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IoT in Healthcare 
The Barco Healthcare Case 
Kurt Pattyn, Software Architect at Barco 
Pieter Moulaert, Team Leader at Ba...
Barco Healthcare
Where you’ll find Barco 
in your healthcare facility 
2 
Cardiology Radiology 
Dentistry 
Outpatient clinics 
Patient beds...
Diagnostic Displays 
 Used for diagnosis 
 Strongly regulated 
 MSQA, JESRA, DIN, AAPM TG18 
 Stringent image quality ...
Review Displays 
 Used by specialists 
 Responsible to determine treatment 
 Medium image quality requirements 
 Anti-...
Surgical Displays 
 Used in Operating Room 
 Stringent EMC requirements 
 Stringent uptime requirements 
 Medium image...
Image Distribution 
 Digital OR 
 IP-based image distribution 
 Stringent uptime requirements 
 Stringent EMC requirem...
Bed-side Terminals 
 Patient infotainment 
 Access Point for doctors and nurses 
 Anti-bacterial 
 Stringent EMC requi...
Healthcare & IoT = ?
The IoT Use Case 
 Guard Image Quality 
 According regulations (DIN, JESRA, …) 
 According hospital QA policies 
 Guar...
The IoT Use Case 
 Remote Control 
 Manual calibration 
 Remote diagnosis 
 Compliance Reporting 
 Provide the requir...
IoT Healthcare Context 
 Stringent Privacy Regulations 
 cfr. HIPAA 
 Stringent Security Requirements 
 Strictly locke...
IoT Healthcare Context 
 Stringent Development Requirements 
 IEC 62304 
 Stringent Data Import and Export Regulations ...
As a result... 
 Devices cannot be connected directly to the internet 
 Limits choices of protocols (e.g. AMQP, MQTT) 
...
Some Numbers 
 Support for 1.5M devices 
 Growing from 65K to 1.5M in 10 years 
 Expected data growth: 2TB/year 
 Grow...
Technical Choices 
"We are not an IT company!" 
➔ Microsoft Azure 
➔ MongoDB
Microsoft Azure 
 Trusted by our customers 
 Google is not trusted 
 Data center in China 
 Grow as needed 
 Certific...
Microsoft Azure (cont'd) 
 On-Premise Solutions 
 ServiceBus, A/D, WebService (+ iisnode), … 
 Not available with Amazo...
Microsoft Azure (cont'd) 
 IoT Device Gateway 
 Microsoft's answer for the booming IoT market 
 Still in development 
...
MongoDB 
 NoSQL Document Database 
 Heterogeneous device information 
 Heterogeneous reporting information 
 Heterogen...
MongoDB (cont'd) 
 Grow as needed 
 On-Premise And Cloud Service Solution 
 Worry-free maintenance 
 MongoDB Inc. sets...
MongoDB (cont'd) 
 Support for 'real-time' data analysis 
 No need to copy data into a data warehouse 
 Includes Map-Re...
IoT & Microsoft
A service centric solution 
Gather data from 
embedded devices 
1 
Take corrective 
action anytime, 
anywhere 
5 
Anticipa...
Canonical IoT Architecture 
24 
Presentation 
and action 
Web/thick 
client dashboards 
- 
Search and query 
Data analytic...
Selecting the right components 
25 
Buy 
Buy Some, Build 
Some 
Build 
Focus on Business Result and Time To Value 
Mix and...
Microsoft Azure-based IoT Ecosystem 
26 
3rd Party IoT 
Collection 
Service Bus 
Event Hub 
Intelligent 
System Service 
D...
Device Gateway: Architecture overview 
1. Provisioning Service and 
Metadata Store 
2. Telemetry Protocol support 
3. Tele...
MongoDB IoT City Tour EINDHOVEN: IoT in Healthcare: by, Microsoft & Barco
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MongoDB IoT City Tour EINDHOVEN: IoT in Healthcare: by, Microsoft & Barco

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Kurt Pattyn, Software Architect at Barco
Pieter Moulaert, Team Leader at Barco
Dick Dijkstra, Technical Specialist Azure at Microsoft

