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 (07/2016) SERIES H: AUDIOVISUAL AND MULTIMEDIA SYSTEMS E-health multimedia services and applications Personal health systems Interoperability design guidelines for perso
2、nal connected 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
3、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 Quality of service archite
4、cture 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-Series multimedia systems an
5、d 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.559 Mobile multimedia co
6、llaboration 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
7、 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 consumption H.770H.779 Digital
8、 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 details, please refer to the l
9、ist of ITU-T Recommendations. Rec. ITU-T H.810 (07/2016) i Recommendation ITU-T H.810 Interoperability design guidelines for personal connected health systems Summary The Continua Design Guidelines (CDG) defines a framework of underlying standards and criteria required to ensure the interoperability
10、 of devices and data 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: Person
11、al health devices (PHD) interface Interface between a personal health device (PHD) and a personal health gateway (PHG). Services interface Interface between a personal health gateway (PHG) and the health and fitness service (HFS). Healthcare information system (HIS) interface Interface between the h
12、ealth and fitness service (HFS) and the healthcare information system (HIS). Recommendation ITU-T H.810 is part of the “ITU-T H.810 interoperability design guidelines for personal connected health systems“ subseries and covers the following areas: ITU-T H.810 Interoperability design guidelines for p
13、ersonal 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 Interoperability design guidelines for personal connected health systems: Services interface design
14、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 personal connected health systems: Services interface: Questionnaires capability ITU-T H.812.3 Int
15、eroperability 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: Services interface: Authenticated persistent session capability ITU-T H.813 Interoperabili
16、ty 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.810 2013-12-14 16 11.1002/1000/12067 2.0 ITU-T H.810 2015-11-29 16 11.1002/1000/12651 3.0 ITU-T H.810 2016-
17、07-14 16 11.1002/1000/12911 * 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.810 (07/2016) FOREWORD The International Teleco
18、mmunication 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 tar
19、iff 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 study groups which, in turn, produce Recomm
20、endations 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 basis with ISO and IEC. NOTE In this Recommen
21、dation, 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 mandatory provisions (to ensure, e.g., interoperabi
22、lity 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 use of such words does not suggest that comp
23、liance 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 position concerning the evidence, validity
24、 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, protected by patents, which may be required
25、 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 part of this publication may be reproduced,
26、by any means whatsoever, without the prior written permission of ITU. Rec. ITU-T H.810 (07/2016) iii Table of Contents Page 0 Introduction v 0.1 Organization vi 0.2 Guideline releases and versioning . vi 0.3 Whats new. vii 0.4 White papers vii 0.4.1 Fundamentals of data exchange vii 0.4.2 Introducti
27、on to the Continua Design Guidelines . vii 0.4.3 Implementation guidelines for cellular modems embedded into medical devices . vii 0.4.4 Recommendations for USB PHDC device driver interoperability . vii 0.5 Certification programme . viii 1 Scope 1 2 References 2 2.1 Equivalent IEEE and ISO specifica
28、tions . 10 3 Definitions . 12 3.1 Terms defined elsewhere . 12 3.2 Terms defined in this Recommendation 12 4 Abbreviations and Acronyms 16 5 Conventions . 20 5.1 Design Guidelines terminology and conventions 20 5.1.1 DG compliance classifiers . 20 5.1.2 Guideline font usage conventions . 20 5.1.3 De
29、sign guidelines format 21 6 System overview 21 6.1 E2E system architecture 21 6.1.1 Devices, components, applications and interfaces 21 6.1.2 Design guideline types 24 6.1.3 Reference capability classes and system topology 24 6.1.4 Reference, certified and logo-ed capability classes 26 6.1.5 Other v
30、iews of the architecture . 27 6.1.6 Compatibility . 30 6.1.7 Quality of service strategy. 31 6.1.8 E2E security 34 6.1.9 Overview of standards used across PHD-IF . 35 iv Rec. ITU-T H.810 (07/2016) Page Bibliography 37 List of Tables Page Table 0-1 Design specifications . vi Table 0-2 Guideline relea
