Digital Health is a new way for medicine to work together with computer engineering and ICT to carry out tests and obtain reliable information about the health status of citizens in the most remote places in Brazil in near-real time, applying new technologies and digital tools in the process. InovaHC is the technological innovation core of the Clinics Hospital of the Faculty of Medicine of the University of São Paulo (HCFMUSP). It is the first national medical institution to seek new opportunities offered by 5G technology and test its application in the first private network for Digital Health in the largest hospital complex in Latin America through the OpenCare5G Project. This project uses an Open RAN concept and network disaggregation with lower costs than the traditional concept used by the telecommunications industry. The technological project connected to the 5G network was divided into two phases for proof-of-concept testing: the first with an initial focus on carrying out examinations with portable ultrasound equipment in different locations at HCFMUSP, and the second focusing on carrying out remote examinations with health professionals in other states of Brazil, who will be working in remote areas in other states with little or no ICT infrastructure together with a doctor analyzing exams in real time at HCFMUSP in São Paulo. The objective of the project is to evaluate the connectivity and capacity of the 5G private network in these the proof-of-concept tests for transmitting the volume of data from remote exams with higher speed and lower latency. We are in the first phase of the proof of concept testing to achieve the expected success. This project is a catalyst for innovation in health, connecting resources and entrepreneurs to generate solutions for the innovation ecosystem of organizations. It is coordinated by Deloitte with the participation of the Escola Politécnica da USP (The School of Engineering—University of São Paulo), Airspan, Itaú Bank, Siemens Healthineers, NEC, Telecom Infra Projet, ABDI and IDB. The use of 5G Open RAN technology in public health is concluded to be of extreme social, economic, and fundamental importance for HCFMUSP, citizens, and the development of health research to promote great positive impacts ranging from attracting investment in the country to improving the quality of patient care.
Network segregation is the solution adopted in the IMT-2020 standardization of the International Telecommunications Union (ITU), better known as 5G networks (Fifth Generation Mobile Networks), under development to meet the requirements of performance, reliability, energy, and economic efficiency required by applications in the various verticals of current and near-future economic activities. The philosophy adopted for the IMT-2020 standardization relies on the use of Software-Defined Networking (SDN), Network Function Virtualization (NFV), and Software-Defined Radio (SDR), i.e., the softwarization of the network. Softwarization allows network segregation through its slicing, which is discussed herein this work. Network slicing is performed by a novel Orchestrator, as provided in IMT-2020, which maintains the end-to-end network slices independent of each other and performs horizontal handover when the possibility of a loss of Quality of Service (QoS) is predictively detected by monitoring quality parameters during operation. Therefore, the Orchestrator is dynamic, operates in uptime, and allows horizontal handover. Hence, it chooses the most appropriate telecommunication infrastructure provider and network operator to guarantee QoS and Quality of Experience (QoE) to end-users in each network segment. These features make this work modern and keep it aligned with the actions being carried out by ITU. Based on this objective, as the main result of this paper, we propose an effective architecture for implementing the Orchestrator, not only to contribute to the state of the art for 5G and beyond communication systems but also to generate economic, technological, and social impacts.
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