Immersive #HealthTech Ecosystem Showcase in "The Pavilion of the Future" during CAHOTECH 2019 by Manick Rajendran, @manicknj

CAHOTech 2019

Starting from our Pavilion of the Future Evangelists:
TimePort 1 - Dr. Pramod Jacob
TimePort 2 - Abhishek Chaudhary TimePort 3 - Bharat Gera 
TimePort 4 - Dr. Thanga Prabhu / Sundar Gaur
TimePort 5 - Dr. Ravi Modali

These stalwarts took time away from their work to put their mind to creating original creative content and be available on site to present them. 

Aniruddha Nene
Dr. Suman Bhushan Bhattacharya 
Satyam Kumar
Manish Sharma
Dr. Rakesh Biswas

The mentors set aside several tens of hours about at least 100 or more in putting their creative minds to work. 

Not only did the work involve a creative attitude, it involved the dedication of sharp minded attention to detail mindset. It was back-breaking work rising up to a crescendo of sleepless nights towards the finish line.  

1 Fololife
3 Helyxon
5 Shrishti Software
6 Sollu
7 Zbliss Technologies
8 Audicor Cardiometrics
9 dWise
10 Doxper
11 Health Med
12 Raster Images Private Limited
13 ayeAI
14 Infolifetech
15 HealthSensei
16 iMMi Life
18 Kriyatech
19 KraniumHealth
20 Concert Care
21 Vitor Health
22 ViDoc

The Partners and their employees played a pivotal role by being available on Event Day on site and I’m sure several hours of Prep work in the background. I estimate that there must have been an average of 3 people per company who must have put in time. 

The role the Docents played was highly commendable. 

Behind the scenes folks like Ramesh, Karthik who helped create the stalls, Madhava a student doctor who came all the way from Vijayawada and of course our Project Manager, Thilak who fought against all odds to deliver all of the deliverables. 

In all, at least 125 of us put our heart and soul into this event and made it happen. 

Will publish statistics later in the day. 

Thank you all!!

Pre-Conference Information
Hello all, we meet again!

This time we could all meet up at CAHOTech 2019

So, what is CAHOTech 2019?

CAHO is Consortium of Accredited Healthcare Organisations. This is the fourth year they are conducting  CAHOTech, an event of a one-day format with speakers in a conference and stalls by participants. 

Venue: IIT Madras Research Park

Date: September 28

This year, there is a small twist to how we are featuring the companies at this Conference. 

A Brief history of HealthTech Connect-a-thons in India

There is a group of us who have had good success in showcasing the capabilities of HealthTech companies here in India. The first in the series was a Testathon conducted at Philips, Bangalore in 2012. The next was a Connect-A-thon at St. John’s, Bangalore in 2016. The third in line was an Interoperability Showcase at the Medicall Conference in Chennai in the year 2017. 

This year CAHO - 2019 carries the torch.

So What's the Difference in this years Showcase: The "Pavilion of the Future"

The stakeholders in this conference are investors, hospital administrators (CEOs, CTOs, CxOs), physicians, other medical experts and students. To make it meaningful for them, we will be showcasing about 40 companies through “scenarios”. Each scenario while exhibiting specific industry functionality will also highlight four common “competitive parity” themes 

- Customer Experience, 
- Care Delivery, 
- Operational Excellence and 
- Quality

Additionally, we will also showcase industry solutions for two or three Public Health problems in India. This will be futuristic solutions. 

How you can participate and help create this “Immersive HealthTech Ecosystem Showcase”:

1. Register to be part of the Showcase through your company (we will assist you in getting an NSIC grant to cover being part of the showcase)

2. Provide us with a Public Health challenge AND a solution to go with it. 

3. Be there on September 28 to experience what you have helped create.

In addition to the above, those who participate can try their hands at the PitchFest the previous day, 27th September 2019 (they will have to register of course) that brings in a cash purse of up to Rs. 20 lakhs in total. 

Source: Organising Committee - CAHOTECH 2019

We also have several investors committed to being there to check out the offerings.

Here's a look at the conference floor map

What does the The CAHOTech 2019 Immersive Experience have for me as a Startup, as an Investor?

