Mapping of Catalan agents & opportunities. Barcelona, July 2013

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1 Mobile On Health Mapping of Catalan agents & opportunities Barcelona, July

2 Contents Working Scheme Map of Agents Map of Opportunities 2

3 Working fields UTILITIES PUBLIC SECTOR HEALTH CREATIVE INDUSTRIES SUPPLIERS TOURISM & EXPERIENCE FINANCIAL SERVICES MOBILITY & TRANSPORT RETAIL EDUCATION LOGISTICS 3

4 Background Health expenditure per insurance (1.295 /person and year) is at the bottom of European rates, 25% below average of UE 15 Catalan Health System has two differentiated elements: Barcelona HEALTH MARKET IN CATALUNYA (*) >7,5 M people under assurance coverage of CatSalut Aprox. 2M people also are under private assurance coverage (almost 25 % of population) Extensive public health system 451 Centers of primary assistance, 831 local consults, 69 severe illness hospitals, 96 social assistance centers, 199 mental illness centers High satisfaction of health system 8,2/10 in accordance to recent public polling HEALTH INDUSTRY (*) workers (2006), 2% of the population M of Catalan public budget; 1.410M in private health insurances (covering 20% of population, 2012). A decentralized network of facilities in proximity through Catalonia. The Separation functions between the Government (accredits quality, plans, purchase and assess) and a network of organizations owned by different institutions, which manages with professionalism the services. Future threads of health system. Between 2012 and 2020: More than 1,5 million people will be aged over 65 s Chronic patients will be doubled Cost of cytostatic treatments will we multiplied by 3, and demand of those services will increase Citizens have a new role in the health Plan and became in the primary purpose of the system. This Plan includes new relationship models and attention alternatives, that will need the intensive use of ICT. 4 (*) Health Plan of Catalunya ( )

5 The role of ICT in the Health Sector Connects medical practice with every agent. Behavior change. Increases quality. Share knowledge. Continual assistance services. Add value to professionals. Eases continuity to assistance services. Security and confidenciality Standards and interoperability 5

6 ICT transforming the Catalan Health Plan Consolidate a non face care model, empowering citizenship. Personal Health Channel Consolidate a unique platform of shared communications among providers Data integration structured in HC3 to ease assitential contiinuity. Chronics Programme. ihealth Active Intelligence integration to assistential tools Sustainability Shared Knowledge Clinic Knowledge A connected patient with the health system, a assured and attended patient Change tool Results centered Management INSPIRATIONAL PRINCIPLES OF THE HEALTH PLAN History Citizen Integrated Attention CatSalut Public Health System integration centered in citizenship. 360º vision Assistential Application integration among Public Heaklthcare EAP s Community health Conversion from HC3 to a process manager also fort interdepartamental use. ihealth Design and deployement of the Shared Data Platform Adapt HC3 to structured data collection for evaluation 6 HC3: Shared Electronic Health Record in Catalonia EAP: Primary Care Teams in Catalonia

7 Contents Working Scheme Map of Agents Map of Opportunities 7

8 Catalan Health System Catalan Health System HEALTH DEPARTMENT CATALAN HEALTH SERVICE LOSC ASPCAT (Ca atalan Public Health Agen ncy) HOSPITAL ATTENTION HEALTH REGIONS HEALTH SECTORS MEDICAL EMERGENCY SYSTEM INTEGRAL HEALTH SYSTEM FOR THE PUBLIC USE OF CATALONIA SOCIO SANITARY ATTENTION Transport Rehabilitation Oxigenothe rapy PRIMARY ATTENTION Health regional Area Primery Attention Center COMPLE MENTARY SERVICES LOSC MENTAL HEALTH ATENTION AQUAS (He alth Quality Agency) and Evaluat tion 8

9 mhealth Ecosystem Public Administration i ti Academia and R&D Industry Aplications Tractor projects Instrumentation Network HC3 eprescription Process Health Management Canal Salut Health provider Citizen Health users associations Advisor committee for patients security Health & Care Telemedicine Teleassistance Medical Image LivingLabs Support Agents Company Association Event organization 9

10 ehealth Industry Value Chain Instrumentation Integrators WAN System Intelligence Applications Final Applications Customer 10

