VTT proposal - Part C

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VTT proposal - Part C Powered By Docstoc
            Mobile Health Care


               7th-bis IST CALL
    2.5-3G Mobile Applications and Services

         Part C – Take Up Actions
Description of contribution to EC policies,
economic development, management and

              December 2001
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CONTENTS ............................................................................................................................................ 2

    1.1          COMMUNITY ADDED VALUE AND DIMENSION ...................................................................... 3
    1.2          EC POLICIES ......................................................................................................................... 3
    1.3          TRANSFER OF TECHNOLOGY AND CLUSTERING................................................................... 4
2       CONTRIBUTION TO COMMUNITY SOCIAL OBJECTIVES............................................. 5

MANAGEMENT .................................................................................................................................... 7
    2.2          RISKS ..................................................................................................................................... 9
    2.3          LEGAL OBLIGATIONS ........................................................................................................... 9
3       DESCRIPTION OF THE CONSORTIUM .............................................................................. 10

4       DESCRIPTION OF THE PARTICIPANTS ............................................................................ 11
    4.1          ERICSSON CONSULTING GMBH (DE) ................................................................................ 11
    4.2          GESUNDHEITSCOUT24 (DE) ............................................................................................... 13
    4.3          TELIA AB (SE) .................................................................................................................... 15
    4.4          LTU - LULEÅ UNIVERSITY OF TECHNOLOGY ................................................................... 16
    4.5          UNIVERSITY OF TWENTE - CTIT - APS(NL) ..................................................................... 19
    4.6          TMS (NL) ........................................................................................................................... 22
    4.7          YUCAT (NL) ...................................................................................................................... 23
    4.9          MST ENSCHEDE (NL) ........................................................................................................ 26
    4.10         TELEFÓNICA MÓVILES ESPAÑA (ES) ................................................................................ 28
    4.11         CORPORACIÓ SANITARIA CLINIC – CSC (ES)................................................................... 30
    4.12         UNIVERSITAT POMPEU FABRA (ES) ................................................................................... 33
    4.13         PHILIPS RESEARCH LABORATORIES UK (PRL)................................................................ 36
    4.14         CMG WIRELESS DATA SOLUTIONS ................................................................................... 38
PROSPECTS ........................................................................................................................................ 39
    5.1          EXPLOITATION AND DISSEMINATION ................................................................................. 39

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1   Community added value and contribution to EC policies.

1.1 Community added value and dimension
MobiHealth aims to establish a success story in terms of acting as a high impact
project which will demonstrate, in a comprehensive fashion, how operators, service
providers and manufacturing industry can use and further develop new pan-European
services based on the existing GPRS and UMTS infrastructures. This is not a national
issue, as there is an identifiable need to establish a critical mass in resources and
expertise currently not existing in individual countries.

Furthermore and in addition to undertaking technological integration and
development, MobiHealth addresses the complementary issues associated with the
introduction of these new technologies and their use in new value added services. Our
consortium demonstrates access to multidisciplinary skills required to undertake the
project successfully.

The main starting point in MobiHealth is that new wireless services for the GPRS and
UMTS networks, as they are approached by the project through the introduction of the
three clustered communities of users-SW-HW groups, are key for the
competitiveness of European industrial firms and the further development of
wireless communication technologies in Europe. In order for these enterprises to
take advantage of the opportunities presented in the Information Society with the use
of pan-European wireless network infrastructures, they have to review their activities
and adapt them to the new possibilities that arise.

European industrial firms have the potential to enjoy commercial success in the
wireless and mobile communications and services market. The new wireless
technologies diminish the disadvantages of small size and of distance from service
centers and markets.

In the old world of service provision, a small company that had limited access to
customers and could only function locally, would be left out from the competition and
would have to develop risk averse policies and tactics to compete with bigger
companies. In the new world, small companies can equally address pan-European
markets, if they are able to make use of the increased capabilities of modern public
communication networks. MobiHealth takes into account this new paradigm and
provides the means and ideas for the introduction of new services and possibilities to
access the complete European market.

1.2 EC policies
The MobiHealth project specifically addresses the more need- and problem-orientated
approach of the Commission‟s Fifth Framework programme. It clearly addresses the
fact that improving economic growth is achieved by introducing new services, and by
opening the way for SMEs to provide specialized and personalized mobile services to
the citizens.
The goals of moving towards "innovative value added services", "agile customer-
driven networked industrial and related service SMEs", with a "multi-skilled highly
motivated labour force", all of which are mottoes and visible targets for a set of EC
policies and measures, are all therefore addressed within scope of MobiHealth.

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The European Commission's strategy for strengthening and widening the Union in the
early years of the 21st century, the AGENDA 2000, mainly confronts the challenge of
how to strengthen and reform the Union‟s policies so that they can deliver sustainable
growth, higher employment and improved living and working conditions for Europe‟s
citizens. Key objectives of these efforts are to promote stability, market efficiency and
investment, a fuller exploitation of the Single Market, and improvement of operating
conditions for SMEs. These aspects are concerned when discussing the outcomes of
the MobiHealth proposal.

In this European and international context, MobiHealth contributes by its integrated
output to strengthen the competitiveness of European SMEs. The results of the
MobiHealth project and trials will:

 Open up new dimensions in the provision of personalized services to European
  citizens, leading to increased customer value and satisfaction with products and
  related services. Especially, networking on a European level will strengthen
  market efficiency and European cohesion.
 Encourage investments in the public network market and related services. This
  will open up new business opportunities for European SMEs, leading to new
  technology intensive service-product-market combinations for existing or
  potential customers.

1.3 Transfer of technology and clustering
The MobiHealth project aims to introduce new ideas and services that can be taken up
by other European companies. Therefore all deliverables of the project are public and
a large effort for dissemination and technology transfer is included in the project
work. All specifications, service scenarios, business data etc, will be made available
to other industrial companies and organizations.

The MobiHealth project will also profit from results from other projects in the
network cluster by importing know-how and information on issues which are not
addressed in the project. Closely linked with the MobiHealth BAN system are the
value added services which will be developed by different projects, enhancing
flexibility for the patients/users, allowing them obtaining medical services anywhere,
anytime when on the move. For example with m-contracting the patient will be able to
solicit services from different hospitals, medical services organizations and/or
practitioners by simply sending his patient information and vital signs‟ data to
different end-points. The user/patient will be able to subscribe to these services, pay in
real time, or even have an occasional consultation when he is on vacation, and will no
longer be bound to a single hospital. Furthermore, location related services will be
able to be integrated allowing the user to find the nearest hospital, pharmacy or
practitioner, and even allow him to access medicament databases which will provide
medicament correspondence information, when travelling abroad (eg. under what
name medicament X is branded in another the country where the patient spends his
vacations, which is the local equivalent etc).

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2   Contribution to Community social objectives.

The MobiHealth project initiative stems from a thorough assessment of the usefulness
and applicability of the proposed services arising from the project. First of all the
services proposed by MobiHealth will greatly contribute to the well being of
European citizens. Second the project will open the way for the introduction of new
services by SMEs and thus boost the creation of new SMEs and improve the
employment prospects in Europe. In parallel the new services will require new
expertise in medical, communication and management areas, contributing to the
development of new skills. Finally the deployment of the new services will create new
traffic for the wireless networks in Europe, allowing the telecom operators to amortize
their investment, expand their network and offer new services to the clients, with as a
direct consequence the improvement of the employment prospects of new personnel.

The improvement of the quality of life of European citizens will be achieved in
different ways. First of all citizens suffering for chronic diseases will be able to be
monitored 24 hours a day, whilst pursuing a normal life, instead of being confined in a
hospital for long periods of time. As a result, their psychological state will be much
better (living at home and being active dramatically improves the morale of the
patients!) thus allowing an improvement of their health state, and in addition reducing
the costs related to chronic disease management. Cost reductions will also come from
work hours gained by the patient and by his relatives who will not need to spend
hours in visiting the patient in the hospital trying to keep his spirits up.

A second way that quality of life improvement will be achieved is through the fact
that with MobiHealth a citizen will be able to monitor in detail the evolution of a
disease and prevent degradation of his health. Continuous monitoring will allow
doctors to identify causes contributing to the problem and provide advice for its

But MobiHealth will also allow the improvement of life in para-health applications.
For example people with special health problems wishing to take up (or continue with
previous) sports training regimes will be now able to do so since the major obstacle
that today prohibits them in so doing will be removed. The obstacle is of course , the
inability to know when to stop the training in order to prevent a negative health effect.
With MobiHealth the person will be able to monitor his state during the sports
training and stop at the right moment. This way he will be able to continue feeling
able to live a normal life as an active participant instead of being just a spectator.

The issue of safety of the working environment is also covered by the MobiHealth
services since prevention of health problems leads to the identification of health
hazards and consequently to potential improvements in safety. For example, the
degradation of a persons health working in a hazardous environment will be able to be
monitored and the causes will be able to be identified more easily since
comprehensive records over a long period will be available. As a result measures can
be taken to improve the safety of the working environment by identifying and
eliminating environmental hazards.

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From the point of view of improvements in employment, MobiHealth contributes in
different ways. First of all it opens up the way for the development of new value
added services by SMEs for niche markets. For example, new services that will allow
the continuous monitoring of rare chronic diseases will need to be developed. This
however is not economically feasible by large companies with high overheads. In
contrast small companies can take up this market and propose highly personalized m-
health services based on MobiHealth technology. Thus the prospect of (self)
employment is improved.
On the other hand the introduction of MobiHealth services will require the
development of new applications, the integration of new hardware (sensors etc) and in
general the marketing of new platforms. This will improve the employment prospects
thought out Europe by large companies. The telecom operators will also need new
personnel in order to deploy the new infrastructures and provide the required support
for the services.

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A        specific       project                    Management Board
management work package is
included in the project work
plan (WP 7). MobiHealth          European              Project
project management will be      Commission           Coordinator
carried out using a twin-track                                           Scientific
approach for co-ordination                                               manager
and administrative matters on                        Work package
                                 European               leaders
one hand and technical           Industrial             Project
                                 Reference             Technical
matters on the other hand,         Group              Committee
with      the      Co-ordinator
providing cohesion as overall               Project management structure
manager.       These       two
management authorities will ensure that the project will meet all its formal and
technical obligations.

