Internet of Things to promote smart health service upgrade

In response to the trend of technology such as mobile, Internet of Things (IoT) and massive data (or Big Data), the demand for cloud computing is growing, and nowadays it has become a trend, when information is oriented towards digitalization. The progress of cloud computing, the issues of information security, data protection and cross-border cooperation are of concern. With the advent of the era of wisdom, the pace of investment in the development of innovative R&D applications has accelerated. Taking the health care industry as an example, the industry has actively developed multi-value-added applications for products such as the Internet of Things, smart devices or wearable electronics to drive new industrial development. Opportunity.



Figure 1: The focus of smart health care is to develop integrated services, connect sensing devices, cloud services, and provide smart solutions. (Source:Unifiedinfotech.net)
Smart health drives market quality change

According to United Nations research, the proportion of the global senior population will reach 22% in 2050. In addition to advanced countries, emerging countries are also facing the challenge of aging. The aging medical expenditure continues to rise, and the improvement of medical benefits and the reduction of cost are inevitable. The issue of "smart health" has become the focus and development direction of all countries; the focus of smart health care is to develop integrated services, connecting sensing devices and the cloud. Service, providing intelligent solutions.

In the area of ​​health care, the use of heavy-duty communication technology and smart applications, the behavioral model of maintaining personal health has gradually changed from passive medical treatment and treatment, to the active strengthening of individual prevention and health care and post-care care and service development; Measurement efficiency progresses to predictive diagnosis, early service mode, such as diversified integration of physiological sensing technology, expanding the opportunities for application, for the formation of qualitative changes in existing industries, the industrial market tends to vertically integrate and horizontal division of labor is obvious, whether the technology is Effective integration and subsequent application of innovation... become the key to future competition.

The biggest industry that the Internet of Things affects in the future is smart manufacturing (Industry 4.0) and health care, and both applications are focused on reducing costs, improving efficiency and improving service quality. IoT's smart health care sub-system solutions tend to be information-oriented, intelligent and customized, and develop in the direction of system integration, autonomous sensing and artificial intelligence, through technology integration and application, in the end, cloud, network And the three major axes of application/service are mutually integrated, and each of them develops and connects in the health, medical and care industry platforms to achieve concrete results.

Huge amount of data can create IT new blue ocean

In response to the rise of emerging applications such as mobile applications and cloud services, the huge data-driven output of software and hardware technologies and services is driven by huge data processing solutions. According to McKinsey research, open data can create 3.2 per year. With an economic value of ~4.5 trillion US dollars, IoT applications will have an economic impact of 2.7 to 6.2 trillion dollars in 2025. In terms of data processing technology, in recent years, most of them are based on cloud computing and high-performance computing technology. The composition of the Internet of Things includes "all-round sensing" through RFID, "reliable transmission" of various network technologies, and "Intelligent processing" for efficient analysis and processing.

In response to the trend of the Internet of Things in the global medical community, Xu Jianye, chairman of the Taiwan Electronic Health Society, mentioned the impact of the health care data cloud on medical care. He believes that the premise of the integration effect of electronic health and medical informationization is that "data can be used. To what degree of openness, that is, the degree of open combination of group data, personalized electronic health information must be built on the group.



Figure 2: Xu Jianye (left), chairman of the Taiwan Electronic Health Society, believes that the integration of electronic health and medical informationization must be based on the open combination of group data; Secretary-General Rao Xiaoxian (right) said that there is still room for integration in the overall electronic health record system. . (Photo: Chen Fuxia)
According to AHIMA, 40% of American adults maintain a portion of their personal health records. Taiwan's electronic health record is currently largely established. What is the difference between an electronic health record (EHR) and an electronic medical record? Rao Xiaoxian, secretary-general of the Taiwan Electronic Health Society, stated that both are continuous health care, the difference being the difference in content and timeline (such as medical records). Electronic health records (including medical records, electrocardiograms, medical images, etc.) can be accessed via a computer or the Internet to contain personal health information from the past and the present. The Taiwan Electronic Health Association focuses on the standards of medical instruments and the certification of hospital systems, and integrates the strengths of domestic, foreign, and industrial research and research, and promotes them to Southeast Asia, China, and Europe and the United States.

In addition, electronic health records can also include medical-related reference materials, medical treatment, drug use, demographic data, and other non-medical management data, so that huge amounts of data are needed to be integrated. However, he does not say that any software vendors or suppliers that have not seen so far have been able to build a single comprehensive electronic health record system.

The elements based on massive data are large, fast, and diverse. The more test data is collected when collecting group data, the higher the reference value through evaluation, statistical analysis, and recommendations of the database and professionals. For example, Xu Jianye explained that, when super-commercial analysis of consumer behavior patterns, it was found that diapers and beer were placed together to increase sales, which is to be familiar with personal behavior, and to conduct group analysis with data foundation.

