Health data cloud monitoringToward a new family of clinical signsPascal ZELLNER MD, PhDpascal@ifremmont.com

Health Data Cloud Monitoring

There is a major difference between objects,medical systems and devices dedicated to fitness:the Medical CE and FDA marks, the Directive93/42 / EEC imposing drastic standards on theentire device development chain

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Device (Pulse Light) Error (%) à 80-90 BPM Error (%) à 160-170 BPM

Garmin VivoFit 10.7 0

Withings Pulse O2 5.3 57.1

Basis Carbon Steel 10.2 57.9

Samsung Gear Fit 4.2 Unable to read

Samsung Galaxy S5 3.1 0.2

FITNESS & SPORT

HEALTH DATA

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

30 MI 5 MI 45 MI

45 MI 10 MI

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

(30+5+45+45+10) x 2 (training) x 52 (week) x 7 (Hrmax, Hrave, dist, D+,D-, Cal, Speedave)

98280 MI (simple records)

How many predictive & preventive information ?

if A has run more kilometers than B, A is more trained than B ?if A has purchased a training plan, A has more chance to succeed ?

0 clinical or preventive information

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Today Fitness Score

Previous Fitness Score

Overtraining Alert & Score

Overstrain Monitor

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

The truth is out thereRR wave & Training charge score

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

1800 points / 1 training

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

(30+5+45+45+10) x 2 (training) x 52 (week) x 1800 points

25 272 000 MI (simple records)

98280 MI (temporal series)

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

500 € 25/80 €

Heart Rate + RR waves = Aerobic Model

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

• Heart rate variability Standards of measurement, physiological interpretation, and clinical use - Task Force of The European Society of Cardiology and The North American, Society of Pacing and Electrophysiology - European Heart Journal (1996) 17, 354–381

• Morton RH, Fitz-Clarke JR, Banister EW.- Modeling human performance in running - J Appl Physiol (1985). 1990 Sep;69 (3):1171-7.• 3Ecare® Concept, a use case in high altitude race in Nepal P. ZELLNER MD, E. CAUCHY MD, Global Telemedicine eHealth Updates – Knowledges

Resources Vol 8 2015 – 312-317

Data Cloud Monitoring

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Smart Agenda

Fitness & Sport health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Smart Agenda

CARDIAC DESEASES

HEALTH DATA

Cardiac health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Cardiac health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Cardiac health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Cardiac health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Low Normal High

0 2 4 6 8 10

Ventricle/Aorta Volume Ratio

Aorta valve pulsatility index

k1/k2 index ventricle/aorta

Arteries dynamics

Ultra High Resolution SpO2 wave study

• Telemedical monitoring of people using fruit and vegetable diet R. Krzyminiewski, G. Mrozinska, B. Doboz Medical Physics Division, Adam Mickiewicz University Poland - Global Telemedicine eHealth Updates – Knowledges Resources Vol 8 2015 – 351-354

Cardiac health data

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

Data

Inference Engine + Model

Pathology

Data Cloud Monitoring

TOWARD A NEW FAMILY

OF CLINICAL SIGNS

A new family of clinical signs

• Not more data to acquire…• But more data to use…• Real services to the patient…• Real predictive & diagnostic…

• Why are there no massive offer ?• Because this simply engage responsibility…• There are space for the brave doctors &

hackers but not for long ...

• Under Armor has bought everything ... and signed an agreement with IBM bluemix

Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD

BONUS…

THANK YOU…

Pascal ZELLNER MD, PhDpascal@ifremmont.comdrzellner@altidoc.fr