2.1.1 Project Tools and Controls
Formal project management tools will be used to monitor and control technical work
packages on an ongoing basis; this work will be co-ordinated by the Scientific
Manager. The Co-ordinator will use a similar approach to monitor deliverables,
reports, meetings, and all other obligations. The project will operate under the aegis of
a formal Consortium Agreement.

2.1.2 Management bodies
The Co-ordinator will provide overall project management functions through two
controlling bodies, the Project Management Board (PMB) for all policy and top-level
management matters and the Project Technical Committee (PTC) for technical and
operational issues related to work packages. Common membership of PMB and PTC
is permitted where useful and to allow the holding of joint meetings, in keeping with
the need for a small, economical and tightly functioning structure.

2.1.3 Project Management Board (PMB)
Clear lines of communication and responsibilities, throughout the project, are top of
the agenda for the PMB. Membership of the PMB consists of one representative from
each project partner, each of whom has one vote on any formal motion brought before
the PMB. The PMB Chairman is provided by the Co-ordinator respectively.

2.1.4 Project Technical Committee (PTC)
Membership of the PTC shall consist of the work package leaders, each having one
vote on formal motions brought before the PTC. The PTC Chairman is the Technical

2.1.5 Project Co-ordinator
The Project Co-ordinator is responsible for the overall co-ordination within the project
and the contact person for the European Commission. He takes care of the project

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planning and monitoring, progress reports, milestones reports, cost statements,
budgetary overview and reviews.

The Co-ordinator will handle all day-to-day administrative and management functions
with the help of the other management bodies. He shall be available at all times for
discussions and meetings with the work package leaders. In co-operation with the
Technical Manager, he has the authority to make minor adjustments to the project
work plan to avoid short-term difficulties, subject to ratification of those adjustments
by the PMB at its next meeting.

2.1.6 The Scientific Manager
The Scientific Manager is responsible for day to day monitoring, co-ordination and
validation of project technical work. He assists the work package leaders with respect
to cross WP co-ordination. He makes sure that the technical decisions made in the
project are inter-compatible and in line with forecast trends and future developments.
The Scientific Manager reports to the Co-ordinator. He shall be available at all
reasonable times for discussions and meetings with work package leaders.

2.1.7 The Work Package Leaders
Each WP is led by a work package leader, responsible for work carried out within the
WP. He has to provide periodic reports to the Co-ordinator detailing manpower
allocations and other costs. Details of technical progress within the work package will
be passed to the Technical Manager for evaluation who will prepare brief summaries
for the Co-ordinator to use in reports to the Commission and PMB. Each Work
Package leader shall be responsible for timely completion of deliverables due from
the work package and their submission to the Technical Manager for validation. Each
WP leader is also responsible for identification of risks and for proposing solutions in
respect of his work package.

2.1.8 Meetings
To economise on travelling costs, the date and venue of PMB meetings shall wherever
possible be co-ordinated with a corresponding PTC meeting. Meetings will normally
be held at alternating participants home sites to spread travelling burdens fairly, or
else at Brussels if a relevant Commission event makes this timely. Depending on the
content of the meeting, the meetings will be chaired by the Co-ordinator, the
Technical Manager or the Work Package / Task Leaders. The chairman of the meeting
is responsible for the minutes.
2.1.9 Resolution of Disputes
The collaboration agreement sets out clear positions on potentially troublesome issues
such as IPR and payment arrangements. It also specifies agreed corrective
mechanisms to rectify troublesome or conflict situations. Disputes or conflicts shall in
the first instance be referred to the PTC and/or the PMB (as appropriate) for
resolution. Where the PTC and PMB cannot satisfactorily resolve a dispute, the Co-
ordinator shall notify the EC Project Officer responsible for the project.
2.1.10 Problems and Contingency handling
Each Work Package Leader will identify any risks or problems associated with his
WP and communicate these (via the Technical Manager) to the PMB. It is the
responsibility of the PMB to consider all options, to make decisions and authorise
corrective actions appropriate to the situation. In addition, the PMB will take steps

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where necessary to ensure the consortium collectively, and all affected members
individually, have fully prepared themselves for arising contingencies.

2.1.11 Quality of Work
The project shall be carried out using the highest standards and procedures of
workmanship, in terms of management, software and quality of deliverables, as befits
a project at European level. More specifically, the consortium will follow formal
quality procedures, using an agreed quality plan which meets the needs of all

2.2 Risks
Two major areas of risk are identified for MobiHealth. The first comes from the
integration of the MobiHealth BAN, while the second from the availability and
applicability of the GPRS/UMTS infrastructure.

The risk related to the MobiHealth integration concerns from one side the available
functionalities and interference of intra BAN communication and external
communication with GPRS/UMTS (radio access) networks. The proposed devices for
the BAN Mobile Base Unit (eg. Compaq iPAQ and the forthcoming Ericsson new
generation telephones) are not yet tested for these types of applications. Both Compaq
iPAQ and Ericsson telephones will become available in the first months of the project.
Thus the overall risk in the development of the MobiHealth BAN MBU is very low. A
second area of risk is the miniaturization of the vital signs sensors and their wireless
connectivity. A limited number is available on the market today, but further
integration and adaptation is needed. Nevertheless many companies around the world
are announcing new miniature sensors equipped with wireless connections.
Furthermore new chips like the Philips “ZigBee” implementation are becoming
available on the market and we expect that in the first few months of the project a
large number of miniature, long life sensors will be available.

The risk related to the UMTS suitability is rather low, since the project targets
services that can be used in both GPRS and UMTS environments. If UMTS is not
applicable due to inherent incompatibilities etc, the GPRS infrastructure is today
rather stable and can be equally well used. Nevertheless some high-bandwidth
demanding applications and services, like video transmission, will not be fully
operational. However we can still test them by utilizing multiple parallel GPRS
channels, thus increasing the available bandwidth.

2.3 Legal Obligations
Health related data and information is highly protected by law and by professional
ethics. The MobiHealth project will take all required measures to protect information
relating to patients and users. To this end security and encryption technologies will be
used in the data transmission and at the received site only authorized personnel
working for the project will be able to access the data. For statistical analysis and
evaluation of the project patient information will be anonymised.

The users of the MobiHealth system will collaborate in the project having full access
to their personal data and being aware of the experimental nature of the health
support. If needed confidentiality and responsibility discharge documents will be
signed with and by the users.

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3   Description of the consortium

The MobiHealth consortium incorporates experience and technical know-how from
different partners covering all issues and areas required for the implementation of the
trials, from the network infrastructure, to sensor integration, application design,
clinical expertise and health service management. Furthermore the project has
extensive European coverage and will perform trials in 4 EU countries.
Ericsson Consulting (Munich, Germany), also the coordinator of the project,
represents one of the major communications suppliers in Europe, and provides
guidance to all major operators in the evolution of technology, new applications and
business areas. As such Ericsson Consulting has in-depth knowledge of market
demand for new applications and services, as well as business potentials. Furthermore
Ericsson Consulting has advance knowledge of forthcoming technology and can guide
the project partners in the development of services that will make use of the new
The telecom operators of the project, Telia and Telefonica are major players in
Europe. While Telia has a UMTS infrastructure which will be used in the project,
Telefonica will have completed the installation of the infrastructure by 2002. They
will both provide know-how for the deployment and use of new services for GPRS
and UMTS . In addition to the 2 operators, the University of Twente has an in-house
UMTS test site, in which it collaborates with KPN. This infrastructure will be used for
trailing in the project.
The application conception is done by the University of Twente and the University of
Lulea, while the application set and organization will be made by CMG, one of the
major mobile traffic services provider in Europe. CMG will provide know-how at all
levels of the deployment of the services. YUCAT, an SME specializing in the design
and development of wireless applications, will develop the required of specialized
mobile service applications for the project.
The BAN Mobile Base Unit (MBU) itself, together with expertise on its internal
programming, is provided by Compaq (Netherlands) with the iPAQ platform and by
Ericsson (Germany) with the forthcoming programmable GPRS/UMTS (UMTS from
2003 onwards) telephones. The development of the application software will be done
by the University of Twente while the security aspects will be done by the University
of Pompeu Fabra.
The integration and adaptation of the sensors/actuators for the BAN, as well as for
connection to public GPRS/UMTS services, will be developed by TMS (Netherlands),
a manufacturer of medical devices. Philips Research (United Kingdom) provides the
“ZigBee” chip, designed for wireless sensor applications, as well as knowledge in the
areas of BANs and BAN communication.
Finally the project incorporates 2 hospitals, a health call center and a large consortium
of health care institutes and organizations. Namely the project includes Corporació
Sanitaria Clinic: a clinic offering both high-technology services (such as transplant
programs) and real continuity in conventional healthcare to patients, Medisch
Spectrum Twente, representing a regional hospital in the Netherlands,
GesundheitScout24 a health call center and a consortium of hospitals and
municipalities represented by the Lulea university. These health centers will develop
and perform the trials for the project. They are effectively the users of the MobiHealth
services and applications.

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4 Description of the participants
4.1 Ericsson Consulting GmbH (DE)
Ericsson Consulting is a subsidiary of Ericsson, a major communications supplier,
combining innovation in mobility and Internet in creating the new era of Mobile
Internet. With its 2,700 consultants in 36 countries, Ericsson Consulting is one of the
world's leading Mobile Internet consultancies.

Ericsson Consulting provides companies with segment-specific solutions. They utilize
an integrative project approach which extends from the conception of a strategy to its
organizational implementation including development of Mobile Internet solutions
and system integration.

Developing Mobile Internet applications and solutions for the healthcare sector is a
major interest to Ericsson Consulting. In fact, healthcare constitutes one of the
company‟s focus areas.

Since Ericsson Consulting believes that the development of Mobile Internet –
personalization, mobility, always connected and location-based services – will enable
patients‟ demands for modern care, giving them freedom and quality-of-life, in spite
of chronic diseases or disabling situations, thus revolutionizing the way healthcare is
managed and delivered.

