Personal Health Device Implementation Guide, published by HL7 International / Devices. This guide is not an authorized publication; it is the continuous build for version 3.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phd/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
Profiles for different types of observations from personal health devices
| PhdBaseObservation |
Common base profile with the elements that are common to the PHD IG Observation profiles. |
| PhdNumericObservation |
Observations from a PHD where the measurement is number |
| PhdCompoundObservation |
Observations from a PHD where the measurement is a set of numbers such as the x, y, and z components of an acceleration. |
| PhdCompoundNumericObservation |
Observations coming from a PHD where the measurement is a set of numbers such as the x, y, and z components of an acceleration. |
| PhdCodedEnumerationObservation |
Observations coming from a PHD where the measurement value is a code. |
| PhdBitsEnumerationObservation |
Observations from a PHD where the measurement is an ASN1 BITS value. |
| PhdRtsaObservation |
Observations from a PHD where the measurement is a sample array. |
| PhdStringObservation |
Observations from a PHD where the measurement is a human readable string. |
| PhdCoincidentTimeStampObservation |
Observations containing a coincident timestamp. |
Profiles for personal health devices and gateways
| PhdDevice |
Profile for the Device Resource for a PHD |
| PhgDevice |
Profile for the Device Resource for a PHG |
Profile for patients using personal health devices
| PhdPatient |
The patient information reported from personal health gateways (PHG) |
Additional profiles used in the PHD implementation guide
| PhdDeviceMetric |
Profile for the DeviceMetric for a PHD |
| PhdDeviceAlert |
Profile for device alert that capture alert conditions from personal health devices. |
Extensions used by the PHD profiles
| Numeric Accuracy |
The accuracy of a measurable quantity. |
| Confidence 95 range |
The Confidence 95 range of a measurable quantity. |
| Coincident Timestamp Reference |
Reference to a coincident timestamp observation that relates the gateway timeline to the PHD timeline. |
Code systems and value sets for personal health device data
| ACME Inc Private MDC Codes |
An example CodeSystem that defines two private codes for an imaginary company in the MDC CodeSystem. |
| ASN1 to HL7 Mapping |
Codes for the IEEE 11073-10206 BITs measurement bit values. For example, 150604.0 is the code for bit 0 in measurement type 150604 which is a pulse oximeter status. The description of that code is 'Indicates the device is not connected with the sensor'. |
| Continua Device Identifiers |
Codes that identify the device 'identifier', such as whether an EUI is a system id, Bluetooth address, or Ethernet MAC address |
| Continua Health and Fitness Service Interfaces |
Codes used to describe the Continua Health and Fitness interfaces supported by a Personal Health Gateway. More codes maybe added to this list in the future. |
| Continua Device Interface Identifiers |
Codes used to describe the PHD types and interfaces supported by a Personal Health Gateway. More codes maybe added to this list in the future. |
| Device Alert Category Code System |
Codes used to categorize device alerts coming from PHD devices. |
| Missing MDC Codes |
Codes that are missing from the MDC (Medical Device Communication) standard. |
| PHD Observation Categories Code System |
Codes used for tagging observations coming from PHD devices. More codes maybe added to this list in the future. |
| ANS1ToHL7 codes defined for Boolean Clock attributes |
ValueSet for the ANS1ToHL7 codes that are not derived from enumeration measurements. |
| ANS1ToHL7 codes defined for non-measurement attributes |
ValueSet for the ANS1ToHL7 codes that are not derived from enumeration measurements. |
| ASN1 Event or State Values |
ValueSet for the eventOrState property values in the ASN1ToHL7 CodeSystem |
| ASN1 Measurement Bits |
Value set for those Asn1ToHL7 codes whose source is a measurement attribute. |
| ASN1 Source Values |
ValueSet for the source property values in the ASN1ToHL7 CodeSystem |
| Continua PHD-PHG Device Interfaces ValueSet |
ValueSet containing all codes from the ContinuaPHDInterfaceIDs CodeSystem, representing Continua Personal Area Network (PHD) interfaces supported by a Personal Health Gateway. |
| Continua PHG-HFS Interfaces ValueSet |
ValueSet containing all codes from the ContinuaHFS CodeSystem, representing Continua Health and Fitness Server (HFS) interfaces supported by a PHG. |
| Device Type Specialization IEEE 11073-10101 Nomenclature Codes |
ValueSet for the ISO/IEEE 11073-10101 Nomenclature Codes for Device Specialization types |
| MDC Clock Resolution Types |
ValueSet for the ISO/IEEE 11073-10101 Nomenclature Codes for Clock Resolution types |
| MDC Clock Types |
ValueSet for the ISO/IEEE 11073-10101 Nomenclature Codes for Clock Types |
| MDC Device Identifier Types |
ValueSet for the MDC Device Identifier Types |
| MDC Device Version Type codes |
ValueSet for the MDC Device Version Type codes. ToDo: We still need to define a code for the ACOM version. |
| MDC Non-Object codes |
ValueSet for the ISO/IEEE 11073-10101 Nomenclature excluding Object partition. |
| IEEE 11073 MDC Object infrastructure and Device nomenclature |
