
Industrial
Internet Market)
connectivity
AIO
TI
P2413
Source: Huawei
802
Open Automotive
Alliance
Cyber Academy, Edinburgh; 27.08.2015
OUTSTANDING
New ideas and technologies to tackle the challenges
Cyber Academy, Edinburgh; 27.08.2015
Nomenclation
• Industry 1.0 – automation (Steam)
• Industry 2.0 – Electrification
• Industry 3.0 – Computerization
• Industry 4.0 – CPS +++
Cyber Academy, Edinburgh; 27.08.2015
Industry 4.0 Design Principles
• Interoperabilität
• Virtualization
• Dezentralisierung
• Real-time capability
• Service Orientation
• Modularity
Herrmann M, Pentak T, Otto B (2015), Design Principles for Industrie 4.0 Scenarios: A
Literature Review, Technische Universität Dortmund, Audi Foundation Professorship
Supply Net Order Management
Cyber Academy, Edinburgh; 27.08.2015
Industry 4.0
• Industry 4.0 is a major joint Strategy
framework by the German Government and
the German industry
• It is considered beneficial for all major
industries such as Manufacturing, Energy,
Logistics, etc.
• It will add value to processes through the
creation of services on top of legacy systems
Cyber Academy, Edinburgh; 27.08.2015
Acatech Study 2013
• http://www.acatech.de
/fileadmin/user_upload
/Baumstruktur_nach_W
ebsite/Acatech/root/de
/Material_fuer_Sonders
eiten/Industrie_4.0/Fin
al_report__Industrie_4.
0_accessible.pdf
Cyber Academy, Edinburgh; 27.08.2015
Industry 4.0
• Horizontal integration through value networks
• End-to-end integration through engineering
across the entire value chain
• Vertical integration and networked
manufacturing systems
• Individual customer and product features and
specifications
Cyber Academy, Edinburgh; 27.08.2015
Cyber Academy, Edinburgh; 27.08.2015
Virtual WorldVirtual World
Real Worldl World
Services
Processor
Terminal
Sensor
Storage
John
Cyber Academy, Edinburgh; 27.08.2015
Virtual WorldVirtual World
Real WorldVirtual World
Sensors
Services
Cyber Academy, Edinburgh; 27.08.2015
Virtual Worldual
World
Real WorldVirtual World
Sensors
Services
DomainsCyber Academy, Edinburgh; 27.08.2015
Virtual Worldual
World
Real WorldVirtual World
Sensors
Services
Domains
CPS
Cyber Academy, Edinburgh; 27.08.2015
OUTLOOK
Where will all of this take us?
Cyber Academy, Edinburgh; 27.08.2015
Hybrid Cloud Architecture for
Virtualization of Care
Cyber Academy, Edinburgh; 27.08.2015
Flowchart m-Health Application to
support patients with Reflux disease
Cyber Academy, Edinburgh; 27.08.2015
Monitoring pandemics utilizing the
social web
Cyber Academy, Edinburgh; 27.08.2015
SDN and MEC for Synchronization of
telecom and service net
Cyber Academy, Edinburgh; 27.08.2015
Software Defined Networks
• To enhance the Quality of Experience for End-users
• Aggregation of different verticals and services
• Synchronization of telecommunication- and service
network
• Adjust Quality of Service (Big Data Analysis)
• Solve local problems locally: direct local connection
instead of directing every call to the back-end and
back, thereby reducing bandwidth requirements.
Carbon footprint?
