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Ambulance Data Transmission Requirements Overall considerations: FAX,Circuit,Packet. Systems available – – – – – – – Mobitex GSM & GPRS 3G(UMTS) TETRA Satellite Mixed Systems In Hospital systems Sussex example Conclusions ETL/Y/G-001:011 /1 R1 Business Development Strategy Requirements Country-wide coverage Security Availability Data volumes - 10Kb for ECG Expandability Integration Data transfer at hospital ETL/Y/G-001:011 /2 R1 Business Development Strategy Fax versus Data FAX Advantages - Easy communication with Fax in hospital . - transmission supported by several current radio systems Data advantages – Higher transmission speeds – Better error protection – Integration into overall Ambulance data systems supporting several applications – Much increased support for data in mobile systems now coming to market ETL/Y/G-001:011 /3 R1 Business Development Strategy Data Transmission: Circuit vs Packet Circuit Switched Packet Switched ETL/Y/G-001:011 /4 R1 - Continuous path - Typically pay for connection time - Continuous holding leads to greater congestion - Continuous path leads to better performance for voice and video - Individual packets sent separately only use the path when there is something to send - Typically pay for amount of data sent - Bursty occupation leads to better sharing of capacity in peak times - Always connected operation leads to fast data transfer Business Development Strategy Mobitex Mobitex: specialised Packet Radio system for data – Mature system(in operation for 10 years) – Good coverage in England Rural Wales/Scotland/Northern Ireland not so good – Data rate 2.5 kb/s – Already installed in some ambulances – Packet system with little high-volume use gives little contention ETL/Y/G-001:011 /5 R1 Business Development Strategy GSM Good coverage - some rural gaps In-built security encoding High availability and good resilience – some tendency to local flooding when major movements of people Data Rate – GSM Circuit Switched Data High Speed Circuit Switched Data (HSCSD) 9.6 Kb/s 19.2-28.8 Kb/s Widespread roaming ETL/Y/G-001:011 /6 R1 Business Development Strategy Data connection in car for Ericsson R320 External vehicle antenna Car kit control box ETL/Y/G-001:011 /7 R1 D ata Cable HCD -10 The R320 sits in the car kit. The HCD -10 data cable plugs into car kit control box. The phone system connector at the other end of the cable can then be connected to the DRS -10 (RS232 cable) which then is plugged directly into the laptop. The in built modem supports data transmission RS232 Cable DRS -10 Business Development Strategy What is GPRS? General Packet Radio Service bringing higher bit speeds GPRS is a GSM service for end-to-end packet switching Reuse of existing infrastructure Interworks with existing circuit-switched services Based on standardised open interfaces ETL/Y/G-001:011 /8 R1 Business Development Strategy Radio Network Characteristics • On demand or dedicated GPRS channels ETL/Y/G-001:011 /9 R1 Business Development Strategy GPRS Packet Based system using the same radio bearer as GSM In-built security Good coverage - works across whole GSM network with no adaptation of radio and relatively small additions to central network Availability - more resilient due to channel sharing characteristics of packet Data rate up to 50Kb/s in practice (Headline rate 115Kb/s) System just coming on-stream this year Specification includes simultaneous voice and data but most terminals will only do one at a time(Class B terminal) ETL/Y/G-001:011 /10 R1 Business Development Strategy 3rd Generation Network Capabilities High bit-rate services – – 384 kbps in the wide area up to 2Mbps in indoor environments Optimized for packet data transfer Multimedia support Simultaneous sessions Dynamic user bandwidth IP connectivity from end to end Data and voice Seamless roaming ETL/Y/G-001:011 /11 R1 Business Development Strategy 3G - What Does it Mean for the End User ? Access to the “Mobile Internet” • A wealth of information, always available New ways to communicate and be entertained • Image-based communication • Advanced messaging • High-quality audio and video Personalisation • My own set of differentiated services Service convergence • Across networks, usage and countries ETL/Y/G-001:011 /12 R1 Business Development Strategy The Corporate 3G User Real Mobile Data applications …. “Always connected, always online” High-speed intranet extension Remote LAN access Advanced messaging New types of communication still image and video Workforce management Seamless user experience fixed and mobile ETL/Y/G-001:011 /13 R1 Business Development Strategy 3G(UMTS) System designed for Mobile Multi-Media (“Mobile Internet”) New spectrum round 2GHz Simultaneous voice and data Data : both Circuit switched and Packet switched Data rates: – Circuit: – Packet: up to 386 Kb/s up to 386 Kb/s Systems will come on-stream in 2002 Early terminals will be dual-standard UMTS/GPRS/GSM so there will be coverage to GSM limits but with enhanced data rate and coverage in populated areas. Increased capacity and data rates will lead to higher availability ETL/Y/G-001:011 /14 R1 Business Development Strategy TETRA Phase1: Coverage Dolphin 90% PSRCS ? Voice Data - up to 28 Kb/s (interface spec not currently available) Priority and security systems Phase 2: ETL/Y/G-001:011 /15 R1 “3G compatible” Higher data rates Commonality of SIM with UMTS Tends to become 3G access type Date not known Business Development Strategy Satellite Systems Type Equipment Per min Subscription Inmarsat 2.4Kb/s £2000 £1.3 £10 per month Inmarsat 64Kb/s £6000 £4.5 £10 Iridium 2.4Kb/s £670 £0.97 £10 £750 £0.9 £10 Globalstar 9.6Kb/s Thurya 9.6Kb/s note Thurya has dual GSM /satellite mode Aerials Inmarsat 10cm globe others similar to GSM car kit ETL/Y/G-001:011 /16 R1 Business Development Strategy Joint Systems Scenario with a parallel low-speed and high-speed data channel eg Mobitex + UMTS Tetra + UMTS ETL/Y/G-001:011 /17 R1 Business Development Strategy Data transfer at hospital The wide area transmission techniques may not give sufficient bandwidth for rapid in hospital data transfer. Systems designed for wide area use have relatively high output power and should not be used near medical equipment. Use of Wireless LAN or Bluetooth systems would solve this. System choice should be on the basis of wider in hospital requirements. Either would provide adequate transfer rates. Wireless LAN is widely available now and would be the system for current installation. Bluetooth will be widely fitted as standard to data systems in one to 2 years and could meet the need at that point. Wireless LAN has higher data rates and longer reach. ETL/Y/G-001:011 /18 R1 Business Development Strategy Sussex Situation Using MRL PIC Currently has Fax port Initial trials with Fax using GSM look promising as a short term measure Data port being developed for MRL PIC. Mobitex has been adopted with Terrafix for maps etc. Data solution based on Mobitex looks the best way forward. Use of data system will allow separate applications to share the same transmission mechanism. ETL/Y/G-001:011 /19 R1 Business Development Strategy Afterthoughts I did not mention SMS over GSM as a technique.This has the advantages of security and resiliencev as SMS messages are guarunteed to travel across the network.large data file can be sentb as a series of linked SMS messages. Another technique fir increasing availability in a GSM solution is to use a Guernsey subscription which gives accessto all of the UK GSM networks and thus gives best possible coverage and availability. For any further questions please contact me.MartinHills email [email protected] Tel 01444 234 800 Mob 07831 146 064 ETL/Y/G-001:011 /20 R1 Business Development Strategy Conclusions Data system should be preferred to Fax Procurement of data hub in ambulance should be priority. Ambulance service will use a variety of the systems described due to differences in current equipment and specific geography High speed packet based transmission systems will be available this year giving the basis for extensive data oriented systems ETL/Y/G-001:011 /21 R1 Business Development Strategy