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Personal Content Management on
PDA for Health Care Applications
      http://mobmed.axmedis.org

 Pierfrancesco Bellini, Ivan Bruno, Daniele
               Bellini       Bruno
   Cenni, Paolo Nesi, Michela Paolucci
    DISIT Lab: Sistemi Distribuiti e Tecnologie Internet
          Dipartimento di Sistemi e Informatica
            Università degli Studi di Firenze
  nesi@dsi.unifi.it,       http://www.disit.dsi.unifi.it

                         SCMS, Berkeley, CA, USA, Sept. 2009   1
Outline
 Scenarios
 Mobile Medicine Content Examples
 Content Access and technical requirements
 Intelligent content
 AXMEDIS format and model
 The architecture of Mobile Medicine
 PDA Organizer for content
 Mobile Medicine: Content production
 Conclusions

                   SCMS, Berkeley, CA, USA, Sept. 2009   2
Scenarios of Mobile Medicine
intelligent solution in the hands of doctors and
assistants for:
  Continuous Medical Educations, CME, during the
  doctor life and continuous update;
  Calculation of dosages, status/conditions, risks,..
                       g ,                 ,      ,
  Education: medical University/School level;
  Emergency help medical personnel to take
        g     y    p         p
  decisions and remind procedures/protocols, etc.;
  Collect data from patients that cannot be easily collected
                     p                            y
  or that are too expensive to be collected with mobile
  instruments; ;
  EPR: Electronic Patient Record report, excerpts
Simple, usable and accessible OFF-LINE
   p ,
                        SCMS, Berkeley, CA, USA, Sept. 2009   3
Mobile Medicine: Content examples
 Content Examples:
   Educational:
      Sliding Shows, video, document, audio, images…
   Procedures/protocols: (mini applications)
      Emergency, routines,
      Emergency routines …
   Dosages for intensive therapy: (mini applications)
      Formulas, ranges,
      Formulas ranges different application cases
   Calculators for several aspects: (mini applications)
     Risk analysis, …e.g.: pulmonary emboli….
     Classification of conditions/damages, …
 Needs of customizing:
   user interface, behavior, accessibility rights, etc.
                         SCMS, Berkeley, CA, USA, Sept. 2009   4
Mobile Medicine Content




                          5   5
Mobile Medicine Content Access
 Collect content on their mobile device, PDA
 Access to personal collection in any conditions
 Navigate into the ll ti
 N i t i t th collection via several views:
                              i         l i
   medical, taxonomy, classif., description, etc.
   Use data based: less used, most, recent, etc.
 Querying into the collection
 Keep updated the content collection automatically
 Keep the same content accessible on PC/PDA
 Licensing and rights controls to access and use
 (patience info and/or record)

                       SCMS, Berkeley, CA, USA, Sept. 2009   6
Technical Content Requirements
 have to be indexed with all its metadata and semantic information
 into the local d t b
 i t th l     l database
    may arrive into the device via any channel and solution
    has to be automatically updated into the device without the user
    intervention
    may present links with other content elements
 may change behavior on the basis of
    user preferences/profile, device capabilities, network capabilities, general
    context description device status
            description,
 may request to user to provide info;
    e.g.: collection of patient data perform actions on a checklists do
                                data,                     checklists,
    annotations, to create a multimedia scrapbooks, to provide user
    generated content, etc
 may communicate with some central server some messages;
           i t    ith         t l
    for example: to mark that a content segment has been completed, report
    obtained data, decision taken, or possibilities browsed, ..

                                SCMS, Berkeley, CA, USA, Sept. 2009            7
Intelligent Content
       g
A number of cross media content formats: SCORM,
MXF, NewsML, MPEG-21, Flash, HTML, etc.
Major Issues for cross media content (DMS 2008):
    Packaging: Metadata and descriptors + essences
    Distribution: d
    Di ib i       download, streaming, progressive, P2P
                         l d         i           i   P2P,..
    Hierarchical nesting levels: IPR, Metadata, etc.
                          g
    Intelligence: profiling, decision, scripting
    Tools: Players and Authoring tools
    Automated production, repurposing, delivering
    Protection: CAS vs DRM
    …
.                        SCMS, Berkeley, CA, USA, Sept. 2009
                                                               8
Interactive and intelligent content          Final users


