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E2E Service Orchestration for Smarter Health
Draft

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Catalyst Members
Champions
Participants

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Catalyst Description
The digital economy is evolving and Service Providers
constantly seeks to expand beyond their traditional services
and revenue streams.
In Emergency Healthcare, their Operations management
expertise, combined with Health expertise partners, results in
a vertically integrated health and communication eco-system
providing significantly improved lifesaving services.

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Catalyst Challenges
 Business Challenges
 Supporting Service providers with providing new digital services, medical
services in our case
 Technical Challenges
 End-to-End management of digital services in a hybrid environment of
domain management systems and OSS/BSS systems
 Answering the dynamic requirements of the specific digital consumer
 Near-real-time tracking of the required spots of attention, dynamically
ensure resources allocation, while monitoring their lifecycle and QoS
 Supporting micro-services

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The Medical Service Definition
 A patient is checked via a mobile Medical device on a daily routine
 Irregularities identified:
 For a low severity/suspicion level – the rate of the measurements will be increased to hourly
 For a high severity – an ambulance will be sent to the location of the patient
 SOS call – The device may include a SOS button to request for urgent medical support.
 A video call with a doctor at office hours (optional)
 A video call with a doctor 24x7 (optional)
 Ambulance enhanced support – when the patient is moved through the busy city in the best
route possible by the ambulance, the doctor can guide the paramedic in the ambulance to carry
out any procedure to cut down risk (optional)

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Telecom
Assurance
Systems
End-to-end
Orchestrator
Medical
Teams
Medical
Operations
Center
Network
Operations &
Engineering
Medical
Operations
Network Operations Center
 Network & Service orchestration providing the
right QoS for this operation (and possibly
additional SLOs), using dynamic resource
allocation
 Additional information/Services to support the
process, such as Geolocation data, traffic data,
weather data, etc.
Medical Operation center (cross-vertical
orchestration)
• Manage the SOS calls, coordinates:
ambulances, Medical staff, any additional
human coordination
• Automated Medical Monitoring & Analysis –
This should be using a Medical software system
• Emergency Medical Services – providing
Ambulances
• Medical team services – The availability
of doctors or nurses
Smarter Health Service Roles

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Smarter Health Architecture
Policy based
backhaul Route
orchestration
(Physical & Virtual)
Predictive
Capacity Analysis
Medical IoT Device
Patient
Customer Monitoring
E2E OSS Resource & Service
Orchestration
Telco Hybrid Network ( Physical & Virtual)
Non-Telco Expert System
Fault / Performance / Configuration Data
Digital Services Orchestrator
Medical Operation Center
Medical Data
Analytics
Engine
User Device
Service
Specialist
Diagnosis
Service
Hospital
Coordination
Ambulance
Coordination
Ambulance
Route
Planner
Ambulance
Service
Patients
Call Center
Telecom
Coordination
Policy based
Mobile Core
Orchestration
Dynamic QoS
Policies
(Assurance)
Device
Mgmt.

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Patient alert
Medical
Operations
End-to-end
Orchestrator
Assurance
Systems
• Service Instance
state change
• Service ID
• Customer ID
• New state
• Description Changes in
Resource Policy
Changes in
QoS Policy
Patient
Medical Device
Medical Application
Scenario #1 – Technical Flow
Service
Instant state
change

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Patient
Medical Application
Patient
alert
Emergency
Medical
Service
Orchestrator
Digital
Service
Orchestrator
Hospital Status
Information
Service
Specialist
Diagnostic
Service
Ambulance
& Route
Planning Service
Telco
Service
Predictive
Capacity
Analysis
Dynamic QoS
Policies
(Assurance)
Policy Based
Orchestration
Scenario #2 – Technical Flow

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Functional overview
Digital Service Orchestration
Digital Service
Orchestration
E2E Telco
Service
Orchestration
SDN/NFV/SON
Orchestration
Orchestration Platform for integration non Telco vertical
services
Single point Integration with Telco Services
Platform for creation of adhoc smart X flows across
services from different verticals
Fee billing support for multi-vertical smart X services
Ensure Security and Privacy and Consistency Identity
Monitor and manage E2E SLAs for cross vertical services
Support for marketing and promotion of new smart X services Interleaving & Interworking
Closed Loops of Automation