standardisation and security in personal health systems
TRANSCRIPT
pHealth workshop , June 24-26, 2009, Milan Petkovic
Outline
• Continua Health Alliance
• Security Privacy and Trust Issues in pHealth
Continua Health Alliance:
The Next Generation of Personal
Telehealth is Here
A non-profit, open industry alliance of the finest
healthcare and technology companies in the world
joining together in collaboration to improve the
quality of personal healthcare.
Continua Health Alliance
“Our Mission is to
establish an eco-system
of interoperable
personal health systems
that empower people &
organizations to better
manage their health and
wellness”
23-06-2009 5
The Continuum of Care
AmateurAthlete
Diet/FitnessFocused
WorriedWell
Elderly LivingIndependently
ChronicPatient
AcuteRecovery
Infant
CONTINUUM of LIFE
CONTINUUM of CARE GIVERS
Doctor/NP/Nurse
HomeNursingProfessional
The Family
FitnessWellnessCoachNew Parents
Continua Health Alliance enables a personal health eco-system that
empowers individuals & families to better manage their own health and
wellness across the continuum of life and care methods.
Over 200 Member
Companies!
Contributors 24eight, LLC
Advanced Digital Institute
Alcatel Lucent
Alere
Allion Test Labs, Inc.
All Medicus Co., Ltd.
American Heart Association
Analog Devices
Andago Ingenieria s.l.
AppsHub, Inc.
ASE Consulting Limited
AT4 Wireless
AT&T Mobility
Authentidate Holding Corp.
AViTA
Awarepoint
BiancaMed
BIOSPACE Co., Ltd.
Bluegiga Technologies Oy
Boston Scientific
Broadcom Corporation
Cambridge Consultants Ltd.
Canada Health Infoway
Capital Health
Cardiomedix Inc.
CELS, Ltd.
Centre for Global eHealth Innovation
Cerner Corporation
Chiptech Limited
Christus Health
Chunghwa Telecom Co., Ltd.
Claricode, Inc.
ConnectBlue AB
Continuity Health
Convergence Wireless, Inc.
CSR plc
CYPAK AB
Dell
Denso Corporation
Dossia Consortium
Dovetail Health
Duodecim Medical Publications
Dynastream Innovations Inc.
eflow Inc.
Ember Corporation
Empirica GmbH
Ericsson Nikola Tesla d.d.
ETRI
EuroTech, Inc.
Fairbanks Scales
FitLinxx
Foundation for Research and Technology
France Telecom R&D, LLC
Freescale Semiconductor
frog design, inc.
Frontline Test Equipment
Fujitsu Limited
Fullpower Technologies
GenerationOne, Inc.
GlaxoSmithKline
Google Inc.
Hill-Rom
Hitachi, Ltd.
Home Guardian, LLC
Honeywell HomMed LLC
Hosiden Corporation
iFoundry Systems Singapore Pte Ltd
Industrial Technology Research Institute
Infineon Technologies
INFORSON Co., Ltd.
Innomed Medical Zrt.
Innovation Centre Scotland
Institute for Infocomm Research
Institute of Biomedical
InterComponentWare, Inc.
Intramed A/S
Kai Sensors, Inc.
KDDI
Konami Sports and Life
Korea Electronics Technology Institute
Lamprey Networks, Inc.
LAXTHA Inc.
LG Electronics Inc.
LifeGate, Inc.
Lifescan
LifeWatch AG
Logic
LS Research, LLC
MEDCEL
Medgate AG
MedHelp International
Medixine Oy
MedSignals
Microlife Corporation
Midmark Corporation
Monitray, LLC
Motorola
MIR- Medical International Research
Murata Manufacturing Co., Ltd.
Neusoft Medical Systems
Nippon Telegraph and Telephone Corporation
Nordic Semiconductor ASA
Novo Nordisk
Nuubo (Smart Solutions Tech)
ON Semiconductor
Oregon Medical Labs
Oregon Scientific Inc.
Orthosensor, Inc.
PA Consulting Group
PDT, Inc.
Pfizer
Precor Fitness
Proskauer Rose LLP
Red Embedded Design
Renesas Technology America
ResMed Corp.
RF Technologies
RMD Networks
Ryoyo Electro Corporation
Sagem Communications SAS
Sensor Technology & Devices Ltd
Shimmer Research
SHL Telemedicine
Shorewood Packaging
Silicon and Software Systems
Silicon Laboratories, Inc.
Smartlife Technology Ltd
Sony Electronics Inc.
Southern Nevada Wellness
Stichting IMEC – Nederland
Stollmann E+V GmbH
STMicroelectronics N.V.
TaiDoc Technology Corporation
Tanita Corporation
TechnoGym
Tekoa Technologies Inc.
Telbios, SpA
Telecom Italia SpA
Telefonica S.A.
Telehealth Solutions Ltd.
Telus Communications Company
Textronics Inc.
Toshiba Home Appliances Corporation
Toumaz Technology Limited
Triage Wireless Inc.
TSB
TTA
Tyco Electronics
Tynetec Ltd
UnitedHealth Group
University of Miami - Miller School of Medicine
Verizon
Vitaphone GmbH
VivoMetrics, Inc.
Vodafone Group Services Ltd.
