ITU-T H 813-2016 Interoperability design guidelines for personal health systems Healthcare information system (HIS) interface.pdf

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 (07/2016) SERIES H: AUDIOVISUAL AND MULTIMEDIA SYSTEMS E-health multimedia services and applications Personal health systems Interoperability design guidelines for perso

2、nal health systems: Healthcare information system (HIS) 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 an

3、d synchronization 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

4、H.350H.359 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 Mobili

5、ty for H-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 proce

6、dures H.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

7、 of Things 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

8、 up to consumption 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 f

9、urther details, please refer to the list of ITU-T Recommendations. Rec. ITU-T H.813 (07/2016) i Recommendation ITU-T H.813 Interoperability design guidelines for personal health systems: Healthcare information system (HIS) interface Summary The Continua Design Guidelines (CDG) defines a framework of

10、 underlying standards and criteria that ensure the interoperability of devices and data used for personal connected health services. It also contains design guidelines (DGs) that further clarify underlying standards or specifications by reducing options or by adding missing features to improve inter

11、operability. These guidelines focus on the following interface: HIS-IF Interface between health and fitness services (HFS) and the healthcare information system (HIS) Recommendation ITU-T H.813 is part of the “ITU-T H.810 interoperability design guidelines for personal connected health systems“ sub-

12、series that covers the following areas: ITU-T H.810 Interoperability design guidelines for personal connected health systems: System overview ITU-T H.811 Interoperability design guidelines for personal connected health systems: Personal health devices interface design guidelines ITU-T H.812 Interope

13、rability design guidelines for personal connected health systems: Services interface design guidelines ITU-T H.812.1 Interoperability design guidelines for personal connected health systems: Services interface: Observation upload capability ITU-T H.812.2 Interoperability design guidelines for person

14、al connected health systems: Services interface: Questionnaires capability ITU-T H.812.3 Interoperability design guidelines for personal connected health systems: Services interface: Capability exchange capability ITU-T H.812.4 Interoperability design guidelines for personal connected health systems

15、: Services interface: Authenticated persistent session capability ITU-T H.813 Interoperability design guidelines for personal connected health systems: Healthcare information system interface design guidelines History Edition Recommendation Approval Study Group Unique ID* 1.0 ITU-T H.813 2015-11-29

16、16 11.1002/1000/12658 2.0 ITU-T H.813 2016-07-14 16 11.1002/1000/12918 * 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

17、(07/2016) 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 Standardization Sector (ITU-T) is a permanent organ of ITU. ITU-T is responsibl

18、e 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 meets every four years, establishes the topics for study by the ITU-T

19、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-Ts purview, the necessary standards are prepared on a collaborative ba

20、sis 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 is voluntary. However, the Recommendation may contain certain mandator

21、y 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“ and the negative equivalents are used to express requirements. The u

22、se 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 involve the use of a claimed Intellectual Property Right. ITU takes no

23、 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 Recommendation, ITU had not received notice of intellectual property,

24、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 database at http:/www.itu.int/ITU-T/ipr/. ITU 2017 All rights reserved. No p

25、art of this publication may be reproduced, by any means whatsoever, without the prior written permission of ITU. Rec. ITU-T H.813 (07/2016) 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 Def

26、initions . 1 4 Abbreviations and acronyms . 1 5 Conventions . 1 6 HIS interface design guidelines . 1 6.1 HIS architecture (informative) 1 6.1.1 Overview of the HIS-IF. 1 6.1.2 Messaging infrastructure and transport standards . 6 6.1.3 Messaging and selected standards . 7 6.1.4 Data and selected sta

27、ndards. 8 6.1.5 Security 9 6.1.6 Transport security 9 6.1.7 Document-level integrity, data origin authentication and non-repudiation . 10 6.1.8 Consent management 10 6.1.9 Consent enforcement . 12 6.1.10 Delivery of PHMR data via ONC DIRECT 14 6.1.11 Certified capability classes 14 6.2 Design guidel

28、ines 15 6.2.1 Introduction . 15 6.2.2 Messaging infrastructure and transport guidelines 16 6.2.3 Messaging guidelines 17 6.2.4 Data guidelines 22 6.2.5 Security guidelines 27 6.2.6 Consent management guidelines . 28 6.2.7 Consent enforcement design guidelines 32 Appendix I Messaging implementation a

29、nd technology. 36 I.1 Overview 36 I.2 XDR and XDM metadata . 36 iv Rec. ITU-T H.813 (07/2016) Page I.3 Document source SOAP request/response messages . 42 I.3.1 SOAP request message . 42 I.3.2 SOAP response message . 42 Appendix II Security recommendations . 47 Appendix III ISO/IEEE 11073-10101 to S

30、NOMED CT and UCUM 48 III.1 Observation types mapping to SNOMED CT . 48 III.2 Events and attributes types mapping to SNOMED CT . 55 III.3 Events and attributes not mapped to SNOMED CT 58 III.4 ISO/IEEE 11073-10101 Unit elements mapping to UCUM . 69 Appendix IV Mapping from the Continua Services to th

31、e HL7 personal health monitoring report object model 70 IV.1 Introduction . 70 IV.2 Base mapping strategy . 70 IV.3 Device information 70 IV.4 Observation information 70 IV.5 Device information 70 IV.6 Observation information 72 Appendix V Delivery of PHMR data within national and regional contexts

