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.812.1 TELECOMMUNICATION STANDARDIZATION SECTOR OF ITU (11/2017) SERIES H: AUDIOVISUAL AND MULTIMEDIA SYSTEMS E-health multimedia services and applications Personal health systems Interoperability design guidelines for per
2、sonal connected health systems: Services interface: Observation Upload capability Recommendation ITU-T H.812.1 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 Transmissi
3、on multiplexing and 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 mu
4、ltimedia services 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
5、 H.500H.509 Mobility 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 VEHICULAR
6、 GATEWAYS AND INTELLIGENT TRANSPORTATION SYSTEMS (ITS) Architecture for vehicular gateways H.550H.559 Vehicular gateway interfaces H.560H.569 BROADBAND, TRIPLE-PLAY AND ADVANCED MULTIMEDIA SERVICES Broadband multimedia services over VDSL H.610H.619 Advanced multimedia services and applications H.620
7、H.629 Ubiquitous sensor network applications and Internet 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
8、 application frameworks H.760H.769 IPTV service discovery 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 Mu
9、ltimedia e-health data exchange services H.860H.869 For further details, please refer to the list of ITU-T Recommendations. Rec. ITU-T H.812.1 (11/2017) i Recommendation ITU-T H.812.1 Interoperability design guidelines for personal connected health systems: Services interface: Observation Upload cap
10、ability Summary The Continua Design Guidelines (CDG) defines a framework of underlying standards and criteria that ensure the interoperability of devices and data used for personal connected health services. The Continua Design Guidelines also contains additional design guidelines (DGs) that further
11、 clarify the underlying standards or specifications by reducing the options or by adding missing features to improve interoperability. ITU-T H.812.1 defines the additional design guidelines for the Observation Upload Certified Capability Class (CCC), whose function is to transfer an observation meas
12、urement from a medical device to a services application over the Services interface (Services-IF). ITU-T H.812.1 is part of the “ITU-T H.810 interoperability design guidelines for personal connected health systems“ subseries that covers the following areas: ITU-T H.810 Interoperability design guidel
13、ines for personal connected health systems: Introduction ITU-T H.811 Interoperability design guidelines for personal connected health systems: Personal Health Devices interface ITU-T H.812 Interoperability design guidelines for personal connected health systems: Services interface ITU-T H.812.1 Inte
14、roperability design guidelines for personal connected health systems: Services interface: Observation Upload capability (this design guidelines document) ITU-T H.812.2 Interoperability design guidelines for personal connected health systems: Services interface: Questionnaire capability ITU-T H.812.3
15、 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: Services interface: Authenticated Persistent Session capability ITU-T H.813 Interopera
16、bility design guidelines for personal connected health systems: Healthcare Information System interface History Edition Recommendation Approval Study Group Unique ID* 1.0 ITU-T H.812.1 2015-11-29 16 11.1002/1000/12654 2.0 ITU-T H.812.1 2016-07-14 16 11.1002/1000/12914 3.0 ITU-T H.812.1 2017-11-29 16
17、 11.1002/1000/13416 Keywords CDG, Continua Design Guidelines, healthcare information systems, observation upload, personal connected health systems, personal health devices, services. * To access the Recommendation, type the URL http:/handle.itu.int/ in the address field of your web browser, followe
18、d by the Recommendations unique ID. For example, http:/handle.itu.int/11.1002/1000/11830-en. ii Rec. ITU-T H.812.1 (11/2017) FOREWORD The International Telecommunication Union (ITU) is the United Nations specialized agency in the field of telecommunications, information and communication technologie
19、s (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 view to standardizing telecommunications on a worldwide basis. The World Telecommunic