HealthTech companies use technology (databases, applications, mobiles, wearables) to improve the delivery, payment, and/or consumption of care, with the ability to increase the development and commercialization of medicinal products.

Stakeholders consist of hospitals and practitioners; insurance; consumer-facing services; pharmaceuticals; and government. 

The Healthcare industry was valued at US$7.2 trillion in 2015 in the US alone.

In India where the market is huge in numbers and requires innovation to deliver at appropriate price points, the startup community is embracing the challenge.  

For the Startups: 
To showcase what is happening in the Ecosystem, CAHOTech 2019 is providing a platform for startups to exhibit what they do and how they do it in interoperable ways with other companies for the stakeholders. The exhibits will allow the delegate visitor to experience the flow of data and triggers that initiate functionality offered by individual companies in an immersive way through role plays called scenarios. 

These scenarios are designed to illustrate real life situations happening at point of care and the mechanics involved to ensure the delivery of care to the users of the various systems. 

Over and above the core solutions that companies provide to their clients, they also design their systems to ensure a high level of Customer Experience that are delivered in the right manner at the right time for the client at optimal performances. These hidden strengths of the systems designed by the startups will be brought to the fore for the visitor to experience for themselves. 

You will have access to a monitor in your station (we will call it station instead of stall). The scenarios will ensure that you will be able to explain your solution's functionality through a story. What that will mean is, you will present on-screen to the delegates and do your show-and-tell with the gadgets, apps, solutions, demos as well.

The opportunity that CAHO is presenting to HealthTech companies is prestigious and all of you entrepreneurs lend credibility to the event. If you know of partnering companies who are part of your workflow in the ecosystem, please have them contact us. We’d like to showcase all of you. For those of you who have gone through the exercise of constructing a Business Model Canvas (BMC), every one of the entries you made in the Key Partners box is a candidate to be at this immersive experience event. Please refer them.

For the Investors in HealthTech: 
If you are an Investor who wants to see the potential of the healthcare industry, or if you are a Healthcare Organisation Administrator who wants to explore how you can put together various tech products to secure your place in the marketplace or if you are a Clinician and would like to know how these technology systems work in concert, or if you are a student who wants to know your career prospects or if you are any kind of stakeholder in healthcare and would like to get a touch and feel of what the industry is about, you need to be here.

Message from, Sameer Mehta, Dr Mehta’s Hospitals, the Atlas Family Office, the Chennai Angels (EC) & Organising Chair -CAHOTech, Vice President - CAHO
"Welcome to our CAHO Community.  We hope many of you are excited to be part in the first ever Health immersion program in India.  This will be a wonderful program - the more you put in, the more you will benefit.  Spread the word.  Your prospective customers and investors should experience this at CAHOTech...
With over 500 folks expected and over 10 investors committed - this promises to be interesting."

How can I be a part of the Showcase?

Please fill the CAHOTECH 2019 - Showcase Registration Form

Alternatively you can download the WORD version of the form - here

Any queries about the form, please Send in a email to: [email protected]. You can also leave your comments to the article and the Team HCITExperts will be able to get back to you. 

Some FAQ on the Form:

Some of the questions we have received have been:

- can the primary problem statement be more than 1 (# G)
G. Yes, they can be more than 1

- what do we highlight as our Strengths? (# I)?
I. Every aspect of your product that you feel are strong from the point of view of your customer 

- what do we include in Operational Excellence (# M)?
M. Factors that contribute to the better operation of the facility of your client

- what do we include in Quality of Care (# N)?
N. Factors that contribute to the quality of care experienced by the patients; this is different from Customer Experience which is more to do with the usability of your product. 

Bottom line, we want to showcase your offering through an experiential way. The more information you give us and indication of what you want highlighted, the better for us to work on your scenarios.

Manick Rajendran
Founder at iMMi Life
Read more »

What is #BlockChain? Implications for Healthcare by @msharmas

In my previous article I discussed about the benefits and barriers to the use of an Integrated Health Information Platform. In healthcare the need for presenting the Information to the Right Person at the Right Time has been proven to improve outcomes in patient treatment.

Will HIE 2.0 benefit from the use of Blockchain in presenting the information to the Right Person at the Right Time? 

