SouthEastern Europe Defense Ministerial Process NATO TMED Panel Meeting in Oslo, 18 19 Sep 03 Report

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South-Eastern EuropeDefense Ministerial
ProcessNATO TMED Panel Meeting in Oslo, 18
19 Sep 03 Report to the SIMIHO/ Tech WG
M04Sofia, 1 Oct 03

• Cpt. (HAF) George KATOPODIS MSc, MPhil
  HAFGS/D4b
• Hellenic Air Force General Staff TGA 1010,
  Holargos
• Department of Informatics Athens, Greece
• Phone [phone]
• Fax [phone]
• e-mail gekatopo_at_hol.gr

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Agenda Items Interesting to SIMIHO

• Presentation of the SIMIHO Project.  
• Status of new Panel Website.
• Metrics for evaluation of TMED utilization
• Presentation and discussion of Telemedicine
  Interoperability Study.
• Discussion on the Teleconsultation STANAG.
• Reports of Subcommittee Chairmen.

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Presentation of SIMIHO Project.

• Actions of SIMIHO Med WG.
• Recommendations of SIMIHO Med WG.
• Present Status.
• Objectives of SIMIHO Tech WG.
• Differences of SIMIHO WG and TMED Panel
• The aim of SIMIHO WG is to provide a satellite
  interconnection mainly, but not exclusively,
  among military hospitals (operational NATO role
  4) and to present a high-end specifications
  application with immediate applicability based on
  accepted common hardware and software standards.
• The NATO Telemedicine WG is orientated towards
  operational roles 1-4, presents a low-end
  specifications application and is responsible for
  producing a STANAG, which is subject to
  time-consuming national ratification and
  implementation procedures, also dependent on
  existing national reservations.

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TMED Panel Website

• The NATO TMED Panel has created a web site where
• All relevant documents will be published.
• The members of the panel can communicate.
• There will be links to other telemedicine sites.
• There will be lists and descriptions of cases
  where telemedicine was used.
• The URL of the site is
• http//www.wiki.bktec.org/nato

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Metrics for Evaluation of TMED Utilization

• The need for specific metrics, in order to
  evaluate the utilization and effectiveness of a
  telemedicine system, is identified.
• The Nations were asked to propose these metrics,
  which will help to establish the standards for
  the NATO countries.

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Telemedicine Interoperability Study

• This study has been designed to answer two
  questions
• Is there technology available that can link Field
  Units from one country to a second country that
  is suitable for the provision of telemedicine?
• Is clinical and managerial advice from one
  country acceptable and usable by a second
  country?
• This study is not being used to see if a
  particular country or specialist is capable of
  undertaking telemedicine. It is a test of the
  system, not individuals.

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Telemedicine Interoperability Study

• The cases used in this study are all real ones
  that have been anonymised. Field units will
  submit the cases to the telemedicine server using
  the Internet for a communication link.
• The telemedicine server will then send a
  notification to the relevant specialist in each
  country to tell them that a case is waiting for
  them.
• The specialists will then use a web browser to
  access the site and view the case. They will then
  make a reply using the on-line form which will be
  sent, by email, to the originating Unit. No
  specialist will be able to see the replies of any
  other specialist during the study period.

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Telemedicine Interoperability Study

• Only cases in the following specialties should be
  submitted Dermatology, Orthopaedics, Radiology
  and General (internal) medicine.
• Further information can be found at
• http//wiki.bktec.org/nato/bin/view/Tmedwg/Interop
  erabilityStudy

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Teleconsultation STANAG

• The TMED Panel has prepared a final draft STANAG
  with subject"Development and Implementation of
  Teleconsultation Systems".
• Main aim is to provide the guidelines and
  recommendations for the development of national
  Teleconsultation systems, in order to ensure
  multinational interoperability during the
  deployment in a multinational NATO environment.

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TMED Panel Subcommittees

• The panel has formed a number of subcommittees
  with specific tasks.
• Some of these tasks are of interest to the SIMIHO
  /Tech WG and they address issues that should be
  discussed.
• Some of these issues are
• Identification of teleconsultation requirements.
• Identification of the teleconsultation data and
  application architecture.
• Identification of the baseline and target
  communications and security architecture that
  would support teleconsultation.
• Identification of regulatory and legal issues
  that may impact on multi-national
  teleconsultation.
• Develop policy on patient consent in
  Telemedicine/ Teleconsultation.

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SEDM SIMIHO PROJECTProject Overview

• Thank you for your attention !

Cpt. (HAF) George KATOPODIS HAFGS/D4b Hellenic
Air Force General Staff TGA 1010,
Holargos Department of Informatics Athens,
Greece Phone [phone] Fax
30-210-659.4407 e-mail gekatopo_at_hol.gr