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Section 1a: Clinical Document Architecture (CDA®)
Section 3: Implementation Guides

HL7 CDA® R2 Implementation Guide: Personal Healthcare Monitoring Report, Release 1

DESCRIPTION

The Personal Healthcare Monitoring Report (PHMR) is a document that carries personal healthcare monitoring information, or patient measurement data taken by consumer medical devices. The primary use case around which the PHMR is designed is for the automated reporting of measurements taken by Personal Connected Healthcare Alliance (PCHA; formally Continua) compliant Personal Healthcare Monitoring (PHM) consumer devices outside of the health care provider facilities. PCHA compliant devices are required to generate data with certain qualifications. Examples of such consumer devices would be weight scales, blood pressure cuffs, pulse oximeters, glucometers, thermometers, step counters, fitness equipment following the PCHA standard, independent living sensor devices, etc.

The information is transmitted as notes and as raw data. Notes may be supplied by a disease management service provider. The information may have multiple characteristics, including representation of measurements captured by devices, representation of notes, summaries, and other kinds of narrative information that may be added by caregivers or by the users themselves, and representation of graphs that may be added by intermediary devices that represent trends of users’ health.

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Personal Healthcare Monitoring Report, Release 1 may also go by the following names or acronyms:

"HL7 IG for CDA R2 - Level 3: Personal Healthcare Monitoring Reports, Release 1", PHM, CDAR2, PHMR, health monitoring report

TARGETS

  • Clinical and Public Health Laboratories
  • Standards Development Organizations (SDOs)
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • HIS Vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  • Personal Health Management Organizations (such as disease management organizations)

BENEFITS

  • Enables the automated reporting of measurements taken by Personal Connected Healthcare Alliance (PCHA; formally Continua) compliant Personal Healthcare Monitoring (PHM) consumer devices outside of the health care provider facilities
  • Fosters the development of automated interfaces between remote data monitoring services and EHR systems
  • Helps Personal Healthcare Monitors transfer remotely monitored patient data to electronic health records

IMPLEMENTATIONS/CASE STUDIES

  • Profiled by PCHA
  • National health record systems in Nordic region and UK

DEVELOPMENT BACKGROUND

This implementation guide is an essential component in the support of the Integrating Healthcare Enterprise (IHE) Remote Patient Monitoring (RPM) Profile for the remote monitoring of patients. The RPM profile reflects the PCHA end-to-end architecture. In the RPM profile the data will be provided to the PHMR content creator either directly from the PHM device or via an IHE HL7 PCD-01 message. Since the entire set of transactions from the PCHA compliant PHM device to the PHMR content creator is standardized, the data available to the PHMR generator is known. However the demographic data necessary for the PHMR document header is not provided by the PHM devices through any standardized protocol and therefore must be provided by the patient or a patient representative. How that is accomplished is not specified by either PCHA or the IHE RPM and is left as a business decision.

No entry of measurement data into the PHMR document by manual means is anticipated (though it is possible). Manual entry of information into the sensor device (such as one's height into a Body Composition Analyzer) is not considered manual entry of measurement data for this specification; the data is still received from the sensor by protocol and software is handling the generation of the PHMR.

 

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Personal Healthcare Monitoring Report, Release 1

(Download) (1.39 MB)

TOPICS

  • Care Provision
  • Medical Records
  • Patient Care

BALLOT TYPE

  • Normative

STATUS DATE

2014-10-06

RESPONSIBLE WORK GROUP

Structured Documents

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Standards Development Organizations (SDOs)

FAMILY

  • CDA

CURRENT STATE

  • Stable

REALM

  • Universal