What is Blockchain?
Various definitions of Blockchain have been put across based on the context of the use. Some of these definitions are: 

A digital ledger in which transactions made in bitcoin or another cryptocurrency are recorded chronologically and publicly.

“The blockchain is an incorruptible digital ledger of economic transactions that can be programmed to record not just financial transactions but virtually everything of value.” Don & Alex Tapscott, authors Blockchain Revolution (2016)

The Blockchain is a decentralized ledger of all transactions across a peer-to-peer network. Using this technology, participants can confirm transactions without the need for a central certifying authority. Potential applications include, fund transfers, settling trades, voting etc.

Blockchain is a distributed system for recording and storing transaction records. More specifically, blockchain is a shared, immutable record of peer-to-peer transactions built from linked transaction blocks and stored in a digital ledger. [1]

A Blockchain is a data structure that can be timed-stamped and signed using a private key to prevent tampering. There are generally three types of Blockchain: public, private and consortium. [6] 

Read more »

Pragmatic #Interoperability by Dr. Charles Webster, @wareflo

"Pragmatic interoperability (PI) is the compatibility between the intended versus the actual effect of message exchange”

This article has been re-published with the authors permission. The article was first published by Dr. Charles Webster on his blog here

Read more »

ICD to SNOMED CT Mapping: Observations and Inferences by Dr. SB Bhattacharyya, @sbbhattacharya

The Concepts presented in this article are as proposed by Dr. SB Bhattacharyya and presented in the HCITExpert Blog with permission from Dr. SBB - [email protected]

Read more »

Why Do We Want #Interoperability? by @Matt_R_Fisher

Interoperability, to a large degree, comes down to having a fully unified healthcare system where data is always available

A lot of time and attention has been put into the notion of interoperability by almost every stakeholder in the healthcare system. Those interested in the issue include patients, providers, vendors and the government. Why has interoperability received so much focus, though? It may be possible to answer that question by stating that interoperability contains a large element of the common good.

Read more »

#Interoperability the Missing Link for #DigitalHealth Apps by @msharmas

In India we have 204.1 million smartphone users in 2016 [ ], it's only natural to find startups using the mobile as the way to acquire customers by providing mobile Health based products and services.

While it is a great way to provide accessibility and affordability of healthcare services via mobile health solutions, it is also important to understand the need to ensure interoperability of the healthcare data being captured in these apps.

Read more »

TRIVENI: A remote patient monitoring solution via @msharmas - Part 2

Introduction to Part 2

In the part 2 of this series, I will endeavour to define the Business Case and the Timelines for the Research and Development of the TRIVENI framework.

Read more »

SNOMED CT CSETS - Its Place and Use by @sbbhattacharyya

The Concepts related to CSets are as proposed by Dr. SB Bhattacharyya and presented in the HCITExpert Blog with permission from Dr. SBB - [email protected]

What is a Constrained Set?

  • The word constrain means “to control or limit something” (Cambridge Online  Dictionary)

  • SNOMED CT makes extensive use of refsets (reference sets), for a wide-range  of purposes, each of which have specific purposes

  • Refsets need to conform to certain specific rules and guidelines regarding their
preparation, distribution and maintenance
  • Takes a long time to design one and the designing entity needs to have a
 namespace assigned to it
  • This makes the rapid and effective use of SNOMED CT in individual systems  cumbersome at best and impractical at worst

Read more »

TRIVENI: A remote patient monitoring solution via @msharmas - Part 1

TRIVENI, a remote patient monitoring solution that is a confluence of three aspects of patient information: 

Data | Medical Devices | Connectivity


Just the other day we heard the SpaceX rocket zoom off to the space to deliver a satellite to the geospatial orbit, Rosberg won the 2016 russian grand prix & Mars rover continuously transmitted the images and vital parameters from millions of miles away in the space

The above three scenarios present the ability to stream data in realtime to a base station providing the ability to remotely monitor the performance of a space-craft, a formula 1 car and a remote autonomous vehicle.

Similarly consider the following use cases in relation to a patient in a Healthcare setting:

  • patient information in a Hospital
  • patient in an ambulance or
  • patient under homecare
presents use cases that require remote monitoring of patient information. 