For the first time, Mobile Internet applications in healthcare offer a powerful tool for
health insurers to make substantial savings in disease related costs and may contribute
to solving the funding problems of many national healthcare schemes.

For mobile network operators – the main customers of the parent company – mobile
healthcare applications constitute an interesting business opportunity, as these
companies are highly committed to identify value-added mobile services to pave the
way for the penetration and acceptance of UMTS technology.

Ericsson Consulting is in a very favourable position to develop and implement mobile
healthcare solutions, because the company unites expertise in the pharma and
healthcare sector with substantial know-how in mobile communication technology
and project management / management consultancy.

Ericsson Consulting was a main development partner within the Spanish Diabetes
Patient Management Project “Diabelink”, which is implemented and running since
early 2001. Moreover, Ericsson Consulting are currently negotiating the
implementation of mobile patient management systems with health insurers, mobile
operators and health service providers in Germany.

4.1.1 Key Personnel
Rainer Herzog has been working as a Senior Consultant for Ericsson Consulting in
Germany since January 2001 and has operational responsibility for the company‟s
pharma and healthcare business. Graduated from a European Business Course in 1988
(European Partnership of Business Schools, Reutlingen and London), Rainer spent
over 10 years of his professional career in the pharmaceutical industry.

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He started with Roche Diagnostics as an International Management Trainee and was
later promoted to the position of Product Manager for Thyroid Testing at the
company‟s French subsidiary in Grenoble. He held this position in France for three
years and then changed to become International Product Manager for Cardiovascular
Disease at Schwarz Pharma in Monheim, Germany.

In 1999, he became Group Head International Marketing at Schwarz Pharma, having
full product and business responsibilities for the areas of Cardiovascular Disease,
Diabetes and Urology. In this position, it was one of his tasks to initiate, plan and lead
multi-national marketing and product task forces and project groups.

Within his current position at Ericsson Consulting, he has full responsibility for
business development and project management with regard to the healthcare area. In
this context, he is steering international and cross-functional project teams.

Philip Herrmann is working as a Consultant for Ericsson Consulting in Germany
since September 2000. He is acting as a business consulting in the pharma and
healthcare business.

Graduated with a master of economics in 1996 (Rupprecht-Karl University
Heidelberg and Ludwig-Maximilian University Munich), Mr Herrmann spent over 4
years of his professional career in the consulting business.

In 1997 he started with Deutsche Gesellschaft für Mittelstandsberatung, a subsidy of
Deutsche Bank and Roland Berger mainly dealing with the development and the
integration of a knowledge management system.

In 2000 he became business consultant at Ericsson Consulting, working on projects,
dealing with the auction of the UMTS licenses in Germany as well as with the
development of strategies for usage of Mobile Internet technology.

Within his current position at Ericsson Consulting, he is responsible for the
accomplishment of projects and the project management including the integration of
technical parts into different projects.

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4.2 GesundheitScout24 (DE)
GesundheitScout 24 was established in July 2000 and since then has become –
together with its Medical Service Center – one of Germany‟s leading health service

The company positions itself as a full service provider, offering full medical call
center solutions as well as the integration of these services into Internet based
applications and the hosting, administration and analysis of patient data.
Moreover, GesundheitScout operates a number of Internet Health Portals.

Among the current clients of GesundheitScout are some of the big public health
insurers in Germany (AOK, Barmer, BKK‟s).
Consequently, senior management and project managers are highly experienced in the
design and execution of healthcare and patient management projects.

The company currently employs over 80 medically qualified staff (mainly doctors and
nurses) in its call center as well as qualified system and data base administrators.

Services of GesundheitScout 24 include the following:

          Medical support and counselling of patients
          Consulting on pharmaco-therapeutic issues
          Referring patients to specialists and making appointments
          Handling of emergency situations
          Creating and administrating patient databases
          Quantitative and qualitative reporting

GesundheitScout 24 is currently operating in Germany, Switzerland and Austria.

4.2.1 Key Personnel
Dr. Michel Klein is working for GesundheitScout 24 since October 2000 as a director
of sales.As a member of the management board he is also responsible for the
development of case and disease management programs.

Dr. Klein has extensive experience in public health and in leading and coordinating
health-related projects.

After completing his studies of economics at the University of Cologne, he started to
work for the national board of practitioners in Germany (Kassenärztliche
Vereinigung), where he became director of contracting, quality assurance and
business consulting for doctors. He also managed and coordinated several innovative
projects aiming at installing functional networks of doctors‟ practices.

Befor joining GesundheitScout 24, Dr. Klein changed to “ArztPartner”, where he was
head of patient service and pharmacoeconomics.

Dieter Zocholl is working for GesundheitScout 24 as a board member and general
manager responsible for activities relating to private health insurers. Additionally, he

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is coordinating marketing activities and internationalisation of the company within

Mr. Zocholl has a profound knowledge of the health insurance segment. He has
studied economics and started his professional career at a major German management
consulting company.

Later on he became a chartered accountant, before joining the Treuhandanstalt – an
organization which was responsible for dealing with the sale of former East German
state-owned companies.

Before changing to GesundheitScout, Mr. Zocholl has founded his own consulting
company, which later became B&L Management Consulting GmbH. In this context,
he has initiated and steered a number of start-up and spin-off companies, all within the
(health) insurance segment.

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4.3 Telia AB (SE)
The Nordic region is one of the oldest and most experienced mobile communications
markets in the world. Telia is the largest mobile telecom operator in the Nordic
countries and the leading Internet service provider in Sweden.

Telia‟s focus areas in the MobiHealth project are:
 Project management and co-ordination of tests and field trials in Sweden.
 Provide infrastructure as GPRS and UMTS mobile networks for field trials.
 Provide service platforms for data acquisition and presentation.

In Sweden Telia provides data, voice, Internet, intranet, extranet, and a broad range of
other wireline and wireless services to their 4.3 million residential, business and
public sector subscribers. From Sweden they have extended their range of products
and services to markets all over the world.

Telia also pursues ventures far beyond the Swedish market, and can be found today in
almost forty countries on five continents.

Telia Mobile is the leading operator of mobile services in Scandinavia. As one of the
world's most innovative companies in mobile communications, Telia Mobile is at the
forefront of developments in mobile and wireless services.

Brief CV of key personal
Greger Isaksson has a background from Telia Research and has experiences from
several international projects as ERMES, GSM, Codit and Pecunia. From 1999 is he
working at Telia Mobile preliminary with project management and business

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4.4 LTU - Luleå University of Technology
In the “MobiHealth project” LTU represents three R&D centres and joint ventures in-
between university, industry and society:
     CDH – Centre for Distance-spanning Healthcare –
     MRC – Makitalo Research Centre -
     EISLAB- Embedded Internet System Laboratory -

The business motivation and relevance for LTU and the R&D centres to participate in
EU IST projects is the common focus on strengthening the industry and creating spin-
off companies.

One “success story” is CDT, the Centre for Distance-spanning Technology,
( and CDTs participating in EU IST has contributed to some of the
spin-off companies from LTU R&D. CDH was an initiative by and MRC is an
expansion of CDT.

The focus of CDH – Centre for Distance-spanning Healthcare is on, applied R&D
in the form of projects, Company development and spin-off companies and
International centre of excellence. The areas of work include

   Prevention, nursing & health care and rehabilitation: outside the institutional
    environment - at home, at work, in one's leisure time - involving
    patients/users/clients receiving care, the mobile patient and care team, relatives,
    friends, workmates, patient networks, user organizations and specialists
   Internet technology, services and products
   Mobile technology, services and products
   Embedded systems and intelligent homes
   Integrity and security
   Pilot environments as, Interactive Internet and digital (TV) channel/portal,
    network-based health-care centre ("call-centre"), the mobile team/patient, and
    laboratory for distance nursing & health care and rehabilitation

The vision of CDH is to improve quality of life with empowerment, security, living at
home - in the town or sparsely populated areas, independent of time or space

The Norrbotten County Council (NLL): providing healthcare in the county
of Norrbotten – the northernmost county in Sweden, the Luleå municipality and
Boden municipalities, acting as test site, for homecare and with homecare teams, and
the Sunderby hospital , will be the collaborators of CDH for the MobiHealth project,
along with the LTU - department of health science and TietoEnator a leading supplier
of high value-added IT services in Europe. CDH will coordinate the LTUpartners.

The MRC - Mäkitalo Research Centre was initiated during 2000 by CDT focusing
expansion of its Research on Internet & Mobility. This Centre is focused on mobile
applications and Internet technology for a wireless environment. The projects are
defined from a user perspective, are scenario-driven (a user situation), Include
enabling technologies to improve the user situation and are multidisciplinary. Some of
the projects are eStreet focusing on centred mobile electronic commerce, Arena
focusing on wireless “infotainment” in an arena environment and eGuide focusing on

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In the MobHealth project MRC will focus on Quality of Service and Security through
its university resources and on content/information management and Bluetooth

EISLAB covers research and education in the field of electronics, computer
engineering and robotics. Major fields are, measurement and sensor technology,
ultrasound technology, mixed mode electronics design, low-power ASIC design,
embedded EMC, EIS architecture and autonomous robotics. Education emphasizes on
electronics, computer engineering, EIS, measurement technology, EMC and robotics.
Power consumption is one of the key issues when designing digital systems. Perhaps
the mobile communications industry is the most obvious example, where you are
clearly out of business if your product does not provide sufficiently long battery
powered operation. Research at the Digital Low Power Design Laboratory is focused
on low power design of embedded systems and applications. We are looking into
application specific design methodologies, as well as algorithms for sub micron
synthesis (at the transistor and layout level).

The EIS-lab has developed a prototype EIS sensor system for heart and breathing rate
monitoring. In order to meet the requirements for field test in a 2.5/3G environment, a
number of topics should be addressed as:

          Interface to 2.5/3G mobile system.
          Miniaturization and packaging to a wearable device.
          Robustness and user interface.
          Power management.

