The contribution of the thesis is at two levels: the design of health

technology and individual explorations.

Exploration A

I developed a 3-lead wireless ECG sensor that can serve as a

building block for creating a distributed sensor network of wireless
bandage-sized sensors. The sensor used 2.4GHz communication
frequency. It supported bi-directional communication and could connect
with 125 other sensors at the same time. The system was built with
economies of scale and the prototype cost of the sensor was only $48.

Exploration B

I developed a new computer-based ambient blood glucose level

visualization and feedback device and evaluated its effect on diabetes self-
care. Here feedback relates to the communication of the blood glucose
level to a friend or family member. The device was first of its kind to
display blood glucose level of an individual as a color and to be able to
automatically provide the same color value to a friend or family member
of the person with diabetes. It could wirelessly connect to a glucose meter
using bluetooth and upload the latest readings.

The evaluation of the system demonstrated the value of having better

mechanisms for visualization and communication of the blood glucose
levels of diabetes and the strong affective nature of blood glucose levels. It
demonstrated that designing better blood glucose level visualization
systems can help people better manage their diabetes and can act as
useful reminder of the blood glucose levels. It can also help friends and
family members of the person with diabetes to better understand the
blood glucose levels of the person with diabetes. The study also
demonstrated that such a system could potentially be useful in increasing
diabetes self-care of the person with diabetes and social support provided
by his social network in helping him manage his diabetes. It also
highlighted the strong psychological component of self-care in diabetes
that needs to be considered while designing devices for the visualization
of blood glucose levels.

The study was conducted with eight participants who were provided with
a Health-Zero orb that could display their blood glucose levels as a color.
Three of the eight participants gave a second Health-Zero orb to a friend
or family member. The participants were measured for their self-care
behavior at baseline and at follow up (end of 15 days of use of the Health-
Zero orb) using the self-care inventory. They were asked to evaluate their
use of the Health-Zero orb. There was a marginal increase in the self-care
behavior of six of the eight participants. The participants also related
individual experiences of the usefulness of the Health-Zero orb in
reminding them of their blood glucose levels and in helping their friends
and family members to understand their blood glucose levels. The
visualization of blood glucose levels as a color was reported as less
stressful than using a number for the representation of the blood glucose
level. As a strong behavior measure for the evaluation of the system, all
the participants liked using the Health-Zero orb and felt it was fun to use.
They also wanted to use the system again provided the portability of the
system was improved. This study has shown that effective use of
technology to design devices for diabetes can have an impact on the self-
care behavior of people with diabetes and potentially increase the support
provided by their friend or family members in helping them manage their
diabetes. Another contribution was that it brought a feeling of fun in
observing the blood glucose levels, not just for the participants but also
their friends or family members.

Chapter 6 describes the overall contributions of the thesis: both at the level
of design of health technology and the innovation specific to the two
explorations. It provides a list of core qualities that are essential to the
Health-Zero approach. Finally, Chapter 7 discusses the future applications
in the discipline of Health-Zero and some snippets from the current state
of health technology in the field.

Design that focus on interaction with an individual as a whole to promote

well-being. Insights into the use of technology to enable an indiivudual to
use his environment and inter-personal relationships for self-care and
prevention.

Discipline of design of health technology that focus on interaction with an

individual as a whole to promote well-being.

Amidst this research, I propose a vision of Health-Zero: health technology

design that focus on interaction with an individual as a whole to promote
well-being. I focus on a framework for health technology design and
evaluation that can use the existing transformations in technology and
business to promote the well-being of an individual. The technological
complexity can be redirected towards creation of individual-centric
healthcare systems that provide an experience to an individual and not just
serve a function. Here I use “experience” broadly to refer to the collective
interaction of the individual along the different domains of interaction:
affective, cognitive, interpersonal, moral and spiritual.