• SDN to enhance privacy
Cyber Academy, Edinburgh; 27.08.2015
5G Networks
• More than just more of the same
• Not only faster
• New frequencies (spectrum negotiations with
global standardization bodies in progress)
• New functionalities
• End-to-end latency down to 5 ms
• 1000 times more devices
Cyber Academy, Edinburgh; 27.08.2015
Conclusion
• Health 4.0 will virtualize care and generate
service layer on top of health legacy systems
• More bandwidth and better connectivity
needed
• SDN to integrate telecom and service network
• SDNs for aggregation of services and domains
(verticals)
• Mobile Edge Cloud to solve local problems
locally
Cyber Academy, Edinburgh; 27.08.2015

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Health 4.0

  • 1. Professor Dr. Christoph Thuemmler Edinburgh Napier University, School of Computing MITI Institute, Technical University Munich HEALTH 4.0 Cyber Academy, Edinburgh; 27.08.2015
  • 2. OUTNUMBERED Demographic and socio-economic aspects Cyber Academy, Edinburgh; 27.08.2015
  • 3. Population tree United Kingdom Democratic Republic of Congo Cyber Academy, Edinburgh; 27.08.2015
  • 4. 330 360 550 2006 2011 2020 HEALTH SPENDING: GERMANY (IN BILLION USD) Cyber Academy, Edinburgh; 27.08.2015
  • 5. 156 357 1000 2006 2011 2020 HEALTH SPENDING: CHINA (IN BILLION USD) Cyber Academy, Edinburgh; 27.08.2015
  • 6. Time Series Chart of UK Public Spending Cyber Academy, Edinburgh; 27.08.2015
  • 7. Hospital beds Cyber Academy, Edinburgh; 27.08.2015
  • 8. OUTDATED Why we need to change the way we deliver healthcare Cyber Academy, Edinburgh; 27.08.2015
  • 9. Changing the Way Healthcare is Delivered Virtualization of Care Money Technology People Cyber Academy, Edinburgh; 27.08.2015
  • 10. Shifting the point of care to the periphery Hospital Tele- Health M-Health Community- nurse Hospices Day- Surgery Day-clinics Physio- therapist Social Care Psycho- therapists Cyber Academy, Edinburgh; 27.08.2015
  • 11. OUTGROWN Why we need new technologies and to update our digital infrastructures Cyber Academy, Edinburgh; 27.08.2015
  • 12. • Mobile data up year on year 2013 – 2014 by 70% • Globally mobile data will grow 10 fold from 2014 – 2019 • Globally, mobile data traffic will reach 24.3 Exabytes per month by 2019 (the equivalent of 6,079 million DVDs each month), up from 2.5 Exabytes per month in 2014. • 97% will be smart traffic by 2019 (50% video content) • Data traffic grows much faster than network capacity • http://www.cisco.com/assets/sol/sp/vni/for ecast_highlights_mobile/index.html Cyber Academy, Edinburgh; 27.08.2015
  • 13. Global Mobile Traffic Forecast Cyber Academy, Edinburgh; 27.08.2015 Source: Cisco VNI Mobile, 2015, CAGR = Computed Annual Growth Rate
  • 14. What kind of wireless devices will drive traffic Increase? Cyber Academy, Edinburgh; 27.08.2015 Source: Cisco VNI Mobile, 2015, CAGR = Computed Annual Growth Rate
  • 15. What will be driving the network traffic until 2019? • 4G (Voice) • M2M (Car-to-car, smart health, etc.) • Mobile Cloud Traffic (Video, Audio, Gaming, Social Networking) • WiFi - Offloading Cyber Academy, Edinburgh; 27.08.2015
  • 16. mHealth Market Potential http://ec.europa.eu/digital-agenda/en/news/mhealth-what-it-infographic 28% 5% 30% 30% 7% Forecast: estimated global market value in 2017 17.6 billion EUR Divided as follows EU-China IoT Workshop London 2014 Cyber Academy, Edinburgh; 27.08.2015
  • 17. Distributed Patient Centered Care Requirements • Virtualization • Real time = Low Latency • Far more devices to be connected • Interoperability • Safety, Security • Privacy (Role based Security, Geofencing, Federated Identity) • Reliability ( 5/9 99.999 % in some cases even 100%) Cyber Academy, Edinburgh; 27.08.2015
  • 18. Software to Data Paradigm Cyber Academy, Edinburgh; 27.08.2015
  • 19. IoT SDOs and alliances landscape Service & App B2C (e.g., Consumer Market) B2B (e.g., Industrial Internet Market) connectivity AIO TI P2413 Source: Huawei 802 Open Automotive Alliance Cyber Academy, Edinburgh; 27.08.2015
  • 20. OUTSTANDING New ideas and technologies to tackle the challenges Cyber Academy, Edinburgh; 27.08.2015
  • 21. Nomenclation • Industry 1.0 – automation (Steam) • Industry 2.0 – Electrification • Industry 3.0 – Computerization • Industry 4.0 – CPS +++ Cyber Academy, Edinburgh; 27.08.2015
  • 22. Industry 4.0 Design Principles • Interoperabilität • Virtualization • Dezentralisierung • Real-time capability • Service Orientation • Modularity Herrmann M, Pentak T, Otto B (2015), Design Principles for Industrie 4.0 Scenarios: A Literature Review, Technische Universität Dortmund, Audi Foundation Professorship Supply Net Order Management Cyber Academy, Edinburgh; 27.08.2015
