KI, Big Data aus technischer SichtFH-Prof. DI Dr. Stefan Sauermann

Künstliche Intelligenz und Big Data im Gesundheitswesen während der CoronakriseWien, 16.10.2020

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University of Applied Sciences (UAS) Technikum Wien –Höchstädtplatz and ENERGYbase

2 Stefan, be sureto do these 6 slides in 6 seconds!

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Organization• Institution | University of Applied Sciences Technikum

Wien• 4,400 students, about 11,000 alumni• 30 degree programs• 4 Faculties

− Computer Science − Electronic Engineering − Industrial Engineering− Life Science Engineering

• 6 Departments − Computer Science − Electronic Engineering − Industrial Engineering− Life Science Engineering− Applied Mathematics & Physics− Entrepreneurship & Communication

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Academics

• 12 bachelor’s degree programs

• Biomedical Engineering• Business Informatics• Computer Science• Electronic Engineering• Electronics and Business• Human Factors and Sports Engineering• Information and Communication

Systems and Services

• International Business and Engineering• Mechanical Engineering• Mechatronics/Robotics• Smart Homes and Assistive

Technologies • Urban Renewable Energy Technologies

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Academics

• 18 master’s degree programs

• Embedded Systems• Environmental Management and

Ecotoxicology• Game Engineering and Simulation• Healthcare and Rehabilitation

Technology• Industrial Electronics• Information Systems Management• Innovation and Technology

Management• Integrative Urban Development – Smart

City • International Business and Engineering

• IT Security• Mechanical Engineering• Mechatronics/Robotics• Medical Engineering & eHealth• Renewable Urban Energy Systems• Software Engineering• Sports Equipment Technology• Telecommunications and Internet

Technologies• Tissue Engineering and Regenerative

Medicine

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Research & Development

• Five main areas of research• Embedded Systems & Cyber-Physical Systems• Renewable Urban Energy Systems• Secure Services, eHealth & Mobility• Tissue Engineering & Molecular Life Science Technologies• Automation & Robotics

• Funded R&D projects | contract R&D projects• Among the top 5 in the UAS sector in terms of research & development

• FHplus/COIN structural development projects (eHealth, Embedded Systems, Tissue Engineering) so far

• Currently more than 100 funded research projects

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Partners

• Network partner of the FEEI – Association of the Austrian Electrical and Electronics Industries and respected industrial enterprises

• Partnerships with national and international companies • 45 Corporate partnerships plus multiple cooperations

• Partner institutions in 45 countries around the world• Partnerships with academic institutions• Partnerships with schools

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Who am I?

• Electronics Engineer

• 15 yrs Med. University of Vienna, research

• Biosignal work• Then standards,

medical informatics

• Program director Medical Engineering & eHealth (Master)• Key Research eHealth, Department of Life Science Technologies• Founding member IHE AT, Member HL7, ONK 238, ISO, CEN, PCHA EU WG Chair, Senior member IEEE, Advisor R&D to ÖGTelemed, …

Where does it all come from?And where is it leading us?

• Viewing real-time data• WHO Coronavirus (COVID-19) Dashboard• https://www.worldometers.info/coronavirus/• John Hopkins University of Medicine Covid-19

Dashboard• Austrian Corona Dashboard

• Modeling the future• Gabriel Goh: Epidemic calculator• Harry Stevens, March 14, 2020, Washington Post• A Friedl, C Hütter, D Kim, M Gonta @ UAS

Technikum Wien

• „Big Brothers“ as we re-start social life???• Stopp Corona app, Red Cross Austria• „France urges Apple and Google to ease privacy

rules on contact tracing“, The Guardian, 21st April 2020

• EU Commission on contact tracing apps, 8.4.2020

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Telemonitoring Rahmenarchitektur in AT• Rahmenrichtlinie für die

IT-Infrastruktur …

• Jänner 2018

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ELGA in AT

• See the architecture of the Austrian Electronic Healthcare Record ELGA

• www.elga.gv.at -TechnischerHintergrund -Gesamtarchitekturder elektronischen Gesundheitsakte ELGA – page 9

