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.810 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 Recommendation ITU-T H.810 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 synchronization H.220H.229 Systems aspects H.
3、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 Quality of service architecture for
4、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-Series multimedia systems and services
5、 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.559 Mobile multimedia collaboratio
6、n 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.640H.649 IPTV MULTIMEDIA SERVICES
7、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 consumption H.770H.779 Digital Signage H
8、.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 details, please refer to the list of ITU
9、-T Recommendations. Rec. ITU-T H.810 (11/2015) i Recommendation ITU-T H.810 Interoperability design guidelines for personal health systems Summary The Continua Design Guidelines (CDG) defines a framework of underlying standards and criteria required to ensure the interoperability of devices and data
10、 used for personal connected health. It also contains design guidelines (DGs) that further clarify the underlying standards or specifications by reducing options or by adding a missing feature to improve interoperability. These guidelines focus on the following interfaces: TAN-IF Interface between t
11、ouch area network (TAN) health devices and application hosting devices (AHDs) PAN-IF Interface between personal area network (PAN) health devices and AHDs LAN-IF Interface between local area network (LAN) health devices and AHDs WAN-IF Interface between AHDs and wide area network (WAN) HRN-IF Interf
12、ace between WAN health devices and health record network (HRN). Recommendation ITU-T H.810 is part of the “ITU-T H.810 interoperability design guidelines for personal health systems“ subseries, as follows: Mapping of CDG 2013, ITU-T H.810 and restructured ITU-T H.810-series Part Elements Clauses in
13、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 ITU-T H.810 System overview Part 1 TAN/ PAN/LAN Clauses 4 to 7, Appendices C, D, M Clauses 7 to
14、 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 H.812.2 Questionnaires ITU-T H.812.3 Capability exchange ITU-T H.812.4 Authenticated persist
15、ent 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.810 2013-12-14 16 11.1002/1000/12067 2.0 ITU-T H.810 2015-11-29 16 11.1002/1000/12651 * To access the Recommendati
16、on, 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.810 (11/2015) FOREWORD The International Telecommunication Union (ITU) is the United Nations specialize
17、d 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 questions and issuing Recommendations on them with a
18、 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 these topics. The approval of ITU-T Recomme
19、ndations 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 expression “Administration“ is used for conc
20、iseness 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 applicability) and compliance with the Recommend
21、ation 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 the Recommendation is required of any party.
22、 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 applicability of claimed Intellectual Property Right
23、s, 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 implement this Recommendation. However, implementers
24、 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 whatsoever, without the prior written permi
25、ssion of ITU. Rec. ITU-T H.810 (11/2015) iii Table of Contents Page 0 Introduction v 0.1 Organization v 0.2 Guideline releases and versioning . vi 0.3 Whats new . vi 0.4 White papers vii 0.4.1 Implementation guidelines for cellular modems embedded into medical devices . vii 0.4.2 Recommendations for
26、 USB PHDC device driver interoperability . vii 0.5 Certification programme vii 1 Scope 1 2 References 1 3 Definitions 8 3.1 Terms defined elsewhere . 8 4 Abbreviations and acronyms 13 5 Conventions . 16 5.1 Guideline terminology and conventions 16 5.1.1 Guideline compliance classifiers . 17 5.1.2 Gu
27、ideline font usage conventions . 17 5.1.3 Design guidelines format . 17 6 System overview 17 6.1 E2E system architecture 17 6.1.1 Devices, components, application and interfaces 18 6.1.2 Design guideline types 19 6.1.3 Reference device classes and system topology . 20 6.1.4 Reference, certified and
28、logo-ed device classes 24 6.1.5 Compatibility . 25 6.1.6 Quality of service strategy . 27 6.1.7 E2E security 30 Bibliography 32 iv Rec. ITU-T H.810 (11/2015) List of Tables Page Table 0-1 Design Guidelines Documents v Table 0-2 Guideline releases and corresponding version numbers vi Table 5-1 Design
29、 guideline example . 17 Table 6-1 Reliability and latency 28 Table 6-2 An overview of security technologies used in the design guidelines . 31 List of Figures Page Figure 6-1 Device, component and application 18 Figure 6-2 Interfaces between components . 18 Figure 6-3 Component implements API . 19 F
30、igure 6-4 Component requires an implementation of API 19 Figure 6-5 Component implements network interface 19 Figure 6-6 Component requires implementation of network interface . 19 Figure 6-7 Definitions and graphical notation 21 Figure 6-8 Architectural dimension basis for reference device classes
31、22 Figure 6-9 Reference device classes and real-world examples . 23 Figure 6-10 Reference topology 24 Figure 6-11 Example composite device 25 Figure 6-12 Backward compatibility. 26 Figure 6-13 Forward compatibility (robustness, future-proofness) 26 Rec. ITU-T H.810 (11/2015) v 0 Introduction The Con
