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’
5What’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
7HealthVault ‘Shell’• The HealthVault Shell is a HealthVault application
8HealthVault ‘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.
10HealthVault 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
11EnvironmentsProduction Environment Pre-Production Environment(PROD) (PPE)- Where consumers store - Where applications their data are built against
12Environments• 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
13Environments - URLsDestination Production Environment Details Pre-Production Environment (PPE) DetailsMarketing Home http://www.healthvault.co.uk n/apageUser Login to https://account.healthvault.co.uk https://account.healthvault-ppe.co.ukenvironmentHealthVault n/a https://config.healthvault-ppe.co.ukApplicationConfigurationCentre (ACC)portalHealthVault https://platform.healthvault.co.uk https://platform.healthvault-ppe.co.ukPlatform web-services
14Application Configuration Center (ACC)• The place where you configure your : – HealthVault application – Application Directory Listing – Device Directory Listing
15HealthVault Accounts and RecordsA HealthVault Account may have one or more Health Records The “Family Health Manager” or FHM runs the FHR FHR PHR PHR PHR PHR PHR PHR Self Spouse Parent Minor Minor Pet FHM has FHM has FHM may have FHM has FHM has FHM has FULL PARTIAL FULL or PARTIAL PARTIAL FULL FULL ACCESS ACCESS ACCESS ACCESS ACCESS ACCESS
16Things• 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’
17HealthVault Thing Types (Data Model)Extensible to meet our partners’ and consumers’ needs 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
18HealthVault Thing Types (Data Model)Extensible to meet our partners’ and consumers’ needs 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 Your Data Type Here Life Goal Personal Image Link Pregnancy Medical Annotation Procedure
19Vocabularies• 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)