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.813 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 perso
2、nal health systems: Health record network (HRN) interface Recommendation ITU-T H.813 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 synchr
3、onization 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.3
4、59 Quality 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
5、-Series 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.
6、550H.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 Thin
7、gs H.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 c
8、onsumption 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 d
9、etails, please refer to the list of ITU-T Recommendations. Rec. ITU-T H.813 (11/2015) i Recommendation ITU-T H.813 Interoperability design guidelines for personal health systems: Health record network (HRN) interface Summary The Continua Design Guidelines (CDG) define a framework of underlying stand
10、ards and criteria required to ensure the interoperability of devices and data used for personal connected health. It also contains design guidelines (DGs) that further clarify underlying standards or specifications by reducing options or by adding a missing feature to improve interoperability. These
11、 guidelines focus on the following interface: HRN-IF Interface between wide area network (WAN) health devices and health record network (HRN) health devices Recommendation ITU-T H.813 is part of the “ITU-T H.810 interoperability design guidelines for personal health systems“ sub-series, as follows:
12、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-series (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 I
13、TU-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, Appendices 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
14、 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, X ITU-T H.813 HRN interface History Edition Recommendation Approval Study Group Unique ID* 1.0 ITU-T H.813 2015-11-29 16 11.
15、1002/1000/12658 * 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, http:/handle.itu.int/11.1002/1000/11830-en. ii Rec. ITU-T H.813 (11/2015) FOREWORD The International Telecommunication
16、Union (ITU) is the United Nations specialized agency in the field of telecommunications, information and communication technologies (ICTs). The ITU Telecommunication Standardization Sector (ITU-T) is a permanent organ of ITU. ITU-T is responsible for studying technical, operating and tariff question
17、s and issuing Recommendations on them with a view to standardizing telecommunications on a worldwide basis. The World Telecommunication Standardization Assembly (WTSA), which meets every four years, establishes the topics for study by the ITU-T study groups which, in turn, produce Recommendations on
18、 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-Ts purview, the necessary standards are prepared on a collaborative basis with ISO and IEC. NOTE In this Recommendation, the
19、expression “Administration“ is used for conciseness to indicate both a telecommunication administration and a recognized operating agency. Compliance with this Recommendation is voluntary. However, the Recommendation may contain certain mandatory provisions (to ensure, e.g., interoperability or appl
20、icability) 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“ and the negative equivalents are used to express requirements. The use of such words does not suggest that compliance with
21、the Recommendation is required of any party. INTELLECTUAL PROPERTY RIGHTSITU draws attention to the possibility that the practice or implementation of this Recommendation may involve the use of a claimed Intellectual Property Right. ITU takes no position concerning the evidence, validity or applicab
22、ility 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 Recommendation, ITU had not received notice of intellectual property, protected by patents, which may be required to implemen
23、t this Recommendation. However, implementers are cautioned that this may not represent the latest information and are therefore strongly urged to consult the TSB patent database at http:/www.itu.int/ITU-T/ipr/. ITU 2016 All rights reserved. No part of this publication may be reproduced, by any means
24、 whatsoever, without the prior written permission of ITU. Rec. ITU-T H.813 (11/2015) iii Table of Contents Page 0 Introduction vii 0.1 Organization vii 0.2 Guideline releases and versioning . vii 0.3 Whats New vii 1 Scope 1 2 References 1 3 Definitions . 1 4 Abbreviations and Acronyms 1 5 Convention
25、s . 2 6 HRN interface design guidelines . 2 6.1 Architecture . 2 6.1.1 Overview . 2 6.1.2 Messaging infrastructure and transport standards . 7 6.1.3 Messaging and selected standards . 8 6.1.4 Data and selected standards. 9 6.1.5 Security 9 6.1.6 Transport security 10 6.1.7 Document-level integrity,
26、data origin authentication and non-repudiation . 10 6.1.8 Consent management 11 6.1.9 Consent enforcement . 13 6.1.10 Certified device classes . 15 6.2 Design guidelines 16 6.2.1 Introduction . 16 6.2.2 Messaging infrastructure and transport guidelines 17 6.2.3 Messaging guidelines 18 6.2.4 Data gui
27、delines 23 6.2.5 Security guidelines 28 6.2.6 Consent management guidelines . 29 6.2.7 Consent enforcement design guidelines 33 Appendix I Messaging implementation and technology. 37 I.1 Overview 37 I.2 XDR and XDM metadata . 37 I.3 Document source SOAP request/response messages . 42 iv Rec. ITU-T H
28、.813 (11/2015) Page I.3.1 SOAP request message . 42 I.3.2 SOAP response message . 43 Appendix II Security recommendations . 48 Appendix III ISO/IEEE 11073-10101 to SNOMED CT and UCUM 49 III.1 Observation types mapping to SNOMED CT . 49 III.2 Events and attributes types mapping to SNOMED CT . 56 III.