The EISLAB focus in MobHealth will be to develop the EIS sensor BAN/PAN
communicating over 2.5/3G mobile systems for field-test and to participate in the
specification of mobile services and devices of EIS sensor BAN/PANs.

4.4.1 Key personnel
Lars Wikman, CEO of CDH, has a background as consultant and project manager in
national and international projects. As consultant and project manager he has been
concerned with personnel, organisational, management and business development.
Clients have been central and local government, and national and international
companies such as: Atlas Copco, Avesta-Sheffield, Ericsson, Swedish Steel, Volvo,
Norrbottensdelegationen (government delegation for regional industrial development),
National Dept. of Social Services, Association of Local Authorities, County Councils
and Regional Councils.
For CDT – - he has worked with project development and
management in EU/IST projects.

Mats-Ola Svensson, MD, Chief Resident Urology, Chief Resident General Surgery.
Mats-Ola Svensson has been deeply involved in educational issues within Medical
Education. He has written guidelines for tutoring medical students on behalf of the
Swedish Medical Association and he has also been active on the board of Nordic
Federation for medical Education.

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He has been responsible for the telemedical services at ComPodium International AB
and has designed several telemedical activities and conferences, for example on
behalf of Swedish armed medical forces and the Swedish college of surgeons.
He present interest is to develop the laboratory for distance-spanning healthcare at
CDH and he is also telemedical adviser to the CEO and board of CDH.

Mats Eriksson – General Manager, Mäkitalo Research Center - joined the Ericsson
group 1980 and has held various leading positions within the wireless business since
1985. During the 1990‟s Mats Eriksson was heavily involved in the development of
GSM, were he worked with various system issues and as a department manager with
financial responsibility for budgets In The Order Of 7-10 Million Euros.

Since Jan 1st 2001 Mr Eriksson is head of Mäkitalo Research Centre and currently
involved in many activities within applications and technology of the wireless future.
Chariman of the board for Mäkitalo Research Centre is Drhc Östen Mäkitalo, former
head of research at Telia.

Per Lindgren, associated professor, EISLAB, graduated with a Ph.D. degree in the
area of computer engineering at Luleå University of Technology, January 2000. Since
then Lindgren has been working as assistant professor at the EISLAB, Luleå
University of Technology, heading the digital design lab. The research is focused on
low power digital design for embedded systems. The digital design lab is also
responsible for undergraduate education in the area of computer engineering and
digital design.

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4.5 University of Twente - CTIT - APS(NL)
The University of Twente participates in this proposal under the CTIT (Centre for
Telematics and Information Technology), an internationally acknowledged scientific
research institute addressing the design and implementation of complex Telematics
and Information Technology systems, as well as their integration in a variety of user
environments with the aim to improve the performance and control of operational
processes within these environments.

The CTIT is a focal area research institute of the University of Twente. It is motivated
by the challenge of supporting the development and introduction of telematics, as well
as their use in operational processes. This challenge is addressed by performing high
quality R&D on functional requirements, design techniques and enabling technologies
for telematics systems, based on a thorough knowledge of operational processes in
various user environments The R&D on telematics systems addresses functional
aspects at the applications and the communications level. The research on telematics
system user environments focuses on assessment, embedding and usage of telematics
systems in existing and evolving organizations, including society at large,
government, industry, business and private life.

CTIT has significant expertise in the fields of telematics systems and associated
enabling technologies and design techniques, in particular within the faculties of
Electrical Engineering, Computer Science and Mathematical Sciences. Knowledge
and expertise on the design and analysis of operational processes and their support by
telematics systems is also found in these faculties, as well as in specific area-oriented
faculties (Educational Science, Technology and Management, Public Administration,
Mechanical Engineering). Within the Faculty of Philosophy, Technology and Society,
several groups study aspects of the implementation and embedding of ICT in society,
including socio-cultural and normative dimensions.

The area of telematics has resulted from the synergetic effect of the fusion of
telecommunication and information technology. This fusion process involves a period
of the order of decades. Developments in today's research (e.g., large scale and
generally accessible broadband communication, mobile and wireless communication),
are expected to penetrate the market gradually and gain their full impact on society
within the next ten years. Indeed, they have already a growing influence on all sectors
of society. Prominent examples include the development of high-speed broadband
communication networks and of new wireless infrastructures (e.g. UMTS, Blue
Tooth). Separate networks for telephone, television and computer communication will
in the near future be replaced by a single high-speed network infrastructure. Also
wireless base stations will be connected to this infrastructure.

However, the investments needed, both from suppliers of communication services and
from users of telematic services and applications are very high, due to the size and
potential impact of such systems. Therefore, the demand for R&D in the area of
telematics and the associated telecommunication and information technology is
expanding. Especially the effective application of telematics in a large number of
different sectors will require huge R&D efforts. The rapid advance of wireless and
mobile communication services in particular places unprecedented demands on both
enabling technologies as well as application developments.
A major area we have identified for the application of telematics services is the
medical and health care environment (Tele-medicine).

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Within this context the Application Protocol Systems (APS) group works in
collaboration with major operators and hospitals in the design of new value added
health services and applications. The APS work concentrates in the area of telematics
applications and services with special emphasis in multimedia protocols for mobile
wireless systems. The main targets are the development of applications for the support
of e-health and m-health. The group's activities are supported by the CTIT and are
done in collaboration with local hospitals, network operators and small companies,
specialized in design and manufacturing of portable health sensors.

The group actively participates in the EU-supported initiative for wireless
communications research (Wireless World Research Forum - WWRF) and contributes
in the forthcoming "Book of Visions 2001" in the area of mobile health systems and
applications using BAN (Body Area networks) and PAN (Personal Area Networks).

4.5.1 Key Personnel
Val Jones is a Senior Researcher at the Department of Computer Science (APS/CTIT)
of the University of Twente since 1996, after serving as a Research Fellow in the
Health Services Research Unit, School of Medicine, University of Aberdeen, where
she was project leader of a health telematics evaluation project and managed the
Unit's LAN and its some 50 users in her coffee breaks. Prior to that she held post-
doctoral positions in the Department of Computing Science, University of Stirling and
in the Department of English Language and the Computing Laboratory at the
University of Newcastle Upon Tyne. Dr. Jones has over 20 years' post-doctoral
experience combining academic and practical work. She has been involved in
research and application of new technologies for software design and development in
the context of collaborative research projects, with the emphasis on realistic end user
applications. She has project management and team management experience
including management of multidisciplinary teams including senior clinicians. Her
research interests include e-health applications, formal methods, distributed
multimedia applications, application services and protocols, software engineering,
workflow, knowledge based systems and applications of mobile and wireless
technology. Dr. Jones has published 2 books and numerous papers in Computer
Science, Sociolinguistics, Classification Theory, Health Services Research, Health
Telematics and wireless applications in healthcare. From 1998-2000 she was the
CTIT representative on the W3C Advisory Committee. Professional titles include:
Chartered Engineer, European Engineer.

Dimitri Konstantas is Prof. at the University of Twente, chairing the APS group. He
was previously appointed Ass. Professor of Multimedia Communication Systems at
the Social and Economics Science Faculty of the University of Geneva, and was
researcher at the National Defense Research Center in Athens and the Institute of
Computer Science, FORTH, at Heraklio, Crete. Prof. Konstantas is author of many
articles on Object Oriented Systems, Computer communications and Multimedia
Systems, chairing e-commerce related conferences, has participated in numerous
European and Swiss research and industrial projects and he has been a consultant to
several European companies. His present interests include, multimedia applications,
wireless communication systems and e-health applications.

Richard Bults (Application Protocol Systems group, University of Twente), received
his bachelor degree technical Computer Science in 1987, and started his career at the

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University of Twente that year as a Unix system administrator en network manager at
the dept. of Computer Science, became in 1989 a full time network manager. In 1997,
he joined the CTIT, and was one of the three founders of the Advanced Network
Technology Center. In his function as the manager of the ANTC, he supported and
participated in network centric CTIT research projects, and was active as a network
consultant for SUN Microsystems, NDIX, TReNT, a Dutch Oil company and Thales
Nederland. He worked together with senior researchers of the CTIT in the field of
Body Area Networks, their architecture and application. He was co-author of different
papers published at the WWRF and one of the editors of the WWRF Book of Visions,
and joined the APS group December 2001. His experience and knowledge cover:
cable systems, radio LANs, Bluetooth, Ethernet (E/FE/GE), ATM, POS, IPv4, IPv6,
routing protocols (RIP, OSPF), SNMP, mobile IP, network services (DNS, DHCP),
Unix operating systems (Sun Solaris, NetBSD) and Cisco IOS.

Professor Dr. Pieter A.M. Vierhout (MD, PhD) is a practicing general surgeon at
Medisch Spectrum Twente (general hospital and regional trauma centre) in Enschede,
the Netherlands. During his career in surgery he has specialised amongst others in
poineering the Leeds Keio ligament reconstruction procedure. He is President of the
Dutch Society of Surgeons. He was instrumental in introducing the trans-border air
ambulance service shared between the region of Twente in the east of Netherlands and
the catchment area of Rheine Hospital in western Germany. Pieter Vierhout holds a
chair at the University of Twente, Faculty of Technology and Management, where his
main research theme is the Hospital of the Future. His many publications include a
book on arthroscopic reconstruction of the anterior cruciate ligament using the Leeds
Keio technique.

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4.6 TMS (NL)
TMS International B.V. is a company specialising in physiological measurement
systems. The company provides hardware solutions for all types of polygraphy
measurement problems in routine medicine and research environments.

The technology has been on the market for more than 15 years now. The specialised
know-how was built up through many years of co-operation and research with the
University of Groningen and Twente University at Enschede

The development of the special amplifier was started in 1982. In 1994 TMS started
the development of the true DC reference amplifier, being especially targetted to the
market for ambulatory measurements. The ambulatory system is on the market since
1996, ranging from 8 up to 32 channels.

The stationary model is equipped with 24 up to 128 channels, measuring all types of
(electro-) physiological signals. More than 300 systems are in use today, in all kinds
of applications, ranging from EEG, Sleep, Cardiology or Movement Disorders.

