© 2008 IBM Corporation

Continua Health Alliance

Software Standards SOA Growth team

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

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

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Continua Health Alliance History Continua is a non-profit open industry alliance of healthcare and IT

companies dedicated to advancing the state of the art of personal telehealth:– “Fostering independence through establishing a system of interoperable personal telehealth

solutions that empower people and organizations to better manage health and wellness.”

Continua selects and drives standards to achieve this mission in three domains

– Disease Management

– Elderly Monitoring

– Health & Wellness

Depth and Breadth– IBM joined when Continua first went public (6/2006)

– Consisted of around 20 members (device founders)

– Has grown to > 150 members (covering spectrum of healthcare solutions)

– > 40 members are promoter level ($35k/yr)

– Members cover entire spectrum of everything to do with personal healthcare in any capacity including all backend services, collaboration, etc.

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© 2008 IBM CorporationIBM ConfidentialSource: Continua Health Alliance

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© 2008 IBM CorporationIBM ConfidentialSource: Continua Health Alliance

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IBM

© 2008 IBM CorporationIBM ConfidentialSource: Continua Health Alliance

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© 2008 IBM CorporationIBM Confidential

How is Continua Organized?

Continua’s Organization– Board of Directors

– Use Case WG– Technical WG *

– Marketing WG

– Regulatory WG

– Government Affairs WG

– Test & Certification WG

– Policy Strategy WG

– Employer HR Benefits WG

Technical WG is currently split into ..– Core groups (historically 1 for every Interface)

– Device (PAN)– xHR (xHRN) *

– Application (domain specific vertical)

– Health & Fitness– Disease Mgmt– Aging Independently *

– End2End (over-arching)

– Architecture *– Security *

Note: TWG organization being modified for V2 work

* IBM actively participates

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Misc. Background

Meetings– Quarterly F2F Meeting

– Locations rotated to all Geographies

– Each F2F has adjoining members only Plugfest

– Usually aligned with major industry show

– 2008 July - San Francisco

– 2008 Oct - Boston

– 2009 Tokyo, Barcelona, Vancouver, Boston Other Programs

– VASC - source code program

– Vendor Matching - business opportunity matching

– Training

– Governmental interaction for industry

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Continua Health Alliance Technical Background

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Edge 1Monitoring

Server

Typical Connected Health Topology (simple)

SecondaryProcessingServer(s)

Directly

Connected

WAN Connected ESBWAN Connected ESB

Device Device

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IBM

© 2008 IBM CorporationIBM Confidential

Edge 1Monitoring

Server

Typical Connected Health Topology (complex)

Edge 2

SecondaryProcessingServer(s)Directly

Connected

LAN

Connected

WAN Connected ESBWAN Connected ESB

On-site

Device

Device

Device

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Edge MonitoringServer

Typical SODA Topology (complex)

Edge 2

EnterpriseServer(s)

DirectConnect

Wire protocol

LAN

Connected ESB

ESB

Device

Device

Device

Web ServicesAdapter Web Services

AdapterWeb Services

Adapter

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AHD 1Remote

MonitoringServer

Typical Continua Architecture

AHD 2

HealthRecordsServer

LAN-IF

WAN-IFxHRN-IF

On-site

AHD - Application Hosting DeviceContinua term for edge controller, PC/set top box/ health monitor, cellphone, etc

PAN-IF

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AHD 1Remote

MonitoringServer

Continua as Realized in Stepstone II

AHD 2

HealthRecordsServer

tbd

WS-I WS-*

PHM (CDA/CCD derivative)

IHE-XDR

IEEE-PHD

11073-20601

11073-104xx

Continua V1 interface technology

Prospective interface technology

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Our Continua reference implementation

Original ( Stepstone ) currently in Eclipse Open Health Framework

Stepstone II is an enhancement to achieve Continua compliance

Initial cut used successfully as interoperability backbone in July’s Continua Plugfest ( San Francisco )

Propose to contribute to Open Health Tools ( openhealthtools.org ) this Fall

Based on our SODA assets contributed to Eclipse

Working with brands to bring IBM products into the picture

IBM

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The Stepstone Edge

SOAP / HTTPEC

LIPSE-B

ase

d T

oolin

g w

ith

OSG

I Pro

gra

mm

ing M

odel S

upport

Device Interfaces: Proprietary and Industry Standards

Bu

sA

da

pte

rD

evi

ce A

da

pte

r

Bluetooth Adapter Serial Adapter

Nonin 4100 Pulse Oximeter

Company XYZBlood Pressure

Cuff

A and D MedicalBlood Pressure

CuffDisplay Device

PulseOxAgent

A and DBP Agent

XYZBP Agent

DisplayAgent

PulseOxApp

Blood PressureApplication

DisplayApp

Apache Muse WebServices Adapter

IBM

© 2008 IBM CorporationIBM Confidential

The Stepstone Backend

Equinox

OSGiPulseOxBundle

BP BundleWeightBundle

TempBundle

Apache Axis2

Adapter

Message Processor

Parser

Derby DB

Device Service

Web Interface

Database Service

View

Event Service

Reading DB Writer

Edge UI

IBM

© 2008 IBM CorporationIBM Confidential

The Stepstone Backend (Advanced)

Equinox

OSGiPulseOxBundle

BP BundleWeightBundle

Apache Axis2

Adapter

Message Processor

Parser

Derby DB

Device Service

Web Interface

Database Service

View

Event Service

Reading DB Writer

…

OSGi Bundle Repository

DeviceBundle

OBR Repository Admin Service

Alert Aggregator

IBM

© 2008 IBM CorporationIBM Confidential

The Stepstone Backend

Equinox

OSGiPulseOxBundle

BP BundleWeightBundle

TempBundle

Apache Axis2

Adapter

Message Processor

Parser

Device Service

Event Service

EdgeHL7

Adapter WBM

CBE Emitter

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© 2008 IBM CorporationIBM Confidential

Background Info Continua Health Alliance web site:

http://www.continuaalliance.org/home Overview:

http://www.continuaalliance.org/about/Continua_Overview_Presentation_v8.5.pdf Member Companies:

http://www.continuaalliance.org/about/roster Background:

http://www.continuaalliance.org/news_events/news/backgrounder Vision Video:

http://www.continuaalliance.org/about/vision_video/ Board of Directors:

http://www.continuaalliance.org/about/board/ FAQs:

http://www.continuaalliance.org/about/faqs/ Primary Use Cases:

– Health & Wellness - http://www.continuaalliance.org/use_cases/health_wellness/

– Disease Management - http://www.continuaalliance.org/use_cases/disease_management/

– Aging Independently - http://www.continuaalliance.org/use_cases/elderly_monitoring/