  • 23. Industry 4.0 • Industry 4.0 is a major joint Strategy framework by the German Government and the German industry • It is considered beneficial for all major industries such as Manufacturing, Energy, Logistics, etc. • It will add value to processes through the creation of services on top of legacy systems Cyber Academy, Edinburgh; 27.08.2015
  • 24. Acatech Study 2013 • http://www.acatech.de /fileadmin/user_upload /Baumstruktur_nach_W ebsite/Acatech/root/de /Material_fuer_Sonders eiten/Industrie_4.0/Fin al_report__Industrie_4. 0_accessible.pdf Cyber Academy, Edinburgh; 27.08.2015
  • 25. Industry 4.0 • Horizontal integration through value networks • End-to-end integration through engineering across the entire value chain • Vertical integration and networked manufacturing systems • Individual customer and product features and specifications Cyber Academy, Edinburgh; 27.08.2015
  • 27. Virtual WorldVirtual World Real Worldl World Services Processor Terminal Sensor Storage John Cyber Academy, Edinburgh; 27.08.2015
  • 28. Virtual WorldVirtual World Real WorldVirtual World Sensors Services Cyber Academy, Edinburgh; 27.08.2015
  • 29. Virtual Worldual World Real WorldVirtual World Sensors Services DomainsCyber Academy, Edinburgh; 27.08.2015
  • 30. Virtual Worldual World Real WorldVirtual World Sensors Services Domains CPS Cyber Academy, Edinburgh; 27.08.2015
  • 31. OUTLOOK Where will all of this take us? Cyber Academy, Edinburgh; 27.08.2015
  • 32. Hybrid Cloud Architecture for Virtualization of Care Cyber Academy, Edinburgh; 27.08.2015
  • 33. Flowchart m-Health Application to support patients with Reflux disease Cyber Academy, Edinburgh; 27.08.2015
  • 34. Monitoring pandemics utilizing the social web Cyber Academy, Edinburgh; 27.08.2015
  • 35. SDN and MEC for Synchronization of telecom and service net Cyber Academy, Edinburgh; 27.08.2015
  • 36. Software Defined Networks • To enhance the Quality of Experience for End-users • Aggregation of different verticals and services • Synchronization of telecommunication- and service network • Adjust Quality of Service (Big Data Analysis) • Solve local problems locally: direct local connection instead of directing every call to the back-end and back, thereby reducing bandwidth requirements. Carbon footprint? • SDN to enhance privacy Cyber Academy, Edinburgh; 27.08.2015
  • 37. 5G Networks • More than just more of the same • Not only faster • New frequencies (spectrum negotiations with global standardization bodies in progress) • New functionalities • End-to-end latency down to 5 ms • 1000 times more devices Cyber Academy, Edinburgh; 27.08.2015
  • 38. Conclusion • Health 4.0 will virtualize care and generate service layer on top of health legacy systems • More bandwidth and better connectivity needed • SDN to integrate telecom and service network • SDNs for aggregation of services and domains (verticals) • Mobile Edge Cloud to solve local problems locally Cyber Academy, Edinburgh; 27.08.2015

Editor's Notes

  1. Marco: If this is agreed as a playground representation then the two dimensions should be in the segmentation (done) Ovidiu: IIC does health which is consumer Hypercat is national NIST is national Added CONTINUA, C2C-CC, CCC, OAA and ERTICO Juergen I have update the map with several organizations that have mostly an industrial focus: OPC Foundation: https://opcfoundation.org/ Profibus International: http://www.profibus.com/ ASHARE (Bacnet): https://www.ashrae.org/ Health Level Seven HL7 (Heatlhcare): http://www.hl7.org/ DICOM (Healthcare): http://dicom.nema.org/ Object Management Group OMG: http://www.omg.org/ OASIS: https://www.oasis-open.org/ Open Geospatial Consortium OGC: http://www.opengeospatial.org/ Home Gateway Initiative HGI: http://www.homegatewayinitiative.org/ UPNP: http://www.upnp.org/ eCl@ss: http://www.eclass.de/eclasscontent/index.html.en is about device/things properties, a very important issue for IoT and the virtual representation of things, also IEC (TC65, SC3D) and ISO (TC184) has activities in this area Platform Industrie 4.0: http://www.plattform-i40.de/ as a specific German activity CEN and CENELC as European counterparts of IEC and ISO. and I am still not sure that this is everything, for example the logistics/supply chain, retail and automotive business has for sure some standardization activities like SAE and GS1 I also reposition some of the entries. The issue is, that large SDOs like IEC, ISO, ITU, IEEE, JTC1 and ETSI have activities that go from connectivity to services&apps and are used in the consumer and industrial market. For the analysis we have to look on the specific activities and not on the whole SDO. Also architecture activities like P2413 cover the whole stack, so not with specific protocols, but general issues.