PHD FHIR IG Proposal

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Continua Personal Health Device Implementation Guide

Owning work group name

Health Care Devices

Committee Approval Date:

Please enter the date that the committee approved this IGproposal

Contributing or Reviewing Work Groups

  • None

FHIR Development Project Insight ID

Scope of coverage

IG Purpose

This guide provides a standardized way of representing data from IEEE 11073 Personal Health Devices in FHIR.

Content location

Proposed IG realm and code

Universal Realm uv


Maintenance Plan

Short Description

The IG provides a mapping of IEEE 11073 20601 Personal Health Device data to FHIR

Long Description

This guide uses the IEEE 11073 20601 object model to represent device and measurement data from Personal Health Devices. This model is then mapped to FHIR resources based upon the model element types and not their values making the mapping both generic and extensible. An implementation written today will be able to map any future device type that follows the 20601 standard. Personal Health Devices are seen as an important constituent of remote patient monitoring and the design of this guide is strongly influenced by remote patient monitoring concerns and needs.

Involved parties

Expected implementations

The most common set of implementations is expected to be personal health gateways sitting in a patient's home that communicates with the personal health devices, decodes the data, and encodes them into the FHIR resources specified by this guide. Implementation of such gateways have been done on mobile and set-top box platforms, although for the most part based upon earlier versions of FHIR which were not completely sufficient for the needed mapping tasks.

Content sources

I do not understand this

Example Scenarios

Given the moving target of the IG build tools and FHIR implementations only one example has been generated to date following this IG. It is a Bundle resource containing all the resources generated by measurements taken from a market Pulse Oximeter. All examples in this guide will come from such personal health devices. This IG makes use of only three FHIR resources, Patient, Device, and Observation. The Patient resource is populated by out of band means and and it is possible in this profile that the Patient resource is never generated and/or uploaded by the gateway. This option is for the protection of PHI. The Device and Observation resources are populated entirely by data received by protocol from the personal health device. The guide consists of six Observation profiles based upon the six types of measurements that can be modeled by the IEEE 11073 20601 specification. There is then a profile for the device information describing the mapping of the PHD MDS data to a Device resource and a similar mapping of the PHG information to a Device resource.

IG Relationships

This IG depends upon no other IGs.

Timelines

When IG Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org

FMG Notes