VTT Technical Research Centre of Finland
Westchester Institute for Human Development
Wind River
Wipro Technologies
Zarlink Semiconductor
Zensys
Ziehm Medical LLC
Health and WellnessOne billion adults overweight world wide
Internet
HealthyFamily
“Worried well” vital sign monitoring: Weight Blood pressure Glucose Cholesterol Activity level
Benefits: Monitor and motivate Achieve individuals’ goals Access personal fitness
information anywhere Enhance trainers’ services
Pedometer
Blood-pressure
Cuff
Heart Strap
Medication
Tracking
Weight
Scale
Fitness
Equipment
DigitalHome
Cell Phone
PC
PersonalHealthRecord
HealthcareProfessionals
Weight lossand fitnesscoaching
Continua member companies help people live healthier, more active lives by connecting them to their health and wellness team through a more efficient exchange of their personal fitness information.
Internet
Disease Management860 million chronic disease patients world wide
Continua member companies help people with chronic conditions live healthier lives by connecting them to their care team through a more efficient exchange of personal health information.
Chronic disease
Post trauma
Pre-op
Vital sign monitoring:
(remote patient monitoring)
Diabetes
COPD
CHF
Hypertension
Pedometer
Blood-pressure
Cuff
Pulse Ox
Medication
Tracking
Weight
Scale
Fitness
Equipment
DigitalHome
Cell Phone
Personal Health System
PCFamilyCare
Givers
DiseaseManagement
Service
PersonalHealthRecord
HealthcareProvider
Thermometer
Benefits:
Provide better-coordinated care
Connect to care team
Empower individuals
Encourage early detection
Reduce costs
Internet
Aging Independently600 million elderly individuals world wide
Independent living
Chronic diseaseContinua member companies help the elderly age independently, with dignity and security, through the efficient exchange of personal health and safety information that connects them to their family and care team.
Basic life monitoring:
Bed pressure (sleep)
Bathroom sensor
Gas / water sensor
Emergency sensor
FamilyCare
Givers
ElderlyMonitoringServices
DiseaseManagement
Service, HealthcareProvider
Diet andWellnessServices
DigitalHome
Pedometer
Blood-pressure
Cuff
Medication
Tracking
Home
Automation
& Control
Fitness
Equipment
Pulse Ox
Cell Phone
Personal Health System
Benefits:
Involve family members
Allow remote analysis & care
Provide integrated view
Encourage early detection
Reduce costs
Guidelines Certification Recognizable Logo
GuidelinesContinua member companies will select connectivity standards and publish Guidelines for strict interoperability.
Certification and LogoContinua is establishing a test and certification program with a recognizable logo signifying the promise of interoperability with other certified products.
Product Applications
Product Packaging
Product Substrates
Electronic Media / Software
PC
Personal
Health System
Cell Phone
Set Top Box
Aggregator
Version One Device Connectivity Standards
Weight
Scale
Pulse
Oximeter
Independent
Living Activity
Cardiovascular
and Strength
Fitness Monitor
Medication
Monitor
Glucose
Meter
Pulse /
Blood Pressure
Medical Device
Profile SpecificationPersonal Health Device
Class Specification
11073-10404 = Pulse Oximeter
11073-10406 = Pulse / Heart Rate
11073-10407 = Blood Pressure
11073-10408 = Thermometer
11073-10415 = Weighing Scale
11073-10417 = Glucose
11073-10441 = Cardiovascular Fitness Monitor
11073-10442 = Strength Fitness Equipment
11073-10471 = Independent Living Activity
11073-10472 = Medication Monitor
11073-20601 = Base Framework Protocol
Thermometer
Version One Healthcare Record Standards
Home-based Remote
Patient Monitoring
(RPM) System
Vital Sign Devices
Patient
Healthcare
Provider
Electronic
Health Record
System
EHR
Labs
Disease Management
Service Provider
Disease
management
nurse or home
care nurse
Remote
Patient
Monitoring
(RPM) Server
Personal Health Monitoring
(PHM) [based on CDA / CCD]
Cross-Enterprise Document
Reliable Interchange (XDR)
Personal
Health
Record
15
Serv
ice (W
AN
) Inte
rface
Netw
ork
(LA
N)
Inte
rface
Devic
e (P
AN
)
Inte
rface
Ele
ctric
Health
Record
(XH
R) In
terfa
ce
Application
Hosting Device
Version Two Use Cases Underway
New PAN Devices
WAN DeviceHealth
Record
Device
Final link in end-end connectivity XHR Extension- Portable Media
Physical Activity Monitor
Medication Monitor
Electrocardiogram (ECG)
Insulin Pump
Peak Flow
Low Power Radio
pHealth workshop , June 24-26, 2009, Milan Petkovic
Security and Trust Issues
Home Hub
care
profs
Reading entered
into record;
intervention
triggeredAlert raised
Incorrect
use of
devices
Wrong
user
Uncalibrated
device
Unauthorized
modification
Measurement
Devices
Application Hosting
Device
Backend Services xHR Systems
pHealth workshop , June 24-26, 2009, Milan Petkovic
Privacy Issues
17
Blood
pressure
meter
Pedometer
Fitness Service
Disease Management
Organization
Measurement
Devices
Application Hosting
Device
Backend Services xHR Systems
Patient
Coach
Nurse
Betty
Dr. Phil
Unauthorize
d users
Consent
management /
controlled
sharingDisclosure
control
Confidentiality
pHealth workshop , June 24-26, 2009, Milan Petkovic
• 490 pages, five parts, 29
chapters
• 45 internationally recognized,
leading security experts
Reviews:“Such a book is timely indeed (…) The results covered in this book will have a real impact.” – Dieter Gollmann
pHealth workshop , June 24-26, 2009, Milan Petkovic
Special session on Security and Privacy in
Healthcare
Join us in Lyon – August 28, 2009