Working with Personal Health Devices in FHIR
summary
Continua/PCH Alliance maps device standards into a FHIR bundle that uses only Patient, Device and Observation resources, converting IEEE 11073 metric/numeric objects and Bluetooth characteristics into maps IEEE 11073 and Bluetooth profiles to FHIR Device/Observation/Patient. A pregnancy/preeclampsia demo traces a home BP that rises from 98/65 to preeclampsia use case — BP spikes from 98/65 to 142/90 triggering CDSS to increase monitoring and admit, with gateways using uses OAuth2 and JSON/XML gateways and servers required to accept both JSON and XML.
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chapters (25)
- 0:00Intro
- 2:49Tutorial Objectives - What can you expect?
- 7:14Why Continua FHIR-based observation upload?
- 9:39Continua Use Cases (just a few examples)
- 12:20Remote Patient Monitoring Requirements
- 15:46Pregnancy Disorder Use Case
- 16:44Initial diagnosis
- 17:36Home monitoring
- 18:38Analysis and Escalation
- 19:16Hospitalization
- 20:54Continua End-to-End Architecture
- 21:07Personal Health Devices and Personal Health Gateway
- 21:28Noninvasive Blood Pressure Monitor Device
- 22:34Bluetooth Special Interest Group (SIG)
- 23:17Bluetooth Low Energy
- 23:45Institute of Electrical and Electronics Engineers
- 23:56Domain Information Model (DIM)
- 25:46Continua Personal Health Device Measurement Upload
- 26:43Blood Pressure Monitoring Device
- 27:14Patient Resource Challenges for PHDS
- 29:29Device Resource
- 31:23Measurement representation (Metric Object)
- 32:37Observation Resource cont'd (Compound Numeric)
- 32:51Summary of Continua Requirements
- 34:24What's next for Continua and FHIR?
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