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.812.2 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 per
2、sonal health systems: Services interface: Questionnaires Recommendation ITU-T H.812.2 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 synch
3、ronization 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.
4、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 Mobility for
5、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 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 Thi
7、ngs 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
8、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 further
9、details, please refer to the list of ITU-T Recommendations. Rec. ITU-T H.812.2 (07/2016) i Recommendation ITU-T H.812.2 Interoperability design guidelines for personal health systems: Services interface: Questionnaires Summary The Continua Design Guidelines (CDG) defines a framework of underlying st
10、andards 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 interoperabilit
11、y. Patient reported outcome measures (PROMs) are increasingly needed to improve the cost effectiveness and quality of health services. Recommendation ITU-T H.812.2 defines design guidelines for the certified capability class (CCC) Questionnaire, the function of which is to enable the interoperable e
12、xchange of PROMs (also known as Questionnaires) across the Services-IF of the Continua end-to-end architecture. The Questionnaires are represented according to the HL7 Implementation Guide (IG) for the CDA R2 Questionnaire Form Definition (QFD) document HL7 CDA QFD. The QFD document captures the hea
13、lth survey questions or question sets to be administered to a patient. The QFD document enables the definition of questions for surveying the patients perception on their health and the impact that any treatments or adjustments to lifestyle have had on their quality of life. QFD documents may carry
14、a variety of clinical and non-clinical questions and branching logic in order to present the patient with a dynamic health survey for assessing health status including, but not limited to, the patients functional, cognitive and physiological characteristics. Authors of the QFD documents may include
15、information about disease management organizations, primary care physicians, health and fitness coaches, chronic condition monitors and post-acute and long-term care organizations. The response to a Questionnaire is then represented according to the HL7 Implementation Guide (IG) for the CDA R2 Quest
16、ionnaire Response (QR) document HL7 CDA QRD. Authors of the QR documents may include the patients who are under the care of disease management organizations, primary care physicians, health and fitness coaches, chronic condition monitors and post-acute and long-term care providers or their agents. F
17、or the exchange of QFD and QR documents, this Recommendation specifies and profiles the use of the HL7 hData record format and OMG hData REST Binding for RLUS. For security, this Recommendation further profiles the use of OAuth 2.0 and TLS v1.1. Recommendation ITU-T H.812.2 is part of the “ITU-T H.8
18、10 interoperability design guidelines for personal connected health systems“ subseries, 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
19、systems: Personal health devices interface design guidelines ITU-T H.812 Interoperability 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: Observat
20、ion upload capability ITU-T H.812.2 Interoperability design guidelines for personal 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 ii Re
21、c. ITU-T H.812.2 (07/2016) ITU-T H.812.4 Interoperability design guidelines for personal connected health systems: Services interface: Authenticated persistent session capability ITU-T H.813 Interoperability design guidelines for personal connected health systems: Healthcare information system inter
22、face design guidelines History Edition Recommendation Approval Study Group Unique ID* 1.0 ITU-T H.812.2 2015-11-29 16 11.1002/1000/12655 2.0 ITU-T H.812.2 2016-07-14 16 11.1002/1000/12915 * To access the Recommendation, type the URL http:/handle.itu.int/ in the address field of your web browser, fol
23、lowed by the Recommendations unique ID. For example, http:/handle.itu.int/11.1002/1000/11830-en. Rec. ITU-T H.812.2 (07/2016) iii FOREWORD The International Telecommunication Union (ITU) is the United Nations specialized agency in the field of telecommunications, information and communication techno
24、logies (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 Telecom
25、munication 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 area
26、s 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 conciseness to indicate both a telecommunication administration and a recognized oper
27、ating 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 “shal
28、l“ 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. INTELLECTUAL PROPERTY RIGHTSITU draws attention to the possibility that the prac
29、tice 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 develo
30、pment 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 therefo
31、re 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, by any means whatsoever, without the prior written permission of ITU. iv Rec. ITU-T H.812.2 (07/2016) Table of Contents Page 0 Introducti