During the course of my explorations

These are qualities which are essential and have been reiterared by
designers and
The explorations themselves were not always a successful. The axes and
the experience differed from fun to furstation. But it was this interplay of
the successes and failures that helped me understand the fundamentals
that are essential.

During the process of the two xplorationns, it became clear how the
transformations themsevels can be used to provide an experience. A Few
of the key themes emerged. These are presented below briefly. There
probsablu lso form the core of every design book, But

I started with a vision of Health-Zero: a possible design methodology for

using existing transformations in technology to improve the interaction of
an individual along the different domains of observation. Towards the
goal, I developed a possible model to understand the influence of
technology on individual healthcare. The model was used to design and
evaluate my two explorations in the area of integrated health technology.
In the course of the explorations, certain properties emerged which are
essential to Health-Zero. There properties may also be found in design
resources. But it is important to reiterate them as they formed an integral
part of the learning process.

three core qualities became apparent for a system designed as an

integrated health technology: awareness, autonomy and interaction. I
present them briefly followed by a revisit to the scenes in the life of Mr.
Adams to see possible ways by which I can create value for him:
technologically, economically and socially.

During the two explorations, few fundamental properties emerged of

Health-Zero. At times, a property itself was the guiding force in the
exploration and created the experience for an individual. At other times,
the absence completely changed the interaction and highlighted their
importance. The properties themselves have been stated at times in
design books but it is important they also form an integral part of Health-
Zero. They do not form a comprehensive theory for Health-Zero but mark
a beginning. I present them briefly here in the context of the thesis. The
reader is encouraged to back to the individual explorations for details.

The properties themselves

I present them here briefly.

 The two explorations themselves were not completely successful in all the
properties listed. The experience differed from fun to frustration. It was
this interplay of the interaction along different domains that helped me
understand the fundamentals of Health-Zero.

At times, the properties themselves were the guiding force for the
exploration. At other times, it was their marked absence that highlighted
their importance.

it was the presence of those properties that guided the exploration.

They do not form a comprehensive design framework but are some of the
basic principles that are important in the design of products that promote
well-being.

that can help understand this process of health technology design. These
are presently briefly:

The two explorations themselves were just the tip of the iceberg. Each of
them in its own way can be expanded to create complete applications that
can aim to have an engaging interaction with the individual.

Exploration B could be

\
There is still a significant amount of work to be done and data to be gathered before truly
understanding more about stress, the physiological signals involved in its expression, and how
our emotions might impact our heart health. The database should be analyzed in greater detail
to probe and remove any potential biases because of the probabilistic dependencies between good
interruption times and user stress states. One potential way of dealing with potential biases would
be to compare a user’s answers when prompted at predicted good or bad times with a user’s stress
answers from random sampling.
Clustering of heart information with stress and activity labels should be used to study the
patterns and correlations between our activities, stress, and interruptibility in order to build more
reliable models for timing and availability. Additional features, such as calendar information,
time of day, and accelerometer data, could be used. In addition, there is more work to be done in
developing better, more reliable models of stress. Using combined heart and accelerometer
information can separate physical exertion from cognitive stress. In addition, machine learning
techniques, in tandem with user feedback, should be developed to allow online learning of
activity labels and predictions of stress labels to facilitate the data annotation process.
This thesis has shown promising results for affect and interruption-sensitive devices, however,
these results were on a small set of people and used only 90% confidence intervals for
significance. The Stress Awareness Study should be repeated with a larger sample size and over
a longer period of time. Another important area of future work includes separating out the
social51
emotional relational response versus the timing of the interruptions in order to understand the
influence of each factor separately, as well as together.
Finally, these strategies could be particularly powerful with relational agents that motivate
behavior change (i.e. at-the-moment interventions, tips from a mobile exercise trainer,
notifications to take medicine) where the information that the device is interrupting the user to
deliver is of greater importance.

Health Technology Design

I focused on a vision of health technology for integrated healthcare. The

future of health technology lies in its ability to provide an experience to an
individual: the individual for whom it was designed. Health technology
design is the process of the efficient and effective use of the existing
technological components to create the experience: individualistic and
economic.