20、ation 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 Recommendations is covered by the procedure laid down in WTSA Resolution 1. In some areas of
21、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 conciseness to indicate both a telecommunication administration and a recognized operating
22、 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 Recommendation is achieved when all of these mandatory provisions are met. The words “shall“ or
23、 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. INTELLECTUAL PROPERTY RIGHTSITU draws attention to the possibility that the practice
24、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 Rights, whether asserted by ITU members or others outside of the Recommendation development
25、 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 are cautioned that this may not represent the latest information and are therefore st
26、rongly urged to consult the TSB patent database at http:/www.itu.int/ITU-T/ipr/. ITU 2018 All rights reserved. No part of this publication may be reproduced, by any means whatsoever, without the prior written permission of ITU. Rec. ITU-T H.812.1 (11/2017) iii Table of Contents Page 0 Introduction x
27、i 0.1 Organization xi 0.2 CCC guideline releases and versioning . xi 0.3 Whats new. xi 1 Scope 1 2 References 1 3 Definitions . 1 4 Abbreviations and acronyms . 1 5 Conventions . 1 6 Observation Upload use case . 1 6.1 Observation Upload to the server 1 6.1.1 Chosen standards and profiles . 2 6.1.2
28、Data payload 2 6.1.3 Services protocol (informative) . 3 7 Behavioural models . 3 7.1 SOAP implementation . 3 7.1.1 Observation Upload using SOAP 3 7.2 REST implementation . 5 7.2.1 Capabilities exchange 5 7.2.2 Observation Upload using hData 7 7.3 Security 8 7.3.1 Secure point-to-point communicatio
29、n . 9 7.3.2 Auditing . 10 7.3.3 Entity identity assertion . 10 7.3.4 Reliability 12 8 Implementation guidance (informative) 13 8.1 PHG conceptual model 13 8.2 Overview of operation . 14 8.3 Certified Capability Classes for Observation Upload . 15 8.4 Sample service description SOAP . 17 8.5 Device o
30、bservation consumer WSDL . 17 8.6 Device observation consumer XSD . 18 8.7 Messaging examples 18 8.8 Communicate PCD data 19 iv Rec. ITU-T H.812.1 (11/2017) Page 8.9 Communicate PCD data response . 19 8.10 CommunicatePCDData example with security . 20 8.10.1 STS request . 20 8.10.2 STS response . 21
31、 8.10.3 CommunicatePCDData request. 24 8.10.4 CommunicatePCDData response 25 8.11 hData Observation Upload example 25 9 The PCD-01 document payload. 27 9.1 PCD-01 fundamentals . 27 9.1.1 MSH header. 28 9.1.2 PID patient info . 28 9.1.3 OBR observation request 28 9.1.4 OBX observation result . 28 9.2
32、 Document structure . 29 9.3 PHG, MDS and metric OBXes 30 9.4 Segment structure 31 9.5 PCD-01 format “on the wire“ 34 9.6 HL7 data types . 34 9.7 PID segment 35 10 OBX segment fundamentals 36 10.1 Encoding OBX segments 36 10.2 Object hierarchy 37 10.2.1 Hierarchy levels. 37 10.2.2 Hierarchy examples
33、 . 38 10.2.3 Object hierarchy for compounds . 39 10.3 Timestamping 39 10.4 The coincident timestamp pair 41 10.5 PHG-OBXes 42 10.6 MDS-OBXes . 43 10.7 Metric OBXes 44 10.7.1 Mapping the 11073 observational attributes in OBX-5 and data type in OBX-2 . 45 10.8 Date-Time-Adjustment 46 11 Guidelines 46
34、11.1 MSH 46 11.2 PID . 46 11.3 OBR . 46 11.4 OBX . 46 Rec. ITU-T H.812.1 (11/2017) v Page Annex A Normative guidelines for common aspects . 48 Annex B Normative guidelines for hData. 49 Annex C Normative guidelines for SOAP 51 Annex D Normative guidelines data payload . 53 D.0 Mapping from ISO/IEEE
35、11073-20601to the Continua services 55 D.0.1 Terminologies and conventions . 55 D.0.2 Protocol-dependent information 55 D.0.3 Services-specific nomenclature . 56 D.0.4 ISO/IEEE 11073-20601 general object/attribute mapping 56 D.1 OBX encoding guidelines . 59 D.1.1 Guidelines for encoding the PHG-OBX
36、segments 59 D.1.2 Guidelines for encoding the MDS-OBX segments . 64 D.1.3 Guidelines for encoding the Metric-OBX segments . 76 D.1.4 Special situations . 94 D.1.5 Timestamping and time synchronization . 98 D.1.6 Metric object attribute mappings overview . 109 D.1.7 Numeric (subclass of Metric) 110 D
