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HR Monitoring apps | ||
Patient Monitoring Outcome | ||
--- | ||
IG | ||
<br> </br> | ||
|
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Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category | ||
Alias: $loinc = http://loinc.org | ||
Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns | ||
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Instance: BloodPressureExample | ||
InstanceOf: $vitalsigns | ||
Usage: #example | ||
* status = #final | ||
* category = $observation-category#vital-signs "Vital Signs" | ||
* code = $loinc#85354-9 "Blood pressure" | ||
* subject.reference = "Patient/D358D4B4-6007-4C3E-A33B-056773F45DC9" | ||
* component[0].code = $loinc#8480-6 "Systolic blood pressure" | ||
* component[=].valueQuantity = 140 'mm[Hg]' "mmHg" | ||
* component[+].code = $loinc#8462-4 "Diastolic blood pressure" | ||
* component[=].valueQuantity = 74 'mm[Hg]' "mmHg" | ||
* device.reference = "Device/Byteflies Vital Signs" | ||
* effectiveDateTime = "2024-11-18T09:38:52+00:00" |
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Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category | ||
Alias: $loinc = http://loinc.org | ||
Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns | ||
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Instance: BodyTemperatureExample | ||
InstanceOf: $vitalsigns | ||
Usage: #example | ||
* status = #final | ||
* category = $observation-category#vital-signs "Vital Signs" | ||
* code = $loinc#8310-5 "Body Temperature" | ||
* subject.reference = "Patient/EFD5E060-9522-48BE-9ECC-3BFA54EA3666" | ||
* component.code = $loinc#8310-5 "Body Temperature" | ||
* component.valueQuantity = 35.29 'Cel' "C" | ||
* device.reference = "Device/Byteflies Vital Signs" | ||
* effectiveDateTime = "2024-11-19T19:30:42+00:00" |
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Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category | ||
Alias: $loinc = http://loinc.org | ||
Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns | ||
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Instance: BodyWeightExample | ||
InstanceOf: $vitalsigns | ||
Usage: #example | ||
* status = #final | ||
* category = $observation-category#vital-signs "Vital Signs" | ||
* code = $loinc#29463-7 "Body Weight" | ||
* subject.reference = "Patient/D358D4B4-6007-4C3E-A33B-056773F45DC9" | ||
* component.code = $loinc#29463-7 "Body weight" | ||
* component.valueQuantity = 39.3 'kg' "kg" | ||
* device.reference = "Device/Byteflies Vital Signs" | ||
* effectiveDateTime = "2024-11-19T06:48:20+00:00" |
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Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category | ||
Alias: $loinc = http://loinc.org | ||
Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns | ||
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Instance: HeartRateExample | ||
InstanceOf: $vitalsigns | ||
Usage: #example | ||
* status = #final | ||
* category = $observation-category#vital-signs "Vital Signs" | ||
* code = $loinc#8867-4 "Heart rate" | ||
* subject.reference = "Patient/D358D4B4-6007-4C3E-A33B-056773F45DC9" | ||
* component.code = $loinc#8867-4 "Heart rate" | ||
* component.valueQuantity = 78 '/min' "beats/min" | ||
* device.reference = "Device/Byteflies Vital Signs" | ||
* effectiveDateTime = "2024-11-18T09:38:52+00:00" |
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Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category | ||
Alias: $loinc = http://loinc.org | ||
Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns | ||
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Instance: OxygenSaturationExample | ||
InstanceOf: $vitalsigns | ||
Usage: #example | ||
* status = #final | ||
* category = $observation-category#vital-signs "Vital Signs" | ||
* code = $loinc#59408-5 "Oxygen saturation" | ||
* subject.reference = "Patient/BE84DC42-2B5D-464C-AFFD-57DB87BD7D48" | ||
* component.code = $loinc#59408-5 "Oxygen saturation in Arterial blood by Pulse oximetry" | ||
* component.valueQuantity = 98 '%' "%O2" | ||
* device.reference = "Device/Byteflies Vital Signs" | ||
* effectiveDateTime = "2024-11-19T11:16:55+00:00" |
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Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category | ||
Alias: $loinc = http://loinc.org | ||
Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns | ||
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Instance: RespiratoryRateExample | ||
InstanceOf: $vitalsigns | ||
Usage: #example | ||
* status = #final | ||
* category = $observation-category#vital-signs "Vital Signs" | ||
* code = $loinc#9279-1 "Respiratory rate" | ||
* subject.reference = "Patient/BE84DC42-2B5D-464C-AFFD-57DB87BD7D48" | ||
* component.code = $loinc#9279-1 "Respiratory rate" | ||
* component.valueQuantity = 17.35 '/min' "breaths/minute" | ||
* device.reference = "Device/Byteflies Vital Signs" | ||