Towards the goal, I developed a possible model to understand the

influence of technology on individual healthcare. The model was used to
design and evaluate my two explorations in the area of integrated health
technology. In the course of the explorations, three core qualities became
apparent for a system designed as an integrated health technology:
awareness, autonomy and interaction. I present them briefly followed by a
revisit to the scenes in the life of Mr. Adams to see possible ways by which
I can create value for him: technologically, economically and socially.

Awareness: A system needs to be aware of its own state, the state of its
environment and the desirability of these states. The awareness of its state
gives it ability to know its capabilities and to monitor itself. The Health-
Zero system did not know if it was operational. If it was, it could have
taken corrective measures.

Interaction: The system needs to interact with the individual and his
environment to provide him a personalized experience. The system needs
to be part of a network of healthcare devices that can integrate and
distribute health information of the individual, spatially and temporally to
ensure his well-being.

In my first exploration, the bandage-sized sensor was able to connect to

the different networks

Experience vs Utility
Experience is about interaction with the individual as a whole.

Personalization vs Uniformity
Connectedness vs Isolation (with other devices)
Continuity vs Intermittency
Instant vs Delayed
Integration vs Disjoint

This interaction is continous and instantaneous, providing him with

 that is unique to him.

an interaction Its ability to connec Here the experience with the

individual becomes important
its environment. In our case the important entity in the environment is
the individual.l

transparency vs opaqueness

Experience vs Utility
Personalization vs Uniformity
Connectedness vs Isolation (with other devices)
Continuity vs Intermittency
Instant vs Delayed
Integration vs Disjoint

would have

The Health-Zero orb where it was not aware if it was operational. It did
not have the ability to know if it was operational. If the system design
would have created

The state of its environment provides with the in important for it to

connect to the environment and be able

while the state of its

Control vs Passiveness <cannot change others> (able to act to change

itself and ability to change others)

Interaction with the System:

Symmetry vs Asymmetry
Simplicity vs Complexity

Interfaces need to be simple and the complexity of the system

needs to be embedded within the system. Technology is used to create
complexity for

invisible use of technology should be embedding the complexity in the

system, invisible to the user.

Transparency vs Opaqueness
Autonomy vs Dependence

Adaptiveness vs Stability
Experience vs Utility
Personalization vs Uniformity
Connectedness vs Isolation (with other devices)
Continuity vs Intermittency
Instant vs Delayed

Awareness
Autonomy
Interaction

Each of the above qualities when analyzed in the different domains of

observation can provide guidelines

An integrated health technology

Revisit the scenes described in the first triology and try to see how the value creation
might happen.

Economic value creation

Sociological value creation

Technological value creation

The design principles are presented briefly.

14.1 Editing 102

14.1.1 Suggestion vs. realism 102
14.1.2 Literalness vs. metaphor 103
14.1.3 Design vs. engineering 104
14.2 Qualities of Interactions 104
14.2.1 Full vs. limited 105
14.2.2 Feedback vs. one-way control 105
14.2.3 Predictablity vs. inconsistency 105
14.3 Shortcuts 106
14.3.1 Relativity of perception 106
14.3.2 Opacity 107
14.4 The Future of Spatial Computing 108
14.4.1 Technologies and Reality Bytes 108
14.4.2 Applications 109

Simplicity in Complexity
=

The focus of the thesis

that
Big picture: Integrated Health Technology
Big thought: Experience To An Individual

Specific action: in the design of experiments

Specific thought: guidelines are provided
design principles

Technology needs to create

Economic value creation

Sociological value creation

Technological value creation

How can the changing trends be utilized to create intergrated technology for integrated
health. How to create such a technology. In the course of my explorations,

hi
Work being done in other areas

Visualization systems:

Current healthcare system has problems:

 Aging population
 Chronic Illnesses
 Knowledge Base of the internet and technological advancement

