© 2008 ibm corporation continua health alliance software standards soa growth team

© 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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© 2008 IBM CorporationIBM Confidential

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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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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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


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

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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

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The Stepstone Backend (Advanced)

Equinox

OSGiPulseOxBundle


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

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The Stepstone Backend

Equinox

OSGiPulseOxBundle


TempBundle

Apache Axis2

Adapter

Message Processor

Parser

Device Service

Event Service

EdgeHL7

Adapter WBM

CBE Emitter

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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/

© 2008 ibm corporation continua health alliance software standards soa growth team

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