onem2m personal connected healthcare
TRANSCRIPT
Personal Connected Healthcare ndash How oneM2M can help Develop the Market
oneM2M Membership Chuck Parker Lamprey Networks Inc chuckparkerlampreynetworkscom
2015-07-01 Continua and oneM2M for Personal Connected Healthcare
The Opportunity
bull Drivers motivating the need for change in the manner healthcare is delivered ndash Aging populations (global trend) ndash Increasing complexity of medical care - clinical
error rate ndash Declining ratio of healthcare professionals to
patients (global issue)
bull Current practice in the delivery of Healthcare per capita is globally unsustainable with respect to cost
A Shift
bull In US there is currently a dramatic shift away from Institutional and episodic care to Personal monitoring and continual care ndash US Healthcare market is $27 trillion
ndash Remote care and home monitoring is now $17 billion
ndash Desire is to move market to a 30 shift to new models
ndash This would increase size of home care to nearly $100 billion by current projections (2025)
bull And personal self care is also shifting to self-funded (ie I buy my sensors for me or my family)
bull LNI is targeting 10 of this Sensor and Connectivity market with tools and services ($100 million)
httpwwwhealthitgovproviders-professionalshow-attain-meaningful-use
httpwwwcmsgovRegulations-and-GuidanceLegislationEHRIncentiveProgramsdownloadsBeginners_Guidepdf
The US (MedicareMedicaid) fosters innovation via incentives based on meaningful achievements Healthcare providers have objectives they must achieve to get incentive payments
US Model Through Incentives
LNI Vision
To enable a higher quality of life through continuous collection distribution and application of health Information
Vision Enablement
bull Monitoring ndash To integrate new sensor technology into systems that collect health data as unobtrusively as possible
bull Distributing ndash To make the collected data as usable as possible through proper representation and sharing for both human and machine consumption
bull Understanding ndash To aggregate health information and apply analytics to identify issues and propose interventions
bull Intervening ndash To support complex and divergent communities of people in creating effective viable workflows for patient care
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
The Opportunity
bull Drivers motivating the need for change in the manner healthcare is delivered ndash Aging populations (global trend) ndash Increasing complexity of medical care - clinical
error rate ndash Declining ratio of healthcare professionals to
patients (global issue)
bull Current practice in the delivery of Healthcare per capita is globally unsustainable with respect to cost
A Shift
bull In US there is currently a dramatic shift away from Institutional and episodic care to Personal monitoring and continual care ndash US Healthcare market is $27 trillion
ndash Remote care and home monitoring is now $17 billion
ndash Desire is to move market to a 30 shift to new models
ndash This would increase size of home care to nearly $100 billion by current projections (2025)
bull And personal self care is also shifting to self-funded (ie I buy my sensors for me or my family)
bull LNI is targeting 10 of this Sensor and Connectivity market with tools and services ($100 million)
httpwwwhealthitgovproviders-professionalshow-attain-meaningful-use
httpwwwcmsgovRegulations-and-GuidanceLegislationEHRIncentiveProgramsdownloadsBeginners_Guidepdf
The US (MedicareMedicaid) fosters innovation via incentives based on meaningful achievements Healthcare providers have objectives they must achieve to get incentive payments
US Model Through Incentives
LNI Vision
To enable a higher quality of life through continuous collection distribution and application of health Information
Vision Enablement
bull Monitoring ndash To integrate new sensor technology into systems that collect health data as unobtrusively as possible
bull Distributing ndash To make the collected data as usable as possible through proper representation and sharing for both human and machine consumption
bull Understanding ndash To aggregate health information and apply analytics to identify issues and propose interventions
bull Intervening ndash To support complex and divergent communities of people in creating effective viable workflows for patient care
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
A Shift
bull In US there is currently a dramatic shift away from Institutional and episodic care to Personal monitoring and continual care ndash US Healthcare market is $27 trillion
ndash Remote care and home monitoring is now $17 billion
ndash Desire is to move market to a 30 shift to new models
ndash This would increase size of home care to nearly $100 billion by current projections (2025)