The existing technological paradigms such as IoT, data streaming analytics, connectivity & interoperability allow for a framework to allow for remote patient monitoring in each of the three Healthcare use cases


I would like to propose TRIVENI, a remote patient monitoring solution that is a confluence of three aspects of patient information
  • DATA
Triveni proposes to implement a plug-n-play framework that will allow for easy connectivity between healthcare information sources.

The etymology of the word TRIVENI in Sanskrit means “where three rivers meet”. Similarly, the three aspects of Patient Information need to be integrated to meet the requirements of a remote patient monitoring solution

Focus areas of TRIVENI

Initially to showcase the Proof-Of-Concept for the solution, the above three focus areas will be considered to present as the use cases. Each of the three focus areas present the ability to test the confluence of three aspects of Patient Information defined above
  • Cardiology
    • MI
    • Chest pain
  • Neurology
    • Stroke
    • Head Injury
    • Epilepsy
  • Emergency Services
    • Trauma

Need for TRIVENI

The Tower of Babel (Pieter Bruegel the Elder, c. 1563), a metaphor for the challenges existing in medical device semantic interoperability today

Current Landscape

  • Piecemeal integration creating information silos; leading to difficulty in sharing patient information
  • Silos unable to deliver real-time patient data reliably; leading to lack of data synchronization to ensure latest  time-aligned data
  • Vendor Dependent solutions; leading to internal battlegrounds
  • Lack of semantic interoperability between systems; leading to a tower of babel situation in medical device semantic interoperability
  • Captive investments by healthcare facilities in existing medical devices leading to a long time before the medical devices can be replaced with newer systems with easier connectivity features

The Remote Patient Monitoring Process Flow

Typical Remote Patient Monitoring process (adapted from Center for Technology and Aging)

The Center for Technology and Aging indicates a 5 - Step process for Remote Patient Monitoring. The 5 steps are essential to deliver a continuous flow of patient related information to the remote base station monitoring a patient(s) in any of the use cases or the focus areas presented earlier

The Remote Patient Monitoring Process Flow Mapped with TRIVENI Framework Components

It becomes imperative for the solution to incorporate these founding principles of a remote monitoring process into any framework/ product of such a nature. The process steps get implemented in the TRIVENI framework, allowing for the continuous monitoring of patient information from the various connected systems.

The processes allow for a modular approach to the Product Definition of the TRIVENI framework, with the ability for each component of the platform to evolve as dictated by its internal technology and thus enables each component to incorporate newer technology paradigms as and when they present themselves

The TRIVENI Components are

  1. TRIVENI Connect ®
    1. A programmable Connector that allows the transmission of data from the connected medical device
    2. Supports BLE, Wireless technologies
  2. TRIVENI  Hub ®
    1. A Medical Device Data Aggregator that has the ability to receive data from the TRIVENI Connect and transmit the patient vital data streams to the TRIVENI Exchange
    2. Supports 2G, 3G, Wifi, 4G networks
  3. TRIVENI  Exchange ®
    1. TRIVENI Exchange is a secure, reliable patient vital data store that can seamlessly transmit data received from TRIVENI Hub to TRIVENI Apps
    2. SSL Security, supports interoperability, Data Delivery to TRIVENI Apps or Connected EHR Systems (via HL7)
  4. TRIVENI Apps ®
    1. TRIVENI Apps have the ability to securely receive identified patient’s Medical Data from the TRIVENI Exchange
    2. TRIVENI Apps are delivered on Android, iOS, Web-based platforms


The TRIVENI Connect is a device that acts as a converter that allows any medical device to connect to the TRIVENI system. The Connect device for instance will be connected to a Patient Monitor via the RJ45, RS232-to-USB converter.
Once connected, the TRIVENI Connect will automatically download the relevant driver from the TRIVENI HUB, that allows for the Patient Data Stream from the Monitor to be streamed. Additional features of the TRIVENI Connect are: 

