1、 I n t e r n a t i o n a l T e l e c o m m u n i c a t i o n U n i o n ITU-T H.812.2 TELECOMMUNICATION STANDARDIZATION SECTOR OF ITU (11/2015) SERIES H: AUDIOVISUAL AND MULTIMEDIA SYSTEMS E-health multimedia services and applications Personal health systems Interoperability design guidelines for per
2、sonal health systems: WAN interface: Questionnaires Recommendation ITU-T H.812.2 ITU-T H-SERIES RECOMMENDATIONS AUDIOVISUAL AND MULTIMEDIA SYSTEMS CHARACTERISTICS OF VISUAL TELEPHONE SYSTEMS H.100H.199 INFRASTRUCTURE OF AUDIOVISUAL SERVICES General H.200H.219 Transmission multiplexing and synchroniz
3、ation H.220H.229 Systems aspects H.230H.239 Communication procedures H.240H.259 Coding of moving video H.260H.279 Related systems aspects H.280H.299 Systems and terminal equipment for audiovisual services H.300H.349 Directory services architecture for audiovisual and multimedia services H.350H.359 Q
4、uality of service architecture for audiovisual and multimedia services H.360H.369 Telepresence H.420H.429 Supplementary services for multimedia H.450H.499 MOBILITY AND COLLABORATION PROCEDURES Overview of Mobility and Collaboration, definitions, protocols and procedures H.500H.509 Mobility for H-Ser
5、ies multimedia systems and services H.510H.519 Mobile multimedia collaboration applications and services H.520H.529 Security for mobile multimedia systems and services H.530H.539 Security for mobile multimedia collaboration applications and services H.540H.549 Mobility interworking procedures H.550H
6、.559 Mobile multimedia collaboration inter-working procedures H.560H.569 BROADBAND, TRIPLE-PLAY AND ADVANCED MULTIMEDIA SERVICES Broadband multimedia services over VDSL H.610H.619 Advanced multimedia services and applications H.620H.629 Ubiquitous sensor network applications and Internet of Things H
7、.640H.649 IPTV MULTIMEDIA SERVICES AND APPLICATIONS FOR IPTV General aspects H.700H.719 IPTV terminal devices H.720H.729 IPTV middleware H.730H.739 IPTV application event handling H.740H.749 IPTV metadata H.750H.759 IPTV multimedia application frameworks H.760H.769 IPTV service discovery up to consu
8、mption H.770H.779 Digital Signage H.780H.789 E-HEALTH MULTIMEDIA SERVICES AND APPLICATIONS Personal health systems H.810H.819 Interoperability compliance testing of personal health systems (HRN, PAN, LAN, TAN and WAN) H.820H.859 Multimedia e-health data exchange services H.860H.869 For further detai
9、ls, please refer to the list of ITU-T Recommendations. Rec. ITU-T H.812.2 (11/2015) i Recommendation ITU-T H.812.2 Interoperability design guidelines for personal health systems: WAN interface: Questionnaires Summary The Continua Design Guidelines (CDG) define a framework of underlying standards and
10、 criteria that are required to ensure the interoperability of devices and data used for personal connected health. They also contain design guidelines (DGs) that further clarify the underlying standards or specifications by reducing options or by adding missing features to improve interoperability.
11、Patient reported outcomes measures (PROMs) are increasingly needed to improve the cost effectiveness and quality of health services. Recommendation ITU-T H.812.2 defines design guidelines for the Questionnaire certified device class (CDC), whose function is to enable the interoperable exchange of PR
12、OMs (also known as questionnaires) across the WAN-IF of the Continua end-to-end architecture. The questionnaires are represented according to the HL7 Implementation Guide (IG) for CDA R2 Questionnaire Form Definition (QFD) document (HL7 CDA QFD). The QFD document captures the health survey questions
13、 or question sets to be administered to a patient. The QFD document enables the definition of questions for surveying the patients perception on their health and the impact that any treatments or adjustments to lifestyle have had on their quality of life. QFD documents may carry a variety of clinica
14、l and non-clinical questions and branching logic in order to present the patient with a dynamic health survey for assessing health status including, but not limited to, the patients functional, cognitive and physiological characteristics. Authors of the QFD documents may include information about di
15、sease management organizations, primary care physicians, health and fitness coaches, chronic condition monitors, post-acute and long-term care organizations. The response to a questionnaire is then represented according to the HL7 Implementation Guide (IG) for CDA R2 Questionnaire Response (QR) docu
16、ment (HL7 CDA QRD). Authors of the QR documents may include the patients who are under the care of disease management organizations, primary care physicians, health and fitness coaches, chronic condition monitors, and post-acute and long-term care providers or their agents. For the exchange of QFD a
17、nd QR documents, this Recommendation specifies and profiles the use of the HL7 hData record format and OMG hData REST Binding for RLUS. For security, this Recommendation further profiles the use of OAuth 2.0 and TLS v1.1. Recommendation ITU-T H.812.11 is part of the “ITU-T H.810 interoperability des