11 ehealth and ICT providers Instrumentation Agfa/Healthcare, Aicox, Ambar VS, BioIbérica, BiomTecBiotronik, Bventura, Carril Instruments, t Icnita, Mdi Medical lds, Mdi Medisol, lnte, Nuubo, VitalAire Integrators and BT, Cisco, Comitas, Eurona, HP, IBM, Intersystems, t Orange, Telefónica, Tlfói TIC Mdi Medical Operators Services, T Systems, Unitronics, UPCNet, Vodafone System Intelligence and Applications Final Aplications and health Business Ab Tel, Advance Medical, Alsys, Altran, Atos, Bioaccez/controls, Bismart, C2C, Cerner, Costaisa, Doctopolis, Doctoralia, Espai SICTA, Everis, Excelium, Iasist, Iecisa, isoco, isoft, LabWare, Newlog, palex, pharos, SIC Solucions, Traza, UniversalDoctor, verbio, 6 Inf Abbot, Artica, Alma, Aula, ByHours.com, Bitac, Carburos Metálicos, Cetir, Cits, CRC, CyFluent, E S health, Esteve, Esteve Teijin Healthcare, Euromedice, flowlab, gemmed,, innoget, isalut, Izasa, jubilarse en casa, Medic, minddistrict, Monitor medical, My Fisio, OtherSide Mirror, Phemium, Pulso ediciones, Roche, Salucenter, Socialdiabetes, SVI, SVS, Sunset Technologies, telemedicine Clinic, Unit4, Vademecum, Visual Limes, VitalAire, Vortal 11

12 Health and ICT Hidden Champions Different Typology Mix of young and consolidate companies. Mix of internationalization level. Some specialized on mhealth; some on professional medical solutions Own developments advanced technological solutions proposed. some are research groups spin off companies deep knowledge of university research system and public health system 12

13 Alma 2D VIEWER Mdi Medicalimage viewer for images obtained from radiological explorations, and from different modalities captured by workstations such as conventional radiography (CR), Computed Tomography (CT), Magnetic Resonance (MR), Mammography (MG), and Ultrasound (US). Alma MPR Multiplanar reconstruction module. Based on a Mission: Aim of investigating, creating, developing, commercializing andselling software products for all types of medical applications. Services: Complete viewer of medical images multimodality, which includes the most advanced radiological evaluation and surgical planning tools. Sector: Health Potential clients: Health Centres, Private clinics with or without PACS, OEM integration, Pharmaceutical Companies Technology used: Software applications, Viewers and diagnosis Product: B2B sequence of images, it constructs a three dimensional model and allows the simultaneous visualisation of MPR projections in Axial, Coronal, Sagital and Oblique plane in a completely interactive ti way. Alma 3D VOLUME Advanced 3D reconstruction viewer that allows you to obtain, from DICOM images, three dimensional models to view them in high definition, in a realistic representation as well as interact with them in real time. 13

14 bihealth Healthcare Specialist tbi solution Mission: Help decision making by transforming data into knowledge, through dashboards, scorecards, key performanceindicators, reporting, datawarehousing and data integrations. Services: Big Data, Open Data, Strategic plan. Balanced Scorecard, Corporative Reporting. Dashboards and Scorecards, Analytical Model, Datawarehouse, Sector: Health, Government, Insurance, Corporate, Energy, Utility Potential clients: Health Centres Technology used: Software applicationsproduct: B2B 14

15 DoctoraliaD t App Locate doctors and medical centers near you, review others' opinions and book an appointment over the phone or online. 8 million users use our services every month to reach doctors in their countries. Doctoralia gives patients the possibility not just to search for doctors but to read other patients opinions and book appointments online with the specialist of their choice, on the web and on their mobile phone. Mission: Become the world's leading destination for finding and booking with healthcare professionals and centers, helping those professionals and centers reach more patients through the Internet. Services: Software application Sector: Medical Potential clients: Hospitals, patients Technology used: Apple and Android Application Product: B2B and B2C 50,000 Doctors, healthcare professionals and medical centers worldwide actively manage their online presence with Doctoralia. They get exposure to the right patients in the right place, to better serve their patients and to acquire new ones. 15