bull And personal self care is also shifting to self-funded (ie I buy my sensors for me or my family)
bull LNI is targeting 10 of this Sensor and Connectivity market with tools and services ($100 million)
httpwwwhealthitgovproviders-professionalshow-attain-meaningful-use
httpwwwcmsgovRegulations-and-GuidanceLegislationEHRIncentiveProgramsdownloadsBeginners_Guidepdf
The US (MedicareMedicaid) fosters innovation via incentives based on meaningful achievements Healthcare providers have objectives they must achieve to get incentive payments
US Model Through Incentives
LNI Vision
To enable a higher quality of life through continuous collection distribution and application of health Information
Vision Enablement
bull Monitoring ndash To integrate new sensor technology into systems that collect health data as unobtrusively as possible
bull Distributing ndash To make the collected data as usable as possible through proper representation and sharing for both human and machine consumption
bull Understanding ndash To aggregate health information and apply analytics to identify issues and propose interventions
bull Intervening ndash To support complex and divergent communities of people in creating effective viable workflows for patient care
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
httpwwwhealthitgovproviders-professionalshow-attain-meaningful-use
httpwwwcmsgovRegulations-and-GuidanceLegislationEHRIncentiveProgramsdownloadsBeginners_Guidepdf
The US (MedicareMedicaid) fosters innovation via incentives based on meaningful achievements Healthcare providers have objectives they must achieve to get incentive payments
US Model Through Incentives
LNI Vision
To enable a higher quality of life through continuous collection distribution and application of health Information
Vision Enablement
bull Monitoring ndash To integrate new sensor technology into systems that collect health data as unobtrusively as possible
bull Distributing ndash To make the collected data as usable as possible through proper representation and sharing for both human and machine consumption
bull Understanding ndash To aggregate health information and apply analytics to identify issues and propose interventions
bull Intervening ndash To support complex and divergent communities of people in creating effective viable workflows for patient care
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
LNI Vision
To enable a higher quality of life through continuous collection distribution and application of health Information
Vision Enablement
bull Monitoring ndash To integrate new sensor technology into systems that collect health data as unobtrusively as possible
bull Distributing ndash To make the collected data as usable as possible through proper representation and sharing for both human and machine consumption
bull Understanding ndash To aggregate health information and apply analytics to identify issues and propose interventions
bull Intervening ndash To support complex and divergent communities of people in creating effective viable workflows for patient care
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Vision Enablement
bull Monitoring ndash To integrate new sensor technology into systems that collect health data as unobtrusively as possible
bull Distributing ndash To make the collected data as usable as possible through proper representation and sharing for both human and machine consumption
bull Understanding ndash To aggregate health information and apply analytics to identify issues and propose interventions
bull Intervening ndash To support complex and divergent communities of people in creating effective viable workflows for patient care
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Application Areas
bull Reduce the impact on care givers helping people live at home
bull Improve the quality of life for those battling chronic conditions
bull Consumer Empowerment
bull Pharma trials
bull Post operative care transition bull Disaster management bull Field based health data capture
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Continua
Continua is a non-profit open industry organization of healthcare
and technology companies joining together in collaboration to
improve the quality of personal healthcare In February 2014
Continua HIMSS and mHealth Summit created the Personal
Connected Health Alliance (PCHA)
Continua is dedicated to providing chronic disease patients with
interoperable unobtrusive devices that can be used at home at
work or on the move allow them to regularly track and share
their health status It also enables care givers to make necessary
interventions and family members to play a greater role
ITU adopted Continua guidelines in December 2013
(recommendation ITU-T H810)
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Continua Unique Value Proposition
The only organization in Connected Health at home to focus
