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

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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?