1. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Mobile Health/HCD Joint Session By Matthew Graham Mayo Clinic

2. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. What is Mobile Health? Many things to many people Mobility is the common factor  Mobile patients and service users  Mobile health and care providers  Mobile technologies Extending reach, enabling innovation A new challenge for HL7 International  Mobile Health means mobile information...and greater dependence on standards

3. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Interoperability between Healthcare and Mobile Devices Healthcare Devices record Patient Generated Healthcare Data (PGHD) in the form of observations and event logging. Mobile devices are used aggregate and propagate PGHD to other systems. Mobile devices are used to facilitate journaling and validation of HCD observations. 05/06/2014 3

4. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Mobile Health WG Focus Mobile Commun ication Device (phone / tablet / PC) Mobile Commun ication Device (phone / tablet / PC) Audio Inputs Video Data Health Care Device Health Care Device(s) 3G / 4G Mobile Internet WiFi 3G / 4G Mobile Internet WiFi Circuit Switched Network (PSTN) Circuit Switched Network (PSTN) Zero or More Devices As Needed data Electroni c Health Record Personal Health Record Personal Health Record How do we facilitate Patient Healthcare Data Interoperability?

5. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Examples of PGHD Observations: weight, blood pressure, glucometer readings, heat rate etc. Activity readings, walking, running, stairs and sleep patterns. 05/06/2014 5

6. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Uses of PGHD What are some of the uses of PGHD?  Upload to patient’s PHR for future use.  Send data in message to Care Team.  Upload PGHD to Care Provider’s Patient Portal. 05/06/2014 6

7. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. MH Projects (cont) FHIR Project#1 (MH Project#4)  mFHIRframe Develop a set of open source Libraries/APIs and Software Development Kits (SDKs) that would facilitate the implementation of mobile health applications based on FHIR (Fast Healthcare Interoperability Resources) standards. These APIs will provide platform-independent, real-time, standardized means to access health information from/to mobile devices. Class libraries will be created that support a variety of mobile/portable platforms, including iOS, Android,.NET, and Arduino. These class libraries will contain APIs that ease the incorporation of FHIR resources into their corresponding application interfaces; facilitate interaction with EHR systems; manage workflows and use cases set forth by IHE. The work will be built upon existing FHIR artifacts 7 05/06/2014

8. © 2014 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. mFHIRframe 8 05/06/2014