on interoperability from the patients to the caregivers with
clear detailed and ready-to-use guidelines based on existing
standards such as IEEE HL7 or SNOMED CT
Continua is to the Connected health at home what IHE is to
the hospital environment (definition of profiles)
It also provides certification assistance and extensive source
code library
ldquoWe do not see any alternative to
Continuardquo wrote Roald Bergstrom the
Principal Advisor to the National Health
Authority in Norway
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Continua - Latest on Adoption ITU endorsed the Continua guidelines in Dec 2013 (ITU-T H810)
In December 2014 Norway announced the adoption of Continua
following Denmark Other Nordic countries (Finland Sweden
Iceland) should follow
The Continua guidelines are stated in the European Commissionrsquos
eHealth Interoperability Framework (2013) and their refinement are
proposed in the Antilope project (2014)
In the US ONC is requesting Continua to support DIRECT and
FHIR and the FDA has initiated works with Continua to create a
quality framework for implementation and testing with Continua
Singapore promotes Continua
In China as local governments build their healthcare systems to
care for a growing population and as they look to promote Chinese
manufactured medical devices interest in Continua is growing
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
The Antilope project has refined the European eHealth interoperability framework to advise and guide national and regional health administrations on promoting interoperability locally Continua and IHE are both core partners
The European Interoperability Framework
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
bull Pulse oximeter
bull Blood pressure monitor
bull Thermometer
bull Weighing-scales
bull Glucose meter
bull Cardiovascular fitness
bull Step counter
bull Strength fitness
bull Activity hub
bull Adherence monitor
bull Peak flow meter
bull Fall sensor
bull Motion sensor
bull Enuresis sensor
bull Contact closure sensor
bull Switch sensor
bull Dosage sensor
bull Water sensor
bull Smoke sensor
bull Property exit sensor
2015 Guidelines - Continua Profiles
bull Temperature sensor
bull Usage sensor
bull PERS sensor (Personal Emergency Response Sensor)
bull CO sensor (Carbon Monoxide)
bull Gas sensor
bull Heart-rate sensor
bull Basic 1-3 lead ECG sensor (ElectroCardioGram)
bull Body composition analyzer
bull INR meter
bull Sleep Apnea Breathing Therapy Equipment (SABTE)
MoU Continua Bluetooth SIG
Bluetooth Smart (BLE) Continua profiles
HTP - Health Thermometer Profile
HRP - Heart Rate Profile
BLP - Blood Pressure Profile
GLP - Glucose Level Profile
WSP - Weighing Scale Profile
BCS - Body Comp Analyzer Service
3 IEEE domains Disease Management Health and Fitness and Independent Living (Aging Independently)
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Continua - Beyond Connected Health 3 IEEE domains Disease Management Health and Fitness
and Independent Living (Aging Independently)
Connected Health data systematically sent to caregivers
Disease Management
Beyond Connected Health data occasionally sent to caregivers
Health and Fitness
Independent Living (Aging Independently)
Smart home
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio Strength
Medication
Adherence
Glucose Meter
Pulse
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records
Networks
EHR
PHR
NHIN
HIE
WiFi 2G 3G amp 4G
Continua utilizes standards
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
What Happens Without Continua
Homes city 1
Hospital
medical
system
EHRs
Big data
Chronic care
(coordination)
Acute care
(hospitalization)
Homes city 2
MANY
INTERFACES
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
With Continua
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization
)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
With Continua and oneM2M
UNIVERSAL
CONTINUA
INTERFACE
Homes city 1
Hospital
medical
system
EHRs
Big data
Patient
Primary care
Hospital care
Physiotherapist
Social care
Specialist
Nurse
HCP
Relatives
Chronic care
(coordination)
Acute care
(hospitalization)
Telemedicine
provider
Medical
provider
Patients
amp devices Gateways
Homes city 2
Ecosystem
Care givers Family members Insurance Specialists Pharmacy Emergency Home automation Infotainment
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Without Continua
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
several devices = several interfaces
several interfaces = several data models
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
With Continua
several devices = one interface
one interface = one data model
one data model = one application
one application = one portal
bull integration
bull maintenance
bull rollout
bull cost
bull security
bull reliability
bull care coordination
bull pooled resources
bull EHRs