Sensing technology innovation integration

The information collected by the sensing layer is the development focus of the application platform of the Internet of Things. The IEI Center for Economics and Research (IEK) said that the Internet of Things must perform various environmental, physiological, imaging, sound, fingerprint... The collection of biometric information of the human body and the human body also leads to various types of sensors such as non-contact optical detection, environmental sensing, and contact motion sensing and physiological measurement. Common head-mounted devices, smart watches, wearable devices and bio-electronic sensing technology, coupled with sensory multi-development and operational value-added, can address user needs and create value for the Internet of Things.

For example, the elderly people's daily activity monitoring system uses active radio frequency identification (RFID) technology to confirm the identity and location of the silver-haired family, and then use the wearable health bracelet to track the activity parameters such as the number of walking steps. After the equivalent measured activity data is transmitted back to the server, the activity density map is generated by the algorithm.

(Activity Density Map; ADM), and use the dissimilarity analysis method to assess whether the body of the elderly person is abnormal, or when it does not conform to the regularity of daily activity patterns, remind them early or make appropriate treatment.

From the perspective of sensing application technology, in order to adapt to different environmental conditions, the parameter measurement of a single sensor in the past has evolved into a multi-functional sensing module integrating transmission protocol, computing control, power management, energy storage and the like. To form a more value-added customized integration solution. This technology application brings the opportunity for transformation of ICT and component industry. Through a wider strategic alliance, it forms a diversified sensor technology innovation integration application, and then creates a new blue ocean market. For example, the "Smart Networking Solution" recently developed by the Strategy Data Data Institute is mainly developed by integrating various environments, medical care, wearable devices, human activity analysis technology, and flexible control flow design. The solution is to create a safe and reliable multi-environment for the elderly.



Figure 3: The Internet of Things (IoT) is gradually developing in the Smart Health Care System (Source: ITRI; 2015/11)
Wearable device

Future smart handheld devices are moving towards innovative specifications or market applications to integrate solutions to meet vertical needs such as logistics warehousing, education and entertainment, health management and smart commerce.

Wearable devices are mainly characterized by small size, innovative human-machine interface and multi-value-added applications, which are suitable for health management. Therefore, many production, research and research units have been involved in the development of wearable technology; but for most consumers, Equipped with wearable devices is sometimes far less portable than the habit of using smart phones, making the overall market for wearable devices budding, how to win the popularity of consumers in the future, including the development of key technologies and innovative products, meet the needs of specific market, As well as educating consumers and enhancing consumer value, they are all worthy of hard work.

Weng Park, vice chairman of the Taiwan Electrical and Electronic Industry Association, said that wearing technology can bring convenience to smart life, mainly through the combination of the concept of wearing the Internet of Things and the new social network platform, through cloud computing and health care cloud services, forming a large Data database, and link to the home life care, health care level of the back end, to create an innovative service model of wear and technology care services. Therefore, the wireless and networking functions of wearable technology have become the basic evaluation items when selecting products.



Figure 4: Compared with smart phones, wearable devices are also very easy to collect human body information, which in turn generates huge amounts of data, which is of great help in improving the quality of medical care. (Photo: Yao Jiayang)
Six major trends

The global smart health care industry's output value is expected to grow, from 9.3 billion in 2015 to $67.3 billion in 2020, expanding into the cloud, services and platforms, including mobile health services, wearable devices, and cloud services. The huge business opportunities in the smart health industry have attracted many manufacturers to invest in, such as software, hardware, platforms and integrators and service providers. Zhang Ciying, head of the Life and Life Medicine Group of the ITRI Center of Industrial and Technical Studies, said that with the cloud and With the huge amount of data in place, the smart health industry is rapidly emerging, including sensing devices and cloud service links, becoming intelligent solutions for providing health care and medical care. From the main trend of the six major trends of the smart health industry, the niche of industrial innovation and application business opportunities can be observed.

Trend 1: Network Health

From Mobile Health to Connected Health. The health care service model has evolved from individual technology thinking, such as digitalization and mobility, to integrated thinking of Connected Health.

Trend 2: Customized service

From Universal to Focus on the target group, provide customized services, design and provide products and services according to the needs, including the sports community, pay attention to health and care, and pay attention to beauty and posture management. The bodybuilding community, as well as the health care community for childcare safety and health care needs.

Trend 3: Attach importance to connecting with family

Linking from Personalization to Smart Home emphasizes that it is not limited to individuals, emphasizing integration with smart families. With the realization of smart home technology, personal health will also be connected with family members (Fa