18、ign guidelines for personal health systems“ subseries, which is outlined in the table below: ii Rec. ITU-T H.812.2 (11/2015) Mapping of CDG 2013, ITU-T H.810 and restructured ITU-T H.810-series Part Elements Clauses in the 2013 CDG “Endorphin“ Clauses in ITU-T H.810 (2013) Restructured ITU-T H.810-s
19、eries (2015) Part 0 System overview Up to clause 3, plus Annex A and Appendix G Up to clause 6, plus Annex A and Appendix V ITU-T H.810 System overview Part 1 TAN/PAN/LAN Clauses 4 to 7, Appendices C, D, M Clauses 7 to 10, Appendices I, II, XI ITU-T H.811 TAN-PAN-LAN interface Part 2 WAN Clause 8, A
20、ppendices H, I, J, K Clause 11; Appendices VI, VII, VIII, IX ITU-T H.812 WAN interface ITU-T H.812.1 Observation upload ITU-T H.812.2 Questionnaires ITU-T H.812.3 Capability exchange ITU-T H.812.4 Authenticated persistent session Part 3 HRN Clause 9, Appendices E, F, L Clause 12, Appendices III, IV,
21、 X H.813 HRN interface History Edition Recommendation Approval Study Group Unique ID* 1.0 ITU-T H.812.2 2015-11-29 16 11.1002/1000/12655 * To access the Recommendation, type the URL http:/handle.itu.int/ in the address field of your web browser, followed by the Recommendations unique ID. For example
22、, http:/handle.itu.int/11.1002/1000/11830-en. Rec. ITU-T H.812.2 (11/2015) iii FOREWORD The International Telecommunication Union (ITU) is the United Nations specialized agency in the field of telecommunications, information and communication technologies (ICTs). The ITU Telecommunication Standardiz
23、ation Sector (ITU-T) is a permanent organ of ITU. ITU-T is responsible for studying technical, operating and tariff questions and issuing Recommendations on them with a view to standardizing telecommunications on a worldwide basis. The World Telecommunication Standardization Assembly (WTSA), which m
24、eets every four years, establishes the topics for study by the ITU-T study groups which, in turn, produce Recommendations on these topics. The approval of ITU-T Recommendations is covered by the procedure laid down in WTSA Resolution 1. In some areas of information technology which fall within ITU-T
25、s purview, the necessary standards are prepared on a collaborative basis with ISO and IEC. NOTE In this Recommendation, the expression “Administration“ is used for conciseness to indicate both a telecommunication administration and a recognized operating agency. Compliance with this Recommendation i
26、s voluntary. However, the Recommendation may contain certain mandatory provisions (to ensure, e.g., interoperability or applicability) and compliance with the Recommendation is achieved when all of these mandatory provisions are met. The words “shall“ or some other obligatory language such as “must“
27、 and the negative equivalents are used to express requirements. The use of such words does not suggest that compliance with the Recommendation is required of any party. INTELLECTUAL PROPERTY RIGHTSITU draws attention to the possibility that the practice or implementation of this Recommendation may i
28、nvolve the use of a claimed Intellectual Property Right. ITU takes no position concerning the evidence, validity or applicability of claimed Intellectual Property Rights, whether asserted by ITU members or others outside of the Recommendation development process. As of the date of approval of this R
29、ecommendation, ITU had not received notice of intellectual property, protected by patents, which may be required to implement this Recommendation. However, implementers are cautioned that this may not represent the latest information and are therefore strongly urged to consult the TSB patent databas
30、e at http:/www.itu.int/ITU-T/ipr/. ITU 2016 All rights reserved. No part of this publication may be reproduced, by any means whatsoever, without the prior written permission of ITU. iv Rec. ITU-T H.812.2 (11/2015) Table of Contents Page 0 Introduction vi 0.1 Organization vi 0.2 CDC guideline release
31、s and versioning . vii 0.3 Whats new. vii 1 Scope 1 2 References 1 3 Definitions . 1 4 Abbreviations and acronyms . 1 5 Conventions . 1 6 Use cases 1 6.1 Retrieve a list of questionnaires to-be-completed by a patient 1 6.2 Retrieve a specific questionnaire and let the patient fill it in 2 6.3 Upload
32、 the completed questionnaire to the patient record 2 6.4 Retrieve a list of completed questionnaires from the patient record . 2 6.5 Retrieve a specific questionnaire response from the server 2 7 Behavioural models . 2 8 Implementation 3 8.1 Content representation . 3 8.2 Transport protocol . 3 Anne
33、x A Normative guidelines (This annex forms an integral part of this Recommendation.) . 4 Appendix I ATOM feed information elements . 8 I.1 Information for questionnaire in the root.xml 9 I.2 Information for questionnaire response in the root.xml . 10 Rec. ITU-T H.812.2 (11/2015) v List of Tables Pag