This requires solutions:

 Individual Centric approach to healthcare and promoting self-care
 Focus on Prevention rather than just cure
 Long Term analysis rather than just short term predictions
 Looks at the different sources of healthcare management other than
just medicinal cures likes social networks
 Thesis focuses on such a solution:
 Integrated approach to healthcare
 Development of an effective health wearable that has a flexible
hardware architecture
 Uses technology to facilitate social support and uses the
structure of the social network

We strat

Conclusions
Evaluation

Technology feeds on itself. Thus it accelerates change. The change itself is the cause of
disease as it requires the human to adapt to new surroundings. This affects wellness. But
technology also allows the system to change from its state of being unwell. By allowing it
to adapt to the adaptation and that is what is happening. When you have a symptom of
stress: a lot of times the stress is due to technology but you can employ technology to
reduce that stress? That health technology needs to take that inoto account. It itself is the
cause and the effect like any other technology.

What does it mean if an agent becomes the cause as well as the healer. It needs to be
reconiged on what sideo f the change the technology is being used for? Is it healing or is
causing a rupture?

Simplicity in Complexity
Here is the crux of the technology design: the complexity was created by the technology
nad now the design needs to focus on the simplicity. So integrated technology is headed
towards simplicity of complex systems, that are evolving and becoming more complex
and more simple

Stability in Change
Systems change so you can adapt so you don’t have to change you are stable. Its like the
neuron function

Technology Design
It
Technology Design suoitable for the three trasformation vectors. Integrated health defines
the need and the three vectors define the constraints.

Future:
Change:
Adrenalin page 336

Choice: Increasingly philosophically it is the development of the consciousness and the

individuals at a whole going to a higher dimension of self. Economically it means
consumerism ewhere the consumer has th power.

Time: The time for dissemination of information shortens.. it will continue to shorten
until it becomes seamless. The lag between the when a medica dosciery happends and
when it gets to the consumer is reducing and it wil icnresingly be up to the consumer to
make the choice and not the healthcxare delivery system. The system can no longer take
decisions for the individual: rather it can but One has to choice to override it

Case of AIDS vaccine (was it AIDS) being released for a specific subculture (I think it
was African-american) inspite of the Fda initially banning it due to deaths

Glaxoline example from Prahlad

Experiencsim: physcholozation of the technology. This again indiates movement towards

a higher dimension to the mind where intangible experiences play an important role than
the functionality: in my case inspite f the installation problems, people loved the device.
Why ???
Space:
More specific to the case study:

People are aware of their needs and they want a solution. They are also aware of the
Atechnology (??? Really)

,
Technology Design

Technology design itself can help accelerate that

change by bringing in mechanism that individuals
can and should use to reduce change

Direct change:
Stability Zones: Can technology create a sense of
permanence or is doomed for obsoletion. People
hangon to old things, can they hangon to old
technologies? IF they can, can it be used as a
mechanis, to reduce stress by changing
technology in a way that it brings silient
transition into the lives of people. One morning
you wake up an are in this ssmart homes who
knows about you, cares about you, does
everything for you. The impact might not be
completely pleasant. One needs to transtion it
where it is like a relationship so when you are
develping a sensor,

Human side effects of technology design (taming

technology) 438
Affect on the vlau system
References
Appendices
 Appendix A: Bill of Materials for ECG Sensor
 Appendix B: Circuit Diagrams
 Appendix : Study Recruitment Materials
 Appendix C: Study Consent Forms
 Appendix C: Study Questionnaires
 Appendix : Response to Questionnaires
 Appendix D: Installation Sheets
 Appendix E: Instruction Sheet for the participant and family
member
 Appendix F: Study Expenditure
 Appendix G: Follow up Study Expenditure
 Appendix E: Bibliography

end –
Work in Progress

Abstract
Thesis Readers
Acknowledgements
Table of Contents

WHAT IS THE PROLEM?