* effectivePeriod.start = "2024-11-15T09:56:00+00:00" | ||
* effectivePeriod.end = "2024-11-15T09:57:00+00:00" |
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# Introduction | ||
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# Purpose | ||
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# Scope | ||
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# Audience | ||
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# Intellectual Property Considerations | ||
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While this implementation guide and the underlying FHIR are licensed as public domain, this guide includes examples making use of terminologies such | ||
as LOINC, SNOMED CT and others which have more restrictive licensing requirements. Implementers should make themselves familiar with licensing and | ||
any other constraints of terminologies, questionnaires, and other components used as part of their implementation process. In some cases, | ||
licensing requirements may limit the systems that data captured using certain questionnaires may be shared with. | ||
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# Disclaimer | ||
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The specification herewith documented is a demo working specification, and may not be used for any implementation purposes. | ||
This draft is provided without warranty of completeness or consistency, and the official publication supersedes this draft. | ||
No liability can be inferred from the use or misuse of this specification, or its consequences. | ||
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# Use Cases and Scenarios | ||
## Overview | ||
## Common Scenarios | ||
### Monitoring Chronic Conditions (e.g., Diabetes, Hypertension) | ||
### Post-Surgical Recovery Monitoring | ||
### COVID-19 or Infectious Disease Monitoring | ||
### Behavioral Health Monitoring | ||
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# Key Concepts and Definitions | ||
## FHIR Basics for RPM | ||
## Observation Resource Overview | ||
## Profiles, Extensions, and Value Sets | ||
## Terminologies and Coding Systems (e.g., LOINC, SNOMED CT) | ||
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# RPM Observation Profiles | ||
## General Structure of Observation Profiles | ||
## Core RPM Observations | ||
### Vital Signs (e.g., Heart Rate, Blood Pressure, Body Temperature) | ||
### Physical Measurements (e.g., Weight, BMI) | ||
### Activity Data (e.g., Steps, Calories Burned) | ||
### Cardiovascular Monitoring (e.g., ECG, Pulse Oximetry) | ||
### Respiratory Monitoring (e.g., Spirometry, Peak Flow) | ||
### Behavioral and Mood Assessments | ||
### Device-Specific Observations | ||
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# Data Flow and Interoperability | ||
## Data Collection and Transmission | ||
## Data Transformation and Storage | ||
## Interoperability with EHR Systems | ||
## Handling Data from Multiple Sources | ||
## Security and Privacy Considerations | ||
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# FHIR Profiles and Extensions | ||
## Profiles for RPM Observations | ||
## Custom Extensions for Specialized Data | ||
## Best Practices for Defining Extensions | ||
## Example Profiles and Extensions | ||
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# Implementation Guidance | ||
## Conformance and Validation Requirements | ||
## Handling Errors and Exceptions | ||
## Workflow Integration Tips | ||
## Best Practices for RPM Implementation | ||
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# Sample Transactions and Bundles | ||
## Patient Resource Example | ||
## Observation Resource Example | ||
## Bundled Transactions for RPM Scenarios | ||
## Test Data Examples | ||
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# Terminology Bindings | ||
## Standardized Codes for RPM Observations | ||
## Value Set Definitions | ||
## Mapping Local Codes to Standard Codes | ||
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# Security and Privacy | ||
## Securing RPM Data Transfers | ||
## Managing Patient Consent | ||
## Access Control and Authentication | ||
## Compliance with HIPAA, GDPR, or Other Regulations | ||
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# Testing and Validation | ||
## Tools for Validation (e.g., FHIR Validator) | ||
## Test Scripts for RPM Observations | ||
## Example Test Cases | ||
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# Appendix | ||
## Glossary of Terms | ||
## References and Resources | ||
## Change Log for the Guide | ||
## FAQs | ||
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# Acknowledgments | ||
## Contributors | ||
## Organizations and Stakeholders | ||
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# Contact Information | ||
## Feedback and Support | ||
## IG Maintenance and Updates |
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