Cette conférence - e-santé : évolution ou révolution? - a pour but de présenter quelques projets développés par les hautes écoles et entreprises de pointe dans le domaine. A cette occasion, Prof. Dr. Henning Müller a fait un exposé intitulé: La e-santé en général et quelques projets de la HES-SO Valais.

1. eSanté –
et quelques projets
Henning Müller

2. Informatics in health
Biomedical informatics
Medical informatics Bioinformatics
eHealth
e-health
Health informatics
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3. A larger definition (wikipedia)
• Electronic health records: enabling the communication of patient data
between healthcare professionals (interoperability, health cards, …)
• Telemedicine: physical and psychological treatments at a distance
• Consumer health informatics: use of electronic resources on medical
topics by healthy individuals or patients
• Health knowledge management: medical journals, best practice
guidelines or epidemiological tracking (LinkedLifeData)
• Virtual healthcare teams: consisting of healthcare professionals who
collaborate and share information on patients through digital
equipment
• mHealth or m-Health: includes the use of mobile devices
• Medical research using Grids: powerful computing and data
management capabilities to handle large amounts of heterogeneous
data
• Healthcare Information Systems: often refer to software for
appointment scheduling, patient data management, work schedule 3

4. A revolution in healthcare?
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5. … et en Suisse
• http://www.e-health-suisse.ch/
• Web page is always updated with last initiatives
• Much work has been going on for several
years
• June 2007: eHealth strategy for Switzerland was
decided
• Core groups on specific topics
• Larger groups involving all interested stakeholders
• There are now:
• Technical and semantic standards
• An organizational vision and definition of processes
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6. A legal framework
• An eHealth law is under preparation
• Future law on the electronic patient record
(EPDG-LDEP), in the parliament in 2013
• Collaboration between the confederation and the
cantons (a long/slow process)
• Companies need to follow the standards
• Otherwise there will be no access to the markets
• Medical software is a medical device
• Security needs to be assured, certification
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7. Pilot tests in the cantons
• e-Toile in Geneva
• More information at http://www.e-toile-ge.ch
• Data accessible in decentralized form,
confidentiality and security are regarded as
extremely important
• Patient can decide on access with a physician
• Data access only with patient and professional
card
• Rete sanitaria in Tessin
• Health network started in 1999
• Partial evaluation by eHealthSuisse 7

8. eSanté à Sierre
• Many eHealth activities since 2007
• eHealth unit since 2010
• 20 persons and three professors
• Michael Schumacher, Alexandre Cotting, Henning
Müller
• Several types of projects
• EU FP7 projects (Khresmoi, PROMISE, WIDTH,
VISCERAL, MD-Paedigree, Commodity12, …)
• FNS projects (MANY, NinaPro, …)
• CTI, Hasler, COST, HES-SO, NanoTerra, mandates
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9. eHealth topics in Sierre
• Health data management and
interoperability
• Semantic interoperability for document exchanges
• Health information retrieval
• Medical image analysis and retrieval
• Analysis of big data
• Clinical decision support
• On temporal data using intelligent agents
• Combining multimodal data of various sources
• Using signal and image data with other sources
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10. Motivation for image management
• “An image is worth a thousand words”
• Medical imaging is estimated
to occupy 30% of world
storage capacity in 2010!
• Mammography data in the
US in 2009 amounts to
2.5 Petabytes
Riding the wave – how Europe can gain
from the rising tide of scientific data, report
of the European Commission, 10/2010.
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11. … and big data?
1GB of data
1px = 10 MB
typically used
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12. Monthly production of hospitals (4
TB)
Georg Langs | www.cir.meduniwien.ac.at
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13. Yearly production (~48 TB)
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14. Big data challenges and opportunities
• Signal data in the images needs to be
mapped to semantic information
• Reduce amount of data to keep accessible
• Get information for decision support
• Information of interest can be extremely small
• Simple and efficient tools are required
• And these might work better on big data
• Many rare diseases could be analyzed
• These are difficult as people do not know them,
they are missed and incorrectly treated
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15. VISCERAL
• EU funded project (2012-2015)
• HES-SO, ETHZ, UHD, MUW, TUW, Gencat
• Organize competitions on medical image
analysis on big data (10-40 TB)
• All computation done in the cloud, collaboration with
MS
• Identifying landmarks in the body
• Finding similar cases
• Annotation by
experts
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16. Khresmoi
• 4 year, 10’000’000 € budget
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17. Khremoi goals
• Trustable information adapted to each user
group
• All tools as open source
• Extract semantic information from all sources
• LinkedLifeData
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18. Current status
• Project at the beginning of year 3 of 4 years
• Half-time
• User tests have started among the three user
groups (much feedback on prototypes
expected)
• Different types of interfaces
• Eye tracking
• Implement changes
to adapt to the user
groups
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19. NinaPro
• Funded by the FNS, lead by IDIAP
• Acquisition of signal data from healthy
and hand-amputated persons
• Improve control of prostheses through
the signal data, to catch up with robotics
• Learn better and fast!
• Share the data to advance research
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20. Medicoordination
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21. DiagnosticAid
• CTI project
• Goals:
• Give to general practitioners a system for decision
support based on clinical practical guidelines
• Obtain all the necessary data from the other care
partners and include them into the medical record
MediWay
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22. Conclusions
• eHealth concerns all of us
• Health is becoming increasingly “e”
• Much practical work and many research
projects exist in Switzerland
• Ranging from robotics, via images and signals to
analysis of all types of data
• Many opportunities exist for public-private
partnerships
• From start ups towards collaborations with larger
companies
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23. Questions?
• More information can be found at
• http://aislab.hevs.ch/
• http://medgift.hevs.ch/
• http://publications.hevs.ch/
• http://www.khresmoi.eu/
• Contact:
• Henning.mueller@hevs.ch
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