32、tinua 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 connected health. They also contain design guidelines (DGs) that further clarify the underlying standards or specifications by
33、reducing options or by adding missing features to improve interoperability. These guidelines focus on the following interfaces: TAN-IF Interface between touch area network (TAN) health devices and AHDs. PAN-IF Interface between personal area network (PAN) health devices and AHDs. LAN-IF Interface be
34、tween local area network (LAN) health devices and AHDs. WAN-IF Interface between AHDs and wide area network (WAN). HRN-IF Interface between WAN health devices and health record network (HRN). The CDG are a product of the Personal Connected Health Alliance (PCHA), which is an international not-for-pr
35、ofit industry organization enabling end-to-end (E2E), plug-and-play connectivity of devices and services for personal health management and healthcare delivery. Its mission is: Generating greater awareness, availability and access to plug-and-play, consumer-friendly personal health technologies to e
36、mpower individuals to better manage their health and wellness, anywhere at any time. For more information visit: www.pchalliance.org. In the DGs, reference is made to specifications from: Health Level 7 (HL7), Integrating the Healthcare Enterprise (IHE), ISO/IEEE, Bluetooth, ZigBee, Internet Enginee
37、ring Task Force (IETF), World Wide Web Consortium (W3C), Organization for the Advancement of Structured Information Standards (OASIS) and Object Management Group (OMG). 0.1 Organization The CDG is comprised of a series of specifications, which taken as a whole represent a yearly release. Table 0-1 s
38、hows the different specifications included in this release. Table 0-1 Design specifications Recommendation Area covered ITU-T H.810 System Overview ITU-T H.811 TAN/PAN/LAN ITU-T H.812 WAN ITU-T H.812.1 Observation upload ITU-T H.812.2 Questionnaire ITU-T H.812.3 Capability exchange ITU-T H.812.4 Aut
39、henticated persistent session (APS) ITU-T H.813 Health record network (HRN) This specification is organized in the following manner: Introduction and clauses 0 to 5: Introduction and terminology These clauses provide useful background information to help understand the structure of the specification
40、s. vi Rec. ITU-T H.810 (11/2015) Clause 6: System overview This clause explains the overall end-to-end architecture and scope of the design guidelines. 0.2 Guideline releases and versioning As guidelines evolve over time, different versions are created. Table 0-2 shows the mapping of guidelines rele
41、ases to version revisions. Table 0-2 Guideline releases and corresponding version numbers Continua design guidelines Also known as Major version Minor version 1.0 1 0 2010 1.5 1 5 2010 + Errata 1 6 2011 2.0, Adrenaline 2 0 2011 + Errata 2 1 2012 Catalyst 3 0 2012 + Errata 3 1 2014 Endorphin 4 0 2014
42、 + Errata 4 1 2015 Genome 5 0 Subsequent to the initial version the yearly release of the CDG includes maintenance updates and additional guidelines that cover new functionalities. Where applicable an Errata release may be published that implements all ratified bugs for the prior release. 0.3 Whats
43、new This is the first version of this specification as a separate re-formatted document. Compared to preceding versions of the Continua Design Guidelines, the following changes were made to the content of this specification: Across the PAN-IF PAN-IF interface guidelines for LP wireless PAN (Bluetoot
44、h LE) for Weight Scales are included. The PAN-IF interface guidelines for PAN wired (USB) and PAN standard wireless (Bluetooth) for Sleep Apnoea Breathing Therapy Equipment (SABTE) are included. Guidance on handling time adjustments in devices with limited memory was added. Across the WAN-IF Uploadi
45、ng observations using RESTful HTTP method. Significant clarifications and edits for handling of sensor timestamps across the WAN-IF interface. The guidelines for creating a PCD-01 document were re-written for easier implementation. New guidelines for the exchange of questionnaires and questionnaire
46、responses, consent management, and enforcement using the RESTful HTTP method. New guidelines for APS using message queuing telemetry transport (MQTT). New guidelines for capability exchange using HL7 HRF specification. Rec. ITU-T H.810 (11/2015) vii 0.4 White papers This clause highlights white pape
47、rs that have been published to address areas not directly covered by the CDG. These white papers can be found here: http:/www.continuaalliance.org/connected-health-vision/white-papers, and they are also listed in the bibliography. Where relevant, additional links may be found in the appropriate clau
48、se of the CDG. 0.4.1 Implementation guidelines for cellular modems embedded into medical devices In order to aid members who wish to implement wireless connectivity directly into medical sensors by physically attaching a cellular module to the sensor, a white paper has been published to address devi
49、ce-specific recommendations. Work has been carried out with leading operators, device vendors and cellular organizations like GSMA to provide an overview of mobile network-specific considerations that should be kept in mind when designing medical sensors with embedded modems, so that they are interoperable and optimized for use with cellular connectivity. 0.4.2 Recommendations for USB PHDC device driver interoperability This paper defi
