Roadmap for Personal Health
Standards and
Interoperability
Douglas P. Bogia, PhD
Standards Architect
Intel Corporation, Digital Health Standards Group
Chair - ISO/IEEE 11073 Personal Health Data Work Group
Member - Bluetooth Medical Devices Working Group
Member – Continua Healthcare Alliance Technical Working Group
September 27, 2006
Version 1.0
Agenda
Introduction
Personal Health Ecosystem
Benefits of Standards
Interoperability Strategy
Exciting Opportunities Ahead
Summary
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Emerging Personal Health Device
Opportunity
HOME CARE Focus Area
100% Healthy,
Independent Living Community
Clinic
Chronic Doctor’s
Disease Management Office
RESIDENTIAL CARE
Assisted Living ACUTE CARE
QUALITY
of LIFE Specialty
Skilled Clinic
Nursing Facility
Community
Hospital
ICU
0%
$1 $10 $100 $1,000 $10,000
COST of CARE/DAY
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Personal Health Ecosystem
Device Examples Aggregation/ Services
Computation Diet or
Medication Weight
Tracking Fitness
Scale
Service
Baby Blood-
Monitors pressure PC
Services Interface
Disease
Device Interface
Glucose Personal Management
Pedometer Meter Health Service
System
Pulse
Fitness Oximeter Healthcare
equipment Provider
Cell Service
Bed / Chair Spirometer Phone
Sensors Personal
Health
Implant PERS Record
Monitors Service
Consumer Set Top Box
Home Electronics Implant
control Monitoring
Service
Aggregator
Digital Health Group What are the benefits of standardizing these interfaces?
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Standardization Benefits
Consumer/Provider Perspective
Enables consumers/providers to:
– Mix and match products to fulfill needs and usage models
– Select products based on
– Price
– Quality
– Brand preference
– Create best of breed solutions
– Preserve investment by allowing reuse of devices
– Reduce risk of obsolescence
– No single vendor can phase out support
– Automate manual tasks
– Use products more easily due to consistency
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Standardization Benefits
Vendor/Integrator Perspective
Broader available market
Different vendors can tailor solutions to particular
usages
Simpler integration
– Easier to incorporate well known interfaces into a system
– Reduced need for shims
Lower costs
– Increased competitive supplier market results in a
decreased component cost
– Training cost for developers probably lower
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Standards for the Personal Health
Ecosystem
To assist with standardization, we want to:
– Collaborate with vendors, providers, and customers
– Facilitate standard creation efforts
– Leverage the strengths of partners to solve a critical need
Many vendors and providers recognize the value of
standards
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Conceptual Device
Interface
OSI
Pulse Blood
Device Specializations
Oximeter Pressure Glucose Pulse Weight
Thermo-
…
Layer 7
meter
Consistent Data/
Command Framework
Layers 1-6
Ethernet
Upcoming slides provide
overviews of these two
Digital Health Group * Other names and brands may be claimed as the property of others.
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ISO/IEEE 11073 Personal Health
Data Work Group Overview
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ISO/IEEE 11073 Data Work Group -
History
March ’06 – Intel engaged with IEEE to address
Personal Health Device Data standards
May 11, ’06 - Proposed formation of a Personal
Health Device Data work group to ISO/IEEE 11073
general committee
June 22, ’06 – General committee approval (23 yes,
0 no, 10 abstain, 3 abstain with comment)
July 6, ’06 – Group began regular meetings
Aug 4, ’06 – Nine Project Approval Requests
submitted to the new standards committee
Targeting release in mid 2007
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IEEE 11073 Data Work Group -
Participation
Weekly conference calls (9 am Pacific on Thursdays)
Voting rights depend on attendance
See graph for weekly attendance (roughly 40%)
Face to face meetings planned every 2 – 3 months
~18 participants in September F2F (roughly 25%)
International involvement in the Work Group
Individual membership count
62 members Participation Company count
Meeting attendance
70
34 organizations 60
50
40
30
20
10
0
13 6
10 6
06
7/ 06
20 6
27 6
8/ 06
17 6
24 6
31 6
9/ 06
7/ 0 0
7/ 0 0
8/ 0 0
8/ 0 0
8/ 0 0
7/ 00
8/ 00
20
0
0
0
2
2
/2
/2
/2
/2
/2
/2
/2
/2
6/
3/
7/
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6/
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IEEE 11073 Data Work Group -
Current Activities
Documenting Use Cases
Requirement gathering has begun
Evaluating Data Models for Reuse
Currently in education phase
Excellent alignment and coordination with
Bluetooth Medical Devices Work Group
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Overview
Bluetooth Medical Devices WG - Quick History
January ‘06 - Study Group was approved and formed within
Bluetooth SIG
April ’06 – Completed Team Charter and Marketing
Requirements document
May ’06 - Medical Devices Work Group approved
May ’06 – Work Group approved working with ISO/IEEE 11073
for data development
Sept ’06 – Base transport selected
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Bluetooth Medical Devices WG - Participation
Weekly conference calls (8 am Pacific on Thursdays)
Participation requires Bluetooth Promoter or Associate
membership
Voting rights depend on attendance
Face to face meetings planned every 2 – 3 months
International involvement in the Work Group
56 members
26 companies
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Bluetooth Medical Devices WG - Progress Overview
Use Case collection is complete
Prioritized requirements list created
Initial profile document is in development
Working closely with ISO/IEEE 11073 Personal
Health Data Work Group
Planning for initial Prototype testing late this year
Targeting profile completion ~ Mid 2007
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Standards are not equivalent to
Interoperability
Standards are necessary for interoperability,
but not sufficient
Standards vary by sponsoring organization.