For research purposes we have developed a special software program, allowing all
types of flexible measurement configurations. Setting up any type of measurement
can be performed within a few minutes, whether it is ambulatory or stationary.

4.6.1 Key Personnel
Jan Peuscher , is the managing director of MST. He hold an engineering degree with
specialization in bio-informatics and cardiology. Since 1980 he is working in the
development of sensors and hardware for measuring vital signals. He has been project
leader for different projects in sensor and clinical hardware development in different
companies and hospitals, the most notable being CME Twente, Pie Medical, 3T. In
1993 he joined MST as managing director and is responsible for the development of
specialized hardware for vital signal measurements.

Paulus Cornelus Buijsman is the Technical manager of TMS since 1994. He holds
an engineering degree from the University of Twente, with specialization in the
design and development of multi DSP systems based on linear phase audio equalizer.
He has worked in the Biomagnetic center of the university of Twente where he
developed a digital filter for MEG metering.
In TMS he is responsible for the design of new products and assumes the technical
leadership of the product development.

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4.7 YUCAT (NL)
Yucat mobile ICT ltd. is a B2B supplier of ICT solutions with a mobile character.
Solutions are aimed at increased efficiency, realisation of cost reduction and
improving the (internal) service level of the client organisation.

Yucat is specialized in:
·       PDA solutions with wireless and mobile access.
·       SMS services for websites and mobile phones.
·       Wireless Machine Communication applications.
Yucat aims at innovative and high-tech ICT solutions. Yucat has extensive knowledge
of mobile communication and a large experience in ICT and is able to use these in
such a way as to create an optimal solution for problems within an organisation.
Thanks to a firm knowledge of the current and future mobile market and technologies,
Yucat is able to realise a broad range of mobile applications.
Yucat has a strong university and research background and attempts to make use of
this in developing ICT solutions that go beyond implementing at application levels
solely. By combining research and ICT skills, Yucat is able to conduct and contribute
to academic research and assist in converting theoretical issues into implementations
of systems and applications. The MobiHealth project contains both the research and
implementation opportunities that Yucat is interested in and that can benefit from the
knowledge and experience available at Yucat.

4.7.1 Key Personel
Ir. Barry Peet
Barry Peet obtained his Msc. degree in EE at the University of Twente, Enschede. His
major was telecommunications and artificial intelligence. He has done, among others,
research into 4th generation Mobile Ad Hoc networks, at KPN Research, and
published multiple articles on this subject. He also was a researcher at the University
of South Australia, Adelaide.
As co-founder of Yucat bv, Barry Peet has been involved in mobile communication
technologies and applications since 1999, starting with WAP, and is now mainly
working with (mobile) PDA solutions.
Knowledge areas of Barry Peet are: Neural Networks, Fuzzy Systems, Genetic
Algorithms, Ad Hoc networks. Application development areas are: web based
services, PDA applications (Palm OS).

Ir. Sjoerd A. Janssen
Sjoerd Janssen obtained his Msc. degree in EE at the University of Twente, Enschede.
His major was (mobile) telecommunications. He has been working as a guest
researcher at the National Institute of Standards and Technologies (NIST, USA) and
at KPN Research, Netherlands.
As co-founder of Yucat bv, Sjoerd Janssen has been involved in mobile
communication technologies and applications since 1999, starting with WAP, and is
now mainly working with (mobile) PDA solutions.
Sjoerd is interested in telecommunications in general and mobile communications in
particular, especially the physical, network and application layers. He has a strong
theoretical background on GPRS networks and mobility management. Other research
interests include distributed and web-based applications, software engineering, PDA
solutions, communication systems and various (wireless) protocols.

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4.8 Compaq Computer Corporation -,Wireless Services Network
    Solutions (NL)
Compaq Computer Corporation, a Global Fortune 100 company, is one of the
largest and most experienced worldwide solutions aggregators. Founded in 1982,
Compaq has a proven ability to develop, market, and support hardware and software
platforms, including end-to-end industry-leading enterprise computing solutions,
fault-tolerant business-critical solutions, telecom specific hardware, customized and
packaged solution and service offerings, enterprise and network storage solutions,
commercial desktop and portable products, and consumer PCs and devices.

Compaq‟s mission is to enable human achievement by transforming information
technology. That is our core essence - the belief that people enabled by great
technology can achieve great things.
Compaq has a direct sales force comprised of Enterprise Account Managers, industry
specialists, product and services specialists, all combined to form account facing
teams to ensure broad and deep coverage and support across all geographies. Based
on certain financial and strategic criteria, Compaq will assign global account
managers. There are global account managers assigned to many of the world‟s leading
Telecommunications companies. Within the account teams are client principals who
enable global services and partnerships into the customer accounts. In addition,
where Compaq does not have direct coverage or where it is otherwise advantageous
for our partners and our customers, Compaq employs an indirect selling model using a
vast channel of partners to create broader reach and added value. Indirect sales are
achieved through systems integrators, independent software vendors, value-added
resellers, authorized distributors and OEM partners. Combined, Compaq has sales
coverage in 209 countries. The MobiHealth results will be channeled to Compaq
customers thought this network, and the advantages and business potential of
MobiHealth will be fully exploited.
Compaq Telecom understands and deploys to the requirements in today‟s convergent
marketplace. Compaq can do this based on more than 25 years of experience in this
industry, inclusive of the Digital Equipment and Tandem heritages. We have a unique
set of end-to-end capabilities that range from network infrastructure to end-user
access to the network. Compaq Telecom delivers the platforms, solutions and
integration and support services that service providers and equipment manufacturers
need to deploy new revenue-generating services quickly anywhere in the world. Few
other companies in the communications industry have this breadth and depth of
As testimony to our belief, Compaq boasts the following from our
Telecommunications industry customer base:
 The World‟s 50 largest Telecom Company‟s and 160 additional Telco‟s depend
    on Compaq solutions
 200 million credit card and collect calls per day are processed by Compaq systems
 Compaq has the most comprehensive portfolio of billing solutions and provides
    80% of European customer care and billing systems
 Compaq‟s Telecommunications Management Information Platform (TeMIP)
    solution is a worldwide leader in multi-technology network and services
 When 70 million people turn on their cell phones at home or on the road, Compaq
    software identifies them and allows them to place calls

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    Compaq‟s Short Message Service (SMS) and SMS Center partners has
     50% of the SMS (text) market
 90% of all U.S. 911 emergency calls come through Compaq servers
 Compaq platforms are system-tested to capture and process information for up to
     400 million calls per day
 Specialized Telecommunications Centers around the world (Dallas, Sydney,
     Singapore, São Paulo, Sophia Antipolis, Stockholm, Tokyo)
The Telecom Professional Services practice is the focus for all expertise and
initiatives that address the Telecommunications industry. This practice has over 1,000
solution architects; technical consultants and project/program managers trained and
certified on Compaq and partner industry specific solutions in three segments. These
segments include Operational Support Systems (OSS), Enhanced Network Solutions
(ENS) and Business Support Systems (BSS). The Telecom PS practice does custom
project work for tier one carriers and delivers pre-packaged solutions to small and
medium sized carriers. The PS practice is managed to a high degree of resource
chargeability and methods and practices for plan, design, implement and support of
Compaq Global Services is delivering leading-edge eBusiness solutions to
enterprises worldwide. We're implementing the Next Generation of Internet networks,
integrating voice and telephony with data, and managing entire data centers and help
desks for our customers.
We are meeting the eBusiness requirements of a broad range of customers from the
world's top financial institutions and telecommunications firms to leading-edge
companies such as Microsoft (MSN,, Expedia, and MSNBC), Disney,
YAHOO,, and the #1 eCommerce Web site in the U.S., U.K., and Our solutions power the majority (66) of the world's stock
exchanges, ATM networks, and 911 telephone lines. Compaq provides the most
stringent level of business critical support for over 3,000 customers worldwide and a
services customer base of over 70,000. NASDAQ, the largest computer-only trading
exchange in the world, is one example. It enjoys 900 million online trades a day,
2,000 transactions a second, all powered by Compaq.

4.8.1 Key Personnel
Luitje Rende is systems and solution specialist with large experience in the selection
and development/adaptation of mobile applications and environments for iPAQ PDA.
Luitje is working at Compaq since 1986 and has large experience in the design and
realisation of Telecom Management systems. His contribution in the MobiHealth
project will be the management of the iPAQ adaptation for the project new services.

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4.9 MST Enschede (NL)
Medisch Spectrum Twente is a not-for-profit large community hospital in region
Twente, situated in the eastern part of The Netherlands with 1070 licensed beds,
situated on various locations. In The Netherlands, Medisch Spectrum Twente is one of
the largest hospital organizations, with many supra-regional specialties such as acute
care centre for traumatology, radiotherapy, neurosurgery and AIDS-treatment. In 2004
the specialty har tsurgery will start.
Teaching profile
In Medisch Spectrum Twente 14 medical specialisms are accredited to (partially)
educate specialists, consisting of a 4 to 6 year period of training. In the initial academic
general physician education, nominally 6 years, MST offers the last two years, i.c. the
practical stage. Teaching facilities comprehend advisory staff (e.g. epidemiologists,
surgeon-trainer) as well as training facilities. MST is affiliated with the medical
university of Groningen. The hospital is also active on non-medical educational areas,
such as registered nurses and operating room staff.
Scientific profile
Medisch Spectrum Twente is a regional centre in scientific medical research in a
network shaped environment. The scientific infrastructure is an integral part of the daily
practice of the medical staff. The research process is facilitated by research doctors,
nurses and data managers. Research is fully integrated in the applied people processing
technology, both logistically en financially.

