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  16th International Conference on E-health
Networking, Application & Services
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1. E-health, IoT and Cloud: standards, challenges and opportunities

A patient may require the services of various healthcare providers (hospitals/clinics, physicians, dentists, optometrists, radiologists, cardiologists, pharmacists, insurance, etc.). Many different electronic systems might be used, such as modalities (MRI machines, etc.), information systems (such as hospital, radiology, lab, etc.) and disparate (communications) protocols and messaging formats (such as DICOM, HL7, etc. and various forms/interfaces of them) used by the devices and IS. How do we effectively and efficiently provide comprehensive and consolidated electronic health/medical/patient records (EHR) in the presence of such disparateness? What are the relevant standards at the core of e-health?
The domain of e-health is further expanded with telemedicine for long distance patient care over MAN/WAN and with personally wearable or mobile IoT (Internet of Things) devices for home-based or on-the-go (mobile) monitoring of vital data. Telemedicine and IoT require new generations of communication protocols, provisions for the service layer (e.g., as discussed by ITU-T Focus Group on M2M service layer) and interoperability guidelines (e.g., Recommendation ITU-T H.810 “Interoperability design guidelines for personal health systems”). In addition, they also add to distribution of EHR components. How do we address relevant issues?
The use of Cloud has become almost ubiquitous in everyday life. Many day-to-day activities of end users or enterprises and services related to those activities are served from somewhere in the Cloud over the network, public or private, Internet or intranet. The effectiveness of healthcare services can be greatly improved if e-health services are deployed in Clouds. While there are advantages and opportunities, there are also many Cloud related challenges that may add to challenges discussed above. It is also exacerbated by the lack of Cloud related standards at various layers of Cloud infrastructure and services. In addition, there should be some level of confluence of e-health and Cloud related standards. How do we address this?
Privacy and security are increasingly important concerns as well. The secure processing of personal data in the Cloud represents a huge challenge. Adoption of privacy-enhancing technologies to support such activities will depend upon the existence of uniform ways of handling personal data and on technical standards which can help to ensure compliance with legal and regulatory frameworks. How do we safeguard security and privacy for highly sensitive personal information, such as medical data, in a Cloud-based environment?

Masum Z. Hasan (Cisco, USA) is currently a Technology Director at the Cloud CTO office of Cisco Systems, San Jose, USA. He currently leads R&D work in Cloud networking, Network Virtualization and Programmable Networking (aka SDN: Software-defined Networking).  His work focus also has been in the area of Grid/High-performance Computing, Healthcare Computing and Networking, Network Analytics, Traffic Engineering, Application and Network resource access control, and Network Management. Masum’s prior job experiences include Principal Investigator at the Bell Labs, USA, Research Scientist at the University of Toronto, Canada and software engineer / computer scientist positions in a number of companies / institutions in Canada and Bangladesh. Masum obtained his MMath and PhD in Computer Science from University of Waterloo, Canada and combined BEng-MEng in Computer Engineering from Odessa National Polytechnic University in Ukraine. Masum has been serving on the organizing and technical program committees of a number of IEEE/IFIP International Conferences and co-editor of a number of journals and magazines. He also serves as the Chair for the IEEE Communications Society's Ad hoc Committee on Cloud Communications and Networking Committee.