Introduction
Current healthcare system has problems:
 Aging population
 Chronic Illnesses
 Knowledge Base of the internet and technological advancement

This requires solutions:

 Individual Centric approach to healthcare and promoting self-
care
 Focus on Prevention rather than just cure
 Long Term analysis rather than just short term predictions
 Looks at the different sources of healthcare management other
than just medicinal cures likes social networks

Thesis focuses on such a solution:

 Integrated approach to healthcare
 Development of an effective health wearable that has a flexible
hardware architecture
 Uses technology to facilitate social support and uses the
structure of the social network

Introduction
Motivation:
Scene 1: Ayurveda ??
Scene 2:
Scene 3
Emerging Trends
Changing Needs
New Healthcare System
Aim of the Thesis

Background
 Sociology: Social Support
Medicine: Diabetes Management & Chronic Disease Management
Electrical Engineering: Wireless Sensing
Computer Science: Learning Systems
Machine complexity
Mind conciousness

Related Work
Commercial Healthcare Systems
Academic Healthcare Systems

Proposed Health-Zero System

System Architecture

Bandage Sensors
Analog Sensing
Communication: RF Communication (Reason for choosing RF communication)
Power Consumption
Design Advice: Failures and Successes
The Future of Bandage Sized Sensing

Conducted Experiment
System Description
Hypothesis
Experimental Method
Results
Discussion
Future Work: Follow Up Studies

Future Directions
Conclusions
References

Theoretical and Practical Implications

Sociological and Philosophical Implications
Future Directions
Conclusions
On-site Subject Experience Materials
Data Analyses and Related Documents
References
Biographical Note
Scene 1: Time: 1985 Coordinates: Planet Earth, (

Young Population
Diseases that are cured
Doctor Rules
Medical Care Cost
Number of Doctors Per Unit Population
Baby Boomers: What Happened to Healthcare for Pediatrics

Scene 2: Time: 2000 Coordinates: Planet Earth (40 – 50 years old baby boomers)

Aging Population
Rising transient diseases
Lifestyle distinct from Health
Symptom Based Approach
Medical Care Cost
Number of Docs Per Unit population
Young Population
No risk evaluation

Scene 3: time 2025 Coordinates: Planet Earth

Aged Population
Transient diseases
Prevention Based Approach
Right ‘Lifestyle’
Risk Evaluation based on lifestyle
Symptom Based Approach
Medical Care Cost
Number of Docs Per Unit population 1:1 virtual real 100: 1
Young Population

Instantaneous Information Available

Learning Systems
Personal Doctors

Get AARP involved and ask then about what they think of a possible introduction
Certain trends are clear in terms of the above scenarios that are different from the current
healthcare infrastructure. To prepare to that we need a new approach to healthcare which
will have certain distinct features namely:

Key Trends

Why those trends are valid and important?

Background Work in Healthcare and Social Support
Diabetes Self-Management
 Wireless Devices

Needs that arise from those Trends

How the current healthcare devices do not meet those key needs
What the thesis accomplishes to do:
Proposed System
Provide feasibility and proof of concepts in key areas
Establish distinctly the identified needs, key areas, proposed solution and its result

Need for a distributed sensor network of bandage-sized sensors

Need for technology to understand the social interaction
Need for effective visualization tools (information processing) (reducing
complexity of systems rather than increasing them)

Need 1: Bandage Sized Sensors

Need 2 & Need 3: Conducted Experiment

Other Needs that have been solved by others

Conclusions
References

Health Zero proposes to such an approach.

Key pieces to the puzzle approach – some I solved some have been solved by sandy

Abstract
Thesis Readers
Acknowledgements
Table of Contents

WHAT IS THE PROLEM?