Medical staff :                 ±180 members (30 different medical specialisms)
Length of stay:                 ± 8.9 days
Total employees:                ± 3600, ± 2600 fte
Budget annually:                ± 400 million dutch guilders
Locations:                      two medium hospital locations at Enschede, one small
                                hospital locations at Oldenzaal, outpatient clinics at
                                Losser and Haaksbergen
Initial physician education     ± 50 students annually
Traning medical specialist      ± 30 students annually
Teaching staff                  ± 4 fte
Annual promotions (Ph.D)        ±5
Ph.D.                           ± 50% medical staff (4 professors)
Peer reviewed publications      ± 70 over the last 3 years (PUBMED, Medline)
Personal poster presentations   over 40 (international presentations of research findings)
Judged Research protocols       over the period 1996-1999 over 70 (MST has an
                                accredited medical-ethical judging committee for
                                scientific research)

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4.9.1 Key Personnel
Prof. Henk G. Bijker is, since 1997, chairman of the Board of Management of
Medisch Spectrum Twente, a large community hospital in Enschede. He is appointed
at University Twente as professor Management of Change in Health Care. The
combinations of these two functions benefit both university and the hospital. In
former positions he was CEO of large psychiatric hospitals, in Enschede as in Assen
and CEO of a nursing home.
He holds a Ph.D. in Management Scienses and was originally educated in economic
sciences. Prof Bijker is 57 years old.

Dr. Pieter de Smit is an outstanding surgeon, specialised in vascular surgery. Dr. De
Smit started his work in Medisch Spectrum Twente in 1991. He holds a PH.D. in
medicine. Dr. De Smit is also chairman of the Medical Board. He is active on various
research topics on vascular pathology, a.o. in multicentre trials. He is very committed
to research as such as well a s to improve the research infrastructure of the hospital.
He was one of the first docters to apply the AneurX stents in The Netherlands.
Dr. De Smit is 51 years old.

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4.10 Telefónica Móviles España (ES)
Telefónica Móviles España (TME), with more than 15 million subscribers, is the
domestic Spanish operator of Telefónica Móviles, one of the ten leading mobile
phone companies in the world. With operations in Europe, Latin American and the
Mediterranean Basin, Telefónica Móviles reaches a potential market of 434 million
As 3Q data indicate, TME mantains a subscribers quote of 55,5%, and traffic
estimated quote reaches 61%. Incomes for operations of the company in the first nine
months of 2001, reached 4.217,3 millon euros (more than 701.700 millon pesetas),
with growing of 17,6%, as EBITDA was 56,2% superior than the one of year before,
reaching 2.098,9 millon euros (near 349.228 millon pesetas).
Telefónica Móviles España actually owns more than 12.000 net locations all around
Spanish geography, which represents an accumulated investment of 4.808 millon euro
– more than 800.000 millon pesetas-. Refering to Human Resources, Telefónica
Móviles España has more than 4.100 employees.
Company has a variety of voice, data and messaging services, adding to the variety of
tariffs and specific prices for enterprise customers such as for particulars, which are
commercialised through a wide distribution net composed of more than 13.000 sales
One of the principal objectives of the company is upcoming in leadering strategy in
technological world. So, e-moción is the access platform to Mobile Internet for users
of Telefónica MoviStar, which nowadays joins more than 170 content provider.
In January 2001 Telefónica Móviles España launched Mobile Internet Services based
in GPRS (General Packet Radio Service) technologie, which has as principal
characteristic the increase in transmision rate of data and billing depending on
information volume sended or received and not on time on air.
Telefónica Móviles España is owner of a license to operate Third Generation Mobile
Services or UMTS. Telefónica Móviles España maintains in addition important
technological and collaboration agreements with multinational companies in the
technology world – software, hardware and telecommunications equipment providers,
etc., in order to develop applications and services for Mobile Internet world.

Mobihealth project is a project from which Telefónica Móviles España will obtain
several social, image and technological benefits:
 2,5G experience; in January 2001 Telefónica Móviles España launched Mobile
   Internet Services based in GPRS (General Packet Radio Service) technology,
   which has as principal characteristic the increase in transmision rate of data and
   billing depending on information volume sended or received and not on time on
   air. Mobihealth could benefit of this features in order to obtain faster transmission
   of the health information with less cost offered by Telefónica Móviles España.
 Telefónica Móviles España is interested in the participation in projects that
   produces social benefits. As Mobihealth aspires to contribute to the development
   of the Community and upgrate the quality of life of its citizens by introducing new
   mobile value added services in the area of health, this project can give Telefónica
   Móviles España the opportunity to increase its contribution to social projects.
 Value adding to services portfolio of Telefónica Móviles España, specially in new
   generation services (2,5G) in which Telefónica Móviles España is one of the
   pioneers in the world.

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   As Telefónica Móviles España is the domestic operator of Telefónica Móviles
    Group, and being Mobihealth a pan- European project, it could be an opportunity
    and learning experience for operating other pan-European services, 2,5G and
    extending them to 3G when possible.
   Providing quality data services is one of the priority objectives of our company, in
    order to increase data traffic, with following economical and image benefits.
   Participating a project that joins operators, content providers, developers,
    manufacturers, and a whole set of organizations integrating a value chain will
    provide new knowledge and contacts for our approachment to other markets.

4.10.1 Key Personel
Maria Luisa de Urquía Martí

Maria Luisa de Urquía obtained her bachelor‟s degree in telecommunications
engineering from the Universidad Politécnica in Madrid in 1994 and her master‟s
degree Executive MBA from the Instituto de Empresa in Madrid in 1999. Her present
position is MovilForum and Consolatory Manager in Telefónica Móviles España, with
responsibilities for developing a forum of developers to collaborate with TME,
collaboration with sales force and adapting solutions for big customers in
collaboration with third parties.

She joined Telefónica Móviles España in 1995 and has developed different jobs as
Area Manager for New Products and Services Launching (planning and measurement
of new products and services, Coordination of activities for introducing new services
in the market), Services Development Division Director‟s staff (Business planning for
Services Development, International Mobile analysis), and Customers and End-User
Manager in Mobile Internet Direction (responsible for quality of services, user‟s help
desk attention and segmentation of customers).

Marta Olivar Dimas
Marta Olivar obtained her bachelor‟s degree in telecommunications engineering from
the Universidad Politécnica de Madrid in 2000. Her present position since 2000 is
staff of MovilForum and Consultory in Telefónica Móviles España, with
responsibilities for promoting MovilForum, a developers Forum of wireless
applications, and coordination of projects with different areas in TME. Among other
tasks, she was responsible for the WAP site of MovilForum.

She has developed several tasks in different departments in Telefónica Móviles
España since she joined the company in 2000: Customers and End-User Department
in Mobile Internet Direction, studying the evolution of new services in order to
improve their quality and help TME Customer Relationship Centers; Specific Projects
Department in Market Development Direction, collaborating with sales force to
develop solutions for our customers.

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4.11 Corporació Sanitaria Clinic – CSC (ES)
CSC, Corporació Sanitaria Clinic (Clinic Health Corporation), based in the Barcelona
area, is a public organisation that includes three Hospitals (Hospital Clínic, Casa
Maternitat and Hospital Sant Joan de Deu), several Primary Care Units (Gesclinic),
one Biomedical Research Foundation (IDIBAPS) and two companies devoted to
Transplant Services (Criobarna and Transplant Services Foundation).

The Hospital Clínic serves an area of 400000 inhabitants. It has 840 beds and in 1999
dealt with 41643 in-patients, 400772 out-patients and 147577 casualties. With an
average length of stay of less than 7 days and a complexity rating of 1.99 according to
the DRG-All Patient rating version 12.0, the Hospital Clínic is one of the most
efficient in the country. In the same reporting year 1999, 18812 surgical interventions
were carried out, with 344 corresponding to transplants. The Hospital has 3,500
employees and an annual budget of nearly 170 million €.

CSC aims to provide both high-technology services (such as transplant programs) and
real continuity in conventional healthcare to patients, with the best cost-benefit ratio.
In this respect, CSC has focussed its interest in the research, development and
implementation of new and more effective models of healthcare provision, with a
clear patient-centred vision and on the basis of providing a real continuum of care.
This approach is in alignment with the recommendations of international bodies
(WHO 2001, Non-communicable diseases) and national authorities (Pla de Salut de
Catalunya 1999-2001, Catalan Health Service).

These new models of healthcare pose challenges in different domains, mainly in those
related to process reengineering and information management. To tackle the former a
policy of services‟ decentralisation and decision transfer to health professionals is

In the case of information management, the adopted approach enhances the intensive
use of telematic solutions. The experience of CSC in the use of telematics as a tool for
the implementation of new healthcare models is substantiated by a number of projects,
funded at both national and European level. This background constitutes an important
factor because of the knowledge and skills that IT professionals have acquired; this
ensures involvement and commitment of these professionals to this new environment.

Over recent years, the Respiratory Department has been leading an ambitious project
to establish a regional network providing continuous and integrated care for this type
of patient based on different applications of Health Telematics. Communications in
this network are based on a Web server that defines and validates new models of care
for chronic respiratory diseases. Accordingly, the underlying information system is
designed with an integrated view (Intraclinic Project). The implementation of
evolving IT technologies is seen as one of the key success factors of a user-centred
model of social-healthcare. This includes, among others:

          The use of mobile communications (GSM) for home care (Mobcare project)
          Implementation of wireless networks, handheld PCs, speech technologies,
           workflow systems and advanced voice-based human computer interaction
           techniques (Ward-in-hand project)

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          The development of an information environment for the care of chronic
           patients in the Information Society (CHRONIC project)
          The creation of a platform for tele-collaboration and information sharing for
           all the health agents involved (C-ARCTIC project).
          The development of tools for effective information sharing and collaboration
           among professionals and citizens in order to enhance integration of regional
           healthcare and social services. (CHARM project).
          The development of a new range of equipments supporting rehabilitation
           services at patients‟ home and remote medical supervision. (E-REMEDY
          The establishment of an integrated technical approach and business-oriented to
           the care of citizens that suffer from different environmental diseases
           (IREMMA project).
          The development of a global telemedicine service for medical care of elderly
           people at home for regular follow-up and emergency situations. (U-R-SAFE
4.11.1 Key Personnel
Dr. Josep Roca is Head of Section at the Respiratory Department of the Clinic
Hospital (Barcelona) since 1990.
Academic degrees: Doctor (PhD) in Medicine, University of Barcelona (1982) and
Assistant Professor in the Department of Medicine, University of Barcelona since
Experience in European projects: EU Health Telematics programme (DG XIII)
Intranet Health Clinic; Mobcare (connectivity between a "call centre" and patient's
home, using mobile phones); Teleregions-SUN2 (integration of services to the
citizen); CHRONIC (an information environment for the care of chronic patients) and
Ward-in-hand (patients care improvement via voice-operated, wireless-networked
handheld PCs).