16 i Habilitation ti Tl Telemedicine dii in Alzheimer and Parkinson i habilitation is an online telemedicine platform, aiming to improve the quality of life of patients with Alzheimer and Parkinson, by integrating monitoring of rehabilitation exercises in patient's home. Medcat Telemedicine for chronic patients MEDCAT is the telemedicine platform for the management of chronic patients in Catalonia. This project provides a telemedicine kit to be implemented in patient s home or nursing houses. Mission: Createsolutions to improvepeoples peoples lives by bringing health beyond their health suppliers Neurorehabilita+e Upper extremities tele rehabilitation through high quality, transparent and fun services. Supporting technologies for tele rehabilitation of the upper Services: Health through smartphones and tablets, improving health habits, improving health habits, extremities in which patients are monitored during the new paradigms for hospitals rehabilitation therapy thanks to robotic aid for movement. Sector: Telemedicine Potential clients: Aprop: is a platform to manage the fragile patient through Technology used: Mobile applications, cloud services, new technologies. Telemedicine platform to aid fragile patients Product: B2C. to manage from their own homes the proces of their illenss. 16

17 ECG & Holter interpretation ECG andholterinterpretation reports by a gem med team of specialists led by Dr. A. Bayés de Luna. Response times and working hours based on a client's needs: From immediate response to 24 h, 48 h or 72 h, based on needs. Adaptation of interpretation report formats. Web access to reports. Issuance and reception notices of diagnostic tests to be interpreted and reports of interpretations made. Screening services, diagnostic observation reports and 2nd opinion. ECG & Holter hosting The infrastructure you need to Mission: Increase the use, accessibility and streamline your ECG and Holter interpretation services under contribution of electrocardiographic diagnostics, to the care of your own team of specialists without having to provide solutions with the most precise invest in devices or platforms. interpretation of cardiac examinations Adaptation of interpretation report formats. Services: Remote cardiac examinations Web access to reports. Sector: Telemedicine Issuance andreception notices of diagnostic tests to be Potential clients: interpreted and reports of interpretations made. Technology used: ECG & Holter interpretation and hosting. CRO trials and screening Product: B2B med.com/ 17

18 Open Innovation Marketplace Thousands of open innovation professionals registered worldwide. Hundreds of tech requests and offers posted. Fast access to millions of potential technology and innovation partners from business and academia innogetcloud Acloud based software as a service platform Mission: Global community comprising thousands of professionals who have free access to technology requests and offers posted by innoget customers, innovation seekers and innovation providers Services: Marketplace Sector: Health Potential clients: Health technology seekers and health technology providers Technology used: Software applications Product: B2B for managing open innovation and technology transfer inside a organization. Internal collaborative opportunities in R&D and innovation Innovations from around the world that fit your needs Partners from around the world for your innovative technologies Control and manage of the information flow in the innovation process. 18

19 Coagulometro y chip Nuestros pacientes utilizan la mejor tecnología del mercado, con garantías de calidad y fiabilidad de resultados y la correspondiente certificación de la Unión Europea. El aparato coagulómetro es pequeño, manejable y tiene un uso muy sencillo. Se introduce un chip o tira reactiva en el coagulómetro. Se obtiene una gota de sangre de un Mission: Nuestro sueño es la constitución de una pequeño pinchazo indoloro en el dedo. Se aplica la gota de plataforma para el apoyo en el control y seguimiento del tratamiento anticoagulante oral sangre en el chip y el coagulómetro da un resultado. El análisis que sea conocida por todo el conjunto de pacientes ofrece resultados altamente fiables en pocos segundos. Estos y sus familiares, así como por el colectivo de médicos prescriptores y personalasistencial asistencial del chips (o tiras reactivas) son fáciles también de manejar y de TAO. almacenar. Se proporcionan los necesarios para que nuestros Services: Ofrecer un servicio a los pacientes en TAO (tratamiento anticoagulante oral) para realizar su pacientes puedan realizar un control semanal. Autocontrol Tutelado con las mayores garantías de calidad, d seguridad d y eficacia i y a un precio Asistencia y seguimento Nuestro programa de Autocontrol asequible. Tutelado incluye la asistencia telefónica y contacto permanente Sector: Health Potential clients: Health Centres, Patients (incluso presencial) con el enfermero o asesor sanitario Technology used: Software applications asignado al paciente y la posibilidad de consulta telefónica con Product: B2C los médicos hematólogos, previa valoración de cada asesor sanitario. 19