32、. 75 V.1 Delivery of PHMR data via ONC DIRECT . 75 Bibliography 76 List of Tables Page Table 6-1 HIS capability classes . 15 Table 6-2 Guidelines for HIS capability classes . 15 Table 6-3 Requirements for HIS transport using XDR. 16 Table 6-4 Requirements for HIS transport using XDM 17 Table 6-5 Gen

33、eral messaging guidelines 17 Table 6-6 General messaging guidelines 18 Table 6-7 PHMR attachments guidelines . 21 Table 6-8 Patient identity mapping guidelines . 21 Table 6-9 Quality of service guidelines 22 Table 6-10 General data format guidelines . 22 Table 6-11 General medication delivery guidel

34、ines . 24 Table 6-12 Adherence monitor specific guidelines (separate from general medication guidelines)Rec. ITU-T H.813 (07/2016) v Page 26 Table 6-13 General security guidelines 27 Table 6-14 General security guidelines 27 Table 6-15 Integrity, data origin authentication and non-repudiation HIS se

35、nder guidelines 28 Table 6-16 Integrity, data origin authentication and non-repudiation HIS receiver guidelines . 28 Table 6-17 Consent management guidelines for consent enabled HIS sender via XDR 28 Table 6-18 Consent management guidelines for consent enabled HIS receiver via XDR . 29 Table 6-19 Co

36、nsent management guidelines for consent enabled HIS sender via XDS.b . 30 Table 6-20 Consent management guidelines for consent enabled HIS receiver via XDS.b . 32 Table 6-21 Consent enforcement guidelines for consent enabled HIS sender via XDR 33 Table 6-22 Consent enforcement guidelines for consent

37、 enabled HIS receiver via XDR 33 Table 6-23 Consent enforcement guidelines for consent enabled HIS sender via XDS.b 34 Table 6-24 Consent enforcement guidelines for consent enabled HIS receiver via XDS.b . 35 Table I.1 Element requirement 36 Table I.2 XDS submission set metadata . 37 Table I.3 XDSDo

38、cumentEntry metadata 38 Table I.4 XDS submission set metadata for the consent directive document . 40 Table I.5 XDSDocumentEntry metadata for the consent directive document 40 Table I-6 The elements of the confidentiality code system 40 Table I.7 The elements of the Continua consent directive code s

39、ystem . 41 Table I.8 The translation of the confidentiality code system to the Continua consent directive code system 41 Table I.9 OID distribution for Personal Connected Health Alliance 41 Table III.1 Observation types mapping to SNOMED CT 48 Table III.2 Events and attributes types mapping to SNOME

40、D CT 55 Table III.3 Events and attributes not mapped to SNOMED CT . 58 Table III.4 ISO/IEEE 11073-10101 Unit elements (MDC_PART_DIM) mapping to UCUM 69 Table V.1 HIS certified capability classes and guidelines for ONC_DIRECT 75 Table V.2 Messaging guidelines applicable to ONC_DIRECT . 75 List of Fig

41、ures Page Figure 6-1 HIS interface in the Continua E2E architecture 2 Figure 6-2 HIS functional blocks 2 vi Rec. ITU-T H.813 (07/2016) Page Figure 6-3 HIS scope 3 Figure 6-4 HIS interface communication topology 5 Figure 6-5 Direct HIS messaging via XDR 6 Figure 6-6 Indirect HIS messaging via XDM . 7

42、 Figure 6-7 Point-to-point interaction to exchange consent using IHE XDR at HIS-IF 11 Figure 6-8 Request-response interaction to obtain consent using IHE XDS at HIS-IF 12 Figure 6-9 SAML encapsulation and the overall protocol stack 12 Figure 6-10 Point-to-point interaction to exchange encrypted PHMR

43、 documents along with consent document using IHE XDR at HIS-IF 13 Figure 6-11 Request-response interaction to obtain encrypted PHMR document along with consent document using IHE XDS at HIS-IF 14 Rec. ITU-T H.813 (07/2016) vii 0 Introduction The Continua Design Guidelines (CDG) defines a framework o

44、f underlying standards and criteria that ensure the interoperability of devices and data used for personal connected health services. It also contains design guidelines (DGs) that further clarify the underlying standards or specifications by reducing options or by adding missing features to improve

45、interoperability. These guidelines focus on the following interface: HIS-IF Interface between health and fitness service (HFS) and the healthcare information system (HIS). This Recommendation is part of the “ITU-T H.810 interoperability design guidelines for personal health systems“ subseries. See I

46、TU-T H.810 for more details. 0.1 Organization This Recommendation is organized in the following manner. Clauses 0 to 5: Introduction and terminology These clauses provide useful background information to help understand the structure of the design specifications. Clause 6: HIS interface design guide

47、lines This clause is an overview of the HIS-IF architecture and design guidelines for the health and fitness services (HFS) and the healthcare information system (HIS) implementing the healthcare information system interface (HIS-IF). 0.2 Guideline releases and versioning See clause 0.2 of ITU-T H.8

48、10 for release and versioning information. 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-T H.813 (07/2016) 1 Recommendation ITU-T H.813 Interoperability design guidelines for personal health systems: Health information systems

49、(HIS) interface 1 Scope This specification focuses on the following interface: HIS-IF Interface between health and fitness service (HFS) and the healthcare information system (HIS). This interface is defined in the Continua architecture as described in clause 6 of ITU-T H.810 and is illustrated in Figure 6-1. 2 References The following ITU-T Recommendations and other references contain provision