Continua Health Alliance for HL7 SDTCJune 14, 2007

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

• Continua Overview• xHR Overview• Integration & Next Steps

Agenda

• Continua Overview• xHR Overview• Integration & Next Steps

Agenda

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

manage their health and wellness”

The Continua Health Alliance Mission

Promoters (49)

ADT Well HealthAgilent TechnologiesAltera CorporationAMC HealthAnalog DevicesBDNA CorporationBiancaMedBL Healthcare, Inc.Bridge Technology HoldingsBritish TelecommunicationsCanada Health InfowayCapital HealthCard Guard Ltd.Cardiff UniversityCardionetCarematix, Inc.Christus HealthCYPAK ABEarlySenseempirica GmbHFitSense TechnologyFullpower Technologies

Contributors (67)

Healthsense Home Diagnostics Inc.Honeywell HomMed LLCHospital ClinicInstitute of BiomedicalInteractive Medical

DevelopmentsIntercomponentWare, Inc.Jennic Ltd.LG ElectronicsLifescanLusora HealthcareMedCare SystemsMedred, LLCMCR GroupMolex Inc.Neusoft Medical SystemsNovo NordisknSpire Health, Inc.Palm, Inc.Proskauer Rose LLPRauland Borg

116 companies are now part of Continua!

ResMedSHL TelemedicineSilicon and Software SystemsStichting IMEC - NederlandSTMicroelectronicsSuuntoTactex Controls, Inc.Telbios, SpATerumo CorporationTextronics Inc.The Lewin GroupThe Scottish Centre for TelehealthTimex CorporationToshiba Consumer Marketing CorporationToumaz Technology LimitedTraining Peaks, LLC Tyco ElectronicsTynetexc LtdVerizonWiproWhole Health ManagementYour Choice LivingZarlink Semiconductor

DigitalHome

PersonalHealthSystem

CellPhone

PC

Internet

FamilyFamilycarecare

giversgivers

ElderlyElderlymonitoringmonitoring

serviceservice

DietDiet&&

wellnesswellnessservicesservices

DiseaseDiseasemanagementmanagement

service, service, healthcarehealthcareproviderprovider

Continua Mission / Focus

• Independentliving

• Chronic disease

HomeAutomation& Control

Pedometer

Blood-pressure

Cuff

MedicationMonitoring

PulseOx

Weight

Implant

FitnessEquipment

Disease Management–Remote Vital Signs–Medication Minders

Elderly Monitoring-Bed Pressure-Bathroom Sensor-Gas / Water Sensor

Health & Wellness–Weight Loss–Fitness–PHRWorried Worried

WellWell

Personal Health Eco-system

CONNECTIVITY

Ethernet

SENSORS AGGREGATIONCOMPUTATION SERVICES

Diet orFitnessServiceMICS / MEDS

DiseaseManagement

Service

PersonalHealth

RecordService

ImplantMonitoring

Service

HealthcareProviderService

PC

PersonalHealthSystem

CellPhone

Set Top Box

Aggregator

N E T W

O R

K (PO

TS, Cellular, B

B)

GlucoseMeter

Pedometer

Blood-pressure

MedicationTracking

Fitnessequipment

WeightScale

PulseOximeter

Spirometer

Bed / ChairSensors

ImplantMonitors

BabyMonitors

PERS

ConsumerElectronics

Homesensing &

control

The Continua Health Alliance Objectives

• GUIDELINES: Developing design guidelines that will provide vendors with the information needed to build interoperable sensors, homenetworks, 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

• Continua Overview• xHR Overview• Integration & Next Steps

Agenda

Ratified Charter and Scope (Recap)

Charter:Define exchange protocol that maps Continua data to standardmessages 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

RPM Server EHR

xHR Interface

Continua xHR Interface(Data, Message, Security)

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

EHR

Labs

Beyond EHRs

Disease Management Service Provider Healthcare practitioner

Proposed Detailed Data Enumeration

Large intersection exists within CCD and CDA

Data Enumeration

8. New complications information• Medication side affects

9. Diet information10.Exercise regime11.Activity information (ADL)12.Care Plans13.Orders14.Payer Information?15.Others?

……………………………….

Data Enumeration

1. Date/Time2. Actors and Identification3. Notes/updates/summary information

• Narrative, graphs, pictures4. Device measurement values (Vitals),

Alerts• Blood Pressure, Glucose, Weight

scale, Pulse Oximeter, Pulse/Heart rate, Thermometer

5. Device information mapped to device measurements

6. Allergies and medication 7. Medication compliance8. Patient Notes

Proposed Data Enumeration Process

Data enumeration(Requirements/Gaps)

CCD support?Yes

Profile using CCD

No

CDA support?

Profile using CDA

Yes

Long lead item (V2+)

Profile as narrative

No

Influence CDA

Personal Health Document

……………………….

• Continua Overview• xHR Overview• Integration & Next Steps

Agenda

xHR TWG Scheduled Roadmap

SepSepMarMar AprApr MayMay JunJun

Q2 ‘07 Q3 ‘07

JulJul

Q3 ‘07

AugAug

RequirementsRequirements

TOD

AY

Standards selectionStandards selection

Finalized standard selection

Finalized Requirements

CCD based standard development (SDTC)CCD based standard development (SDTC)

CCD GapsCCD Gaps

Standards SurveyStandards Survey

HL7 V2.5 GapsHL7 V2.5 Gaps

Guideline developmentGuideline development

Finalized gaps Continua F2F

Poised to complete by EOY’ 07

HL7 SDTC Integration & Next Steps: Q &A

Thank You

Thank you!