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#ATAGTR2019 Presentation "Swallowables – The Next QA Frontier?" By Jibendu Narayan Mazumder and Arpan Sarkar

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Jibendu Narayan Mazumder who is a Associate Director – Biz. Dev at Cognizant Technology Solutions along with Arpan Sarkar who is a Senior Business Development Manager at Cognizant Technology Solutions took a Session on "Swallowables – The Next QA Frontier?" at Global Testing Retreat #ATAGTR2019

Please refer our following post for session details:

https://atablogs.agiletestingalliance.org/2019/12/05/global-testing-retreat-atagtr2019-welcomes-jibendu-narayan-mazumder-as-our-esteemed-speaker/

https://atablogs.agiletestingalliance.org/2019/12/05/global-testing-retreat-atagtr2019-welcomes-arpan-sarkar-as-our-esteemed-speaker/

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#ATAGTR2019 Presentation "Swallowables – The Next QA Frontier?" By Jibendu Narayan Mazumder and Arpan Sarkar

  1. 1. #ATAGTR2019 Swallowables – The Next QA Frontier?: Primary Author – Jibendu Narayan Mazumder Co-Author – Arpan Sarkar 14th 15th Dec 2019
  2. 2. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Abstract Internet of Things (IoT) has gradually evolved to take the centre stage of the consumer technology market with an astounding projected market size of $520 Bn by 2021*. Although the potential market volume grabs the eyeballs easily, the product types have not kept pace until recently, with the market being comprised of the same basic products like smart watches, health and fitness trackers, cameras, headsets and smart glasses. Conditions, however, are ripe for the next evolution in IoT with the advent of smart clothing (e.g. self-tying shoelaces, temperature- regulating fabric), bio-wearables (e.g. smart contact lenses) and, most importantly, “Swallowables” or Ingestible IoTs. The recent FDA approval of digital pills / swallowable sensors has given further boost to this technology, which we expect to garner ~ $8 Bn in IoT services revenue by 2026. This is too large a pie to be ignored and hence charting out the right Quality Assurance strategy for swallowables is of utmost importance. Our paper analyzes the swallowables ecosystem and identifies 5 representative layers, viz. Device (ingestible + wearable), Patient Smartphone App, Gateway, Cloud Platform & Physician / Caregiver App. Further, a comprehensive QA strategy for the entire ecosystem has been charted out and the QA needs for each layer have been identified. The paper also delves deep into each of these types of testing and proposes a test orchestration process to showcase how the entire gamut of testing can be performed for a typical business flow. *Source:https://www.forbes.com/sites/louiscolumbus/2018/08/16/iot-market-predicted-to-double-by-2021-reaching-520b/#b07466f1f948
  3. 3. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Swallowables - Context & Overview • Internet of Things (IoT) has revolutionized virtually every industry – global market size projected to be $ 1.9 tn by 2020* • Amidst concerns around safety, efficacy & ethics, Abilify Mycite became the first digital pill to receive US FDA approval in 2017 • Recently, the “Swallowables”, i.e. Ingestible IoTs have complemented the “Wearables” o Pills with embedded sensors, when swallowed, collect critical data and transmit to patient smartphone apps via BLE protocol, which further shares the same with the physician / caregiver app / portal over internet o This data is leveraged in multiple ways by physicians, family members & care-givers for remote patient management *Source : Gartner Study
  4. 4. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) The Potential Market Size 21.4 25.7 31.0 37.3 44.8 53.9 64.9 78.0 93.9 0 10 20 30 40 50 60 70 80 90 100 2018 2019 2020 2021 2022 2023 2024 2025 2026 IoT Services Market (in $, bn) 1 Source : Persistence Market Research This comprises 5 IoT services segments, viz. security mgmt., network mgmt., infra mgmt., device mgmt. & data mgmt. 2 Source : Gartner Study 3 Source : RnRMarketResearch Study • IoT Services market ~$ 94 bn1 by 2026 • ~20%2 of this pie, i.e. ~19 bn would be contributed by healthcare & agriculture • ~40%3 of HC/Agri pie, i.e. ~ 7.6 bn would belong to Swallowables • Considering ~30% of the services market to be comprised of testing, the potential mkt size is ~2.3 bn by 2026
  5. 5. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Key Use Cases – Healthcare Industry 5 1 2 Digital Pills With Bio-sensors Digital Pills With Cameras • Medication Adherence Reduction in death % due to medicinal non-compliance in chronic diseases (e.g. Abilify Mycite from Proteus) • Disease Diagnosis Avoidance of invasive procedures not possible due to anatomy issues, previous surgeries etc. (e.g. “Bacteria on a chip” from MIT researchers) • Diet Management Demolishing myths around impact of different food and establishing facts (e.g. Gas sensor from RMIT Melbourne researchers) • Disease Diagnosis Avoidance of invasive procedures not possible due to anatomy issues, previous surgeries etc. (e.g. Endoscope camera from Olympus) Cam Recorder Physician’s Monitor Patch MQTT / CoAP / HTTP BLE Wire / BLE GatewayIoT Cloud Physician / Caregiver Smartphone App / Portal BLE Patient Smartphone App HTTP