Author of 145 original articles in peer-reviewed journals (> 80% first quartile); editor
of three books and contributor and reviewer of several others. Participation in
Medical & Scientific societies: executive responsibilities in the European Respiratory
Society (chairman of the Board of Directors of the ERSJLtd company; Newsletter
editor; elected president on October 1999). Member of the board of different
committees among which the Working Group on Standardisation of Lung Function
Testing (Lux) and the Committee on Health Care and Quality of Life within the
Strategic Plan for the IST of the Generalitat de Catalunya.

José Antonio Montero is an engineer in Information Technologies (Polytechnical
University of Cataluña, 1996). He has been involved in computer projects
development in the managerial area since 1993.

Author of “Metropolitan consultation system in Natural Language” based on artificial
intelligence techniques, February 1996 – UPC. He is an expert in Oracle and NatStar
development tools and he has experience in development of applications based on the
Internet technologies. He has also experience in installation and maintenance of
computer equipment and networks.

He has already participated in European projects: technological support for the
Chronic project (“An information capture and processing environment for chronic

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patients in the information society”) in the Barcelona pilot site (Corporació Sanitària

Dr. Albert Alonso (Barcelona, 1962)
Current responsibility: Senior research at the Medical Informatics Department at the
Hospital Clinic (CSC), Barcelona. Main research areas include emerging models in
healthcare provision, in particular those based on the continuum of care across
providers and how to couple information technology to enhance health service
provision. Lecturer in Medical Informatics, University of Barcelona.

Academic degree: Doctor (PhD) in Medicine, University of Barcelona (1992).
Previous / current research:
    Information for citizens and professionals: Tesemed-I, Tesemed-II, GALA
       (EU Health Telematics programme), Medsalus, MELIC (EU Ten-Telecom
       programme), Infopharma (INCO).
    New models in healthcare: CHRONIC (an information environment for the
       care of chronic patients), Ward-in-Hand (patients care improvement via voice-
       operated, wireless-networked handheld PCs).
    Co-Author of the report “New technologies for the marketing and sale of
       medicines on the internet and television networks” for the STOA Unit –
       European Parliament.

Previous professionals experiences include: Senior research at the Research Group on
Medical Informatics (IMIM, Barcelona) and head of information departments and
admission units in Hospital Joan XXIII (Tarragona) and Hospital de Viladecans

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4.12 Universitat Pompeu Fabra (ES)
The Universitat Pompeu Fabra (UPF), a young (10 years old) public University in
Barcelona, has just created in 1999 a Technology Department, who is starting new
technical degrees, such as Informatics and Communications Engineering, and
Telematics and Telecommunications Engineering.

The members of the Distributed Multimedia Applications Group (DMAG) of the
Technology Department of the UPF have got a long experience in European RTD
projects in the fields of multimedia documents, electronic commerce, multimedia
publishing, security, mobile applications, GPRS and UMTS protocols, Internet
applications, etc.

The DMAG was initially created at the UPC (Universitat Politècnica de Catalunya),
inside the Computer Architecture Dept., but most of its members moved to the UPF,
from where the group it is now co-ordinated, being their members among these
universities and the industry.
The current research issues and development work mainly deal with the electronic
commerce of multimedia products and services, where the group is working in
electronic commerce characterisation and modelling, focussing on systems based on
the existence of a broker and accessed from mobile users. Related issues include e-
commerce architectures, purchase negotiation process, supplying of services by
electronic means, use of metadata in order to organise and look for information, and
protocols and formats for an efficient transmission of multimedia information.
Other key issues are XML, knowledge management, representation and distributed
control of Intellectual Property Rights (IPR), agent technology, workflow for e-
services, audiovisual metadata, Internet protocols in mobile environments, etc. Also
focus is currently being put in the use of agent technology for IPR negotiation and
control, for intelligent meta-search on the Web, and in the development of ontologies
to help solving the previous problems and the problem of metadata interoperability.
Examples of EU co-funded projects, in which the group took part are ACTS TRADE,
CACTUS, etc.
Furthermore, the group has a long experience in standardisation, as editors of several
International Standards, Profiles and Recommendations, in ISO/IEC, EWOS,
CEN/ISSS, ETSI and ITU-T, dealing with multimedia document architectures,
document filing and retrieval, interactive document manipulation, communication
services such as joint synchronous editing, metadata, etc.

4.12.1 Key Personnel
Prof. Jaime Delgado
Ph. D. in Telecommunication Engineering since 1987. Telecommunication Engineer
since 1983. Professor of Computer Networks and Computer Architecture at the
Technology Department, Universitat Pompeu Fabra (UPF), Barcelona (Spain), since
1999. Dean of the Faculty of Informatics. Head of the Distributed Multimedia
Applications Group (DMAG). Director for Media Technology Group, S.L. (mtG),
since 1998.
Previously, Professor at the Computer Architecture Department, Universitat
Politècnica de Catalunya (UPC), 1987-1999. European Projects Manager for Logic
Control, S.A., 1995-2000.

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Participant in several ACTS and ESPRIT projects as project manager and project
leader of the UPC or Logic Control teams. Leader of the work of the UPF in several
research projects in the areas of multimedia publishing, electronic commerce and
distributed applications.
Active participation, since 1989, in standardisation, as editor of several standards, and
chairman of some groups, in ISO/IEC JTC1, EWOS, ETSI, ITU-T SG8 and
Evaluator and reviewer for the European Commission in the IST Multimedia Content
and Tools Key Action, the Telematics Information Engineering area, and ESPRIT
Author of dozens of papers and member of many Conference International
Programme Committees.

Dr. Xavier Perramon
Telecommunications Engineer (Universitat Politècnica de Catalunya, Barcelona,
1989) and Ph.D. in Telecommunications Engineering (Universitat Politècnica de
Catalunya, 1997).
Holder of a Research Grant (FPI) awarded by the Spanish Ministry of Education on
the topic of "Open Document Architecture and Profiles for Distributed Applications"
(1990-1992). Full-time Assistant Professor at Universitat Politècnica de Catalunya,
Dept. of Computer Architecture (1992-2000). Associate Professor at Universitat
Pompeu Fabra (Barcelona), Dept. of Technology, since 2000. Member of the
Distributed Multimedia Applications Group (DMAG) at UPF.

Member of different standardization commitees in the field of open document
interchange and remote manipulation: ISO/IEC JTC1/SC18, ITU-T SG8 (1990-1997),
Chairman of the Working Group on Rapid Amendments to ISO/IEC 8613 | ITU-T
T.410 Series (1992-1997), and Editor of International Standard ISO/IEC 8613-5:1994
| ITU-T Rec. T.415.

Participant in several European R+D projects on the topics of standardized document
interchange, public key infrastructure, and electronic commerce of multimedia
information, including: CACTUS (ESPRIT 718), Translator's Workbench (ESPRIT
2315), FODATEC (ESPRIT 5402), Translator's Workbench II (ESPRIT 6005),

Dr. Ramon Martí
Telecommunication Engineer since 1990. Ph. D. in Telecommunication Engineering
since 1998.Associate Lecturer at Technology Department, UPF, since 2001.

Project Manager and Marketing Co-ordinator at media technology Group (a company
developing projects and consultancy in areas such as electronic commerce or
multimedia and Internet applications) (1998-2001). Part-time Associate Lecturer at
Technology Department, UPF (2001). Part-time Associate Lecturer at Computer
Architecture Department, UPC (1992-2000). Research Engineer at Logic Control,
S.A., (1995-1998). Researcher at the UPC (1989-1995). Project Manager at TOC

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Participant in several ESPRIT projects as member of the UPC team, and as team
leader for TOC. Participant in the ACTS project MULTIMEDIATOR, "Multimedia
Publishing Brokerage Service" (1995-1998), as member of the Logic Control team.
Participant in the ACTS project TRADE, "TRiAls in the Domain of Electronic
commerce" (1998-2000), as a member of the UPC team.

Co-editor of the International Standardised Profiles on interactive document

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4.13 Philips Research Laboratories UK (PRL)
Royal Philips1 Electronics is one of the world's biggest electronics companies and Europe's
largest, with sales of EUR 37.9 billion in 2000. It is a global leader in color television sets,
colour displays for televisions and monitors, lighting, electric shavers, and one-chip TV
products. Its 212,000 employees in more than 60 countries are active in the areas of consumer
electronics, components, semiconductors, lighting, domestic appliances, and medical systems.
Philips is a recognised world leader in digital technologies for displays. The company is
quoted on the NYSE, London, Frankfurt, Amsterdam and other stock exchanges. Philips
Research is a corporate organisation of Royal Philips Electronics. Since its foundation in
Eindhoven, The Netherlands in 1914, it has expanded the scale and scope of its activities to
become one of the world‟s major private research organisations. With laboratories in several
different countries (The Netherlands, England, France, Germany, Belgium, Italy, China,
Taiwan, India, and the United States) and staffed by around 3,000 people, our common vision
is to create technologies that will lead to products for improving people‟s lives. Our activities
have led to the award of over 76,000 patent and design rights, and the publishing of countless
thousands of technical and scientific papers. Established over 50 years ago, Philips Research
Laboratories in the UK (PRL) has a total staff of approximately 260. The main topics of
research undertaken are:

 Wireless communications for voice and data (wireless systems, radio IC, antenna and
  protocol design, positioning systems)
 Large area electronics for displays and imaging (active-matrix LCD technology, device
  fabrication and optimisation, systems and circuit aspects)
 Multimedia systems for use at home and on the move (architectures, interactive digital
  TV, advanced multimedia applications, user interfaces for mobile devices)
 Testing of real-time software systems.