                           Browse, search
New content formats
New TV formats             User generated


                               p
                               proactive
integrated media info
                           Multichannel
p
proactive with the
users
attractive experience
personalized                User generated

multichannel
interoperable             Saving experience
device interoperable
              p

                                                           9
AXMEDIS Object/Package Model
             unique                             content description
      identification              mandatory   special B2B metadata

                       AxOID + ….              AxInfo
                                               AxDublinCore
                                               A D bli C
                       AxMetadata
                       AxMetadata
                        AxMetadata
AxObject
                       AxMetadata
                       AxMetadata
                        AxContent
                                              AxResource
MPEG21                 AxMetadata
Digital Item
Di it l It
                       AxMetadata
                        AxMethods             AxObject
            resource embedding                 AxReferred
       hierarchical composition
   external content referencing                Object
                                                 j
  Intelligent, l i & b h i
  I t lli   t logic behavior                   AxMethods
                                               A M th d
                                                                      10
Examples: Intelligent Content
Single Files:
   audio, video, documenti,
   immages, etc..
Interactive Content:
   HTML or SMIL as technology of
   User interaction
   Guides, games, etc.
   Valoriz. of Cultural Heritage
   content
   Educational Content
Proactive Wizard:
   Video messg. Recording, UGC
   Assisted upload
   Production of licenses
   User profile processing
   Taking decision
   Local indexing/searching
   Local assistant
   ….

                                   11
AXMEDIS/MPEG 21
AXMEDIS/MPEG-21
Structure: hierarchical, links, etc.
Distribution: download, p2p, progressive, stream
Classification: DC, taxonomy, any MD, descriptors
                               y     y           p
Identification: any IDs, for DRM AXOID
Behavior: change on the basis of context descriptors
                                     context, descriptors,
axmethod code
Processing: axmethod as in the AXCP plugins
                                   AXCP, plugins,..
Presentational/interaction: SMIL, MPEG-4, HTML, …
   Activation of methods, forms,
                 methods forms
File format: direct play without unpack of video, ….
DRM/prot via MPEG 21 models and AXMEDIS implementation
DRM/      t i MPEG-21        d l       d           i l     t ti
Annotations: possible

                        SCMS, Berkeley, CA, USA, Sept. 2009   12
Mobile Medicine
Automated
Back office
                                                        -PC, MACos, linux, …
                                                        -iPhone, iPod,
                                                        Windows Mobile,
                                                        Android(*), ….
Complex content




                  SCMS, Berkeley, CA, USA, Sept. 2009                 13
Mobile Medicine
AXCP Quick Start,
                             Monitoring &
                                      g
Your
Yo r tools commands,
           commands           Reporting
Workflow systems,…                                      AXMEDIS
                                                       DRM Server
                              AXCP GRID                                      Internet, WEB,
                                                                             VOD, POD..
                       AXCP Scheduler
                                                    Mobile Medicine
   databases            AXCP Node                     WEB Server
                        AXCP Node                  for PC and Mobile,
   FTP, WS, etc.
                                                     Content Upload
                        AXCP Node                                           Mobiles, PDA, etc.



     AXMEDIS AXCP GRID backoffice server: semantic computing   p g
     AXMEDIS DRM: for Rights control and security
     Mobile Medicine portal for the multichannel distribution:
                     p
          PC, PDA, iPhone, iPod, mobile, etc.
     Production tools and players, for PC and PDA

                                      SCMS, Berkeley, CA, USA, Sept. 2009                        14
Personal Mobile Social Intelligence
         AxObjectFinder
           HTML & CSS Based Presentation Engine                                                                                       AxPDAPlayer

                                                                                                                                      Media Player

                   /updateM




                                                                       Search Engine
                                                               owser




                                                                                                              havior
                                                orer
                                                                                                                                      PDF player




                                                                                                                               ion
                                                                                                                              ual
                                                                                                my




                                                                                                     collection
                                       File Explo


                                                       Local Bro




                                                                                                     User Beh
           Download/




                                                                                          Taxonom




                                                                                                                       Contextu
                                                                                                                       informati
                                                                              E



                                                                                          Browser
                              anager
                                                                                                                                      ….. player


          Content Indexer, semantic ingestion/processing


                                              Local PDA                                       SQLite DB
                                                files




                                                                                       SCMS, Berkeley, CA, USA, Sept. 2009
                                                                                                                                 15
Semantic flows


