Personal Healthcare Monitoring Report

Personal Healthcare Monitoring Report (PHMR)

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Project Overview

This project will define a specification for the structured representation of a form for monitoring the health status of a patient as reported by clinical devices such as weigh scales, blood pressure cuffs, glucometers, pulse oximeters, etc.. The specification will leverage the HL7 CDA base standard following the philosophy of the C-CDA project.

In the context of remotely monitoring patients, there is a need to report a patients' vital signs and other pertinent health status data such as the glucose levels should the patient be diabetic. The electronic interchange of patients’ vital signs to the monitoring service or medical practitioner is the first step in enabling effective dialogue and health practice. The Continua Health Alliance is recognizing this need and has established a set of standardized protocols which take patient data recorded in a remote (often home) environment by sensor devices and report it to the healthcare provider. The Personal Healthcare Monitoring Report (PHMR) is typically the final stage of the reporting sequence. Our approach here is to represent the PHMR in a structured document by reusing and/or enhancing the existing C-CDA templates where possible while creating new C-CDA templates where necessary. While using the C-CDA philosophy and templates it is important to recognize that the current C-CDA is US realm and the PHMR needs to be universal realm.

Project Facilitators

The Personal Healthcare Monitoring Report project team comprises of the following project facilitators:

• Martin Rosner
• Brian Reinhold

Participants

Martin Rosner (Philips), Brian Reinhold (Lamprey Networks, Inc.), Asim Muhammad (Philips), Vinayak Kulkarni (Cerner), Igor Gejdos (Roche)

Project Meetings

Project meetings are held weekly on Wednesdays:

• Meeting time: 10:00 am to 11:00 am EDT
• Join by phone +1-855-797-9485 US Toll free +1-415-655-0002 US Toll
• Access code: 921 938 766
• Global call-in numbers: https://pchalliance.webex.com/pchalliance/globalcallin.php?serviceType=MC&ED=387403717&tollFree=1
• Webex Meeting Link: https://pchalliance.webex.com/pchalliance/j.php?MTID=m64f95b24c16d2a2b186e402cd162dcdc

Project Documents

The project documentation is provided below.

PHMR DSTU Document

• PHMR DSTU

Project Scope Statements

• PHMR N1 PSS (approvals -> WG: 2014-06-02)

Notice of Intent to Ballot

• PHMR NIB 1 (reviewed by SDWG on Feb. 19, 2015)
• PHMR NIB 2 (reviewed by SDWG on Jul. 15, 2015)
• PHMR NIB 3 (reviewed by SDWG on Oct. 22, 2015; vote: 22-for; 0-against; 0-abstain)

Meeting Minutes

• November 5, 2014
• November 12, 2014
• December 3, 2014
• December 17, 2014
• January 14, 2015
• January 28, 2015
• February 11, 2015
• February 25, 2015
• March 4, 2015
• March 11, 2015
• March 25, 2015
• May 20, 2015
• May 27, 2015
• June 3, 2015
• June 10, 2015
• June 17, 2015
• July 1, 2015
• July 8, 2015
• August 5, 2015
• October 14, 2015

Working Documents

• February 11, 2015
• February 26, 2015
• March 4, 2015
• March 9, 2015
• March 13, 2015
• March 17, 2015
• March 20, 2015 (with example stubs)
• March 25, 2015 (with example stubs)
• March 27, 2015 (with examples)
• Latest draft - November 11, 2015; approved to go to ballot on 11/19/2015 (20-for; 0-against; 0-abstain)
• Proposed solutions for aligning PHMR Vital Signs and C-CDA R2.1 - November 6, 2015

Current XML Sample Drafts

• XML Sample File - March 27, 2015

Ballot Reconciliation

Ballot reconciliation from the May 2015 ballot

• Original Amalgamated File
• Result from 06/03/2015 PHMR subteam telco; submitted for block vote on 06/04/2015; approved block vote on 06/11/2015 (21-for; 0-against; 5-abstain)
• Result from 06/10/2015 PHMR subteam telco; submitted for block vote on 06/11/2015; approved block vote on 07/09/2015 (31-for; 0-against; 1-abstain)
• Result from 07/01/2015 PHMR subteam telco
• Result from 07/08/2015 PHMR subteam telco; submitted for block vote on 07/09/2015; approved block vote on 07/23/2015 (24-for; 0-against; 4-abstain)
• Result from 08/05/2015 PHMR subteam telco; submitted for block vote on 08/05/2015; approved block vote on 08/13/2015 (32-for; 0-against; 4-abstain)
• Final Reconciliation Sheet; approved 08/13/2015 (33-for; 0-against; 3-abstain)
• Reopened Reconciliation Sheet with item #60 fixed to "Persuasive with mod"

Ballot reconciliation from the September 2015 ballot

• Original Amalgamated File
• Result from HL7 F2F meeting in Atlanta; submitted for block vote on 10/09/2015; approved block vote on 10/15/2015 (18-for; 0-against; 0-abstain)
• Result from 10/14/2015 PHMR subteam call and 10/15/2015 SDWG call; submitted for block vote on 10/15/2015; removed comments: 55,58; approved block vote on 10/22/2015 (20-for; 0-against; 0-abstain)
• Result from 10/22/2015 SDWG call; discussed comments 55,58 with commenter; approved new dispositions for comments 55 and 58 on 10/22/2015 (20-for; 0-against; 0-abstain)
• Result from discussion with Lisa 10/21/2015; submitted for block vote on 10/22/2015; approved block vote on 10/29/2015 (24-for; 0-against; 0-abstain)
• Final dispositions ballot reconciliation sheet; Result from discussion with Keith and Lisa 11/02/2015; approved vote of comment 59 on 11/05/2015 (26-for; 0-against; 0-abstain); approved final ballot reconciliation sheet on 11/12/2015 (23-for; 0-against; 0-abstain)

Ballot reconciliation from the January 2016 ballot

• Original Amalgamated File with initial dispositions
• Result from HL7 F2F meeting in Orlando; submitted for block vote on 01/21/2016; approved block vote on 01/28/2016 (19-for; 0-against; 5-abstain)
• Final dispositions ballot reconciliation sheet; approved on SDWG call on April 21, 2016 (21-for; 0-against; 0-abstain)