43
Personal Connected Healthcare – How oneM2M can help Develop the Market oneM2M Membership Chuck Parker, Lamprey Networks, Inc. [email protected] 2015-07-01 Continua and oneM2M for Personal Connected Healthcare

oneM2M Personal Connected Healthcare

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Page 1: oneM2M Personal Connected Healthcare

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

Page 2: oneM2M 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

Page 3: oneM2M Personal Connected Healthcare

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

Page 4: oneM2M Personal Connected Healthcare

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

Page 5: oneM2M Personal Connected Healthcare

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

Page 6: oneM2M Personal Connected Healthcare

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

Page 7: oneM2M Personal Connected Healthcare

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

Page 8: oneM2M Personal Connected Healthcare

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

Page 9: oneM2M Personal Connected Healthcare

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

Page 10: oneM2M Personal Connected Healthcare

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

Page 11: oneM2M Personal Connected Healthcare

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

Page 12: oneM2M Personal Connected Healthcare

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

Page 13: oneM2M Personal Connected Healthcare

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

Page 14: oneM2M Personal Connected Healthcare

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

Page 15: oneM2M Personal Connected Healthcare

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

Page 16: oneM2M Personal Connected Healthcare

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

Page 17: oneM2M Personal Connected Healthcare

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

Page 18: oneM2M Personal Connected Healthcare

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

Page 19: oneM2M Personal Connected Healthcare

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

Page 20: oneM2M Personal Connected Healthcare

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

Page 21: oneM2M Personal Connected Healthcare

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

Page 22: oneM2M Personal Connected Healthcare

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

Page 23: oneM2M Personal Connected Healthcare

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

Page 24: oneM2M Personal Connected Healthcare

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

Page 25: oneM2M Personal Connected Healthcare

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

Page 26: oneM2M Personal Connected Healthcare

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

Page 27: oneM2M Personal Connected Healthcare

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

Page 28: oneM2M Personal Connected Healthcare

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

Page 29: oneM2M Personal Connected Healthcare

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

Page 30: oneM2M Personal Connected Healthcare

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

Page 31: oneM2M Personal Connected Healthcare

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

Page 32: oneM2M Personal Connected Healthcare

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

Page 33: oneM2M Personal Connected Healthcare

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

Page 34: oneM2M Personal Connected Healthcare

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

Page 35: oneM2M Personal Connected Healthcare

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

Page 36: oneM2M Personal Connected Healthcare

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

Page 37: oneM2M Personal Connected Healthcare

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

Page 38: oneM2M Personal Connected Healthcare

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

Page 39: oneM2M Personal Connected Healthcare

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

Page 40: oneM2M Personal Connected Healthcare

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

Page 41: oneM2M Personal Connected Healthcare

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

Page 42: oneM2M Personal Connected Healthcare

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

Page 43: oneM2M Personal Connected Healthcare

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