31、ses and corresponding version numbers vi Table 1-2 Capability classes defined across the Services-IF 2 Table 1-3 Capability classes defined across the HIS-IF . 2 Table 2-1 ISO equivalent specifications for IEEE 11073 personal health device specifications . 10 Table 5-1 Design guideline example 21 Ta
32、ble 6-1 Actor roles 29 Table 6-2 Reliability and latency 32 Table 6-3 An overview of security technologies used in the design guidelines . 35 Table 6-4 An overview of standards used across PHD-IF 36 List of Figures Page Figure 0-1 Continua E2E reference architecture . v Figure 6-1 Device, component
33、and application 22 Figure 6-2 Interfaces between components 22 Figure 6-3 Component implements API . 22 Figure 6-4 Component requires the implementation of an API 23 Figure 6-5 Component implements N-IF 23 Figure 6-6 Component requires implementation of of an N-IF 23 Figure 6-7 Current focus of Cont
34、inua design guidelines 24 Figure 6-8 Definitions and graphical notation 25 Figure 6-9 Reference topology . 26 Figure 6-10 Context of architecture description b-ISO/IEC IEEE 42010 27 Figure 6-11 Conceptual model of an architecture description 28 Figure 6-12 Use case diagram . 29 Figure 6-13 PHD-IF co
35、mmunicate PCHA data transaction 29 Figure 6-14 Backward compatibility and forward compatibility philosophy . 30 Rec. ITU-T H.810 (07/2016) v 0 Introduction The Continua Design Guidelines (CDG) define a framework of underlying standards and criteria that are required to ensure the interoperability of
36、 components1 used for applications monitoring personal health and wellness. 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. These guidelines focus on the following
37、 interfaces: Personal health devices (PHD) interface Interface between a personal health device (PHD) and a personal health gateway (PHG). Services interface Interface between a personal health gateway (PHG) and a health and fitness service (HFS). Healthcare information system (HIS) interface Interf
38、ace between a health and fitness service (HFS) and a healthcare information system (HIS). Figure 0-1 highlights the above-mentioned interfaces in the Continua end-to-end (E2E) reference architecture. Figure 0-1 Continua E2E reference architecture The CDG are a product of the Personal Connected Healt
39、h Alliance (PCHA), which is an international not-for-profit industry organization enabling end-to-end (E2E), plug-and-play connectivity of devices and services for personal health management and healthcare delivery. The mission of the PCHA is: “to facilitate the development and adoption of personal
40、health solutions that foster independence and empower people to better manage their health and wellness from anywhere, at any time. Making health and wellness a convenient part of daily life through personal connected health technologies.“ For more information visit: www.pchalliance.org. In the DGs,
41、 references are made to specifications from: Health Level 7 (HL7), Integrating the Healthcare Enterprise (IHE), ISO/IEEE, Bluetooth, ZigBee, Internet Engineering Task Force (IETF), World Wide Web Consortium (W3C), Organization for the Advancement of Structured Information Standards (OASIS) and Objec
42、t Management Group (OMG). 1 There are two types of components, a client component (e.g., observation sender) and a service component (e.g., observation receiver). A device may implement one or more Continua certified client componets, however it may also implement components not certified by Continu
43、a. vi Rec. ITU-T H.810 (07/2016) 0.1 Organization The CDG is comprised of a series of specifications, which taken as a whole represent a yearly release. Table 0-1 shows the different specifications included in this release. Table 0-1 Design specifications Recommendation Area covered ITU-T H.810 Syst
44、em Overview ITU-T H.811 Personal health devices (PHD) interface ITU-T H.812 Services interface ITU-T H.812.1 Observation Upload capability ITU-T H.812.2 Questionnaire capability ITU-T H.812.3 Capability Exchange capability ITU-T H.812.4 Authenticated Persistent Session (APS) capability ITU-T H.813 H
45、ealthcare information system (HIS) interface 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 specifications. Clause 6: System overview Th
46、is 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 releases to version revisions. Table 0-2 Guideline releases and c
47、orresponding 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 + Errata 4 1 2015 Genome 5 0 2016 Iris 6 0 2016 + Errata 6 1
48、 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. Rec. ITU-T H.810 (07/2016) vii 0.3 What
49、s new Compared to preceding versions of the Continua Design Guidelines, the following changes were made to the content of this specification: Across the personal health devices interface (PHD-IF) the following new capabilities have been introduced: Design guidelines for the continuous glucose monitor and the pulse oximeter using Bluetooth low energy (LE) as the transport technology. Design guidelines for the continuous glucos
