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AML – Advanced Mobile Location
The story behind caller location in Norway
Sven Bruun - Senior advisor
Department of Emergency Medical Services and Preparedness
Norwegian Directorate of Health
Advanced Mobile Location in Norway
• The story behind AML in Norway
• The deployment
• Challenges we met
• How AML is working in Norway
• How does it affect the emergency services today
• Recommendations for other authorities deploying AML
• Success stories
2
Emergency services in Norway
• Three emergency numbers
– 112 (Police), 110 (Fire and Rescue) and 113 (Ambulance)
• Emergency medical services
– 16 Emergency medical communication centers in Norway (113)
– The call takers are usually nurses. The dispatchers are usually EMTs
• Community emergency medical communication centers (116117)
• Police and fire to be co-located all over Norway
• In Bodø all three are co-located
3
The story behind caller location in Norway
• Used by Emergency Services since 1995
• Central hub from 2007 (NRDB)
– Number portability, caller information (name, address) and caller location
– Based on base station information from the mobile networks (Cell ID).
– Available for call takers on
every emergency call
with no delay
– Owned and financed by
the mobile network
operators.
– Regulated by the
Norwegian Communications
Authority
4
Telephone number
Architecture until 2018
Phone
Hub (NRDB)
Ambulance
Mobile operator
Base station-
positioning
Subscriber
information
Base Station-
Positioning
Map
system
CallcenterPhone call →
Police
Map
system
Callcenter
Telephone number
Fire
Map
system
Callcenter
Telephone number
Mobile network
API
Subscriber
information
C&C
C&C
C&C
Why did we decide to deploy AML?
• Having an accurate position of the caller is important.
• Not all citizens will download an app, and not all will use the one they downloaded
• Reduce the time spent to pinpoint the exact street address or position
6
«Placemark time»
Finding the exact
location/address
Understand exactly
where the incident is
Drive the last 100 meters
and find the patient
Event
occurs
Calling Call
answered
ERC alerts
the unit
Unit
start driving
On scene
Call answer
time
ERC reaction time Unit reaction time Travel time to patient
Prehospital response timeBystander time
Time
Deployment
• Existing central HUB.
– XML-based API already in place, with field for GNSS-position
• We had support by national authorities
• Technical discussions
– With Google and Apple
– How to receive the AML-information
– From mobile to hub (data SMS), and from hub to control room (XML)
8
Telephone number
AML-status Norway
Android
Integrated
Hub
Ambulance
Mobile operator
Base
station-
positioning
Subscriber
information
User submitted
position
SMS HTTPS
Statistics
Map
system
Callcenter
Phone call →
Police
Map
system
Callcenter
Telephone number
Fire
Map
system
Callcenter
Telephone number
Apple
App
GNSS-position→
Mobile network
Integrated
API
C&C
C&C
C&C
 New stuff
Deployment
• Dialog with the mobile network operators
• Legal challenges
– Google, Apple, mobile network operators
– The Norwegian Data Protection Authority
• Make changes in the telecom regulations related to emergency calls
• Implement necessary basic support in the GIS systems for a pilot project
• Enhancements in GIS systems, show base station and GNSS-position
10
Deployment
11
• Current configuration for Google Android
GIS implementation
12
• Always display AML-position
together with the base station
area (cell ID)
• To verify that the AML-
position is correct
• Inside positioning can be
difficult, especially if the
mobile user is inside a building
with no GNSS-coverage or on
a moving object with WIFI, for
instance a train or a boat.
Challenges
• End to end responsibility and support for the AML solution
• Mobile network operators believed current legislation prevented them
from passing on such accurate positions.
• Legislation and regulations had to be changed by the government
• Implementation in all the map systems in use
• Support for all three emergency numbers in Norway
– 112 (Police), 110 (Fire/Rescue) and 113 (Ambulance)
– Google supported all
– Apple none during rollout, but testing in progress
for emergency number 112.
– We hope they will implement support for all three numbers
13
Challenges
• Some AML-positions shown are
several hundred meters off
– Currently the map shows only first
position received from the phone
• There was a low number of
emergency calls with AML, only
20%. We expected around 40%
• Suddenly rose to 40% a week ago.
To be investigated.
• AML for emergency SMS is
activated, but currently not
supported by the receiving system
14
0
5
10
15
20
25
30
35
40
05.11.2018 05.12.2018 05.01.2019 05.02.2019 05.03.2019 05.04.2019
Percentage of 112 calls with AML
When received When answered
Recommendations for other authorities deploying AML
• Small project group
– With representatives from emergency services, IT and authorities.
– We had representatives with IT and operational knowledge from the
directorates together with technical and legal resources from the Norwegian
Communications Authority and the hub (National reference database).