37、.1.8 RT-SA (subclass of Metric) . 110 D.1.9 Enumeration (subclass of Metric) . 110 Annex E Mapping from the IEEE 11073-104xx device specializations to the Continua services 111 E.1 PHG . 112 E.1.1 Modelling . 112 E.1.2 Containment tree 112 E.2 MDS object . 113 E.2.1 Modelling . 113 E.2.2 Containment
38、 tree 113 E.3 Metric OBXes . 115 E.3.1 10404 Pulse oximeter . 115 E.3.2 10407 Blood pressure monitor . 121 E.3.3 10408 Thermometer . 123 E.3.4 10415 Weighing scales 124 E.3.5 10417 Glucose meter . 126 E.3.6 10418 INR meter 134 E.3.7 10441 Cardiovascular fitness and activity monitor . 136 E.3.8 10442
39、 Strength fitness equipment 153 E.3.9 10471 Independent living activity hub 157 vi Rec. ITU-T H.812.1 (11/2017) Page E.3.10 10472 Adherence monitor 168 E.3.11 10421 Peak expiratory flow monitor . 171 E.3.12 10420 Body composition analyser . 174 E.3.13 IEEE 10406 basic 1-3 lead ECG 176 E.3.14 10424 S
40、leep apnoea breathing therapy equipment (SABTE) 180 E.3.15 ISO/IEEE 11073-10425 continuous glucose monitor 196 E.4 HL7 Unsolicited observation result . 203 E.4.1 MSH . 203 E.4.2 PID . 206 E.4.3 OBR . 208 E.4.4 OBX . 210 E.4.5 PV1 212 E.4.6 NTE 213 E.4.7 TQ1 213 E.4.8 MSA . 213 E.4.9 ERR 214 E.4.10 H
41、L7 v2.6 error tables . 215 E.5 HL7 Data types Observations 216 E.5.1 CWE . 217 E.5.2 DTM . 218 E.5.3 NM . 218 E.5.4 ST 218 E.5.5 NA - numeric array 218 E.5.6 XAD . 219 E.5.7 XPN 220 E.6 Other HL7 data types 221 E.6.1 CX 221 E.6.2 ID coded value for HL7 defined tables 222 E.6.3 IS coded value for use
42、r-defined tables . 223 E.6.4 SI sequence ID . 223 E.6.5 SN structured numeric . 223 E.6.6 XTN . 224 E.7 HL7 control characters 226 Bibliography 227 Rec. ITU-T H.812.1 (11/2017) vii List of Tables Page Table 8-1 Certified Capability Classes . 15 Table 8-2 Guidelines for Certified Capability Classes .
43、 15 Table 9-1 Simplified PCD-01 table 30 Table 10-1 MDS-OBX attributes 44 Table A.1 Guidelines for all CCC classes . 48 Table A.2 Observation Upload guidelines for a PHG application 48 Table A.3 Observation Upload guidelines for a services application . 48 Table B.1 Observation Upload guidelines for
44、 a PHG application using hData 49 Table B.2 Observation Upload guidelines for a services application using hData . 50 Table C.1 Common Observation Upload guidelines using SOAP . 51 Table C.2 Observation Upload guidelines for a PHG using SOAP 52 Table C.3 Observation Upload guidelines for a Health us
45、ers of this Recommendation are therefore encouraged to investigate the possibility of applying the most recent edition of the Recommendations and other references listed below. A list of the currently valid ITU-T Recommendations is regularly published. The reference to a document within this Recomme
46、ndation does not give it, as a stand-alone document, the status of a Recommendation. ITU-T H.810 Recommendation ITU-T H.810 (2017), Interoperability design guidelines for personal connected health systems: Introduction. All other referenced documents can be found in clause 2 of ITU-T H.810. 3 Defini
47、tions This design guidelines document uses terms defined in ITU-T H.810. 4 Abbreviations and acronyms This design guidelines document uses abbreviations and acronyms defined in ITU-T H.810. 5 Conventions This design guidelines document follows the conventions defined in ITU-T H.810. 6 Observation Up
48、load use case The Observation Upload use case is focused on the needs identified for transferring patient observation measurements to a server. Observation Upload can be achieved using either of two methods defined in clause 7 of this design guideline; the choice of which method to use is left to th
49、e implementer. 6.1 Observation Upload to the server Angus has decided that he wishes to improve his general fitness levels after a check-up with his General Practitioner showed that he was becoming overweight and that this could impact his long term health. After some research he decides to sign up to an online service that allows him to use his current smartphone and some additional devices to monitor many of his physical activities. Initially he tracks his cycle rides using an a