Introduction
Background
Currently Health System
Problems in the current health system
Changes in the way of information processing
Related Work
Social Networks
Health

Focused Problems that I am trying to solve

- wireless sensing
 - social networks and technology
how social networks play a fundamental role in providing support for
chronic disease management and how technology can play an affective
role in strengthening the information flow in a social network
The social network can also be altered by the mediation of technology

The Solution
Proposed Architecture
Hardware Architecture
Software Architecture

Social Support and Diabetes

References

Biographical Note

WHY IS THE PROBLEM IMPORTANT?

Intensity of the Problem

TO WHOM IS IT IMPORTANT?

HOW AM I GONNA SOLVE IT

Personalized Health Care Systems

WHAT IS UNIQUE ABOUT THE SOLUTION

ACTUAL IMPLEMENTED SOLUTION

IS IT EXTENSIBLE

BIBLIOGRAPHY

BACKGROUND TO THE PROBLEM

-

Social Networks & Health

Social Networks and Diabetes
Diabetes Care and Self-Management

Sensing
Visualization Tools
Measures

Demographic Data Recording Form

Social Support Form
Self Care Inventory
Device Usage Form – Personal
Device Usage Form – Family

Chapter
Economic Theory:
Thus developing a system would involve clearly defining the state od
Chapter Case Study B:

DELETED STUFF

From influence of technology:

A computer is a new system created using technology while internet
changes the interaction between existing systems (computers). It <can be
considered> is capable of interacting with an individual in the different
domains based on the software it is using. The moment we say that a
computer is a system, it then raises questions of the internal state of the
system. It is not possible to delve deeper into the question but one can
consider that the computer is of a level of complexity where the observed
behavior itself is predictable and deterministic and the interaction can be
based on that deterministic behavior. Every internal state has been mapped
to its corresponding external state.

In the future, one will reach a point where technology can be used to create systems of
complexity that surpasses an individual. This will create an entire new structure of
conscious machines coexisting with individuals []. Though beyond the scope of this
thesis, it has its implications where one can imagine an environment of individuals and
machines, each having its own value system, culture and emotions.

In the next two subsections, I explore two particular cases: old age and diabetes. We
examine the state transformations that occur due to old age and diabetes.

In the next two subsections, I explore two particular cases: old age and diabetes. We
examine the state transformations that occur due to old age and diabetes.

Traditional Present healthcare Future Healthcare

Healthcare Delivery Delivery Model Delivery Model
Model
Goal of Interaction Disease Cure Disease Wellness
Management
Locus of Interaction Once when
symptoms
developed for the
diease
Pattern of Passive,
Interaction
Curing diseases is the basis
for the maintenance of an
individual’s health
Technology is needed to
diagnose and cure the
disease
Focus on health technology
for diagnosis of disease
through physiological
measurements
Periodic Constinous
Active
Healthcare providers are An individual needs a
responsible for
maintenance of
healthcare provider to cure
individual’s health’s her disease
Healthcare providers use
Healthcare providers get
technology to help
the information to diagnose
maintain an individual’s
and cure the disease
health
Focus on healthcare
Focus on technology for
providers using the health
healthcare providers
technology
 Healthcare providers are Healthcare providers get
responsible for the information for the
maintenance of individual to maintain her
individual’s health’s health

Healthcare providers needs

Technology needed to get
technology to help
information to the
maintain an individual’s
healthcare providers
health

Focus on technology for

Focus on technology for information to be
healthcare providers interpreted by the
healthcare providers

Healthcare providers get

Healthcare providers
are responsible for
Premise
maintenance of
individual’s health
Diagnose and cure of a
the information for the
disease is the basis for
individual to help the
the maintenance of an
individual maintain her
individual’s health
health
 Technology needed by
Technology needed to Technology needed to
the healthcare
Implication diagnose and cure a get the information for
providers to maintain
disease the healthcare providers
an individual’s health

Focus on technology for

Focus on technology for
Focus on technology diagnosis and cure of
information to be
Manifestation for healthcare disease through
interpreted by the
providers physiological
healthcare providers
measurements

Triology Part I

o Introduction

§ Hype Cycle

(Just describe the scene don’t analyze here, do the analysis in the last part)