•User Profile            •Local User Profile
•User behavior           •Local User behavior
•Use data                •Local Use data                           + Content
•Content                 •Content                                  action data
    •DC+IDs
     DC ID                    •DC+IDs
                               DC ID
    •AXInfo: ver,             •AXInfo: ver, prod,
    prod., rights,..          rights, ....
    •Descriptors              •Descriptors
    •Taxonomy                 •Taxonomy
     G p
    •Groups                   •Groups
                               G p
•Recommendation          •Local Recommendation
•Suggestions on the      •Local Suggestions on the
basis of user behavior   basis of user behavior and
                         local content
                             SCMS, Berkeley, CA, USA, Sept. 2009            16
Conclusions
Accessible since June 2009
Several objects and mini-applications,
  calculators for dosages verification etc
                  dosages, verification, etc.
Intelligent Content Organizer for PDA WM5/6
  Medical taxonomy allows to make navigation into
  content
  local recommendations
  Offline/online
iPhone supported via
regular portal, only
for online
                       SCMS, Berkeley, CA, USA, Sept. 2009   17
Content Production
                                Automated
      User:                     backoffice:
 upload/propose              Transcode, adapt,
                                    ..
Single file content
     directly

                       ADMIN, validate,
                          send in
                         publication

 User: study and
 design complex
  content, then
     upload

   Produce the
 complex content
with authoring tool


                      SCMS, Berkeley, CA, USA, Sept. 2009   18
Mobile Medicine AxObjectFinder




 Suggestions on the basis of user behavior




                                             19
Some references
 Mobile Medicine: http://mobmed.axmedis.org
                     p                    g
     Manuale: http://mobmed.axmedis.org/Mobile-Medicine-Manual.pdf
     Development and production tools
 AXMEDIS: http://www.axmedis.org
     Report and documentation, development tools and demos
 DISIT L b U i Fi
       Lab, Univ. Firenze, DSI: htt //
                           DSI http://www.disit.dsi.unifi.it/
                                          di it d i ifi it/
 P. Bellini, I. Bruno, A. Fuzier, P. Nesi, M. Paolucci, “Semantic Processing and
 Management for MultiChannel Cross Media Social Networking”, NEM
        g                                                         g,
 conference, Saint Malo, France, September 2009.
 ----this paper----: P. Bellini, I. Bruno, D. Cenni, P. Nesi, M. Paolucci,
 "Personal Content Management on PDA for Health Care Applications" 2009
                                                               Applications",
 IEEE International Workshop on Semantic Computing and Multimedia
 Systems (IEEE-SCMS 2009), Berkeley, CA, USA - September 14-16, 2009




                              Congresso SIAARTI, Firenze, Agosto 2009         20
Personal Content Management on
PDA for Health Care Applications
      http://mobmed.axmedis.org

 Pierfrancesco Bellini, Ivan Bruno, Daniele
               Bellini       Bruno
   Cenni, Paolo Nesi, Michela Paolucci
    DISIT Lab: Sistemi Distribuiti e Tecnologie Internet
          Dipartimento di Sistemi e Informatica
            Università degli Studi di Firenze
  nesi@dsi.unifi.it,       http://www.disit.dsi.unifi.it

                         SCMS, Berkeley, CA, USA, Sept. 2009   21

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Personal Content Management on PDA for Health Care Applications

