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Personalized Health Navigation (Jira PSS-2240)

Basics

Personalized Health Navigation (Jira PSS-2240)

1846
Ballot - STU


FHIR Implementation Guide

White Paper (Non-Balloted WG Approved Only), Implementation Guide

Details

Personalized Health Navigation (PHN) utilizes intelligent navigational technologies to enable and empower individuals to intentionally pursue their own health and wellness journey. It includes integrating comprehensive information from an individual's daily life, factoring in all relevant knowledge sources (e.g., omics, exposome, etc.), to personalize, optimize and guide their self-directed health, wellness, and healthcare activities. It includes facilitating coordination with a person's family, community, caregivers and healthcare team, so as to attain their desired goals.

PHN includes extensive real-time digital data collection (both health, environmental & other sources), integration, filtering, and persisting into a personal chronicle (or 'Personicle') that can be used for event mining, leveraged by a personal model that also integrates additional information & knowledge sources (e.g., omics or exposome). This personal model then provides the basis for navigational guidance toward a person's goals, from training to run a marathon in 3 months to better living with chronic conditions such as diabetes.

PHN supports what has variously been termed '5P' / '9P' medicine - personalized, preventive, predictive, participative, precision + pervasive, privacy-preserving, protective, priced reasonably. (See Bernd Blobel publications, 'Managing Healthcare Transformation Towards P5 Medicine' 2022; or Ram Sriram 'Transforming Healthcare Through Digital Revolutions' 2020).

This project will begin with the development of an HL7 paper that describes PHN in detail, identifies how it can integrate existing HL7 and related standards and working group efforts, and the implementation specification gaps that need to be filled in order to achieve the overall goals of personalized health navigation systems described above.

An initial PHN FHIR Implementation Guide is anticipated to cover the core elements of PHN; however, given the breath of the topic, a number of other FHIR IG's may be subsequently created.

This project will be in collaboration with ISO/TC215 Health Informatics and the ISO 9472 PHN family of specifications. ISO would provide the conceptual foundational home for PHN; whereas, HL7 would provide the implementation community, including implementation guides and prototyping / testing events.

See PHN materials (presentations, papers) and other materials on the [HL7 Personalized Health Navigation confluence pages|https://confluence.hl7.org/pages/viewpage.action?pageId=171443414.]


Although HL7 and other standards groups have advanced 'patient' focused standards (e.g., personal health records), as well as specifications from mobile health and devices working groups, the primary focus is on informatics within healthcare application contexts and there is little that actually enables individuals (not necessarily patients) to understand and effectively pursue their own health and wellness objectives. This project focuses on this person-controlled health navigation aspect, while fully leveraging and integrating with the existing work throughout HL7.

Based on established academic research (e.g., from the University of California, Irvine - Institute for Future Health), a conceptual set of standards is being created within the international standards arena, namely ISO/TC215 9472 PHN family. This does not provide for a robust implementation community and especially one that leverages FHIR-based technologies to help realize real-world implementations.

This project addresses this need for the creation of a FHIR-based implementation community, and does so as an extension to the established patient and healthcare focused work within HL7.

See also the APPROVED PSS-2197 PHN Project Proposal.



White Paper - Joint Ballot with other SDO - Target: September 2024 FHIR IG - Joint Ballot with other SDO - Target: September 2025


PSS: https://jira.hl7.org/browse/PSS-2240

ISO/TC215/WG11


Other (specify in Misc. Notes below),N/A

University of California, Irvine - Institute for Future Health (U.S.; all aspects); Asoka University (Japan; for Food & Nutrition application); NIST (U.S.; for 9P Medicine) ; ClearSense (Personicle)


PHN (Personalized Health Navigation)


N/A

N/A

Yes

Stakeholders: Academic/Research, Association/Goverment Agency, Consultant, Healthcare IT Vendors, Healthcare Provider/user, Patients, Payer/Third Party Administrator, Pharmaceutical/Biotech, Providers, Regulatory Agency, Standards Development Organizations (SDOs), Vendor/Manufacturer
Organization & Realm

Universal

People

Todd Cooper



Patient Empowerment Work Group

Devices Work Group; Mobile Health Work Group; Orchestration, Services, and Architecture Work Group

Status & Dates

Active

Active Project (Resources assigned to pjt)

10/05/2023

05/01/2026

2026 May WGM/Ballot

01/01/2026

2026 Jan WGM/Ballot

Approvals

11/14/2023


Not Needed


All Received




FHIR Management Group -- Agreed -- (PSS-2289)
System Info

211519

PSS-2240



02/02/2026

Jira Project Service