20 Ati Activa T reflects anewconcept of physical activity it (Medical Fitness) that offers to the users motivation and action spaces to maintain health, offering to the healthcare professionals the necessary tools for the control of the activity of their patients through indicators, in an objective way and focused on health, using new technologies. European lines in the 7th Framework Program head the solutions of health system to: the management of the individuals of their own health, in Mission: We create different applications and reference to develop good habits in nutrition and physical technological solutions in the field of health activity. (TicSalut), using knowledge of virtual reality and biomechanics to develop better diagnostic HIPERMED designs an open telemedicine platform, based on products and ensure as well the best service (evaluation of the personal injury) in the case of services oriented architecture (SOA) providing unified rehabilitation and healing of each one's body. multimedia, control and network services on IP. The project Services: Biomedical Engineering devoted to the study of human movement, its analysis, exploits and extends the results of the CELTIC HDVIPER project rehabilitation, maintenance and motivation. in the field of healthcare. The platform will include remote Sector: Health diagnostic Potential clients: Technological centres, Hospitals, consultations, e learning and agreed decision making Companies, Institutions treatment programs. Technology used: Biomechanics technologies, Virtual Reality and Mechatronics Product: B2B and B2C. 20

21 Medical Guard Una mejora del seguimiento de salud con supervisión continua del equipo médico y contacto proactivo si es necesario. Ahorro de desplazamientos para ver su equipo médico al poder hacer un buen seguimiento sin necesidad de faltar al trabajo ni costes de transporte. Mayor autocontrol con su historial i de salud d( (y todas sus mediciones) i guardados dd y disponibles para cualquier consulta o análisis posterior. Soporte técnico para asegurar que la tecnología no es ninguna barrera para su salud. Mission: Impulsar la comunicación científica y formación continuada, utilizando los progresos tecnológicos para mejorar la difusión y asimilación de contenidos, en beneficio de profesionales, instituciones y usuarios Services: Scientific publishing, medical software, scientific teaching Sector: Health Potential clients: Medical associations, event organizers, pharmaceuticalindustries industries Technology used: Software applications Product: B2C The control of type 1 diabetes requires interaction between patients and the healthcare team. To achieve this, telematic systems may be useful. The aim of this study was to assess the efficacy and safety of the telematic system Medical Guard Diabetes (MGD) which was modified for sending glycaemia and other data. https://www.medicalguard.net 21

22 SocialDiabetesS i b t application aims to improve your autonomy, flexibility and risk control, and provide you with a tool for the self management of the food you consume and your insulin dose administration. It allows your doctor to manage the control of your diabetes remotely thanks to statistics, evolutionary analysis, alert management and messages communicated between the web management and your mobile device. There are other attractiveadvantages:savetimeandmoneybyavoidingallthe disruptions thatt diabetes can introduce into yourdil daily life. Mission: SocialDiabetes is a system for the selfmanagement of Diabetes Mellitus Type 1. Services: Application to help diabetics Sector: Mobile Applications Potential clients: Customers with diabetes Technology used: Android Application Product: B2C 22

23 Omnium Fast Pass És una solució completa lt de Business Intelligence específicament dissenyat pel sector sanitari, molt flexible i adaptable a les necessitats de cada centre i amb un model de negoci amb indicadors i quadres de comandament sanitaris de gran Valor Afegit. X ClínicPortal 2.0 Motor d integració i evolució tecnològica, modular, que permet la integració dels diferents nivells assistencials amb l objectiu últim de la millora dels processos i la qualitat del servei, minimitzant els el temps i recursos Mission: The company is basedon compromise, emprats, totalmentt t integrable amb els sistemes it d informació ió knowledge, flexibility, experience, standards and openness. de cada centre, flexible i adaptable a les necessitats de cada Services: Platform for coordination, integration, entitat i de gran Valor Afegit per als professionals. business inteligence for health sector Sector: Health lh X Tropoli v3 Plataforma d integració d aplicacions EAI Potential clients: Hospitals Technology used: Mobile applications, cloud basada en una arquitectura orientada a serveis SOA, que services proporciona els components tecnològics necessaris per Product: B2B desplegar projectes d integració, ió basats en estàndards d i technologies.cat/ arquitectures obertes. 23