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Patient Reported Outcomes (PRO)

• Image own work, following Prasanna R. Deshpande, Surulivel Rajan, B. Lakshmi Sudeepthi, and C. P. Abdul Nazir: Patient-reported outcomes: A new era in clinical research. Perspect Clin Res. 2011 Oct-Dec; 2(4): 137–144. doi: 10.4103/2229-3485.86879, PMCID: PMC3227331, PMID: 22145124, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227331/

Disease Treatment

Lab Tests (non PRO)

Physical Exam(non PRO)

SymptomsPRO

PROs are a well-establishedmethod to collect many types ofdata from patients

Useful to collect data for Post Market Clinical Follow Up (PMCF) as required by the Medical Device Regulation (MDR)

See e.g. FDA Draft GuidanceDocument:Principles for Selecting, Developing, Modifying, and Adapting Patient-Reported Outcome Instruments for Use in Medical Device Evaluation, https://www.fda.gov/media/141565/download

Already accepted in the complex world of regulatory issues !!!!

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ISO 82304-2: Quality criteria for health and wellness apps

• Ziel: • Leicht verständliche

Qualtätsskalen zurKennzeichnung,

• ähnlich Energieverbrauchbei Elektrogeräten

• Bilder aus: Petra Hoogendoorn National eHealth Living Lab Leiden University Medical Center NL, Presentation held at EU mHealth Hub Project, Public Launch event & First face to face meeting, Geneva February 19, 2020

• Wird erwähnt im EU Dokument “eHealth Network Mobile applications to support contact tracing in the EU’s fight against COVID-19: Common EU Toolbox for Member States, Version 1.0, 15.04.2020,

• https://ec.europa.eu/health/sites/health/files/ehealth/docs/covid-19_apps_en.pdf,

• https://ec.europa.eu/commission/presscorner/detail/en/ip_20_670

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Vom Mars kommend – Data Business Cases

• Klassische „Abrechnung“

• Diagnostische und Therapeutische Maßnahmen

• Nachdenken, Kommunizieren, Empathie ??

• Patientenzentriert

• Innovativ, nachhaltig, aktiviert, …

• Wer zahlt?• Wo ist der Wille der

Gesellschaft?

• Secondary use

• Telehealth• Patient reported

Outcome• Post Market Clinical

Follow Up• Abrechnungscodes

B2B mit B2C +

Regulatorische Compliance

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Perspektiven• Wo kommen die (Big) Daten her??

• Haben wir die Daten? Warum eigentlich nicht!!??

• Interoperabilität als Grundlage und Grundrecht− TOOP: The Once – Only Principle of the EU− GDPR

• Was können wir besser – wo gewinnt die KI?• Merkfähigkeit, Rechengenauigkeit, - Geschwindigkeit, Wiederholbarkeit, …• Empathie, Erfahrung, Kommunikationsfähigkeit, Zuverlässigkeit, Erklärbarkeit, Freiheit von Bias, …

• Danke an Christian Maté für sehr klare Gedanken dazu!

• Siehe auch “IEEE Global Initiative on Ethics of Autonomous and Intelligent Systems”• P7000 Series of Standards (transparency, freedom of bias, privacy, …)

Wo wollen wir hin(genauer: persönliche Vision)

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Vision

• Alan Greene: Tom Ferguson’s Triangles in the 21st Century: An Initial Proposal. J Participat Med. 2013 Nov 27; 5:e40.

• Original source: Ferguson T.: Consumer health informatics. Healthc Forum J. 1995 Jan-Feb;38(1):28-33. PMID: 10154286.

• Siehe auch Christian Maté - Medizin ohne Ärzte Ersetzt künstliche Intelligenz die menschliche Heilkunst? Bessere Diagnosen und effizientere Therapien durch künstliche Intelligenz? 176 Seiten, ISBN: 9783701735020, 10.03.2020.

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Health Care Data Center und ICU @ Technikum Wien

Eröffnet demnächst

Danke für die Aufmerksamkeit!Es gibt viel zu diskutieren!

stefan.sauermann@technikum–wien.at