Nazim Algourmine, (IEEE Senior Member and IEEE ComSoc Distinguished Lecturer, UEVE, France) is a Full Professor at the University of Evry Val d’Essonne, France and head of the LRSM group - IBISC Computer Science Research Lab. Since 1989, he has been involved in several large research projects on cloud computing, broadband wireless and fixed networks funded by the EU commission: Advance, Pemmon, Forms, ICM, Adanets, Seimonet, Sumo, Wellcom, Expeshare, Easi-clouds) and the French National Research Council CNRS (Cesame, Amarrage, Polymage, etc.). His current research interests are ubiquitous networking, context awareness, autonomic systems, cloud computing, fixed and mobile networks, ad-hoc and WSN, multimedia communications with applications in various societal challenges (eHeath, eLearning, Smart Grid). He has served and still serving in several technical programme committees of IEEE international conferences: HEALTHCOM, MMNS, IM, NOMS App, LANOMS, ASNOMS, MWCN, LAACS, BCN, GIIS, etc. Nazim Agoulmine has served as the general co-TPC chair of IEEE HEALTHCOM’ 2012, IEEE/IFIP IM’2011, NATO ASIGE’2010, IEEE LANOMS’2009, IEEE BCN’2010/09/08/07/06, IEEE MMNS’2003 IEEE DANSM’2007, IEEE GIIS’2007, HPOV’2004 . He has published more than 100 peer-reviewed papers in the areas of networking and multimedia systems. He is the co-author of three books on Network Management and Multimedia Systems. He was awarded two international patents and has been giving several invited/keynote/plenary presentations in several international conferences and workshops. Dr. Agoulmine is currently a secretary a member of the e-Health IEEE Committee. He is also the area editor of the International Journal on Computer Networks - COMNET, associate editor board of the international Journal of Computing Science and Engineering - JCSE  and member of the editorial review board of the “International Journal of E-Health and Medical Communications - IJEHMC. He was also the guest editor of two IEEE Communications Magazine Special Issues in 2012 on “Communications in Ubiquitous Healthcare: Wireless Sensors, Networked Devices, Protocols and Solutions”
Eduardo Cerqueira (UFPA, Brazil) received Master in Computer Science at Federal University of Santa Catarina, Brazil (2003) and his PhD in Informatics Engineering from the University of Coimbra, Portugal (2008). He was an invited auxiliary professor at the Department of Informatics Engineering of the University of Coimbra (2008-2009). He is an associate professor at the Faculty of Computer Engineering of the UFPA in Brazil and now researcher at Network Research Lab at UCLA/USA and Centre for Informatics and Systems of the University of Coimbra (CISUC)/Portugal. His publications include 5 edited books, 5 book chapters, 4 patents, 1 IETF Internet Draft and over than 130 papers in national/international refereed journals/conferences. He is involved in the organization of several international conferences and workshops, including Future Multimedia Networking (IEEE FMN), Future Human-centric Multimedia Networking (ACM FhMN), ICST Conference on Communications Infrastructure, Systems and Applications in Europe (EuropeComm), Latin America Conference on Communications (IEEE LATINCOM) and Latin American Conference on Networking (LANC). He has been serving as a Guest Editor for 5 special issues of various peer-reviewed scholarly journals. His research involves Multimedia, Future Internet, Quality of Experience, Mobility and Ubiquitous Computing.)
Kashif Saleem (KSU, KSA) is currently working as Assistant Professor at Center of Excellence in Information Assurance (CoEIA) at King Saud University (KSU), Riyadh, Kingdom of Saudi Arabia (KSA). He received his Ph.D. (Electrical Engineering) and M.E. (Electrical Engineering - Electronics & Telecommunication) from Universiti Teknologi Malaysia, Johor, Malaysia in 2007 and 2011, respectively. His research interests Includes e-Health privacy and security, e-Health reliability, Ubiquitous Computing, Intelligent Autonomous Systems, Information Security, Biological Inspired Algorithms over Internet of Things (IoT), Machine to Machine (M2M) Communication, Wireless Mesh Networks (WMNs), Wireless Sensor Networks (WSNs) and Mobile Adhoc Networks (MANETs). He has served as reviewer of reputed international journals published by Elsevier, IEEE, Springer, etc. and has authored several research publications and handle ICT related funded research projects in Saudi Arabia and EU.
Fernando Koch (SAMSUNG, Brazil) is a Director R&D at SAMSUNG Research Institute Brazil. He was a Research Scientist at IBM Research Brazil (2011-2013) where he received the IBM Eminence and Excellence Award (2012) and the IBM Outstanding Contributor Award (2013) for leadership in research. He has over 20 years of IT Industry experience with practice in R&D, product development, and business development with companies in the Silicon Valley, Europe, Brazil, and Australia. He received the Ph.D in Computer Sciences (2009) from Utrecht University in collaboration with The University of Melbourne. He participated in the PostDoc (2010) in Computer Sciences at Utrecht University. He also holds M.Sc. (1997) and B.Sc. (1993) degrees in Computer Sciences by the Federal University of Santa Catarina, Brazil. He has over 60 papers published and more than 20 patents. He is IEEE Senior Member and ACM Distinguished Speaker. His research interests include Artificial Intelligence, Mobile Computing, Computational Social Sciences, and Cognitive Computing.