24 UniversalDoctor Speaker Professional is a multi language language web app that makes it easier for different health professionals to improve communication through the use of over 1,000 questions and explanations in multiple languages. Most of the questions and explanations come with their respective audio clips. Thisenables enhanced communication with patients who have difficulties in correctly understanding explanations in the health professional s language. Mission: UniversalDoctor develops an extensive range of tools and projects that facilitate communication between health professionals and patients from different backgrounds. We work to make communication easier and draw on multimedia technology and leading professionals to implement projects that contribute to intercultural and multi language understanding. Services: Healthcare Sector: Mobile Applications Potential clients: Primary Assistance Centers Technology used: WebApp, ios Product: B2C UniversalDoctor Speaker Hospitals. If your health institution is located in a multicultural environment or you regularly see many tourists, your hospital, health center, or clinic will have certain multilingual needs to resolve. UniversalDoctor Speaker Hospitals is a good complement to the magnificentwork performedby translators andover the phone interpreters as it helps them focus on the most commonly required situations. Build your digital multilingual hospital to suit you! UniversalDoctor Speaker iphone & ipad. UniversalDoctor endeavours to ease communication between health users and health professionals, wherever they are and regardless of where they come from. UniversalDoctor Speaker for iphone & ipad is a multilingual medical translator in a mobile app with over 500 medical sentences translated into 11 languages with audio to facilitate communication between patients and health care personnel. 24

25 VERBIO CALL STEERING Solución automática de enrutamiento telefónico basado en la comprensión del lenguaje natural. Su funcionamiento es sencillo e intuitivo para el usuario, quien tras responder a un simple Qué desea? plantea su necesidad con su forma habitual de expresarse (Lenguaje Natural). El sistema comprenderá la necesidad y enrutará la llamada al agente especializado en ese tipo de necesidades. VERBIO CITA PREVIA Sistema automático telefónico Mission: Empresa pionera en soluciones de negocio con el uso de tecnologías de voz. Services: Voice technologies and speech recognition and generation Sector: Health, Public administration, Banking, Industrial, Utilities, Telecomunications, Media Potential clients: Health centres Technology used: Software applicationsç Product: B2B de solicitud it ygestión de espacios en agendas. El sistema it está configurado para gestionar desde el administrador las citas obtenidas. Para ello el usuario se valida con datos personales y escoge categoría de cita, agente o especialista que le atenderá, además de un día y hora de entre los distintos ofertados. Para concluir la cita se requiere un número de teléfono de contacto al que el sistema llama automáticamente un día antes del servicio a modo de recordatorio. En la llamada se puede confirmar la cita, modificarla o cancelarla. 25

26 TESISHIS It is anintegrated t IT system made upof several modules allowing you to select the ones best suited to your Clinic s requirements. TESISHCE This product consolidates all the patient s information so that hospital staff can access it through just one Workstation in order to offer all the health care the patient needs. Mission: Software for health centre management Integrating new modules into your applications Service offering advice and project implementation Innovating with your IT systems New technology applied to health care management Free user training Services: Health care information and management systems, with a long experience in the hospital sector. Potential clients: Hospitals Technology used: Software applications Product: B2B TESISVITA This product provides the solution to the so far unresolved challenges of the complex workflows of a Reproductive Medicine Clinic. TESISCM This is an information system made up of various modules which, combined together, provide a complete solution to your centre s challenges. Implementing TESIS CM will enable you to set up agendas and schedules, prepare patient reports, a patient s case history, issue invoices, as well as create statistics on the clinic s economic and health care activities. 26

27 Contents Working Scheme Map of Agents Map of Opportunities 27

28 Map of opportunities Professionals Health ecosystem Patients & Citizens Health & Social Care Research 28

29 Map of opportunities Clinical Decision Support Professional communityg Computer aided diagnose Telemedecine + Teleassistance HC3 Professionals Non presential assistance model Pharma Personal Health Management SIRE, e Health Apps prescription Web Health Enhance citizens access to healthcare Mental Health Provide most innovative products Health System Provide channels of communication Empower both health professionals and patients Identify new businessmodels Easy to vendors elaborate final products, marketplace Professionals Assistencial model transformation Active Intelligence integration Health Education & Health Social Care Lifestyle Big Data + Business Intelligence Research Customized and predictive i warnings Patients Vaccination Patients Personal on line identification and customization Wellbeing Apps and Wellness Citizens and Patients community M monitoring Communication with Health Services + Active patient Health and Social Attention coordination Integrated care center 360º vision patient oriented 29