MediCal QAWeb is an online software service developed by Barco for monitoring image quality and uptime of medical display systems in hospitals all over the world. The service is the first of its kind and offers proactive alerts of quality issues, automatic issue solving, centralized asset and Quality Assurance reporting and much more. The next version of MediCal QAWeb is under development and will use MongoDB and Node.js. The system will be built on Microsoft’s Internet of Things building blocks running on the Azure platform. In this presentation, Barco and Microsoft will explain how the Internet of Things has provided new services and revenue opportunities for them and for their customers by building solutions that until recently were unimaginable. They will explain the technology and architectural design choices made in order to guarantee that the platform which connects several tens of thousands of devices today can scale to support their growing customer needs long into the future.

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MongoDB IoT City Tour EINDHOVEN: IoT in Healthcare: by, Microsoft & Barco

  1. 1. IoT in Healthcare The Barco Healthcare Case Kurt Pattyn, Software Architect at Barco Pieter Moulaert, Team Leader at Barco Dick Dijkstra, Technical Specialist Azure at Microsoft
  2. 2. Barco Healthcare
  3. 3. Where you’ll find Barco in your healthcare facility 2 Cardiology Radiology Dentistry Outpatient clinics Patient bedside Emergency ICU Surgery Pathology Barco products help medical personnel throughout the healthcare enterprise by:  Boosting clinical performance  Streamlining workflow  Enhancing diagnostic confidence  Supporting inter-disciplinary collaboration THE RESULT: improved health outcomes. Telemedicine
  4. 4. Diagnostic Displays  Used for diagnosis  Strongly regulated  MSQA, JESRA, DIN, AAPM TG18  Stringent image quality requirements  ~ Time is money  Meaningful use
  5. 5. Review Displays  Used by specialists  Responsible to determine treatment  Medium image quality requirements  Anti-bacterial
  6. 6. Surgical Displays  Used in Operating Room  Stringent EMC requirements  Stringent uptime requirements  Medium image quality reqs  Anti-bacterial
  7. 7. Image Distribution  Digital OR  IP-based image distribution  Stringent uptime requirements  Stringent EMC requirements
  8. 8. Bed-side Terminals  Patient infotainment  Access Point for doctors and nurses  Anti-bacterial  Stringent EMC requirements
  9. 9. Healthcare & IoT = ?
  10. 10. The IoT Use Case  Guard Image Quality  According regulations (DIN, JESRA, …)  According hospital QA policies  Guard Lifetime  Minimum luminance  Warranty periods  Guard Uptime  Predictive failure analysis  Predictive quality analysis
  11. 11. The IoT Use Case  Remote Control  Manual calibration  Remote diagnosis  Compliance Reporting  Provide the required regulatory reporting  Guarantee archiving  Centralized access for auditing purposes
  12. 12. IoT Healthcare Context  Stringent Privacy Regulations  cfr. HIPAA  Stringent Security Requirements  Strictly locked down access to the internet, if at all  No inbound connections  Certified workstation and device configuration  No (automatic) updates: needs recertification  Very strict configuration management
  13. 13. IoT Healthcare Context  Stringent Development Requirements  IEC 62304  Stringent Data Import and Export Regulations  e.g. China - data cannot enter nor leave the country  Germany is working on a similar legislation  European Union - Safe Harbor Principles
  14. 14. As a result...  Devices cannot be connected directly to the internet  Limits choices of protocols (e.g. AMQP, MQTT)  No inbound connections  Data cannot be stored in one central location  Decentralised architecture required  Data gathering & distribution must obey to regional laws  Sensitive information must be maximally protected  Userid/password
  15. 15. Some Numbers  Support for 1.5M devices  Growing from 65K to 1.5M in 10 years  Expected data growth: 2TB/year  Growing from 60GB/yr to 2TB/yr in 10 years  Available in 100 countries  Available in all continents  Growing from 1 data center location to 5 or more
  16. 16. Technical Choices "We are not an IT company!" ➔ Microsoft Azure ➔ MongoDB
  17. 17. Microsoft Azure  Trusted by our customers  Google is not trusted  Data center in China  Grow as needed  Certifications  http://azure.microsoft.com/en-us/support/trust-center/ compliance/  HIPAA Business Associate Agreement  Federal Risk and Authorization Management Program (FedRAMP)