  6. 6. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Key Use Cases – Food & Agriculture Industry Detection of Environmental Conditions • Detection of Heavy Metals • Detection of cattle, bats • Trigger alerts and replace Detection of Conditions while Transporting • Detection of Temp • Detection of Humidity • Trigger alerts and adjusts refrigeration • Replace before customer purchase if auto-correct not possible Source/condition throughout supply chain • Source of product • Conditions that the product underwent Fields/Ponds Storage Food Processor Food Distributor/Retailer Kitchen 1 2 32
  7. 7. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Key Challenges Perceived  Environment Setup  Availability of subjects for clinical trials  Critical QA needs for FDA approval  Lack of standards  Complexity of hardware-software mesh  Availability of real time data for regulatory testing
  8. 8. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Our QA POV For Swallowables Co-located Things (Ingestible + Wearable) Patient Smartphone IOT Cloud Platform Smart Pills for medication adherence Smart Pills for Diet Management Sensors for Food/Agriculture Smart Pills with biosensors for disease diagnosis Smart Pills with imaging devices for disease diagnosis Smartphone App Access by Physician Analytics Engine  Device Management  Data Management  Protocol Translation  Security Management NoSQL DB MQTT Broker D *Performance and Security Testing will be in scope based on cloud service provider **In-Vivo testing and hardware testing is considered out of scope of this paper F Functional Testing C Compatibility Testing Co Connectivity Testing S Security Testing U UI / Usability Testing Considerations U Remotely Located Things (Ingestible + Wearable) BLE BLE MQTT / CoAP / HTTP Smartphone App Access by Caregiver Smartphone App Access by Family Members U Cx F A U Cx F A P E Re Up P Performance Testing A Accessibility Testing V Device Virtualization Re Regulatory Testing E E2E Testing Legend S* An P* R Up Upgrade Testing B Battery Testing MQTT / CoAP / HTTP V D Device Testing Gateway HTTP Other GatewayBCo P BLE C S D Co P S Up S C An Big Data Analytics Testing
  9. 9. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) A Comprehensive QA Catalogue Testing Types Key Activities UI / Usability Testing  Validation of UI, user navigation, role based access control etc. Accessibility Testing  Validation against WCAG standards Functional Testing  Business rules validation pertaining to sensors / cameras  Validation of patch response to temperature / pressure / movement  Negative Testing & Error Handling  Image / Video Quality Testing for image-based Ingestibles  Functionality / Workflow validation of the patient / caregiver / physician apps  Push notifications (including final dissolution), alarms & alerts Compatibility Testing  OS-Browser compatibility testing for patient / caregiver / physician apps  Device compatibility testing for patient / caregiver / physician apps Connectivity Testing  Gateway to cloud connectivity testing - PUBLISH/SUBSCRIBE for MQTT, GET/POST/PUT/DELETE for COAP (Software Defined Ratio)  Low range connectivity testing for device to gateway / co-located device Security Testing  Data Integrity Testing & Data encryption/decryption  Password protection and certificates  Patient authentication based access validation Performance Testing  Load testing with expected peak concurrent user volume  Gateway Performance Testing / Client side performance testing Device Testing Battery Testing & Virtualization  Device Management & Configuration  Protocol / device interoperability testing; Protocol versions compatibility  Testing of sensor responses (through Device Virtualization)  Testing of battery life of the ingestibles and the wearables Analytics Testing  Validation of predictive models based on medication / disease history Regulatory Tetsing  Compliance with HIPAA, HITECH, OWASP, Section 508, FDA 21 CFR Part 820, ISO 13485, IEC 62304 etc. End to End Testing  Validation of complete business flow from ingestion to tracking Upgrade Testing  Validation of upgrades w.r.t multiple protocols, devices, OS, firmware, networking layers (FOTA) F C Co S U Up D P A V Re E B An Testing Types unique to the topic concerned