  • Has the ability to Fetch Data from the connected Device
    • No. of Manufacturers
    • No. of Devices
    • One TRIVENI Connect per Device
  • Convert Data from Device by encoding Device Data with Following information
    • Device ID, Manufacturer ID
    • Device Type
    • Patient ID
    • Ambulance ID/ Hospital ID
  • The TRIVENI Device Should be configurable with the above data. Additional capabilities of the TRIVENI Connect are:
    • Allow for Access Point Configuration
    • Via PC/ Via mobile device
    • Configure the TRIVENI Exchange IP
    • Send Data to TRIVENI Exchange
  • Software Upgrade:
    • Via PC
    • Over the Air
  • Linux Based, WiFi USB Dongle with a RS232 – USB Converter


The TRIVENI HUB is a device that acts as a data aggregator device at the remote location. All the Patient Data streams from various connect devices are routed to the HUB.

The HUB can be configured via a mobile app. Using the mobile app the users will be able to configure various aspects of the TRIVENI HUB like the internet connectivity, TRIVENI Connect linked to the HUB, Username and password configuration of the HUB & Connect devices, Store and forward configuration to name a few.

The HUB device has the following features: 
  • Is a WiFi Router + Cellular Modem
  • Has the functionality to work as a patient data stream aggregator with a store and forward feature
  • Has multiple SIM slots or Multiple USB ports for Broadband Connectivity
  • In Ambulance:
    • Will Work as a WiFi Router Access Point for the TRIVENI Connect
    • Will work as a Cellular Modem for Transmitting the data to the TRIVENI Exchange
  • In Hospital:
    • Will work as a WiFi Router Access Point for the TRIVENI Connect
    • Will connect with the Hospital LAN to connect to the Internet
  • Has the ability to store and forward patient data
  • Data streams will be prioritized based on the QoS of network connection
  • Ability to send data packets over multiple networks to reduce packet loss
  • Data aggregation from multiple types of sources other than TRIVENI Connects
  • Maintains the security of the data-on-move over wire and when data-stationary when within the TRIVENI Hub by enabling security protocols (SSL) and encryption of data


The TRIVENI EXCHANGE is a Medical Data+Media Server that can be configured as a Virtual / Physical Server. The EXCHANGE has RTP/ RTSP/ RTCP Capabilities for Live Streaming of the Patient Data Streams from each of the HUBs connected to the EXCHANGE. 
The features of the TRIVENI Exchange are 
  • Site Configuration: Allows the Creation of an Identity for a Client (Ambulance Services/ Hospital Provider)
  • Identification/ Allocation of IP Address (Destination IP for Medical Data Streams) for the TRIVENI Exchange
  • Allows the configuration of the TRIVENI Connect’s to stream data to the Identified IP Address
  • Has the ability to update the TRIVENI Connect / TRIVENI Exchange Firmware OTA
  • Has the ability to receive Voice and Data Streams
  • Has the ability to enable Live Streaming of Data, Video and Voice to TRIVENI Apps
  • Linux Based system
  • Virtual/ Physical Server
  • 128-bit Encryption, https, 2-factor authentication enabled
  • Can be Configured for each client in a multi-tenant server configuration.
  • Has a Medical Data Controller module to identify the source and destination of the medical data streams
  • Ability to allow store and forward data on demand
  • Allows data push or pull configurations for the TRIVENI Components
  • Maintains the “device” drivers for various types of patient sources


The TRIVENI APP is an android or iOS based app. There are two APPs that come with the TRIVENI framework. One APP is for configuring the remote configuration for the connect and the hub devices at the location for the client
Another APP is for configuring the Exchange and for viewing the data being streamed from the various devices connected to the patients in the remote locations
  • Enables Care Anywhere
  • Web-based, Android or iOS based apps
  • Allows for a two way communication between devices
  • Free to download app on the App Store
  • Allows the user to authenticate her credentials
  • Allows two way communication between the Apps between two users
  • Ensures the reliability of the data
  • Security enabled to ensure patient data authenticity
  • TRIVENI Apps will be developed as web-based and subsequently as native apps
  • TRIVENI apps will incorporate the usability guidelines for the healthcare based apps
  • TRIVENI apps can be configured for data push or pull options
  • TRIVENI apps enabled with security and data encryption profiles
  • There are two types of TRIVENI Apps: TRIVENI HUB & TRIVENI EXCHANGE apps to configure remote and base components

Interoperability Considerations for Medical Peripherals

If one was to trace the progression of delivery of printer drivers, it presents an interesting case study regarding how hardware-software interoperability has progressed over the years in the IT industry. And studying these aspects help us to, hopefully in the future define the way Interoperability in the Healthcare Industry should be handled.