  • 1. Personal Content Management on PDA for Health Care Applications http://mobmed.axmedis.org Pierfrancesco Bellini, Ivan Bruno, Daniele Bellini Bruno Cenni, Paolo Nesi, Michela Paolucci DISIT Lab: Sistemi Distribuiti e Tecnologie Internet Dipartimento di Sistemi e Informatica Università degli Studi di Firenze nesi@dsi.unifi.it, http://www.disit.dsi.unifi.it SCMS, Berkeley, CA, USA, Sept. 2009 1
  • 2. Outline Scenarios Mobile Medicine Content Examples Content Access and technical requirements Intelligent content AXMEDIS format and model The architecture of Mobile Medicine PDA Organizer for content Mobile Medicine: Content production Conclusions SCMS, Berkeley, CA, USA, Sept. 2009 2
  • 3. Scenarios of Mobile Medicine intelligent solution in the hands of doctors and assistants for: Continuous Medical Educations, CME, during the doctor life and continuous update; Calculation of dosages, status/conditions, risks,.. g , , , Education: medical University/School level; Emergency help medical personnel to take g y p p decisions and remind procedures/protocols, etc.; Collect data from patients that cannot be easily collected p y or that are too expensive to be collected with mobile instruments; ; EPR: Electronic Patient Record report, excerpts Simple, usable and accessible OFF-LINE p , SCMS, Berkeley, CA, USA, Sept. 2009 3
  • 4. Mobile Medicine: Content examples Content Examples: Educational: Sliding Shows, video, document, audio, images… Procedures/protocols: (mini applications) Emergency, routines, Emergency routines … Dosages for intensive therapy: (mini applications) Formulas, ranges, Formulas ranges different application cases Calculators for several aspects: (mini applications) Risk analysis, …e.g.: pulmonary emboli…. Classification of conditions/damages, … Needs of customizing: user interface, behavior, accessibility rights, etc. SCMS, Berkeley, CA, USA, Sept. 2009 4
  • 6. Mobile Medicine Content Access Collect content on their mobile device, PDA Access to personal collection in any conditions Navigate into the ll ti N i t i t th collection via several views: i l i medical, taxonomy, classif., description, etc. Use data based: less used, most, recent, etc. Querying into the collection Keep updated the content collection automatically Keep the same content accessible on PC/PDA Licensing and rights controls to access and use (patience info and/or record) SCMS, Berkeley, CA, USA, Sept. 2009 6
  • 7. Technical Content Requirements have to be indexed with all its metadata and semantic information into the local d t b i t th l l database may arrive into the device via any channel and solution has to be automatically updated into the device without the user intervention may present links with other content elements may change behavior on the basis of user preferences/profile, device capabilities, network capabilities, general context description device status description, may request to user to provide info; e.g.: collection of patient data perform actions on a checklists do data, checklists, annotations, to create a multimedia scrapbooks, to provide user generated content, etc may communicate with some central server some messages; i t ith t l for example: to mark that a content segment has been completed, report obtained data, decision taken, or possibilities browsed, .. SCMS, Berkeley, CA, USA, Sept. 2009 7
  • 8. Intelligent Content g A number of cross media content formats: SCORM, MXF, NewsML, MPEG-21, Flash, HTML, etc. Major Issues for cross media content (DMS 2008): Packaging: Metadata and descriptors + essences Distribution: d Di ib i download, streaming, progressive, P2P l d i i P2P,.. Hierarchical nesting levels: IPR, Metadata, etc. g Intelligence: profiling, decision, scripting Tools: Players and Authoring tools Automated production, repurposing, delivering Protection: CAS vs DRM … . SCMS, Berkeley, CA, USA, Sept. 2009 8
  • 9. Interactive and intelligent content Final users Browse, search New content formats New TV formats User generated p proactive integrated media info Multichannel p proactive with the users attractive experience personalized User generated multichannel interoperable Saving experience device interoperable p 9
  • 10. AXMEDIS Object/Package Model unique content description identification mandatory special B2B metadata AxOID + …. AxInfo AxDublinCore A D bli C AxMetadata AxMetadata AxMetadata AxObject AxMetadata AxMetadata AxContent AxResource MPEG21 AxMetadata Digital Item Di it l It AxMetadata AxMethods AxObject resource embedding AxReferred hierarchical composition external content referencing Object j Intelligent, l i & b h i I t lli t logic behavior AxMethods A M th d 10