  18. 18. Microsoft Azure (cont'd)  On-Premise Solutions  ServiceBus, A/D, WebService (+ iisnode), …  Not available with Amazon  Integration with existing IT infrastructure  Federation, ACS  Worry-free maintenance and perimeter security  Cloud-services maintained and updated by Azure  Perimeter security handled by Azure (war games)
  19. 19. Microsoft Azure (cont'd)  IoT Device Gateway  Microsoft's answer for the booming IoT market  Still in development  Very supportive team (thanks Dick!)  The 'new' Microsoft
  20. 20. MongoDB  NoSQL Document Database  Heterogeneous device information  Heterogeneous reporting information  Heterogeneous quality and telemetry information  Distributed by design  Failover and replication  Data close to the consumer (sharding)  Unlimited scalability
  21. 21. MongoDB (cont'd)  Grow as needed  On-Premise And Cloud Service Solution  Worry-free maintenance  MongoDB Inc. sets up, monitors, backs up and restores databases  Detection of low-performing queries  24/7 support, with 15 minute reaction time
  22. 22. MongoDB (cont'd)  Support for 'real-time' data analysis  No need to copy data into a data warehouse  Includes Map-Reduce framework  Very supportive team (thanks Arthur!)
  23. 23. IoT & Microsoft
  24. 24. A service centric solution Gather data from embedded devices 1 Take corrective action anytime, anywhere 5 Anticipate production disruption monitoring processes and assets remotely 3 Enable inclusive global cross-functional collaboration 4 Transform data into business information and insight 2
  25. 25. Canonical IoT Architecture 24 Presentation and action Web/thick client dashboards - Search and query Data analytics Long term storage Data repository Transformation Real-time analytics Batching/storage adapters Collection Scalable Event Processor Producers Sensors & Devices Field Gateways
  26. 26. Selecting the right components 25 Buy Buy Some, Build Some Build Focus on Business Result and Time To Value Mix and Match • Custom protocols & security models • Custom analytics and data processing Core Competency in building software & Services • Focus on flexibility & control • Strategic investment in service platform
  27. 27. Microsoft Azure-based IoT Ecosystem 26 3rd Party IoT Collection Service Bus Event Hub Intelligent System Service Device Operator Portal Transformation • Machine Learning • HDInsight 3rd Party IoT SaaS Solutions Storage • Tables • BLOBS • SQL Azure 3rd Party IoT SaaS Solutions Presentation • Websites 3rd Party IoT Abstractions Intelligent Systems Service Device Registry, rules, data mgmt/egress, per device billing, system integration SaaS Solutions 3rd Party Microsoft
  28. 28. Device Gateway: Architecture overview 1. Provisioning Service and Metadata Store 2. Telemetry Protocol support 3. Telemetry Pump and Adapters 4. Command Gateway MQTT CoAP … Custom Protocol Gateway Host Service Bus Messaging Telemetry/Request Router Notification/Command Router Adapters Command API Host Provisioning Service Device Metadata and Key Store HDInsight BizTalk Orleans Azure Storage Azure Dbs Service Bus HTTP Devices AMQP 2 3 1 Configuration HTTP 4
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Kurt Pattyn, Software Architect at Barco Pieter Moulaert, Team Leader at Barco Dick Dijkstra, Technical Specialist Azure at Microsoft MediCal QAWeb is an online software service developed by Barco for monitoring image quality and uptime of medical display systems in hospitals all over the world. The service is the first of its kind and offers proactive alerts of quality issues, automatic issue solving, centralized asset and Quality Assurance reporting and much more. The next version of MediCal QAWeb is under development and will use MongoDB and Node.js. The system will be built on Microsoft’s Internet of Things building blocks running on the Azure platform. In this presentation, Barco and Microsoft will explain how the Internet of Things has provided new services and revenue opportunities for them and for their customers by building solutions that until recently were unimaginable. They will explain the technology and architectural design choices made in order to guarantee that the platform which connects several tens of thousands of devices today can scale to support their growing customer needs long into the future.

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