29、3 Events and attributes not mapped to SNOMED CT 59 III.4 ISO/IEEE 11073-10101 Unit elements mapping to UCUM . 70 Appendix IV Mapping from the Continua WAN to the HL7 personal health monitoring report object model 71 IV.1 Introduction . 71 IV.2 Base mapping strategy . 71 IV.3 Device information 71 IV
30、.4 Observation information 71 IV.5 Device information 71 IV.6 Observation information 73 Bibliography 76 List of Tables Page Table 6-1 HRN device classes 16 Table 6-2 Guidelines for HRN device classes 16 Table 6-3 Requirements for HRN transport using XDR. 17 Table 6-4 Requirements for HRN transport
31、using XDM 18 Table 6-5 General messaging guidelines 18 Table 6-6 General messaging guidelines 19 Table 6-7 PHM attachments guidelines 22 Table 6-8 Patient identity mapping guidelines . 23 Table 6-9 Quality of service guidelines 23 Table 6-10 General data format guidelines . 23 Table 6-11 General med
32、ication delivery guidelines . 25 Table 6-12 Adherence monitor specific guidelines (separate from general medication guidelines) . 27 Table 6-13 General security guidelines 28 Table 6-14 General security guidelines 28 Rec. ITU-T H.813 (11/2015) v Page Table 6-15 Integrity, data origin authentication
33、and non-repudiation HRN sender guidelines 29 Table 6-16 Integrity, data origin authentication and non-repudiation HRN receiver guidelines . 29 Table 6-17 Consent management guidelines for consent enabled HRN sender via XDR 29 Table 6-18 Consent management guidelines for consent enabled HRN receiver
34、via XDR . 30 Table 6-19 Consent management guidelines for consent enabled HRN sender via XDS.b . 30 Table 6-20 Consent management guidelines for consent enabled HRN receiver via XDS.b . 33 Table 6-21 Consent enforcement guidelines for consent enabled HRN sender via XDR 34 Table 6-22 Consent enforcem
35、ent guidelines for consent enabled HRN receiver via XDR 34 Table 6-23 Consent enforcement guidelines for consent enabled HRN sender via XDS.b 35 Table 6-24 Consent enforcement guidelines for consent enabled HRN receiver via XDS.b . 36 Table I-1 Element requirement . 37 Table I-2 XDS submission set m
36、etadata . 38 Table I-3 XDSDocumentEntry metadata 38 Table I-4 XDS submission set metadata for the consent directive document 41 Table I-5 XDSDocumentEntry metadata for the consent directive document . 41 Table I-6 The elements of the confidentiality code system 41 Table I-7 The elements of the Conti
37、nua Consent Directive code system . 42 Table I-8 The translation of the Confidentiality code system to the Continua Consent Directive code system 42 Table I-9 OID Distribution for Continua Health Alliance 42 Table III-1 Observation types mapping to SNOMED CT 49 Table III-2 Events and attributes type
38、s mapping to SNOMED CT 56 Table III-3 Events and attributes not mapped to SNOMED CT . 59 Table III-4 ISO/IEEE 11073-10101 Unit elements (MDC_PART_DIM) mapping to UCUM . 70 List of Figures Page Figure 1-1 HRN Interface in the Continua Architecture . 1 Figure 6-1 HRN interface . 2 Figure 6-2 Architect
39、ure . 3 Figure 6-3 HRN scope 3 Figure 6-4 HRN topology . 6 Figure 6-5 Direct HRN messaging via XDR 7 Figure 6-6 Indirect HRN Messaging via XDM 8 vi Rec. ITU-T H.813 (11/2015) Page Figure 6-7 Point-to-point interaction to exchange consent using IHE XDR at HRN-IF 12 Figure 6-8 Request-response interac
40、tion to obtain consent using IHE XDS at HRN-IF 12 Figure 6-9 SAML encapsulation and the overall protocol stack 13 Figure 6-10 Point-to-point interaction to exchange encrypted PHMR documents along with consent using IHE XDR at HRN-IF 14 Figure 6-11 Request-response interaction to obtain encrypted PHM
41、R document along with consent document using IHE XDS at HRN-IF 15 Rec. ITU-T H.813 (11/2015) vii 0 Introduction The Continua Design Guidelines (CDG) defines a framework of underlying standards and criteria required to ensure the interoperability of devices and data used for personal connected health
42、. It also contains design guidelines (DGs) that further clarify the underlying standards or specifications by reducing options or by adding missing features to improve interoperability. These guidelines focus on the following interface: HRN-IF Interface between wide area network (WAN) health devices
43、 and health record network (HRN) health devices This Recommendation is part of the ITU-T H.810 sub-series “ITU-T H.810 interoperability design guidelines for personal health systems“. See ITU-T H.810 for more details. 0.1 Organization This Recommendation is organized in the following manner. Clauses
44、 1 to 5: Introduction and terminology These clauses provide useful background information to help understand the structure of the design specifications. Clause 6: HRN interface design guidelines This clause is an overview of the HRN-IF architecture and design guidelines for WAN devices and HRN devic
45、es implementing the HRN-IF. 0.2 Guideline releases and versioning Information on guideline releases and and corresponding version numbers can be found in clause 0.2 of ITU-T H.810. 0.3 Whats new To see what is new in this release of the design guidelines refer to clause 0.3 of ITU-T H.810. Rec. ITU-
46、T H.813 (11/2015) 1 Recommendation ITU-T H.813 Interoperability design guidelines for personal health systems: Health record network (HRN) interface 1 Scope This specification focuses on the following interface: HRN-IF Interface between WAN health devices and health record network (HRN). This interf
47、ace is defined in the Continua architecture as described in clause 6 of ITU-T H.810. Figure 1-1 HRN interface in the Continua architecture 2 References The following ITU-T Recommendations and other references contain provisions which, through reference in this text, constitute provisions of this Rec
48、ommendation. At the time of publication, the editions indicated were valid. All Recommendations and other references are subject to revision; users of this Recommendation are therefore encouraged to investigate the possibility of applying the most recent edition of the Recommendations and other refe
49、rences listed below. A list of the currently valid ITU-T Recommendations is regularly published. The reference to a document within this Recommendation does not give it, as a stand-alone document, the status of a Recommendation. ITU-T H.810 Recommendation ITU-T H.810 (2015), Interoperability design guidelines for personal health systems. All other referenced documents can be found in clause 2 of ITU-T H.810
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