Continua Health Alliance for HL7 SDTC

Continua Health Alliance for HL7 SDTC

June 14, 2007

Rick Cnossen (Intel, Chair TWG)
Jeffrey Brown (Partners, Chair xHR TWG)
Nandu Kushalnagar (Intel, Vice Chair xHR TWG)

Agenda

• Continua Overview
• xHR Overview
• Integration & Next Steps

Agenda

• Continua Overview
• xHR Overview
• Integration & Next Steps

The Continua Health Alliance Mission

“Our Mission is to establish an eco-system of
interoperable personal health systems that
empower people & organizations to better
manage their health and wellness”

Promoters (49)

Contributors (67)

ADT Well Health Healthsense ResMed
Agilent Technologies Home Diagnostics Inc. SHL Telemedicine
Altera Corporation Honeywell HomMed LLC Silicon and Software Systems
AMC Health Hospital Clinic Stichting IMEC - Nederland
Analog Devices Institute of Biomedical STMicroelectronics
BDNA Corporation Interactive Medical Suunto
BiancaMed Tactex Controls, Inc.
BL Healthcare, Inc. Developments Telbios, SpA
Bridge Technology Holdings IntercomponentWare, Inc. Terumo Corporation
British Telecommunications Jennic Ltd. Textronics Inc.
Canada Health Infoway LG Electronics The Lewin Group
Capital Health Lifescan The Scottish Centre for Telehealth
Card Guard Ltd. Timex Corporation
Cardiff University Lusora Healthcare Toshiba Consumer Marketing Corporation
Cardionet MedCare Systems Toumaz Technology Limited
Carematix, Inc. Medred, LLC Training Peaks, LLC
Christus Health MCR Group Tyco Electronics
CYPAK AB Molex Inc. Tynetexc Ltd
EarlySense Neusoft Medical Systems Verizon
empirica GmbH Novo Nordisk Wipro
FitSense Technology nSpire Health, Inc. Whole Health Management
Fullpower Technologies Palm, Inc. Your Choice Living
Proskauer Rose LLP Zarlink Semiconductor
Rauland Borg

116 companies are now part of Continua!

Continua Mission / Focus

Implant
Pedometer

Weight Cell Digital Disease Management
Phone Home
Pulse –Remote Vital Signs
Ox Personal PC –Medication Minders
Health
• Independent Blood- System Elderly Monitoring
living pressure
-Bed Pressure
• Chronic disease Cuff -Bathroom Sensor
-Gas / Water Sensor
Home Fitness
Automation Equipment Health & Wellness
& Control
Medication –Weight Loss
Monitoring –Fitness
–PHR
Internet

Family Elderly Diet Worried Disease
care monitoring & Well management

givers service wellness service,
services healthcare

provider

Personal Health Eco-system

SENSORS CONNECTIVITY AGGREGATION SERVICES
COMPUTATION
Weight Healthcare
Home Scale PC NETWORK Provider
sensing & Service
Blood- Personal
control pressure Health Disease
System Management
Bed / Chair Glucose
Sensors Meter MICS / MEDS Cell (POTS, Cellular, BB) Service
Phone
Implant Pulse Ethernet Diet or
Monitors Oximeter Fitness
Set Top Box Service
Baby Spirometer Aggregator
Monitors Personal
Medication Health
PERS Tracking Record
Service
Consumer Pedometer
Electronics Implant
Fitness Monitoring
equipment
Service

The Continua Health Alliance Objectives

• GUIDELINES: Developing design guidelines that will provide vendors
with the information needed to build interoperable sensors, home
networks, health compute platforms, and health & wellness services.

• CERTIFICATION & LOGO: Establishing a product certification program
with a consumer recognizable logo signifying the promise of
interoperability with other certified products.

• FDA & EU REGULATIONS: Collaborating with government regulatory
agencies to provide methods for safely and effectively managing
diverse vendor solutions.

• REIMBURSEMENT: Working with leaders in the healthcare industries
to develop new ways of addressing the costs of providing personal
health systems.

Continua V1.0 Timeline

Agenda

• Continua Overview
• xHR Overview
• Integration & Next Steps

Ratified Charter and Scope (Recap)

Charter:
Define exchange protocol that maps Continua data to standard
messages for import/export (e.g., integration with Enterprise EHR
systems)

Scope:
The xHR scope is to create guidelines that profile data and message
standards to enable import/export of pertinent information, from a
remote patient monitoring service to a healthcare practitioner,
system, or setting.

Pertinent Information:
• Devices: relevant vital measurements,
• RPM: Updates/notes/summary information by a remote monitoring

service provider, Careplans, Graphs, Other
• Patient: Form based feedback of patient health status
• Databases: Patient identification information

xHR Interface

Disease Management Service Provider Healthcare practitioner

Continua xHR Interface

(Data, Message, Security)

RPM Server EHR

Data collection methods: Beyond EHRs
• Phone call,
• Face to face,
• Patient data entry,
• Continua device data

Labs

EHR

Proposed Detailed Data Enumeration

Data Enumeration Data Enumeration

1. Date/Time 8. New complications information
2. Actors and Identification • Medication side affects
3. Notes/updates/summary information
9. Diet information
• Narrative, graphs, pictures 10. Exercise regime
4. Device measurement values (Vitals), 11. Activity information (ADL)
12. Care Plans
Alerts 13. Orders
• Blood Pressure, Glucose, Weight 14. Payer Information?
scale, Pulse Oximeter, 15. Others?
Pulse/Heart rate, Thermometer
……………………………….
5. Device information mapped to device
measurements

6. Allergies and medication
7. Medication compliance
8. Patient Notes

Large intersection exists within CCD and CDA

Proposed Data Enumeration Process

Data enumeration
(Requirements/Gaps)

Influence CDA No Yes

CCD support?

No Yes Profile using CCD

CDA support? Personal Health Document
……………………….
Long lead item (V2+)

Profile using CDA

Profile as narrative

Agenda

• Continua Overview
• xHR Overview
• Integration & Next Steps

xHR TWG Scheduled Roadmap

Q2 ‘07 Q3 ‘07 Q3 ‘07
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Requirements

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Finalized standard Poised to complete
selection by EOY’ 07

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HL7 SDTC Integration & Next Steps: Q &A

Thank You
Thank you!