  • 11. Examples: Intelligent Content Single Files: audio, video, documenti, immages, etc.. Interactive Content: HTML or SMIL as technology of User interaction Guides, games, etc. Valoriz. of Cultural Heritage content Educational Content Proactive Wizard: Video messg. Recording, UGC Assisted upload Production of licenses User profile processing Taking decision Local indexing/searching Local assistant …. 11
  • 12. AXMEDIS/MPEG 21 AXMEDIS/MPEG-21 Structure: hierarchical, links, etc. Distribution: download, p2p, progressive, stream Classification: DC, taxonomy, any MD, descriptors y y p Identification: any IDs, for DRM AXOID Behavior: change on the basis of context descriptors context, descriptors, axmethod code Processing: axmethod as in the AXCP plugins AXCP, plugins,.. Presentational/interaction: SMIL, MPEG-4, HTML, … Activation of methods, forms, methods forms File format: direct play without unpack of video, …. DRM/prot via MPEG 21 models and AXMEDIS implementation DRM/ t i MPEG-21 d l d i l t ti Annotations: possible SCMS, Berkeley, CA, USA, Sept. 2009 12
  • 13. Mobile Medicine Automated Back office -PC, MACos, linux, … -iPhone, iPod, Windows Mobile, Android(*), …. Complex content SCMS, Berkeley, CA, USA, Sept. 2009 13
  • 14. Mobile Medicine AXCP Quick Start, Monitoring & g Your Yo r tools commands, commands Reporting Workflow systems,… AXMEDIS DRM Server AXCP GRID Internet, WEB, VOD, POD.. AXCP Scheduler Mobile Medicine databases AXCP Node WEB Server AXCP Node for PC and Mobile, FTP, WS, etc. Content Upload AXCP Node Mobiles, PDA, etc. AXMEDIS AXCP GRID backoffice server: semantic computing p g AXMEDIS DRM: for Rights control and security Mobile Medicine portal for the multichannel distribution: p PC, PDA, iPhone, iPod, mobile, etc. Production tools and players, for PC and PDA SCMS, Berkeley, CA, USA, Sept. 2009 14
  • 15. Personal Mobile Social Intelligence AxObjectFinder HTML & CSS Based Presentation Engine AxPDAPlayer Media Player /updateM Search Engine owser havior orer PDF player ion ual my collection File Explo Local Bro User Beh Download/ Taxonom Contextu informati E Browser anager ….. player Content Indexer, semantic ingestion/processing Local PDA SQLite DB files SCMS, Berkeley, CA, USA, Sept. 2009 15
  • 16. Semantic flows •User Profile •Local User Profile •User behavior •Local User behavior •Use data •Local Use data + Content •Content •Content action data •DC+IDs DC ID •DC+IDs DC ID •AXInfo: ver, •AXInfo: ver, prod, prod., rights,.. rights, .... •Descriptors •Descriptors •Taxonomy •Taxonomy G p •Groups •Groups G p •Recommendation •Local Recommendation •Suggestions on the •Local Suggestions on the basis of user behavior basis of user behavior and local content SCMS, Berkeley, CA, USA, Sept. 2009 16
  • 17. Conclusions Accessible since June 2009 Several objects and mini-applications, calculators for dosages verification etc dosages, verification, etc. Intelligent Content Organizer for PDA WM5/6 Medical taxonomy allows to make navigation into content local recommendations Offline/online iPhone supported via regular portal, only for online SCMS, Berkeley, CA, USA, Sept. 2009 17
  • 18. Content Production Automated User: backoffice: upload/propose Transcode, adapt, .. Single file content directly ADMIN, validate, send in publication User: study and design complex content, then upload Produce the complex content with authoring tool SCMS, Berkeley, CA, USA, Sept. 2009 18
  • 19. Mobile Medicine AxObjectFinder Suggestions on the basis of user behavior 19
  • 20. Some references Mobile Medicine: http://mobmed.axmedis.org p g Manuale: http://mobmed.axmedis.org/Mobile-Medicine-Manual.pdf Development and production tools AXMEDIS: http://www.axmedis.org Report and documentation, development tools and demos DISIT L b U i Fi Lab, Univ. Firenze, DSI: htt // DSI http://www.disit.dsi.unifi.it/ di it d i ifi it/ P. Bellini, I. Bruno, A. Fuzier, P. Nesi, M. Paolucci, “Semantic Processing and Management for MultiChannel Cross Media Social Networking”, NEM g g, conference, Saint Malo, France, September 2009. ----this paper----: P. Bellini, I. Bruno, D. Cenni, P. Nesi, M. Paolucci, "Personal Content Management on PDA for Health Care Applications" 2009 Applications", IEEE International Workshop on Semantic Computing and Multimedia Systems (IEEE-SCMS 2009), Berkeley, CA, USA - September 14-16, 2009 Congresso SIAARTI, Firenze, Agosto 2009 20
  • 21. Personal Content Management on PDA for Health Care Applications http://mobmed.axmedis.org Pierfrancesco Bellini, Ivan Bruno, Daniele Bellini Bruno Cenni, Paolo Nesi, Michela Paolucci DISIT Lab: Sistemi Distribuiti e Tecnologie Internet Dipartimento di Sistemi e Informatica Università degli Studi di Firenze nesi@dsi.unifi.it, http://www.disit.dsi.unifi.it SCMS, Berkeley, CA, USA, Sept. 2009 21