32、on vi 0.1 Organization vi 0.2 CCC 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 Conventions . 1 6 Use cases 1 6.1 Retrieve a list of questionnaires to-be-completed by a patient 1 6.2 Retrieve a specific questi
33、onnaire and let the patient fill it in 2 6.3 Upload the completed questionnaire to the patient record 2 6.4 Retrieve a list of completed questionnaires from the patient record . 2 6.5 Retrieve a specific questionnaire response from the server 2 7 Behavioural models . 2 8 Implementation 3 8.1 Content
34、 representation . 3 8.2 Transport protocol . 4 Annex A Normative guidelines . 5 Appendix I ATOM feed information elements . 9 I.1 Information for questionnaire in the root.xml 10 I.2 Information for questionnaire response in the root.xml . 11 Bibliography 12 Rec. ITU-T H.812.2 (07/2016) v List of Ta
35、bles Page Table A.1 Normative guidelines for questionnaire-enabled PHG 5 Table A.2 Normative guidelines for questionnaire-enabled health and fitness service 7 Table I.1 ATOM feed child elements for questionnaires 9 Table I.2 ATOM feed child elements for questionnaire responses. 10 List of Figures Pa
36、ge Figure 7-1 Transactions between a PHG and a health and fitness service related to questionnaire use cases . 3 vi Rec. ITU-T H.812.2 (07/2016) 0 Introduction The Continua Design Guidelines (CDG) defines a framework of underlying standards and criteria that ensure the interoperability of devices an
37、d data used for applications monitoring 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 interoperability. Patient reported outcome measures (PROMs
38、) are increasingly needed to improve the cost effectiveness and quality of health services. This Recommendation defines design guidelines for the Questionnaire certified capability class (CCC), the function of which is to enable the interoperable exchange of PROMs (also known as Questionnaires) acro
39、ss the Services-IF of the Continua end-to-end architecture. The Questionnaires are represented according to the HL7 Implementation Guide (IG) for the CDA R2 Questionnaire Form Definition (QFD) document HL7 CDA QFD. The QFD document captures the health survey questions or question sets to be administ
40、ered to a patient. The QFD document enables the definition of questions for surveying the patients perception on their health and the impact that any treatments or adjustments to lifestyle have had on their quality of life. QFD documents may carry a variety of clinical and non-clinical questions and
41、 branching logic in order to present the patient with a dynamic health survey for assessing health status including, but not limited to, the patients functional, cognitive and physiological characteristics. Authors of the QFD documents may include information about disease management organizations,
42、primary care physicians, health and fitness coaches, chronic condition monitors, and post-acute and long-term care organizations. The response to a Questionnaire is then represented according to the HL7 Implementation Guide (IG) for the CDA R2 Questionnaire Response (QR) document HL7 CDA QRD. Author
43、s of the QR documents may include the patients who are under the care of disease management organizations, primary care physicians, health and fitness coaches, chronic condition monitors and post-acute and long-term care providers or their agents. For the exchange of QFD and QR documents, this Recom
44、mendation specifies and profiles the use of the HL7 hData record format and OMG hData REST Binding for the retrieve, locate and update service (RLUS). For security, this Recommendation further profiles the use of OAuth 2.0 and TLS v1.1. This Recommendation is part of the “H.810 interoperability desi
45、gn guidelines for personal health systems“ subseries. See ITU-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 overview information which help to understand the structure of the des
46、ign specifications. Clause 6: Use cases This clause provides practical use cases for the Questionnaire certified capability class (CCC) specified in this design guidelines document. Clause 7: Behavioural models This clause provides an overview of interactions between personal health gateways (PHGs)
47、and health and fitness services that are specified by the Questionnaire CCC. Clause 8: Implementation This clause provides implementation specific details for the Questionnaire CCC. Rec. ITU-T H.812.2 (07/2016) vii Annex A: Normative guidelines This annex specifies the normative requirements that mu
48、st be followed by the Questionnaire CCC. 0.2 CCC guideline releases and versioning See clause 0.2 of ITU-T H.810 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.812.2 (07/2016) 1 Recom
49、mendation ITU-T H.812.2 Interoperability design guidelines for personal health systems: Services interface: Questionnaires 1 Scope This Recommendation specifies design guidelines for the Questionnaire enabled PHG and Questionnaire enabled services CCCs that shall follow. The design guidelines specify the testable requirements that must be implemented by the PHG in order to classify it as a Questionnaire enabled PHG. The Questionnaire enabled PHG shall be able to retrieve Question