– May allow multiple, incompatible implementations
– May contain ambiguity or too many options to
implement all possibilities
– May not require multiple implementations prior to
finalization
– May not require interoperability compliance testing
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Continua Health Alliance - History
• Interoperability often solved by Industry
Alliances
• June 6, 2006 - Continua Health Alliance was
launched
• June 21, 2006 – European launch
• August 2, 2006 – Continua fitness summit
• August 8, 2006 – Use Case & Technical Work
Group face to face
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Continua Health Alliance - Participation
• Work groups have conference calls weekly
• Face to face meetings every 3 months
• International involvement
– 42 companies and growing
– Over 100 members in technical work group
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Continua Interoperability Efforts
• Use Cases
– First round of use cases collected
– Evaluated for technical barriers
– Prioritized to address critical use cases first
• Architecture and guidelines
– Initial architecture proposed and reviewed
– Support for end to end data flow
– First release anticipated in second half of 2007
• Interoperability test specifications
• Product interoperability certification
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Additional Continua Focus Areas
• Continua enables the ecosystem with:
– Marketing and logo programs to assist
consumer purchase decisions
– FDA & EU regulation agency collaboration
– Addressing reimbursement costs
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Exciting Opportunities Ahead
Integrating home automation information
Incorporating fitness devices
Standardization efforts
– Select appropriate standards for the interfaces described
– Fill gaps with new standards or profiles, if appropriate
Addressing technical challenges
– Multiple users
– Identification
– Privacy and security
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Summary
Standardization and Interoperability are valuable to
– Consumers
– Product vendors
– Integrators
– Healthcare providers
Several coordinated efforts are underway
Broad participation is useful, so if you wish to join…
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Invitation to Get Involved!
Continua Health Alliance
For more information, please visit: www.continuaalliance.org
ISO/IEEE 11073 Personal Health Data WG
For more information, please contact:
Douglas P. Bogia, PhD
Chair, ISO/IEEE 11073 Personal Health Data WG
Douglas.P.Bogia@intel.com
Bluetooth Medical Devices Working Group
For more information, please contact:
med-chair@bluetooth.org
(Requires Associate membership within Bluetooth SIG)
Digital Health Group * Other names and brands may be claimed as the property of others.
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Backup
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Related Materials
http://216.55.183.13/mix06/NGW028_Wilson.ppt#
257,1,Open, De Jure, De Facto And Proprietary:
Standards and Microsoft
http://www.retailsystems.com/Index.cfm?PageNam
e=Ram
http://www.microsoft.com/technet/interopmigratio
n/ndam.mspx
http://www.openstandards.net/viewOSnet1C.jsp?s
howModuleName=businessCaseForOpenStandards
http://en.wikipedia.org/wiki/De_jure
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Types of standards
Du jure standards
– Standard “based on law”
– A solution endorsed by a standards organization
– Often, but not always, developed as an open standard
De facto standards
– A standard used “in practice”
– A widely used solution, but not endorsed by a standards
organization
– Often, but not always, held in a proprietary fashion
Government standards
– Direct dictates in the form of laws
– Mandates via regulatory bodies carrying the force of law
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Attributes of Standards
Openness
– Participation
– Who can contribute, create, and modify? Is there a fee?
– Availability
– Is access free or available at a reasonable cost?
– License structure
– Can it be implemented royalty free or with a reasonable and
non-discriminatory license?
International or Local
– Is the standard internationally recognized or valid in the
targeted market area?
Adoption rate
– Is the standard widely adopted or a “paper” standard?
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Personal Health Data Standards Work
-00103 Technical Report - Overview
Device Specializations OSI
-10404 -10407 -10417 -10406 -10415 -10408 Phase II
Pulse Blood Glucose Pulse Weighing Thermo- …
Oximeter Pressure Scale meter
-10400 Common Framework
Layer 7
-20601 Optimized Exchange Protocol
Layers 1-6
Serial IrDA Bluetooth USB ZigBee
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Migration to Standards
Ideal ecosystem
Interoperability
Interoperable Data and Messaging
Device Interface
Data Abstraction Interface
Services Interface
Blood-
pressure
Cuff
Gateway
Healthcare
Provider
Service
Proprietary Data and Messaging
PC
Blood-
pressure
Cuff
Adapted Interoperability from
Legacy or Proprietary
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