healthvault - mic vlaanderen - 03
TRANSCRIPT
A Glossary of HealthVault termsWhat are all these things you’re mentioning?
Outline
• The ‘HealthVault Platform’
• HealthVault Applications
• The HealthVault ‘Shell’
• HealthVault Connection Center (HVCC)
• Production and Pre-Production (PPE)
• Application Configuration Center (ACC)
• Accounts & Records
• ‘Things’
• ‘Vocabularies’
HealthVault Platform
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HealthVault Applications
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HealthVault
Enabled
Application
HealthVault
Enabled
Application
HealthVault
Enabled EMRHealthVault
Enabled EMR
What’s a HealthVault Enabled Application?
• An application which is permitted to connect to the HealthVault
platform
• Can send data to a HealthVault Record
• Can consume data from a HealthVault Record
• Can both send data to, and consume data from HealthVault
• Online access or Offline Access
– Different needs for different scenarios
• Consumer Website, Back End System, Phone App, Desktop App
– All can be HealthVault applications
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HealthVault Applications
6
HealthVault
Shell*
HealthVault
Enabled
Application
HealthVault
Enabled EMRHealthVault
Enabled EMR
HealthVault ‘Shell’
• The HealthVault Shell is a HealthVault application
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HealthVault ‘Shell’
• But, it has two main differences to other HealthVault Applications
• HealthVault Record access management
– Where you (citizen) control access to your HealthVault Record
– By People and Applications
• HealthVault Activity History
– It’s where you as a consumer can see the audit trail of activity in your
HealthVault record.
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HealthVault Applications
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HealthVault
Shell*
HealthVault
Enabled EMRHealthVault
Enabled EMR
HealthVault Connection Center
• A Windows application that you download to your laptop
• It knows how to talk to
– HealthVault connected devices
– Your HealthVault record
• Connects to Devices via USB or Bluetooth
• It knows how to
– Upload MRI images from CD/DVD
– Download and burn MRI’s from HealthVault
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Environments
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Production Environment
(PROD)
- Where consumers store
their data
Pre-Production Environment
(PPE)
- Where applications
are built against
Environments
• Production and Pre-Production (PPE) environments are functionally
equivalent
• Anyone can create a HealthVault application against the PPE
• Need to completed the HealthVault Application ‘Go-Live’ process to
connect to Production
• Must not store ‘real’ PII health data in PPE
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Environments - URLs
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Destination Production Environment Details Pre-Production Environment (PPE)
Details
Marketing Home
page
http://www.healthvault.co.uk n/a
User Login to
environment
https://account.healthvault.co.uk https://account.healthvault-ppe.co.uk
HealthVault
Application
Configuration
Centre (ACC)
portal
n/a https://config.healthvault-ppe.co.uk
HealthVault
Platform web-
services
https://platform.healthvault.co.uk https://platform.healthvault-ppe.co.uk
Application Configuration Center (ACC)
• The place where you configure your :
– HealthVault application
– Application Directory Listing
– Device Directory Listing
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HealthVault Accounts and Records15
FHR
PHR PHR PHR PHR PHR
SelfFHM has
FULL ACCESS
SpouseFHM has
PARTIALACCESS
ParentFHM may have
FULL or PARTIALACCESS
MinorFHM has
PARTIALACCESS
MinorFHM has
FULLACCESS
The “Family Health Manager” or FHM runs the FHR
PHR
PetFHM has
FULLACCESS
A HealthVault Account may have one or more Health Records
Things
• HealthVault is a secure store of health ‘things’
• ‘Things’ can be:
– Structured Data capable of being shared with all applications
• Capable, but nothing is shared by default.
• All sharing is under the control of the record owner (custodian)
– Un-structured data capable of being shared with all applications
• Binary types – documents, images, recordings, scanned images
• As above, all sharing is under the control of the record owner (custodian)
– Structured Data visible only to the application which writes it to
HealthVault
• ‘Application Specific Data’
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HealthVault Thing Types (Data Model)
Advance Directive Blood Pressure Measurement Device
Aerobic Exercise Session Body Composition Diabetes Insulin Injection Use
Aerobic Profile Body Dimension Diabetic Profile
Allergic Episode Calorie Guideline Discharge Summary
Allergy Cardiac Profile Emergency or Provider Contact
Application Data Reference Cholesterol Profile (Lipid Profile) Emotional State
Application-Specific Information Clinical Document Architecture (CDA) Encounter
Appointment Concern Exercise
Asthma Inhaler Condition Exercise Samples
Asthma Inhaler Usage Continuity of Care Document (CCD) Explanation of Benefits
Base Thing Type Continuity of Care Record (CCR) Family History
Basic Demographic Information Contraindication Family History Condition
Blood Glucose Measurement Daily Dietary Intake Family History Person
Blood Oxygen Saturation Daily Medication Usage File
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Extensible to meet our partners’ and consumers’ needs
HealthVault Thing Types (Data Model)
Group Membership Medical Image Study Question Answer
Group Membership Activity Medical Problem Radiology Lab Result
HbA1C Measurement Medication Respiratory Profile
Health Assessment Medication Fill Sleep Related Activity
Healthcare Proxy Message Sleep Session
Heart Rate Microbiology Lab Test Result Spirometer Measurement
Height Measurement PAP Session Status
Immunization Password Protected Package Vital Signs
Insulin Injection Peak Flow Measurement Weekly Aerobic Exercise Goal
Insurance Plan Personal Contact Information Weight Goal
Lab Test Results Personal Demographic Information Weight Measurement
Life Goal Personal Image
Link Pregnancy
Medical Annotation Procedure
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Extensible to meet our partners’ and consumers’ needs
Your Data Type Here
Vocabularies
• Vocabularies are different taxonomies - Think ‘look-up’ tables
• Supporting encoded data in a HealthVault record
• Used with the codable-value attribute type in a thing-type
• A codable-value can store 0,1 or many encoded values
• E.g. Storing an encoded ‘condition’ – Type 1 Diabetes
– I can store it as un-encoded – just text – ‘Type 1 Diabetes’
– I can store it encoded in ICD-10 as ‘E10’
– I can store it encoded in SNOMED CT as ‘10019390’
– I can store it using Andy’s coding scheme as ‘qwerty123’
– I can store all these encodings for the one condition
• HealthVault contains a number of standard vocabularies (SNOMED CT,
ICD-10, DM+D Medications)
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Questions?