SmartLife

   

Overview

The SmartLife app is a diabetes personal assistant application. The app receives continuous glucose monitoring (CGM) data from connected CGM systems. The SmartLife app helps PWDs manage their diabetes by displaying meal log entries and sensor glucose (SG) data, tracking meal log entries, reporting insights of how your meals affect glucose levels and supporting good choices and trends with motivational messages. The app serves as an additional display for near real-time CGM data from the connected CGM system.

Requirements

   

Scope

Provide FHIR modelling for the data points related to the following categories for integration with Big Data:

  • Patient Profile
  • CGM Pairing
  • CGM
  • bG
  • Insulin
  • Meals

The data will not be stored on FHIR database.

   

Data Points

Patient Profile

Data Point Description FHIR resource and element FHIR Sample
birthyear Birth year of the patient Patient.birthDate Sample
medications Type of medication given to the patient Careplan.extension - careplan-therapy-medication Sample
diagnosisYear diagnosis year of the patient Condition.assertedDate Sample
height height of the patient Observation.valueQuantity (category=vital-signs) Sample
weight weight of the patient Observation.valueQuantity (category=vital-signs) Sample
bloodGlucoseLowerTarget Blood glucose lower target range Goal.detailRange (category=patientTargetRange) Sample
bloodGlucoseUpperTarget Blood glucose Upper target range Goal.detailRange (category=patientTargetRange) Sample
latestHBA1C HBA1c value Observation.valueQuantity (category=Laboratory) Sample
bolusInsulinType name of bolus insulin type Careplan.extension - careplan-therapy-insulin-type Sample
basalInsulinType name of basal insulin type Careplan.extension - careplan-therapy-insulin-type Sample
insulinSensitivity sensitivity range of the insulin Careplan.extension - careplan-bolus-advice Sample
insulinCarbsRatio hourly carb ratio for insulin unit Careplan.extension - careplan-bolus-advice Sample
bloodGlucoseUnit blood glucose unit
1 - mg/dL
2 - mmol/L
The multiple units are only for profile settings, BG will be stored in the backend and sent to Data Lake only in mg/dL		 DeviceMetric.unit Sample
carbohydratesUnit Carbohydrate units
1 - g
2 - BE
3 - KE
4 - CC
(The multiple units are only for profile settings, carbohydrates will be stored in the backend and sent to Data Lake only in g. )		 Observation.valueQuantity Sample
hba1cUnit hba1c Unit
1- "mmol/mol"
2-%
The multiple units are only for profile settings, hba1c will be stored in the backend and sent to Data Lake only in mmol/mol.		 DeviceMetric.unit Sample

CGM pairing

Data Point Description FHIR resource and element FHIR Sample
Type of device Type of device DeviceComponent CGM Pairing
Device Model Device Model (datasource):
1 - CGM Simulator
2 - Eversense CGM Cloud		 DeviceComponent.productionSpecification same as above
Device ID Device serial no # DeviceComponent.productionSpecification same as above
Connection Status Connection Status:
0 - Disconnected
1 - Connected		 DeviceComponent.extension - device-component-paired-status same as above

CGM Data

Data Point Description FHIR resource and element FHIR Sample
Timestamp Timestamp of the CGM measurement To be derived from Observation.effectivePeriod and Observation.valueSampledData.period for each CGM entry in the array CGM data
Device Model (datasource) Device Model (datasource):
1 - CGM Simulator
2 - Eversense CGM Cloud		 DeviceComponent resource for the relevant source + DeviceMetric resource same as above
glucose Value Measured glucose level in mg/dL Observation.valueSampledData same as above

BGM Data : Blood Glucose measurements form Glucometer

Data Point Description FHIR resource and element FHIR Sample
Timestamp Timestamp of the BG measurement Observation.effectiveDateTime BGM data
bg Value value of BG in mg/dL Observation.valueQuantity same as above
Entry mechanism (datasource) Entry mechanism (datasource)
1 - Manual Entry
2 - Automatic - Unspecified Glucose Meter
3 - Automatic - Accu-Chek Guide
4 - Automatic - Accu-Chek Mobile
5 - Automatic - Accu-Chek Instant		 DeviceComponent resource linked to the Observation same as above
Out of measurement range indicator Out of measurement range Indicator (range)
1 - LO value
2 - HI value		 Observation.dataAbsentReason same as above

   

Insulin Data : Insulin Administration from InsulinPen

Data Point Description FHIR resource and element FHIR Sample
Timestamp Timestamp of the Insulin administration MedicationAdministration.effectiveDateTime or EffectivePeriod Insulin data
Insulin amount value in IU MedicationAdministration.dosage same as above
Entry mechanism (datasource) Entry mechanism (datasource)
1 - Manual Entry
2 - Automatic		 DeviceMetric resource linked to the MedicationAdministration same as above
Insulin Type Integer - Numeric codes (1 - 2)
1 - Bolus Injected
2 - Basal Injected - URL path parameter		 MedicationAdministration.medicationCodeableConcept same as above

   

Meal Data : Carbohydrate intake data from SmartLifeApp

Data Point Description FHIR resource and element FHIR Sample
Timestamp Timestamp of the meal data entry Observation.effectiveDateTime or EffectivePeriod Sample
estimatedCarbs value in g Observation.valueQuantity Sample
mealType mealType
1 - Breakfast
2 - Lunch
3 - Dinner
4 - Snack
5 - Beverage		 Observation.valueCodeableConcept Sample
mealComposition mealComposition
1 - Low carb meal
2 - Balanced carb meal
3 - High carb meal		 Observation.component.value[x]:valueCodeableConcept Sample
carbsComplexity
1 - Simple Carbs
2 - Complex Carbs		 Observation.component.value[x]:valueCodeableConcept Sample

Therapy Type

Data Point Description FHIR resource and element FHIR Sample
Therapy Type Therapy Type of the patient CarePlan.ext.careplan-therapy-type Sample

   

   

Solution Architecture

Description Link Comments
SmartLife link
Data Lake Integration link

   

High-Level Requirements

Description Link Comments
Input data specification link