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5G数字医疗的实践与趋势5G Digital Healthcare Practice and Tendency

Feb. 22, 2021•ShangHai

卢清君 Dr. LU Qingjun, M.D.中日友好医院 医院发展办 Development Office of China-Japan Friendship Hospital

国家远程医疗与互联网医学中心 National Telemedicine and Connected Healthcare Center 国家卫健委远程医疗管理与培训中心 National Telemedicine Management and Training Center of NHC

国家卫健委基层远程医疗发展指导中心 National Primary Telemedicine Development Center of NHC

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远程医疗 Telemedicine

n Doctors consultation via telephone

Telecom通信

Medicine医疗

Telemedicine远程医疗

2

Ø Med. Rec. was handwriting

Ø Image was printed on film

Ø Test was printed on paper

Ø Confirmation was hand signature

Age of analog signal

Satellite

telephone

Fiber Optic

1998: China-Japan Friendship Hospital,the first telemedicine practice in China

Invitee could NOT get reliable medicalrecords via telecom

Telemedicine was only point to pointwhich connection was limited

Analog signal limited the communicationand less safety

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数字医疗 digital health

Internet

Mobile

IOT telecom

telemedicine

Consultin

g

Online

followup

Surveillan

ceteled

iagnosis

Tele-educaito

n

Online hosp.

Ethernet

Internet + HealthcareDigital codeIn Telecom

Information &Digitalization

Med. Doc. was digitalized andinformatic

Record become transferable data

Data could be governance &encrypted

Data could be copied & computed

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Pacemaker in telemedicine in China

n 1998：Telemedicine Center in China-Japan Friendship Hospital

n 2012：National Telemedicine Management and Training Center of NHC

n 2018：National Telemedicine and Connected Healthcare Center

n 2018：National Primary-care Telemedicine development Directory Center

n 2020：National Telemedicine Center for COVID19

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互联网+医疗健康已经成为国家战略“Digital Healthcare” become National Strategy

Guidance from The State Council encouragedhospital to develop the Digital Healthcare国务院《关于促进“互联网+医疗健康”发展的意见》国办发〔2018〕26号

n 健全“互联网+医疗健康”服务体系

（ Digital Medical-care System Architecture）

n 完善“互联网+医疗健康”支撑体系

(Internet & Informatic Supporting System)

n 加强行业监管和安全保障

(Surveillance & Safety assurance）

National Guidance from National HealthCommittee国家卫健委配套政策指南Ø Definitions/Regulations

Ø Tele-consultationØ Online re-visit/follow upØ Online Hospital

Ø Guidance/ProceduresØ Medical insurance

telemedicine

Primary care

Online care

Patient

teleme

dicine

Central Hospitals Online Hospitals

Onlinecare

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Four Supporting Pillars of Smart Hospitals

Medical System

TelemedicineTele-Education and

research

Inline MedicareOnline hospital

Chronic dis。 managementSenior-care Medicine

Technical Support

Optical fiber + Internet5G+mobile, ICT

Healthcare informatizationDigital healthcare

artificial intelligenceEdge computing

Payment Assurance

Medicare assurance

Commercial Healthinsurance

Personal payment/bank

Buss. Operating Mechanism

Third-party enterprise

Distribution of profit

Financial services

Mobile transmission capability

Security assurance capability

Data collection capabilitycloud-edge collaboration

calculation

Security assurance capability

Cross-border connection capability

ConvenienceInterconnection and

interworking

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tele-consulting telediagnosis B-ultrasonic Tele-ECG Tele-lab

Telemedicine has developed to multiple practicesRound TeachingMDT consulting International ConsultingTele-Diagnosis

Online care Prescription Shippinghome

Shipping tosenior care

Tele-consultation

Tele-Diagnosis

Onlinecare

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Digital healthcare drives industrial integration and integration

8

Datadigital

Big dataCloud

Block chain

Digitaltelecom5G

CDSSAlgorithmRobot

internet+

medicine

Smartmedicine

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AI is subjecting into digital healthcare innovation

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HealthmanagementDis. Prevention

Diagnosis support

Hospital management

Treatment assistant

Drug R&D

Healthpromotion

Medicine

Tech. R&DInnovation

Patient

hospital

hospital

industry

Analysis support EMR

Imaging AI Pathology AI

Robot CDSS

Target genescreening

AI supportedcompoundscreening

Genetic Data Public health event

Smart Portable Device health mana. APP

hospital

hospital

ApplicationField User

Device Dev.