§ Scene 0: 1980s

§ Scene 1: 1998

§ Scene 2: 2004

§ Scene 3: 2008

§ Scene 4: 2010 ?
o Trends Observed based on the above hype cycle (not sure which order they be
presented in)

Business vectors (Globalization etc)

Sociological vectors (Nuclear families, Work home infusion, global

families)

Technological vectors (rapid convergence, access, profusion of intelligent

mobile devices etc)

Transformatios show them ona graph: increasing complexity of technology, distribution,

personalization.: they have to handle complexity themselves and change.

They have to adapt to changing complexity !!! there lies the problem

Toffler talks about it.

Complexity to adapt to change is what should be the aim.

increasing diversfication and increasing

and that is what we will be doing here

o Trends driving towards a major change. I analyse this change in the domain of
healthcare

 Motivation

 Motivatio

o Reason for me writing this thesis

o Methodology:

o To be written based on One must still have chaos in oneself to be able to give
birth to a dancing star !!!

o Health Zero

Health Zero is about a vision of …. One paragraph stuff

  But first we need a framework for analysis – a few defitions that provide
meaning to the exploration. This not to say it was guided by them fo rthey
developed in parallel and both are evolving like technology


 Theoretical Framework for Analysis

o Roadmap of Experiments

o Perspective(how the experiments fit and what parts they are trying to validate of
the Health zero)

the epxlrations are the way to explore the process of design of integrated tehnology: what
does it mean for a technology to be desgined for experience: what are the possible
business transformations.

The need of healthcare (integrated healkthcare) -> integrated technology & integrated
business. & integrated society.

Triology Part II:

Here I am unclear of how to present the case in a way that it connects to the things in the
introduction. I do analyse it according to the framework.

A: exploaing experience in the cognitive and intepresonal domains.

Exploration A

Description

Small Analysis and Critique

Conlclusion(in terms of what you set out to do in health zero framework)

How the experiment showed changes in the economic, social and technology vectors

Due to the device,,,

Exploration B

Description

Small Analysis and Critique

Conclusion(in terms of what you set out to do in health zero framework)

How the experiment showed changes in the economic, social and technology vectors:
How the experimented validated the changes and how the technology design based on
that

Due to the device,,,

Triology Part III:

Evaluation and Critique: Broad Implications of the healthcare system of future

How it would entail,

Revisit the scenes described in the first triology and try to see how the value creation
might happen.

Economic value creation

Sociological value creation

Technological value creation

Reality Bytes from things which suggest this will happen

also...it would be nice to give a detailed profile of the test group..

umakant_soni (2:30:00 AM): like their age, behaviour pattern and what they liked...how
they used technology...and sum it up in table format..

A possible approach to the design of technology can be as follows:

based on Prahalad’s Future of the Competition []:

Dialogue:
Assessment
Risk Assessment
Transparency

Thus the process of design of such a technology design would mean

converge of the individual with the people associated with the technology
to have an interaction that leaves both the individual and the company in a
state that is perceived better by both of them as being better than their
earlier state. The process would involve:

 Understand/Interact/identify/dialogue/engagement/recognize a need

- One needs to identify the state of the individual and determine the
associated transformation required. Well being for an individual is a
personal definition and it could be associated with a completely
different state as compared to another individual and also a
completely different state if the individual is at a different time period
and location. Similar if there is a state of disease its completely
diffenre tfor different people.
- Identify the limits of the technology. I would like to always happy
without any repurcisions but its difficult for technology to create such
a need
- Create a dialogue between the individual and the healthcare provider
about a problem that would interested both the individual and the
healthcare rpovider and can be addressed by the healhtcar provider
- For the individual to ineract with the healthcare provider, himself
requires the ineraction to be at different levels with a basoc
understanding of the idividual

 Experience the need

- the need has a strong component of subjective understating that can
only be provided either by the individual or by the experience itself.