2. Emerging eHealth Applications: big data, analytics, telemedicine and mHealth

The health international community faces an avalanche of content related to health and health care, generated from several points of patient care including medical devices, information systems and communities in social media. As a result, emerging eHealth applications promise to revolutionize health care through improvements in efficiency; expanding and improving access; facilitating the engagement of professionals and their patients; and, in the process, democratizing, decentralizing, and even demystifying the practice of medicine. Indeed, they might cause an increase in the ratio between cost and value of developed countries, as well as increased access to higher quality health care services in developing countries. Which initiatives around the world could be cited as good examples for applying emerging eHealth applications?
Among the new technologies and approaches that supporting eHealth, we must highlight: big data, analytical solutions, ubiquitous computing, cloud computing, Internet of Things (IoT), data stream computing, sensors and wearable devices, telehealth and telemedicine, mobile devices, social media, among others. Indeed, the well-coordinated use of these technological resources might empower the individual him/herself to self-care, a significant step in promoting health and reducing the cost of health care. What are the current trends and research challenges involving the orchestration of these different approaches and technologies for enhancements of health care quality and cost reduction?
It is known that data about individual´s health and wellbeing is collected from an increasing number of different systems, and therefore the prevalence of heterogeneity of these data only increases. This implies that to ensure the correct information is provided for the right person, at the right time, it will be essential that semantic aspects are observed in the process of interoperability - the use of clinical terminologies is critical in this context. Furthermore, over time, these data are created and accumulated continuously, resulting in an extraordinarily large volume of data. This data includes medical records (from EMR, EHR, PHR, etc.), radiology images (including 3D), results of tests and clinical analyses, clinical trials data, genome sequences of individuals and populations, data streaming from equipment and devices, biometric sensors (including wearable), social media, and more.
Big Data technologies can enhance the processing of these large volumes of multidimensional data, which are constantly changing. In addition, analytical solutions enable the discovery of patterns and trends that enable insights in order to base informed decisions, leveraging to improve health care services, save lives and reduce costs. In practice, this integration and analysis of data can be quite challenging considering political, ethical, privacy and confidentiality aspects of the health sector. Questions arise regarding Big data and Analytics: (1) What are the current trends for applying these technologies for health care services? (2) What are the main research challenges in this area?  (3)What are the primary semantic challenges and what is being done to overcome them?

Marcelo Santos (Philips Medical Systems) is a Director of Data Integration & Analytics at the Philips - Healthcare Transformation Services. He hold 26 years of experience in the field of Information Systems and is an executive who began his career as a software developer and has had the opportunity to work in different positions of field of computer sciences. Marcelo has worked as an IT executive for large corporations in Brazil and led relevant implementation projects of ERP/BI. In terms of research, he led important Analytics projects as a Research Leader for Healthcare IT at GE Global Research in Brazil and also worked as a researcher at the UFMG and UNB. He was professor of Fundação Dom Cabral and worked as a consultant of healthcare IT for several organizations: DATASUS, OPAS, ANS, UNB, SES/MG, PRODEMGE, SMSBH, SMSSP among others. He is a mathematician and concluded the master´s in Business Administration at the Catholic University of Minas Gerais and his PhD in Information Sciences at the Federal University of Minas Gerais. His PhD thesis discussed about the multilevel modeling for information systems and its impacts on clinical knowledge representation and the semantic interoperability for Electronic Health Records systems (EHRS). His research activity has focused on knowledge representation, clinical terminologies/ontology and semantic interoperability.

