Standardisation and Security in Personal Health Systems. Milan Petković Philips Research
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1 Standardisation and Security in Personal Health Systems Milan Petković Philips Research
2 Outline Continua Health Alliance Security Privacy and Trust Issues in phealth phealth workshop, June 24-26, 2009, Milan Petkovic
3 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.
4 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
5 The Continuum of Care Infant Amateur Athlete Diet/Fitness Focused Worried Well Chronic Patient Acute Recovery Elderly Living Independently CONTINUUM of LIFE 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. New Parents Fitness Wellness Coach CONTINUUM of CARE GIVERS The Family Home Nursing Professional Doctor/NP/Nurse
6 Promoter Members Open International
7 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 Contributors 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. 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 Over 200 Member Companies! 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
8 Liaisons 8
9 Health and Wellness One billion adults overweight world wide 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 Healthy Family Blood-pressure Cuff Pedometer Heart Strap Digital Home 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. Weight Scale Cell Phone Fitness Equipment Medication Tracking PC Internet Weight loss and fitness coaching Healthcare Professionals Personal Health Record
10 Disease Management 860 million chronic disease patients world wide Vital sign monitoring: (remote patient monitoring) Diabetes COPD CHF Hypertension Benefits: Provide better-coordinated care Connect to care team Empower individuals Encourage early detection Reduce costs Chronic disease Post trauma Pre-op Blood-pressure Cuff Pedometer Weight Scale Fitness Equipment Medication Tracking Pulse Ox Thermometer Digital Home Cell Phone PC Personal Health System Internet 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. Family Care Givers Disease Management Service Healthcare Provider Personal Health Record
11 Aging Independently 600 million elderly individuals world wide Basic life monitoring: Bed pressure (sleep) Bathroom sensor Gas / water sensor Emergency sensor Benefits: Involve family members Allow remote analysis & care Provide integrated view Encourage early detection Reduce costs Independent living Chronic disease Blood-pressure Cuff Pedometer Home Automation & Control Fitness Equipment Medication Tracking Pulse Ox Digital Home Cell Phone Personal Health System Internet Continua 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. Family Elderly Care Monitoring Givers Services Diet and Wellness Services Disease Management Service, Healthcare Provider
12 Guidelines Certification Recognizable Logo Guidelines Continua member companies will select connectivity standards and publish Guidelines for strict interoperability. Certification and Logo Continua is establishing a test and certification program with a recognizable logo signifying the promise of interoperability with other certified products. Electronic Media / Software Product Packaging Product Applications Product Substrates
13 Version One Device Connectivity Standards Thermometer Pulse Oximeter Pulse / Blood Pressure Weight Scale Glucose Meter Cardiovascular and Strength Fitness Monitor Independent Living Activity = Pulse Oximeter = Pulse / Heart Rate = Blood Pressure = Thermometer = Weighing Scale = Glucose = Cardiovascular Fitness Monitor = Strength Fitness Equipment = Independent Living Activity = Medication Monitor = Base Framework Protocol PC Personal Health System Cell Phone Set Top Box Medication Monitor Personal Health Device Class Specification Medical Device Profile Specification Aggregator
14 Version One Healthcare Record Standards Disease Management Service Provider Disease management nurse or home care nurse Remote Patient Monitoring (RPM) Server Personal Health Monitoring (PHM) [based on CDA / CCD] Healthcare Provider Electronic Health Record System Personal Health Record Home-based Remote Patient Monitoring (RPM) System Labs Patient Vital Sign Devices Cross-Enterprise Document Reliable Interchange (XDR) EHR
15 Version Two Use Cases Underway New PAN Devices Peak Flow Physical Activity Monitor Medication Monitor Electrocardiogram (ECG) Insulin Pump Device (PAN) Interface Low Power Radio Network (LAN) Interface Application Hosting Device Service (WAN) Interface WAN Device Electric Health Record (XHR) Interface Health Record Device Final link in end-end connectivity XHR Extension- Portable Media 15
16 Security and Trust Issues Measurement Devices Wrong user Incorrect use of devices Application Hosting Device Unauthorized modification Backend Services Alert raised xhr Systems Reading entered into record; intervention triggered Home Hub care profs Uncalibrated device phealth workshop, June 24-26, 2009, Milan Petkovic
17 Privacy Issues Measurement Devices Application Hosting Device Backend Services xhr Systems Dr. Phil Patient Blood pressure meter Consent management / controlled sharing Disease Management Organization Fitness Service Nurse Betty Disclosure control Pedometer Confidentiality Coach Unauthorize d users 17 phealth workshop, June 24-26, 2009, Milan Petkovic
18 490 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
19 Join us in Lyon August 28, 2009 Special session on Security and Privacy in Healthcare phealth workshop, June 24-26, 2009, Milan Petkovic
20
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