The work of this project will take place in the Low Power Radio group which is part of the
Wireless Sector in the laboratory. The Low Power Radio group is active in the areas of low
power radio system design and RF positioning technology. Work in the Low Power Radio
group includes activities on Bluetooth transceiver design, and the development of the ZigBee
system which will be used to provide wireless links to the sensors in the MobiHealth project.

PRL has an excellent track record of successful participation in collaborative European R&D
projects over many years, giving us considerable expertise in this type of partnership. Current
projects include:

    ITEA-00003 AMBIENCE Context-aware environments for ambient services
    IST-2000-29255 CISMUNDUS New communications environments for mobile users
    IST-2000-28749 MODIST Distributed software development
    G5RD-2000-00115 MonLCD Improvements to Active Matrix LCDs

4.13.1 Key Personnel
Neil Bird

Neil C. Bird holds B.A. and M.A. (Oxon) degrees in Physics from Oxford University,
and the PhD degree from the University of Twente. He joined Philips Research

  In view of practical considerations (i.e. to avoid the separate inclusion of other companies belonging to the
Philips group), it is understood and agreed that the abbreviation of "Philips" as used herein, shall also be deemed to
include with respect to Access Rights and otherwise any other company which is, directly or indirectly, owned or
controlled by the parent company Koninklijke Philips Electronics N.V., as if such company were the legal entity
participating in and signing this Project/Proposal.

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Laboratories (Redhill) in 1982 to work on the design of analogue integrated circuits
for telecommunications applications, specialising in the design of switched capacitor
signal processing circuits. A spin-off of this work was the invention of a new
approach to the design of analogue sampled-data integrated circuits - Switched
Currents - for which he holds the two basic patents. In 1989, he began investigating
new applications for the amorphous silicon thin-film technology used in active-matrix
liquid crystal displays. He was awarded his PhD in 1999 for his research into large
area amorphous silicon diode image sensors. This work culminated in the
development of an amorphous silicon-based fingerprint sensor product. In 2000, he
became head of the Low Power Radio group at Philips Research Laboratories
(Redhill). This group, comprising 20 scientists and engineers, works on low power
radio systems and aspects of RF positioning technology. Dr Bird is the author of
several technical papers and holds a large number of patents in the area of amorphous
silicon circuit design.

Brian Guthrie

Brian J. Guthrie holds a MEng (Hons) degree in Electrical and Electronic
Engineering from Aberdeen University. His final year project was on the European
Space Agencies „PRODAT‟ satellite transceivers where he developed radiowave
propagation simulations to predict link budgets and multipath interference conditions
for „PRODAT‟ installed vehicles. He joined Philips Research Laboratories in 1999
where he worked on the air interface for the ZigBee project using Matlab and SPW
for interference simulations, oversampling rates and FCC compliance. He has
investigated optimal start of packet identifiers and fast rejection of unwanted
messages for the ZigBee protocol. He has done antenna design, circuit design and has
developed application level software for testing the ZigBee protocol and for
familiarising customers with ZigBee. He is currently project leader for the
applications of ZigBee project and working on self-testing of Bluetooth transceivers
using VHDL.

Phil Lloyd

Phil Lloyd graduated from Liverpool University in 1964 with an honours degree in
Electronics. Since then, he has worked with Philips in the UK and The Netherlands,
accumulating many years of experience running industrial research projects. He has
also worked in a number of European Framework projects. Since 1995, he has been
directly responsible for co-ordinating PRL's programme of subsidised research, both
European and national. In this role, he will look after the administrative aspects of
PRL's involvement in MobiHealth.

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4.14 CMG Wireless Data Solutions
CMG Wireless Data Solutions is the leading global supplier of messaging, mobile
Internet and Customer Care & Billing Solutions for the Wireless industry. CMG
develops high-end Solutions in close co-operation with its partners. To date, more
than 200 of these quality Solutions have been delivered to over 100 operators world-
wide. They are widely recognised as being the best around, combining minimum
operator intervention with maximum performance and availability. The portfolio
includes Solutions based on the Multimedia Message Service Center, Wireless
Service Broker, supporting WAP and i-mode services, Mobile E-mail, Short Message
Service Center, Cell Broadcast System, Unified Messaging Solution and EPPIX
(Customer Care & Billing System).
CMG Wireless Data Solutions is a division of CMG plc ( CMG was
established in 1964 and currently employs over 13,000 people. The Group is listed on
the London and Amsterdam Stock Exchanges.

Project participation role

-   2,5 and 3G Infrastructure knowledge and application expertise
-   2,5 and 3G Infrastructure hosting (Wireless Service Broker, Push, Pull, Security)

4.14.1 Key Personnel

Hugo Geuverink (50 years, Project Leader, Verification)

Hugo joined CMG in 1997. Since 1999 he is working for CMG Wireless Data
Solutions (Netherlands) B.V. Hugo‟s area of expertise is Product verification and
validation. As the responsible project leader he designs Test cases and Test plans. To
improve verification Hugo is also involved in automated testing, which is internally
used for regression testing. Hugo he has worked for different products like, CBS,

Yvonne Lootsma (27 jaar, Developer)

Yvonne is member of the WSB Product Development Team. She is specialised in the
installation and configuration of WSB systems. Yvonne has expertise in the following
areas: Perl, RPM, Shell scripting, FlexLM, SNMP, OpenLDAP, Unix clustering
(ASE, SUN Cluster) and Virtual Gateways (Multiple WSB systems on one platform).
Working experience within the Wireless product development area: 1,5 years.

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5   Economic development and scientific and technological prospects

Ways to deliver effective health care to patients with chronic illnesses are currently
under review. In Western countries, this is becoming a priority in governmental
health agendas because of their challenge to the current infrastructure of health
provision. New models are being proposed that promote patient‟s active participation,
redefine physician‟s tasks and enhance nurses‟ roles.
Several points are key in the definition of these models. First, it must be noted that the
different patient‟s conditions should be treated from an holistic approach, not each
one of them separately. Secondly, the patient must be active (as well as his/her family
or carers) in the control and treatment of the illness. Thirdly, the co-ordination among
the different health actors must be enhanced to ensure a better decision making
Successful involvement of the patients and careers in the process requires increasing
their understanding of the illness which, in turn, promotes self-management skills.
Additionally, remote monitoring of vital signs can help to extend the range of patients
that can benefit from home care and provide further confidence in both patients and
health professionals.

Patient profile for MobiHealth services
Chronic diseases are becoming a major health problem. In a meeting held in May
2001, the WHO‟s Department of Health Care for Chronic Diseases launched a project
to address this problem. The project, entitled Innovative Care for Chronic Conditions,
involves reviewing existing health delivery practices for chronic patients around the
world through exploring, analysing and identifying innovative best practices and
affordable health care models. The WHO experts stressed the dramatic increase in the
prevalence of chronic conditions. They reported that in developing countries, fully
half of all required health care is now due to chronic conditions. By 2020, these
conditions are said to contribute to more than 75-80% of the global burden of disease.
The WHO experts have also warned health policy makers of the importance of the
problem: All the nations are going to face it, challenging their capacity and
willingness to provide coordinated systems of care. The existing health delivery
models, focussed on acute illnesses, are not going to provide an effective solution.
The need to invest in a coordinated, comprehensive system of care is becoming a

MobiHealth will have a significant strategic impact in providing solutions for the
treatment and follow up of patients, booting at the same time the use of new wireless
communication technologies. The project will have an impact to
     The European health system and services allowing hospitals and health service
       organizations to reduce their costs, and improve the quality of health services
       offered to the citizens
     The European telecom operators by opening up a new area of services that will
       demand the use of advanced wireless communication infrastructures

5.1 Exploitation and dissemination
Mobile health services, as proposed by MobiHealth, have an immense potential for
business and exploitation. Figures presented by Ericsson to their customers (telecom

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operators) indicate that the potential for business and revenue for Germany only
exceeds 10M EUR per month (see figures bellow).

Effectively the area of mobile health services is one that is of great interest to all
business sectors represented in MobiHealth. Specifically, the telecom operators, Telia
and Telefonica, will promote the new services to their customers proving advice and
directions based on the know-haw gained from the project. On the other hand the 2
hospitals participating in MobiHealth, and namely Twente Hospital and CSC, are
highly interested to minimize the effects of repeated exacerbations of chronic patients
requiring short term hospitalization, that result in difficulties to manage the increased
demand of health services and often lead to a collapse of the emergency care units and
hospital wands. For this alternative models of health care delivery have been
explored, like patient (carers) education and promotion of self-care attitudes, regular
follow-up based on mobile teams and creation of call-centres granting round the clock
access to medical advice. Nevertheless the advantages of continuous vital signal
monitoring services have identified and for both hospitals the MobiHealth services
have already been integrated in their strategic plan. In this context GSCOUT is also
interested in expanding its services and offer advanced call center services to roaming

The University of Lulea, representing a consortium of municipalities, hospitals and
care centers, is very active in the area of remote home care and health services and
will integrate in existing services the MobiHealth project results in order to provide
advanced health care to the remote areas in Sweden.

CGM and YUCAT will promote the new services to the end users and providing in
two levels: large market (CGM) and niche applications (YUCAT). Both companies
will build upon the MobiHealth knowledge and system new value added services in
different application areas, ranging from para-health to specialized personalised

The manufacturing companies, Ericsson, Philips, Compaq, and MST will use the
project results as the means of promoting their hardware for new services and

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applications, adapting it according to the market needs. All companies expect to
increase their market share as a direct result of the adoption of MobiHealth services.

The University of Twente will use the results in the development of the hospital of
the future and the introduction of new services and ideas in mobile health. The
University of Pompeu Fabra will use the project results for the improvement of
security models gaining know-how in real life applications, requirements and

All results of the project will be published and presented to international forums,
expositions and conferences and all know-how will be made available to interested
parties. The project will also seek collaborations with external parties (like other
operators, hospitals etc) so that the MobiHealth results can be reviewed and adopted
by other organizations.

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