34、e Table A-1 Normative guidelines for questionnaire enabled AHD . 4 Table A-2 Normative Guidelines for Questionnaire Enabled WAN Device 6 Table I-1 ATOM feed child elements for questionnaires . 8 Table I-2 ATOM feed child elements for questionnaire responses 9 List of Figures Page Figure 7-1 Transact
35、ions between AHD and WAN Dvice related to questionnaire use cases 3 vi Rec. ITU-T H.812.2 (11/2015) 0 Introduction The Continua Design Guidelines (CDG) define a framework of underlying standards and criteria that are required to ensure the interoperability of devices and data used for personal conne
36、cted health. They also contain design guidelines (DGs) that further clarify the underlying standards or specifications by reducing options or by adding missing features to improve interoperability. Patient reported outcomes measures (PROMs) are increasingly needed to improve the cost effectiveness a
37、nd quality of health services. This Recommendation defines design guidelines for the Questionnaire certified device class (CDC), whose function is to enable the interoperable exchange of PROMs (also known as questionnaires) across the WAN-IF of the Continua end-to-end architecture. The questionnaire
38、s are represented according to the HL7 Implementation Guide (IG) for CDA R2 Questionnaire Form Definition (QFD) document HL7 CDA QFD. The QFD document captures the health survey questions or question sets to be administered to a patient. The QFD document enables the definition of questions for surve
39、ying the patients perception on their health and the impact that any treatments or adjustments to lifestyle have had on their quality of life. QFD documents may carry a variety of clinical and non-clinical questions and branching logic in order to present the patient with a dynamic health survey for
40、 assessing health status including, but not limited to, the patients functional, cognitive and physiological characteristics. Authors of the QFD documents may include information about disease management organizations, primary care physicians, health and fitness coaches, chronic condition monitors,
41、post-acute and long-term care organizations. The response to a questionnaire is then represented according to the HL7 Implementation Guide (IG) for CDA R2 Questionnaire Response (QR) document HL7 CDA QRD. Authors of the QR documents may include the patients who are under the care of disease manageme
42、nt organizations, primary care physicians, health and fitness coaches, chronic condition monitors, and post-acute and long-term care providers or their agents. For the exchange of QFD and QR documents, this Recommendation specifies and profiles the use of the HL7 hData record format and OMG hData RE
43、ST Binding for RLUS. For security, this document further profiles the use of OAuth 2.0 and TLS v1.1. This Recommendation is part of the ITU-T H.810 sub-series “H.810 Interoperability design guidelines for personal health systems“. See ITU-T H.810 for more details. 0.1 Organization This Recommendatio
44、n is organized in the following manner. Clauses 0 to 5: Introduction and terminology These clauses provide overview information which help in comprehending the remainder of the document. Clause 6: Use cases This clause provides motivating use cases for the Questionnaire certified device class (CDC)
45、specified in this design guidelines document. Clause 7: Behavioural models This clause provides an overview of interactions between AHD and the WAN device that are specified by the Questionnaire CDC. Clause 8: Implementation This clause provides implementation specific details for the Questionnaire
46、CDC. Annex A: Rec. ITU-T H.812.2 (11/2015) vii Normative guidelines This annex specifies the normative requirements that must be followed by the Questionnaire CDC. 0.2 CDC guideline releases and versioning See clause 0.2 of ITU-T H.810 for release and versioning information. 0.3 Whats new To see wha
47、t is new in this release of the design guidelines refer to clause 0.3 of ITUT H.810. Rec. ITU-T H.812.2 (11/2015) 1 Recommendation ITU-T H.812.2 Interoperability design guidelines for personal health systems: WAN interface: Questionnaires 1 Scope This Recommendation specifies design guidelines for t
48、he Questionnaire enabled AHD and Questionnaire enabled WAN CDCs that shall be followed. The design guidelines specify the testable requirements that must be implemented by the AHD in order to classify it as a Questionnaire enabled AHD. The Questionnaire enabled AHD shall be able to retrieve question
49、naires from the WAN device and be able to validate that those questionnaires conform to the HL7 CDA R2 IG for QFD documents HL7 CDA QFD. In addition, the design guidelines specify testable requirements for a WAN device which details how a Questionnaire enabled WAN device shall respond to the requests from a Questionnaire enabled AHD and shall be able to validate that the QR documents conform to the HL7 CDA R2 IG for QR documents HL7 CDA QFD. 2 References The following ITU-T Recommendations and o
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