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
With Continua and oneM2M
one application = one portal
one portal = one data stream
one data stream = one ecosystem
one ecosystem = multiple users
bull integration
bull shared data
bull enterprise class
bull economies of scale
bull ecosystem enabler
bull service platform
bull data independence
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
oneM2M Application
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaoneM2M Remote Healthcare Monitoring Solution
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Patient uses Continua certified health devices to measure weight blood pressure and glucose levels
Health observations are uploaded to IoT Gateway via Continua Standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaoneM2M
Home
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M IoT Gateway
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Home
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services
Health observations are delivered to Independent Living Service using Continua representation and oneM2M messaging and services
Bluetooth
Patient Continua
Scale
Continua Blood GlucosePressure
Meter
ContinuaoneM2M IoT Gateway
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Bluetooth
Patient
Continua Scale
Continua Blood GlucosePressure Meter
ContinuaoneM2M
IoT Gateway
ContinuaoneM2M
HealthLink Exchange
Continua
WAN-IF
Continua
HRN-IF
HL7 v3
HTTP
TCPIP
IHE
XDSb
oneM2M AE
API
CellularEthernet
oneM2M IN-CSE
HealthLink Independent Living App
HTTP
TCPIP
CellularEthernet
HealthLink Exchange
Cloud Home
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Wi-Fi Ethernet
IEEE 11073
Bluetooth
Independent Living Service
HealthLink Independent Living App
1 2 3 4 5 6 7 8
Independent Living Service processes health observations amp detects condition that requires intervention A call is placed to EMS to have ambulance dispatched to patientrsquos home
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaoneM2M
Ambulance
Home
Bluetooth Mobile Gateway
Continua Wireless Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Patient connected to medical devices in ambulance
Patient transferred to Ambulance
Ambulance arrives at Home Health observations are uploaded
to ambulancersquos IoT Gateway via Continua Standardized messaging
and services
1 2 3 4 5 6 7 8
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaoneM2M
Ambulance
Bluetooth
Mobile Gateway
Continua Wireless
Finger Pulse Oximeter
Continua Wireless Blood
Pressure Monitor
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
1 2 3 4 5 6 7 8
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaoneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Ambulance
Bluetooth Cellular
LTE Core Network Emulator
eNodeB Platform
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cloud
1 2 3 4 5 6 7 8
Health observations are uploaded to Cloud using Continua and oneM2M standardized messaging and services over a Cellular Connection
Health observations are delivered to Hospital via Continua standardized messaging and services
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Continua oneM2M
HealthLink Exchange
Continua WAN-IF
Continua HRN-IF
HL7 v3
HTTPCoAP
TCPUDPIP
IHE XDSb
oneM2M AE API
CellularEthernet
oneM2M IN-CSE
Health Observation Upload Application
Continua PAN-IF
Continua WAN-IF
oneM2M AE API
oneM2M ASN-CSE
HTTPCoAP
TCPUDPIP
Cellular
IEEE 11073
Bluetooth
Hospital Emergency Arrival App
HTTP
TCPIP
EthernetWi-Fi
HL7 v3 IHE XDSb
HealthLink Exchange
Ambulance
Bluetooth
Phone
Bluetooth Wireless Finger Pulse Oximeter
Bluetooth Wireless Blood Pressure Monitor
Cellular
Cloud
Hospital
Hospital Emergency Arrival System
LTE Core Network Emulator
eNodeB Platform
Hospital Emergency Arrival app processes observations and monitors patientrsquos vitals while travels to hospital
1 2 3 4 5 6 7 8
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
ContinuaPCHA Architecture
copy 2014 oneM2M Partners
30
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Facility-Office-Home-Mobile Backend
HRN INterface
WAN Interface
LAN Interface PAN Interface
Physician EMRs
EHRs PHRs
Application Hosting Device
PAN Device LAN Device
WAN Device
HRN Device
WAN Observation Receiver
WAN Observation Server
Longer Term Picture
copy 2014 oneM2M Partners
31
Source ContinuaPCHA
Lightweight Management of
AHD and LANPAN Devices
Store-and-Forward Message Delivery Between AHD and
WAN Device
Triggering of AHD by WAN Device
Cross Vertical Semantics
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Near term oneM2M over WAN IF
copy 2014 oneM2M Partners
32
WAN-IF
Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M
HTTPCoAPMQTT
TLSDTLS
TCPUDP oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Examples of value-add oneM2M features currently leveraged Efficient RESTful oneM2M Interfaces and APIs
- oneM2M resources - AE remoteCSE container contentInstance and subscription