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Medical AI need communicational infrastructure

AI

Med. data

Algorithmmodels

telecom

Security

Usersinterface

Policy &regulations

Runningsystems

Knowledgebank

Understanding ofBio-medicalknowledges

Innovation power ofmedical AI

Demand andservice power of

digital health

Capacity of the dataexchanging andcommunication

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Network Challenge,5G met well

ü Networking Trendü Mobility Trend

Ø UbiquityØ ConvenienceØ MobilityØ StabilityØ Security

ü High-throughput data sharingü A large number of devices are

connected concurrently.ü Long interaction delay

5G Advantages Matched the Digital healthcare’s Requirements

High ThroughputeMBB

• Huge data transmission• HD video interaction• Real-time data query on the

cloud

Low latencyURLLC

• No frame freezing or packet loss occurs.

• Latency < 20 ms• Onsite interaction without

waiting

Multi-connectionmMTC

• Terminal/Sensor cluster access• Multi-scenario and multi-

terminal• Multi-point concurrency and

multiple audiences

EquipmentUpgrade

TechnologyInovation

Business Innovation

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The Charm of 5G Comes from The Improvement of New Network Capabilities

Core

Mobile phone Radio access network Core network Internet serverBearer network

4G networking

LTE

EPC+

4G

Network slicing (private network)

Standalone 5G deployment(SA, standalone core network)

5GC

5G

5G NSA deployment (Co-CN)

NR

5G

ü The core network determines the

communication capability.

ü Network slicing capability

ü Edge computing capability

ü Radio access capability of the

base station

ü Module data collection capability

Ø DeterminismØ Specific attributeØ SecurityØ QuicknessØ MobilityØ Ubiquity

5G Networks Support Comprehensive Application of AI

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n 5G network need uniform high quality:n Deterministic connection/ high throughput/ low latency, etc.

n Essential med. application require high quality 5G net：n Ensurance of the Med. Quality & patient safety

n Mobile connection need higher security

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High Quality Deterministic Network is required

5G LampSiteCPE

Inviter Cloud

CPE

TE20

invitee

TE205G DN5Gstation

Medical Quality & Patient safety need high standard 5G network

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5G cooperation： TCM treating pain

n Operation Demonstration via 5G video Conf.n Real time directory from telemedicine duringoperation

5G features:ü HD video sharing in real time.ü Low latency： （<10ms）üMobility （video trolly）

TCM treatTenosynovitis

5G tech. helped the effective treatmenttransformed to primary care

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5G+medicine practices gainedattention form enterprises

• 201909《标准》无线接入网分册启动制定

• 首批30余家行业单位支持• 数十家主流媒体报道超过1700篇

• 201910，100余家行业单位联合发布《标准》无线接入网分侧发布

• 数十家媒体报道超过3000篇

• 2019年11月• GSMA将该案例纳入《中国5G垂直行业应用案例》，作为灯塔项目在全球推广

• 2020年1月• 主持全国首次召开医疗5G模组研讨会

• 全国第一梯队32家医疗设备厂家参加研讨

• 2019年9月• 5G确定性网络产业联盟成立• 任副理事长

• 2020年6月• 华为HAS分析师大会• 提出5G智慧医疗规模化发展的4大举措

• 接受《观察者网》采访，视频点击量超11万

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Hundreds of hospitals participated inthe study of 《5G network standard 》

n Evaluation and discussion ：n 200+hospitals，testing in telelmedicinen 24 types applicationn Output : demand of 5G network

n Institute、Huawei、telecom companiesn Testing model, tech evaluation, standards

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Initiative of National Standard Project for the 5G in Medicine

1

已发布

Wireless

已发布

2 Terminals

已发布

3 MEC

2020年10月

To uniform the 5G network qualityAnd leading the 5G application to clinic

Call for applicationsTo eluate standards

30 hospitals24 applications

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5G Network Construction Needs to Meet Application Requirements of Smart Hospitals

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Network infrastructure construction

System and platform construction Application system convergence

One 5G private network in the hospital

doctor & patient use one 5G network by logical isolation

High throughputLow latency

Massive connections

Smart healthcare system

Smart management system

Smart service system

Basic applications3

4Basic platform

Hospital MEC platform

Hospital Big Data platform

Internet + healthcare platform

Medical IoT platform...

NApplication system

Outpatient and emergency department, ward, ICU, operating room, nursing,

pharmacy, laboratory.

Medical O&M and supply security

Manage decision-making and resource allocation

Health insurance, commercial insurance, and financial services

Patient service and drug deliveryInformation query and medical treatment

guidance

Social services: poverty alleviation, disease prevention, rescue, popular

science

Telemedicine and online follow-upCombination of family medical care and

medical caremedical consortium

1 network2 users

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Digital Health ----Health China

City Tertiary Hosp.

Secondary Hosp.

Primary careCommunity Senior care

Regional Medical center

National Medical center Local Hospitals

TelemedicineDigital Health

Specialized hospitals

Extreme Poverty Projects

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Thank You!