ValueSet for the ISO/IEEE 11073-10101 Nomenclature filtered by & Device nomenclature partition. |
| MDC Time Synchronization Methods |
ValueSet for the MDC codes representing time synchronization methods such as NTP, GPS, and others. |
| MDC Value Set |
ValueSet for the MDC CodeSystem. |
Server capability requirements
| PhdFHIRServer |
Capability statement. This statement indicates what the server must support and accept to work with this Guide. Though the CapabilityStatement indicates, for example, that the server must support the Device resource, it does not mean the server must save the Device resource. The use case may only be interested in the Observation and Patient resources. What it does mean is that the server cannot generate an error when the PHG uploads a Device resource or references a Device resource that it has uploaded. |
Complete transaction examples
| First time Bundle upload |
This example shows a full first time transaction Bundle containing Patient, Device, and Observation resources. |
| Pulse Oximeter Bundle upload |
This example is an upload from a Bluetooth Low Energy Pulse oximeter device streaming data. In this case the gateway has previously uploaded measurements and saved the logical ids of the Patient and Device resources so they are not re-uploaded. |
Device and gateway examples
| PHD Device Example |
This example PHD Device resource is referenced by other examples and is present for the validator. |
| Blood Pressure PHD |
This example maps the System Information data from a Blood Pressure PHD. This device did not report Reg-Cert-Data-List information. |
| Glucose Monitor PHD |
This example maps an Glucose monitor PHD. It is referenced by a coded Glucose meal context observation |
| Gateway 1 |
This example maps an Android Gateway |
| Gateway 2 |
This example maps an Android Gateway |
| Phd Device Metric for Blood Pressure |
This example is a PhdDeviceMetric for a Blood Pressure measurement. |
Patient examples
| Known Patient 1 |
This example maps a known patient where an optional patient name is included. |
| Unknown Patient |
This example maps an unknown patient. |
Various observation examples from different device types
| Pulse rate numeric observation |
This example is a simple numeric observation of a pulse rate from a pulse oximeter. This particular example also has a component as the original measurement has a Supplemental Information attribute indicating that this is a SPOT measurement (a stable average). |
| Pulse oximeter SpO2 observation with alert |
This example is a simple numeric observation from a pulse oximeter with an alert. |
| Body temperature observation |
This example is a simple numeric observation of a health thermometer. |
| Blood glucose observation. |
This example is a simple numeric observation of a (continuous) glucose monitor. |
| Observation with NaN measurement |
This example contains a NaN (not a number) measurement. |
| Pleth waveform observation |
This example is an RTSA observation of a pleth signal from a pulse oximeter. This very short waveform maps to a valueSampledData element. |
| ECG waveform with scaling |
This example is an RTSA observation of an ECG waveform with scaling. |
| Meal context coded enumeration observation |
This example contains measurement that is itself a code. The measurement indicates that the glucose measurement was taken after lunch or dinner, also known as the meal context. |
| ASN1 BITs measurement from a Pulse Oximeter |
This example is a device and sensor status measurement from a pulse oximeter. |
| BPM status report |
This example reports the status of a BPM measurement. |
| Blood pressure compound (numeric) observation |
This example reports a measurement from a Blood Pressure cuff. |
| Compound numeric observation with one component value absent |
This example is from a Blood Pressure cuff with one missing component. |
| Compound observation with glucose and context |
This artificial example combines a glucose measurement and context information. |
| String measurement example 1 |
This example observation reports some arbitrary text from a cardiovascular fitness device. |
| String measurement example 2 |
This example observation reports some arbitrary text from a Glucose meter explaining the failure of the measurement. |
| Coincident Timestamp with the gateway better synchronized then the |
This example is a Coincident Timestamp where the PHG is better synchronized to NTP time than the PHD. |
| Coincident Timestamp with a Time Fault |
This example is a Coincident Timestamp where the PHD has a time fault; it's current timeline is unknown and it reported timestamps in its measurements. |
| Coincident Timestamp from a BP device |
This Coincident Timestamp observation is referenced by the Blood Pressure Observation |
| Another Coincident Timestamp example |
This Coincident Timestamp observation is referenced by other Observation examples. |
Additional example resources
| Blood Pressure ObservationDefinition |
This example defines the structure for blood pressure observations, including systolic (60-279 mmHg) and diastolic (40-200 mmHg) components with absolute ranges, using both IEEE 11073 MDC and LOINC codes. |
| Phd Device Alert for Blood Pressure |
This example is a PhdDeviceAlert for a Blood Pressure measurement alert condition. |
| Phd Device Alert for SpO2 |
This example is a PhdDeviceAlert generated from a pulse oximeter observation alert condition. |