  10. 10. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Test Orchestration Process (With a Typical Flow) PeripheralCentral Generic Access Profile • Standby – Idle • Advertiser – Device Discovery • Slave – Connection established Defines the slave latency and connection interval Generic Attribute Profile • Scans • Connect • Access data for services/characteristic through Read, Write, Notify name : “HB_304451122, Services : [ { name : “Heart Rate” uuid : 46a970e00d5f11e28b5e0002a5d5c51b, characteristics : [ { name : “aerobic heart rate lower limit” uuid : 0aad7ea00d6011e28e3c0002a5d5c51b, value : [0x0a4a2000, 0x0f00d660, 0x0048], properties : [notify], interval ; 10000 }, ] }, { name : “ABCD” Each BLE service was configured as a JSON file Lookup table The last 12 hex digits will specify the node id Peripheral Virtualization Central ScannerBTLE() ConnectGatt() GetsetCharacteristicNotification() BLE MQTT/COAP Broker Publish Subscribe Test publishing of message to MQTT Broker  Create an empty ReadyAPI project  Create test step and add Publish using MQTT test step  Create a new connection to HiveMQ broker  Specify the topic  Select message type as JSON and add message  Publish message and check in test case log tab Listen/Receive MQTT message  Add delay in test case so that receiver is able to subscribe  Connect to broker  Create topic receiver test case  Add Receive MQTT message test step  ReadyAPI will run both test cases simultaneously  Publisher will wait while receive will subscribe  See the message in the Received message text box
  11. 11. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) References & Appendix https://globenewswire.com/news-release/2018/08/23/1555970/0/en/IoT-Managed-Services-Market-is-expected-to-grow-US-94-388-0- Mn-by-2026-Persistence-Market-Research.html https://knowledgestar.blog/2015/06/25/coming-soon-to-your-workplace-the-internet-of-smart-things/ https://healthitanalytics.com/news/growing-healthcare-opportunities-for-the-internet-of-things https://www.youtube.com/watch?v=WtRpFLx34BY&t=606s https://www.youtube.com/watch?v=MkW8TU0jcSk https://www.youtube.com/watch?v=MwJ8eMt7IcE https://www.youtube.com/watch?v=I1JZ7bpC9tQ https://jaxenter.com/iot-protocols-mqtt-coap-oma-dm-114279.html https://www.godaddy.com/garage/the-iot-in-healthcare-forget-wearables-now-there-are-ingestibles/ https://internetofbusiness.com/health-iot-ingestible-sensor-can-help-diagnose-disease/ https://internetofbusiness.com/ingestible-iot-sensors-could-soon-help-improve-your-diet/ https://www.healthcareitnews.com/news/fda-approves-first-digital-pill-drug-comes-ingestible-sensor https://www.healthcareitnews.com/news/fda-approves-first-digital-pill-drug-comes-ingestible-sensor https://sealedair.com/blog/3-ways-iot-transforming-food-industry https://www.infosys.com/IT-services/validation-solutions/Documents/testing-iot-applications.pdf https://www.livescience.com/60963-how-does-digital-pill-work-abilify.html https://www.nytimes.com/2017/11/13/health/digital-pill-fda.html https://etectrx.com/ http://news.mit.edu/2018/ingestible-bacteria-on-a-chip-help-diagnose-disease-0524 https://www.embitel.com/blog/embedded-blog/understanding-how-an-iot-gateway-architecture-works https://www.softwaretestinghelp.com/internet-of-things-iot-testing/
  12. 12. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Jibendu Narayan Mazumder Associate Director – Business Development Cognizant Technology Solutions Winner, Software Testing Conference (STC) 2017 https://www.linkedin.com/in/jibendu-mazumder-78237a5/ Jibendu heads the Business Development group within Cognizant’s Banking and Financial Services (BFS) Quality Engineering and Assurance (QE&A) practice and has around 14 years of industry experience. He specializes in architecting and overseeing implementation of transformational strategies & roadmaps for large and complex QA programs and has helped several clients achieve their vision of becoming world-class QA organizations. Prior to joining Cognizant, he worked with companies such as PricewaterhouseCoopers and KPMG. Jibendu holds BE and ME degrees in Electronics and Telecom Engineering from Jadavpur University and an MBA degree from Questrom School of Business, Boston University, USA Co-Author Arpan Sarkar Senior Manager – Business Development Cognizant Technology Solutions Winner, Software Testing Conference (STC) 2017 https://www.linkedin.com/in/arpan-sarkar-1b901212 Arpan has an industry experience of 12+ years and works with Cognizant as a Senior Business Development professional in the Banking and Financial Services (BFS) Quality Engineering and Assurance (QE&A) practice. His gamut of experience ranges from software development to technology consulting, core banking and business development. Arpan's techno-functional expertise is complemented by his deep research and experience on next-gen technologies such as blockchain and IoT. Beside managing delivery of complex engagements, he has authored several papers which have been presented at international conferences. Arpan holds a BE degree in Mechanical Engineering from Jadavpur University and an MBA degree from XLRI Jamshedpur. Prior to joining Cognizant, he has worked with TCS, Bank of Baroda & Pricewaterhouse Coopers.
  13. 13. #ATAGTR2019 As a author of this presentation I/we own the copyright and confirm the originality of the content. I/we allow Agile testing alliance to use the content for social media marketing, publishing it on ATA Blog or ATA social medial channels(Provided due credit is given to me/us) Thank You

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