Printers have been essential hardware devices that are connected to the software platform (OS) via various types of connectivity platforms, and service the productivity needs of the organisation.

Lets consider the various Printer installation processes we have seen in the past

  1. CD with OS compatible drivers: Printers started out as peripherals that required a specific driver to be installed on the system (PC/ Laptop/ Server) that was going to be connected to the printer, via a printer cable
  2. OS with Pre-installed Printer Drivers: Then we progressed to the OS itself having a list of compatible drivers that enabled the OS to auto-detect the type of printer or peripheral that was connected to the system. This also allowed for network printers to be installed in the network and allowed for the print server to have all the relevant drivers installed just on that server. PCs in the network wanting to use the printer resource, just needed to send the document to the print server.
  3. Cloud Printers: Now a days, it is possible to connect the printer to the cloud via HP-ePrint or google printer services and access the printer from anywhere in the world.

Device & Software Interoperability

Taking learning from the way peripherals interoperability has been handled in the IT industry, Healthcare Interoperability should be a de-facto feature that should be present in most systems
Interoperability needs to be made as a plug-n-play feature in the Healthcare Services and Solutions. What are the various “Peripherals” that need to be connected in the Healthcare Industry?

  •     Healthcare Information Management Systems
  •     Medical Devices
  •     Laboratory Devices
  •     Radiology Devices
  •     Medical Apps

Additional Thoughts on Interoperability

Now the idea for defining the progression of a hardware connectivity w.r.t. The Printer device, is to try and define how medical device connectivity & interoperability should be enabled in the future
Currently, Interoperability is a “Service” that is offered as part of the implementation process by the system integrator or the vendor of the healthcare software. The point is, why should the customer bear the cost of “connecting” the hardware and software OR two software's within an organisation
In Healthcare we are working towards providing such seamless and plug-n-play connectivity between EMRs, medical devices and now a days, additionally the  mobile health applications.

Suggested Reading

  1. Unlocking the potential of the Internet of Things | McKinsey on Healthcare -
  2. 10 most in-demand Internet of Things Skills - CIO - Slideshow -
  3. 12 Quantified Self Public Health symposium 2014 report:  (PDF)
  4. Remote Patient Monitoring Lets Doctors Spot Trouble Early - WSJ 
  5. What's New In Indian Hospitals: A Hi-Tech ICU And How It's Saving 
  6. Study: Remote Patient Monitoring Saves $8K Per Patient Annually 
  7. Lantronix on “Why Every Healthcare Device Should be Connected to the Internet of Things” | Symmetry Electronics -
  8. #IoT software development requires an integrated DevOps platform -
  9. Remote patient monitoring technology becoming imperative for providers #IoT #HITsmIND
  10. Remote patient monitoring: What CIOs can do to make it happen - Health IT Pulse #IoT #HITsmIND
  11. Remote #Patient Monitoring: 8 Trending #Healthcare Infographics
  12. Five innovative examples of #mHealth and #telehealth technologies
  13. Big data fuels #telemedicine, remote patient monitoring 
  14. OpenICE - Open-Source Integrated Clinical Environment
  15. Fundamentals of Data Exchange | Continua
  16. Global Patient Monitoring Devices Market Analysis & Trends - Industry Forecast to 2025 -

I am looking for partnerships, sponsors to develop this solution. If interested kindly get in touch via email: [email protected]
Manish Sharma

Founder, Digital Health Entrepreneur.

Additional Articles by the Author
  1. Health ID as Patient IDs unifier in India  by Manish Sharma  
  2. 5 Steps towards an Integrated Digital Health Experience in Indian Healthcare in 2016 
  3. Top Healthcare & Digital Health Predictions for 2016
  4. Zen Clinicals: An Activity & Workflow based solution (1 of 3)
  5. RFID in Healthcare: Usecases from Hospitals
  6. 10 Solutions for the Healthcare IT Fringes
Read more »


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