 Specify
- the blueprint of the possible solution. For a technological solutiuon it
would be its system specifications, its functional specifications.
- This specifcation itself is important and acts in an interative process
- Based on the specifications, ineractiw the individual about the
possible solutution.

 Expect
 - Make the individual a participant in the production process itself as a
person to whom things are visible as much as possible. He needs to
understand the limitations of technology. For example: people
sometimes use technology and expect it to do something but many
times it is not possible., it is important from the start to have the
expectations right. Creating a sense of ownership improves the
chances of the acceptability of the solution and also responsibility it
things go wrong.

 Inform
Inform the individual of the possible outcomes of the technology to
the extent possible. It is important in healthcare for people to understand
the outcome of a decision.

 Evaluate the technology to see if meets the requirements

 Adapt. Allow the crtierias to change as the system evolves.

Focus on your state of technology and analyze it.

Assess the state of the individual. Identify the factor that are important in
the determinant of the individual’s health.

Another possible process sequence:

Understand the individual

Understand the technology
Experience the need
Experience the solution
Understand the individual
Evolve the Solution

We strated with a few questions abou how do you create technology what you have in
mind?

Conclusion:

Creation of thematic communities based on experiences (differentiation is based on

experience):
people with diabetes
young people with diabetes
young people with type 1 diabetes
there is a process of learning, experimentation, collaboratrion and competition that is
happening and the experiences are based on those.

Competition between the wife and husband

Peridodic table of health? What does it mean
It means each column represents a technology: and its different avatars
Each row represents and symbolizes level of sophistication of knowledge or system
hierarhcy

Economic Medicines and Ineraction with Experience of

Value Physician visits physician in the individual
long term?
Collection of Measurement Measurement Measurement
Information at an instant of at discrete temporally and
time at a periods of time spatially
specific at a specific distributed
geographic geographic
location location
Value of
Information
Mode of Individual
Observation Objective
Level of Body
Observation
Domain of Cognitive
OBservation
You did not You had but You had one
have one ! required a without a
technical manual
manual

Molecules Sf1, Sf2, SF3 Brain Individual Family

Hospital ECG
monitors

Technology Vs System Hierarchy

 Affective Cognitive Interpersonal Moral Spiritual
Atoms
Molecule
Protein Genomics
Structure

SF1, Sf2,
SF3
Brain
Individual Psychology
Family Sociology
Community Anthropology
, Political
Science

Implcaitions for insurance? What doy ou count as healthcare: a cream? An who is

responsible if you do not use it properly? If a medicine genetically modified for someone
else is used by you to create a mutant

Who is responsible?
What is wellness: what all fields?
Experience? How to individualize?

Who is the customer and value creator?

Four implication sections: one sentence each and expdance
Economic
Engineering
Philosophical
Medicinal

A drug approved for use for one particular ehhnicity? Personal

Health Divide: individal and physician

Individual and care giver
Individual and friend or family member

Moral?

102 Summary Conclusions

In the course of building and analyzing six
separate experiments in spatial computing, a
few fundamental design principles have become
apparent. These are not highly theoretical or
comprehensive but do offer a set of guidelines for
implementations of computational systems that
engage real space. I have not done enough to put
forward a comprehensive theory. My hope is that
that will never be possible, allowing me to work
productively toward it for the rest of my career. The
variousness of the experiments has been essential
to the inductive process. The qualities evident
from experiments so widely disparate in scale and
approach are likely to retain some validity over the
entire field.
Rather than restate everything from the analyses of
the individual experiments, here I will organize the
results briefly by theme and then propose a vision
of a future application for the field.

Abstract
Spatial computing is human interaction with
a machine in which the machine retains and
manipulates referents to real objects and spaces. It
is an essential component for making our machines
fuller partners in our work and play. This thesis
presents a series of experiments in the discipline
and analysis of its fundamental properties.
Big picture
Big thought

Specific action
Specific thought