Tony Sahama (QUT, Australia) is a senior lecturer in the Information Security Discipline, Faculty of Science and Engineering. His research interest is in Health/Medical Informatics in particular, Healthcare Information Technology (HIT) and Clinical Decision Support Systems design and development. Tony holds a PhD in Computer Science (Computer Simulation and Modelling, DACE), Master of Education (Higher Education), M.Phil (Statistical Computation) and B.Sc. (specialised in Applied Statistics and Computer Programming). Tony has experience working with researchers in developing customised technological applications for Clinical Decision Support Systems, Data warehousing, Data Integration and IT applications for healthcare decision making processes. Currently, Tony is supervising 4 research masters and 4 PhD level projects in the Medical Informatics research area. Tony holds professional membership with ACM (SIGBioinforamtics), IEEE, IBS, ACS, SSAI and HISA.
Stefan Convalci (TUB, Germany) senior solutions architect for future internet services platforms at the computer sciences and electrical engineering faculty of Technical University of Berlin, Institute for Telecommunication Systems. Between 1990 and 2007 he was working at GMD FOKUS (today Fraunhofer Institute FOKUS) acting as director of the competence centre Intelligent Mobile Agents. He co-initiated and participated to the agent standardisation work of OMG (Object Management Group) and FIPA (Foundation of Intelligent Physical Agents), and was one of the co-authors of the first agent technology standard – the OMG-MASIF (Mobile Agent System Interoperability Facility). He has extensive experience in the management of a variety of projects and study contracts for the European Commission, German Agencies (BMBF, BMWF) and other industrial national and international organisations in the areas of IT and telecommunication networks and services. His recent work is in the areas of next generation networks infrastructures and service delivery platforms for the Future Internet with a focus on interoperability and management solutions. He is member of the Architectural Board of the European Future Internet Public-Private Partnership (Fi-PPP) and technical coordinator of the FI-STAR project – applying Future Internet technology in the Healthcare sector. He is the technical coordinator of the DAAD – UNIFI project enabling future internet academic teaching and research in developing countries. He has published over 90 papers and was chair or member of the program committee of many international conferences.
Paweł Świątek (WUT, Poland) received his MSc and PhD degrees in computer science from Wrocław University of Technology, Poland, in 2005 and 2009, respectively. From 2009 he is with Institute of Computer Science, Wrocław University of Technology, where from 2010 he works as an assistant professor. His main scientific interests are focused on services optimization and personalization, optimization of service-based systems, resources allocation, QoS delivery in heterogeneous networks, mobility management in wireless networks and application of service science for e-health. He is an author of over 80 journal and conference papers and editor of three books. He was also a leader in multiple research EU-funded project which focused mainly on service oriented systems, future internet architectures and applications of service science and ICT in e-health. He serves as a reviewer, TPC member and editor for multiple international journals and conferences.
Artur Ziviani (LNCC, Brazil), is a researcher at the National Laboratory for Scientific Computing (LNCC), a research unit of the Brazilian Ministry of Science, Technology, and Innovation (MCTI) located in Petrópolis, Brazil. In 2003, he received a Ph.D. in Computer Science at the LIP6 laboratory of the Université Pierre et Marie Curie (Paris 6) - Sorbonne Universités, Paris, France, where he has also been a lecturer during the 2003-2004 academic year. He received a B.Sc. degree in Electronics Engineering in 1998 and a M.Sc. degree in Electrical Engineering (emphasis in Computer Networking) in 1999, both from the Federal University of Rio de Janeiro (UFRJ), Brazil. From September 2008 to January 2009, he was a visiting researcher at INRIA in France. His current research interests include characterization, analysis, and modelling of computational networks, network science, and interdisciplinary research. He is a Member of SBC (the Brazilian Computer Society), an Affiliated Member of the Brazilian Academy of Sciences, and a Senior Member of both IEEE and ACM.

3. Interoperability: making it Real

Moderator: Marcelo Santos, Philips Medical Systems, Brazil

Governments and companies around the world are participating in eHealth projects as part of their strategy to enhance the quality of their healthcare services. eHealth refers to the combined use of electronic communication and information technology in the health sector to enable better health and healthcare. According to ISO 14639 and WHO eHealth Tool Kit there are important aspects that must be addressed for achieving success in these initiatives. For this panel we would like to explore aspects of eHealth Infostructure and Governance & National Ownership. Infostructure pertains to characteristics of the health record, including patient/person identification management services, clinical terminology services, content and message standards, privacy and security, consent/access control, etc.
Achieving semantic interoperability between Electronic Health Record (EHR) systems is critical item for this component. Therefore, the development of Information Systems (IS) that can satisfy the fundamental requirements to semantically exchanging clinical data has attracted the efforts of the international healthcare scientific community. These types of ISs must, on the one hand, have the flexibility to represent specific medical knowledge in a way that allows it to assimilate its complexity and rapid evolution (of clinical concepts) and, on the other hand, satisfy the need for interoperability with other EHR systems. Such systems are built based on different architectures, data models, terminologies, concepts etc. As they exchange clinical data, there is a risk that mistaken interpretations may negatively impact on the quality of medical care. The Semantic Interoperability between systems implies an agreement on the structure and meaning of the data that is being communicated. How should we handle this kind of complexity? Which are the core steps towards building a robust national infostructure? What are the current trends in this area?
National Ownership and Governance includes all aspects of project management, executive sponsorship, leadership, planning, development of capability and capacity, etc. - certainly this kind of effort is essential for eHealth Projects.  As a part of the Infostructure component, Semantic Interoperability must be included as well. Questions arise regarding ownership and governance: How are the main competencies should be developed for achievement Semantic Interoperability of EHR Systems? What kind of leadership should be defined? What mechanisms should we put in place to develop these competencies? How should we create capacity to ensure robust implementations of standards and clinical terminologies?