- oneM2M primitivesprocedures - AE and CSE registration - Persistent Session between AHD and WAN Device - ContainerContentInstance CRUD operations - SubscriptionNotifications - pointOfAccess proxying between ASN-CSE and IN-CSE over Mcc reference point
Mca
Mcc Mcc
HL7IEEE 11073
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Eg Persistent Session between AHD and WAN Device
copy 2014 oneM2M Partners
33
WAN-IF Application Hosting Device
WAN Device
GatewayPhoneEtc BackendCloud Server
oneM2M Service Layer
(ASN-CSE)
oneM2M Service Layer
(IN-CSE)
Mca
Mcc
Mca
PAN Device
PAN-IF
LAN Device
LAN-IF
TAN Device
TAN-IF
Persistent oneM2M Service Layer Session
Non-Persistent Transport Session (eg TCP)
oneM2M Service layer hosted on AHD registers to service layer hosted on WAN Device This registration persists independently of underlying transport session being setup and torn-down
Mcc
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Thank You
Chuck Parker VP Business Development LNI
chuckparkerlampreynetworkscom
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Backup
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
LNI End-to-end Architecture
HealthHome Spectrum
HH apps and hub HH exchange
HH
Analytics
Provides data visualization and
real-time reporting on sensor
measurements for teleheath service
centers or physician offices
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Device Support - Health
He
alth
Dev
ice
s
Questionnaires
Medication Dispensing
Vital Signs
Blood Pressure
Weight
Temperature
Heart Rate
Blood Glucose
Pulse Ox
Activity
Fall
Pedometer
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Device Support - HA
Ho
me
Au
tom
atio
n
Presence
Control Bed System
Consumer Electronics
Lighting
Locking
Environment
Thermometer
Thermostat
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
HealthHome Hubs
Applications Chronic Disease Management
Aging Independently Emergency Response
User Experience
Take measurement only engagement
model
Unified Communications ndash
reminders on ldquobest interfacerdquo
Voice controlled via Google
voiceAmazon echo
Workflow integration with a Community or Care using common
interfaces
Remote Control
Anytime access to Hub from Cloud
Remote provisioning Remote diagnostics
user support and software upgrades
Remote device control
Clinical Measurement Data in clinical form
Biometric identification of
patient
Continua WAN time consistency
HIPAA and FDA Compliant
Technology Continua
Supports Bluetooth Bluetooth Smart
IEEE 802154 IEEE 80211 (gnah)
radios
oneM2M interface to AHD resources and
observations
ISOIEEE 11073 ZigBee Threads
LWOMA
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
HealthHome Exchange
Features Low bandwidth Near real time observation
delivery
Observation translation using
XDSbDIRECT
Observation translation to
multiple private formats
Application Support via RESTful FHIR API
User Experience
Simple Web API for small business
individual consumer
Diagnostic interface to isolate problems
Simplified AHD managementDistrib
ution for LNI AHDs
Remote Control
Private AHD management model using
Continua APS
oneM2m based AND
management
Provide Device Status
General Diagnostics
Clinical Translation to
PHMR for delivery to IHE
repository
Consent based enforcement of
documents
Time management and validation
HIPAA and FDA Compliant
Security and Privacy
oAUth Support including self
authentication Audit record
STS-1 server support
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
HH InSight
Features Core collection of observation from
devices
Presence tracking and CE mangement
Real time monitoring including alert management
Sleep support
User Experience
Transparent to the person receiving care
Webdevice interface for care
providers
Distributed Points of access using DLNAWiFi
DirectHome Automation
Workflow Support
Prescription adherence
Dementia Sleep Diverse
Community of Care
Clinical Alerting to clinical care
Proper generation of
clinical documents
Distributed workflow
management FDA Compliant
Security and Privacy
Consent Enforcement
DIRECT support HIPAA compliant
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Engineering standards
hardware
Technology
PANLAN DEVICES
Leader in Health Remote
Monitoring System
Standards Based Plug and Play
Healthcare Data Networks
Custom services and
coding for interoperability
Interoperability leader with
oneM2M Continua and DLNA
Plug amp Play Standards Based Interoperability
E2E Data Connectivity
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution
Healthhome - Freedom to Scale
Clinically acceptable Plug and Play
Healthcare Data Networks
PLUG amp PLAY
Seamless interoperability
between PAN Devices and HRN System
INTEROPERABILITY
End-to-End Data Connectivity
E2E CONNECTIVITY
Custom solutions to bring interoperability
to legacy systems
ENGINEERING
Healthhome Solution