PERSONALIZED HEALTHCARE COMMUNICATION IN INTERNET OF THINGS Mikhail Simonov 1 , Riccardo Zich 2 , Flavia Mazzitelli 3 1 ISMB, Services and Applications Lab., Via P.C.Boggio 61, 10138 Turin, Italy; simonov@ismb.it 2 Polytechnic University of Milan, Energy Department, Piazza L. Da Vinci 32, 20124 Milan, Italy; riccardo.zich@polimi.it 3 San Giovanni Battista Hospital, Bon Marrow Translpant Unit, Corso Bramante 88/90, 10126 Turin, Italy; fmazzitelli@molinette.piemonte.it Abstract Personalized healthcare is a challenge because supports the sustainability of care. Internet of Things is a paradigm promising to manage the digital identity, so the personalization of care services. Different equipment is used in extra-wall healthcare and assistive services, requiring different sorts of objects to communicate and to make the ubiquitous system-of-system. Extended entities and mixed roles are becoming inter-operable. We present how adaptative care might exploit the broadband communication over powerline, with the link to the digital energy. 1. Introduction Different communicating objects have penetrated our lives and many more are to come. Pervasive technologies exploit interactions between human beings and their environment, and those between non-human entities themselves. The integration, inter-operability, low cost and low consumption aspects are challenging issues. The efficient communication of objects needs a global system approach, marrying energetics, electronics, cognition and networking, complementing multi-sensor setup. Let us start from a concrete domain. Personalized Healthcare is the integrated practice of well-being, healthcare and patient support, based on an individual’s unique biological, behavioral, social and cultural characteristics. Service tailored proactively for each patient at several levels empowers the individual by “the right care for the right person at the right time”, leads to better outcomes, improves satisfaction, and keep the cost-effectiveness. Sustainable services focus the prevention, early pathology detection, and homecare rather than expensive clinical one, move beyond alert systems, but check the overall well-being anticipating needs and ensuring compliance to care plans. Telemedicine is the delivery of clinical care at distance using electronic communications and information technologies practiced on the basis of real-time (synchronous), and store-and-forward (asynchronous) interaction [1]. It enables the retrieval of patient data from the medical equipment and remote change settings of device parameters, exchanging medical and context-related information objects among sites. Real-time telemedicine ranges from a simple telephone call to a robotic surgery, requires the presence of both parties at the same time and a real- time communication link between them. Video-conferencing with attached medical peripheral equipment, or home monitoring employing remote devices (otoscope, stethoscope, ECG) allow a remote physician to inspect inside a patient, to hear the heartbeat and much more. Store-and-forward telemedicine acquires medical images and bio- signals, transmits multimedia objects for an offline, delayed assessment, affecting Dermatology, Radiology, and Patho-anathomy specialties. A doctor consulting a specialist, or a specialist releasing second opinion, home monitoring by devices, like blood pressure monitors, and transferring data to a caregiver grow emerging personalized services at no extra effort for caregiver. Telemedicine services exchange information, multimedia objects, patient data and context: medical records, recent and past examinations, treatments, and other data of interest [2] protected by law, acquiring and transmitting them to remote elaboration. Information processing elicits facts by formalized knowledge. Much data is 2D or 3D, X-ray, ECG, mammography annotated by text (physician remarks), notes, and referrals to other information, implying both ethical and confidentiality issues. Physicians work in interacting virtual and ubiquitous environments [3], where various hospitals in geographically dispersed areas are linked and data objects are accessible via personal web objects/pages, one for each patient. Unlike other areas information objects are not just viewed. Doctors use web to interact with data, to annotate images, to add medical knowledge, to navigate inside 3D objects. ICT supports a variety of operations: image display, segmentation, multi-modal registration, fusion, and anatomic object visualization.