Michael H. Nusbaum (IHE, Canada) is a management consultant who has been practising in the health care industry his entire career.  With a broad background in health services administration, coupled with strong education and experience in information management and information technologies, Michael brings a wealth of knowledge and expertise to a project.  Amongst a number of subject matter domains, Michael is a recognized expert in healthcare IT standards and interoperability.  Over the past decade, he has contributed as: IHE International Board Member; IHE International, IT Infrastructure Domain Planning Committee co-Chair
IHE Canada, President; HIMSS EHR Steering Committee Chair; Facilitator and Technical Writer, Healthcare IT Standards Panel (HITSP); ISO/TC215 Canadian Advisory Committee (domestic lead on all ISO/TC215 WG2/7 items); ISO/TC215 Liaison Officer for IHE International; Joint Initiative Council member, representing IHE International; Project Manager, Infoway Standards Collaboration Process (SCP); Standards Collaborative Technical Subcommittee (TSC) – ISO Constituency representative; Standards Collaborative Coordinating Committee (SCCC) – ITAC/Health representative; Standards Collaborative Steering Committee (SCSC) – IHE Canada Head of Delegation; ITAC/Health Interoperability and Standards Committee co-Chairpan-Canadian Standards Group Chair – Client Registry & Provider Registry
Henrique Martins (Shared Services of the Ministry of Health, Portugal) is an Internal Medicine Specialist. He obtained his PhD degree from the Judge Business School, University of Cambridge with a thesis on “The use of Mobile ICT in clinical Settings”. He holds a Master in Management from the University of Cambridge and a Masters in HIV/AIDS from the University of Barcelona. He has several publications in the area of Mobile computing in healthcare and many conference presentations/keynotes in the area of eHealth. He currently works at the Ministry of Health as Adjunct for Health IT to the Health Secretary of State and is President and CEO of the Shared Services of the Portuguese Ministry of Health (SPMS), being responsible for the new Health Information Sharing Platform for Electronic Health Records and for nationwide efforts on complete electronic prescription and Clinical informatics. He is the representative for Portugal at the European eHealth Network as well as the National EpSOS projecto Coordinator ( He additionally works as CMIO – Chief Medical Information Officer at the Hospital Fernando Fonseca, and coordinates the Center for Investigation and Creativity in Informatics (, where he supervises projects in robotics, mobile computing and database exploration and intelligent systems. He teaches health management, leadership and medical informatics in Portugal and abroad.
Ricardo Puttini (UNB, Brazil), is Associate Professor in the Electrical Engineering Department at University of Brasilia (Brazil). He holds a PhD (2004) in Distributed Systems and MSc. (1997) in Telecommunications. Dr. Puttini has acted as senior IT consultant and C-level advisor for 10+ years. He has worked in several projects across multiple governmental organizations in Brazil. Recently, he has co-authored the book "Cloud Computing: Concepts, Technology and Architecture" (http://, published by Prentice-Hall 2013. As a researcher, Dr. Puttini has worked at established IT research groups in Brazil, France and Sweden, published 40+ papers, and spoken in several IT conferences around the world. His areas of expertise and interest includes Distributed Systems and Applications, specially Service Orientation and Cloud Computing.
Marcello Bax (UFMG, Brazil), is currently an associate professor at the School of Information Science at the Federal University of Minas Gerais. He got his Ph.D. in Computer Science from the University of Montpellier II, France. French DEA degree in Mathematics and Computer Science and DESS in Computer Science from the Université d'Aix Marseille II, France. BS in Computer Science from the Catholic University of Minas Gerais (PUC-MG). He has experience in the areas of Information Science and Computer Science, with an emphasis in Information Systems, working mainly on the themes: Information and Knowledge Management with the use of semantic technologies, Health Information Systems, Artificial Intelligence (ontologies), and Philosophy of Information, Digital Libraries and Content Management.






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