30 Map of opportunities Bidiectional communications Remote Care CRONICAL DISEASES MANAGEMENT M monitoring PHR Safety Identification High resolution Health Apps images Pain Access to Health SystemWeb Health Management Professionals HC3 Enhance citizens access to healthcare Health System Provide most innovative products Provide channels of communication Empower health professionals Define new business models Easy to vendors elaborate final products HEALTH MANAGEMENT Health Education SERVICES Health & Social Care Health Lifestyle Health Warnings Research Vaccination Food dquality Control Digital signature Wellbeing Apps PERSONAL HEALTH Patients CHANNEL Patients & RECORD community Non presential assitencial model dl Communication with Health Services 30

31 Cronical Disease management (1/3) Business Integrated care model. Interdepartmental cooperation and collaboration. Involve citizenship in monitoring their own health status. Remote assistance and monitoring solutions oriented to all citizens. Fostering professional initiatives. Changes induced by mobile Bidirectional communication channel. Geolocalization (GSM/GPRS, GPS). In app and navigation information. M monitoring of patient. Personalized and customized remote assistance. Multiple device apps. RSS. Benefits More efficiency in resources management Better coordination between health and social services Better knowledge of status of the patient Improved patient management and efficiency Identification of patterns, eases remote assistance. Customized treatments. 31

32 Cronical Disease management (2/3) OPPORTUNITY Telemedicine RemoteassistanceandcarethroughmHealthsolutionsandcallcenters,onlineandoffline, with specialized professionals, including IC, Mental Health, Rehabilitation, Dermic diseases, Telemonitoring and remote help. Sensors in mobile devices to monitor patients with mental disorders. On line solutions for monitoring illness status, including diabetes tests. Smart Health. Real time monitoring and robot assisted surgery. Computer aided diagnose. M2M implementation of the ehealth sector. Virtual expert Remote counseling with virtual experts. Speech recognition. Social Networking. RATING Could be implemented particularly by a single actor. Technologically challenging. Involves several business agents and public entities. Business and technology Challenging. Contributes to BCN/CAT Mobile brand. Possibly needs certification Requires the coordinated participation of the main business players. Implies a deployment. World pioneering application. Needs integration 32

33 Cronical Disease management (3/3). Examples Smoking Smokersafe Quit Now Beeminder Chronical deseases SocialDiabetes Glucose Buddy Dbees.com Alertapolen MyEpilepsyDiary Heart Rate 33

34 Personal Health Channel & Record (1/4) Business Ease communication between citizenship and the health system, just to secure access to personal health record, independently of device. Promote assistential attention to citizenship through new efficient channels, allowing improve the resolution of the assistance. Changes induced by mobile Share information in real time m assistance. Anywhere, anytime. m booking. Reports, ratings and comments Blogging and social media With other patients With health professionals Up to day data. Real time bidirectional i information i Gammification and serious games as proactive alerting Benefits Enhance and ease of use of personal health information. Allow on line recording and tracking of medication and alerts. Access to on line moddification of prescription or doses Ease access to second opinion Social groups sharing medical or assistential i linterests Access to reliable medical information 34

35 Personal Health Channel & Record (2/4) OPPORTUNITY Remote information. To include dating with doctors and elements to facilitate information sharing. Secure personal identification of users and patients. New medical models opening to remote care model, Publication of public interest information trough web health channels or promote communication with health services Web apps and native apps. To increase the creation of webs adapted to mobile devices and native applications open to all kind of devices and operating systems. Involve patients community. Focus on bidirectional channels of communication. Promote mobile applications linked to health care and assistance providers. Communication, at different levels, with health services and among patients. Integration with HC3 and CPS Develop new customizable interactive functionalities and with information integration abilities RATING Could be implemented particularly by a single actor. Technologically challenging. Involves several business agents and public entities. Business and technology Challenging. Contributes to BCN/CAT Mobile brand. Possibly needs certification Requires the coordinated d participation i i of the main business players. Implies a deployment. World pioneering i application. i Needs integrationi 35

36 Personal Health Channel & Record (3/4). Examples Pregnancy Tu embarazo día a día Mamás en forma Wellbeing and lifestyle Runkeeper endomondo AndAndo Gymgoal Cardiotrainer gympact Workoutrainer Poket Yoga Runtastic GPS 36

37 Personal Health Channel & Record (4/4). Examples Pediatrics ipediatrics Manual para padres Fiebre niños Diet Lose it Daily Burn Contador de calorias Emergency ICE Primeros auxilios 37

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