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HITSP C74 Remote Monitoring V1.0


Type:Data Agreement
Start Date:2008-12-18
Scope:The HITSP Remote Monitoring Observation Document Component describes the document content to convey medical information collected by remote healthcare monitoring devices for the purpose of information exchange. The content may include administrative (e.g., registration, demographics, insurance, etc.) and clinical (results, vital signs, etc) information. This specification defines content in order to promote interoperability between participating systems. Such systems may include Personal Health Record (PHRs) systems, Electronic Health Record (EHRs) systems, Practice Management Applications and other persons and systems as identified and permitted. Any given system creating or consuming the document may contain much more information than conveyed by this specification. Thus any specific use of this Component by another HITSP specification may constrain the content further based upon the requirements and context of the document exchange.

Remote Monitoring Observation Documents are essentially a subset of the healthcare data that has been developed for specific business Use Cases. This subset contains the minimum critical or pertinent medical information of sections and data elements as specified by the business cases. A Remote Monitoring Observation Document must be a representative extract of the creating system. The information in the Remote Monitoring Observation Document and the creating system must be consistent. Furthermore there should be no data elsewhere in the creating system that would contradict the meaning of any data in the construct. The expectation is that consuming systems will be able use this construct as a source of information to input and/or update information in their instantiation of the patient record. This specification does not define the policies applicable to the import of this information.

* NOTE: Optionality = “R” for Required, “R2” for Required if Known or “O” for Optional, or “C” for Conditional. Conditional footnotes are further described below. Repeatable = “Y” for Yes, “N” for No.

**C[101] - Either Vital Signs and/or Results shall be present C74-[1]

The CDA document SHALL include a /ClinicalDocument/informationRecipient element

C74-[2]

The CDA document SHALL include a /ClinicalDocument/author/assignedAuthor/representedOrganization element

C74-[3]

The CDA document SHOULD identify the originating device in the /ClinicalDocument/author/assignedAuthor/assignedAuthoringDeviceelement

C74-[4]

The CDA document SHOULD use local coding for device data that do not have identified either MDC or SNOMED CT code

C74-[5]

The CDA document shall conform to the Health Level Seven (HL7) Implementation Guide for CDA Release 2.0 Personal Health Monitoring Report (PHMR) DSTU Release 1
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Relationship Organization Item
is utilized by HITSP HITSP CAP119 Communicate Structured Document v 0.0.1 Draft Compare these items   
Relationship Organization Item
Is composed of HITSP Date of Birth   
Is composed of HITSP Document Timestamp   
Is composed of HITSP Ethnicity   
Is composed of HITSP Gender   
Is composed of HITSP Marital Status   
contains HITSP Medical Equipment   
Is composed of HITSP No Immunization Reason   
Is composed of HITSP Person Address   
Is composed of HITSP Person Date of Birth   
Is composed of HITSP Person ID   
Is composed of HITSP Person Name   
Is composed of HITSP Person Phone/Email/URL   
Is composed of HITSP Race   
Is composed of HITSP Religious Affiliation   
Is composed of HITSP Vaccine Administered   
Relationship Organization Item
is composed of HITSP DIAGNOSTIC RESULTS SECTION   
is composed of HITSP MEDICAL EQUIPMENT SECTION   
is composed of HITSP MEDICATIONS SECTION   
is composed of HITSP Personal Information   
is composed of HITSP VITAL SIGNS SECTION   
Relationship Organization Item
is composed of HITSP Administrative Gender V3 _VD   
is composed of HITSP Country_VD   
is composed of HITSP Ethnicity_VD2   
is composed of HITSP Marital Status V3_VD   
is composed of HITSP No Immunization Reason_VD   
is composed of HITSP Race_VD2   
is composed of HITSP ReligiousAffiliation_VD2   
is composed of HITSP Vaccine Administered_VD   
HITSP Acronyms List
HITSP Harmonization Framework
HITSP Interoperability Specification Overview
HITSP TN 901 -Technical Note for Clinical Documents
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