• Use or create a shared hub for handling caller location for all the
emergency control rooms
• Look at the regulations, change them if needed
• Cooperate with the mobile network operators and map vendors
– Tuning of the map user interface for the call takers
– Show AML-position together with base station for verification
15
Telephone number
Current setup
Phone
Hub
Call center
User submitted position 1
Map
system
Callcenter
GNSS-position→
C&C
User submitted position 2
Success stories
17
• Accident in the mountains with
tourist
• AML position immediately
available with 10 meters
accuracy
• Call taker could focus on life
saving first aid and not the
location
• Other stories with cars, people in
their cabin, with no address
• Callers in distress, can’t
remember even the color on
their house
Questions?
sven.bruun@helsedir.no
11.04.2019 19

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EENA2019: Track2 session6 AML in Norway_Sven Bruun

  • 1. AML – Advanced Mobile Location The story behind caller location in Norway Sven Bruun - Senior advisor Department of Emergency Medical Services and Preparedness Norwegian Directorate of Health
  • 2. Advanced Mobile Location in Norway • The story behind AML in Norway • The deployment • Challenges we met • How AML is working in Norway • How does it affect the emergency services today • Recommendations for other authorities deploying AML • Success stories 2
  • 3. Emergency services in Norway • Three emergency numbers – 112 (Police), 110 (Fire and Rescue) and 113 (Ambulance) • Emergency medical services – 16 Emergency medical communication centers in Norway (113) – The call takers are usually nurses. The dispatchers are usually EMTs • Community emergency medical communication centers (116117) • Police and fire to be co-located all over Norway • In Bodø all three are co-located 3
  • 4. The story behind caller location in Norway • Used by Emergency Services since 1995 • Central hub from 2007 (NRDB) – Number portability, caller information (name, address) and caller location – Based on base station information from the mobile networks (Cell ID). – Available for call takers on every emergency call with no delay – Owned and financed by the mobile network operators. – Regulated by the Norwegian Communications Authority 4
  • 5. Telephone number Architecture until 2018 Phone Hub (NRDB) Ambulance Mobile operator Base station- positioning Subscriber information Base Station- Positioning Map system CallcenterPhone call → Police Map system Callcenter Telephone number Fire Map system Callcenter Telephone number Mobile network API Subscriber information C&C C&C C&C
  • 6. Why did we decide to deploy AML? • Having an accurate position of the caller is important. • Not all citizens will download an app, and not all will use the one they downloaded • Reduce the time spent to pinpoint the exact street address or position 6 «Placemark time» Finding the exact location/address Understand exactly where the incident is Drive the last 100 meters and find the patient Event occurs Calling Call answered ERC alerts the unit Unit start driving On scene Call answer time ERC reaction time Unit reaction time Travel time to patient Prehospital response timeBystander time Time
  • 7. Deployment • Existing central HUB. – XML-based API already in place, with field for GNSS-position • We had support by national authorities • Technical discussions – With Google and Apple – How to receive the AML-information – From mobile to hub (data SMS), and from hub to control room (XML) 8
  • 8. Telephone number AML-status Norway Android Integrated Hub Ambulance Mobile operator Base station- positioning Subscriber information User submitted position SMS HTTPS Statistics Map system Callcenter Phone call → Police Map system Callcenter Telephone number Fire Map system Callcenter Telephone number Apple App GNSS-position→ Mobile network Integrated API C&C C&C C&C  New stuff
  • 9. Deployment • Dialog with the mobile network operators • Legal challenges – Google, Apple, mobile network operators – The Norwegian Data Protection Authority • Make changes in the telecom regulations related to emergency calls • Implement necessary basic support in the GIS systems for a pilot project • Enhancements in GIS systems, show base station and GNSS-position 10
  • 11. GIS implementation 12 • Always display AML-position together with the base station area (cell ID) • To verify that the AML- position is correct • Inside positioning can be difficult, especially if the mobile user is inside a building with no GNSS-coverage or on a moving object with WIFI, for instance a train or a boat.
  • 12. Challenges • End to end responsibility and support for the AML solution • Mobile network operators believed current legislation prevented them from passing on such accurate positions. • Legislation and regulations had to be changed by the government • Implementation in all the map systems in use • Support for all three emergency numbers in Norway – 112 (Police), 110 (Fire/Rescue) and 113 (Ambulance) – Google supported all – Apple none during rollout, but testing in progress for emergency number 112. – We hope they will implement support for all three numbers 13
  • 13. Challenges • Some AML-positions shown are several hundred meters off – Currently the map shows only first position received from the phone • There was a low number of emergency calls with AML, only 20%. We expected around 40% • Suddenly rose to 40% a week ago. To be investigated. • AML for emergency SMS is activated, but currently not supported by the receiving system 14 0 5 10 15 20 25 30 35 40 05.11.2018 05.12.2018 05.01.2019 05.02.2019 05.03.2019 05.04.2019 Percentage of 112 calls with AML When received When answered
  • 14. Recommendations for other authorities deploying AML • Small project group – With representatives from emergency services, IT and authorities. – We had representatives with IT and operational knowledge from the directorates together with technical and legal resources from the Norwegian Communications Authority and the hub (National reference database). • Use or create a shared hub for handling caller location for all the emergency control rooms • Look at the regulations, change them if needed • Cooperate with the mobile network operators and map vendors – Tuning of the map user interface for the call takers – Show AML-position together with base station for verification 15
  • 15. Telephone number Current setup Phone Hub Call center User submitted position 1 Map system Callcenter GNSS-position→ C&C User submitted position 2
  • 16. Success stories 17 • Accident in the mountains with tourist • AML position immediately available with 10 meters accuracy • Call taker could focus on life saving first aid and not the location • Other stories with cars, people in their cabin, with no address • Callers in distress, can’t remember even the color on their house