Continua Design Guidelines

PCHAlliance publishes and promotes the Continua Design Guidelines, the only open implementation framework for authentic, end-to-end interoperability of personal connected health devices and systems. 

The Continua Design Guidelines are based on common international standards defined by recognized standards development organizations, and are built on four key principles:

  1. Unity: The best clinical minds united with the best technical minds to deliver and scale remote monitoring worldwide. 
  2. Benevolent: The spirit of doing what we collectively believe is right for all persons is also freely and universally accessible.
  3. Inclusive: Inputs and improvements from any person are heard and considered.
  4. Holistic: We passionately work together to enable holistic understanding to make big data research possible.

Valuable tools and resources support product certification via the Continua Design Guidelines, including: the Continua Enabling Software Library (CESL), CODE for Healthcare and test tool development, representing millions of dollars worth of software development created by Continua to enable complete end-to-end functionality. PCHAlliance members have access to Continua Certified Experts (CCE), pre-market interoperability testing, Technical Operations Leads and brand support for Continua Certified products. PCHAlliance also participates in a series of events around the world to connect members with buyers, as well as Plugfests, Summits and an online Product Showcase highlighting Continua Certified products and services.

The Continua Council is the Continua Design Guidelines governing body, boasting today's most dynamic, forward-thinking and successful organizations: AT&T, Samsung, Intel, Orange, Philips, Roche Diagnostics, Eli Lilly, ResMed and CSIRO. 

Download our white paper Fundamentals of Medical-Grade Data Exchange for a basic description of the data that is being exchanged between sensors, gateways, and end services and the value-add Continua provides beyond the referenced standards to make implementations truly interoperable.

Download the Continua Design Guidelines for free:

Version Download Link Overview

2017 Design Guidelines

Introduction to CDG 2017
2016 2016 Design Guidelines
2015  2015 Design Guidelines
2014  2014 Design Guidelines
2012  2012 Design Guidelines
2011  2011 Design Guidelines
2010  2010 Design Guidelines
Version One  Version One Design Guidelines

Continua Design Guidelines Roadmap

Continua continues to expand the capabilities of the Continua Design Guidelines. Below is the current potential roadmap for its next CDG release. As we are driven by membership in creating the new CDG release, we encourage you to join in driving the following Work Items or to introduce new CDG Work Items that you would like to see as part of the CDGs. Please contact for questions related to the Continua CDG Roadmap. 

Work Item



Direct-to-Cloud Medical-Grade Observations sensor direct to cloud (no physical PHG)

Use Case, Gap Analysis, Standards Selection, CDG Text

FHIR Observation Retrieval Determine CDG role in (value add) the healthcare ecosystem in general and HL7 FHIR standard specifically

User Scenarios, Capability Statements, Change State Notification, Gap Analysis, Standards Selection, CDG Text

End-to-End Security Update CDG Privacy, Security, Consent Management, Authentication, Auditing, … Cyber Security, Privacy, Consent Management
Device Specializations

Physical Activity Monitor, Fitness Machine, Urine Analysis, Insulin Delivery

Continua Compatible BTLE Profiles
Questionnaires FHIR-Based Implementation H.H812.2
OpenMedReady Coordinate with OMR Group proposed changes to the CDG for Patient Identification Management GAP Analysis, Standards Selection, CDG Text
HIS Interface H.813 Update Revise to reflect normative PHMR CDG Text
Deprecate hData Assess Impact to CDG & ITU CDG Text
CDG Training Summit, On-site, Webinar, Self-Paced Slide-Deck, Student Guide, Webinar Session
Research & Development Data Transport, Data Modeling, Data Representation, Information Models, Knowledge Bases Convening, Concepts, Proposals

PCHAlliance non-members and members are invited to comment on the most current version of the Continua Design Guidelines.  All comments, from members of the PCHAlliance and from non-members alike, will be reviewed and addressed in the next round of development.

Public Commenting

Continua Design Guidelines & Approved Use Cases Now Available

The 2015 Continua Design Guidelines contain references to the standards and specifications that Continua selected for ensuring interoperability of devices. The 2015 Continua Design Guidelines are now available for download. Approved use cases are also available.

Continua Use Cases, 2006-2014

Continua use cases are approved by member ballot and incorporated into its Design Guidelines according to procedures set out in Continua’s Lifecycle Process. Once approved for development, a use case is generally divided into one or more “work items”, discrete increments of capability, for development as Guidelines. In complex cases, some work Items may be completed and published as Guidelines while others remain in development.

Once approved at ballot, a use case normally remains open to development for a period of 4 years, after which it becomes ‘closed’ unless there is a case put forward for an extension.

The following documents provide indexed, searchable access to all balloted use cases, within their corresponding timelines. For questions about a particular use case or Continua’s process for approving and developing use cases into guidelines, please contact

The Continua Design Guidelines are available free of charge.

Continua device certification does not mean or imply that the device is legally marketable in any country; certification only assures that devices communicate in a standard fashion per Personal Connected Health Alliance certification requirements and Guidelines. Refer to the device manufacturer or country Health Authority for specific details associated to device marketability or usage. PERSONAL CONNECTED HEALTH ALLIANCE DISCLAIMS ANY AND ALL WARRANTIES, EXPRESS OR IMPLIED, WITH REGARD TO ANY CERTIFIED PRODUCTS, INCLUDING, BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY, FITNESS FOR PARTICULAR PURPOSES OR INTELLECTUAL PROPERTY INFRINGEMENT. ANY AND ALL WARRANTIES ARE THOSE PROVIDED BY THE MANUFACTURER, DISTRIBUTOR OR SELLER OF THE DEVICES AND PERSONAL CONNECTED HEALTH ALLIANCE MAKES NO REPRESENTATIONS OR WARRANTIES WITH REGARD TO THE EXISTENCE OR AVAILABILITY OF THE SAME.