Personal Health Records
1.0.0-ballot - ballot International flag

This page is part of the Standard Personal Health Record (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Physiology Domains

Recurring challenges with designing PHR apps include figuring out which data to include (all of it? just the hospital data? fitness data?) and then finding suitable test data. This implementation guide does not purport to provide algorithms or workflows for every medical domain. However, we can reference the Synthea synthetic data generator, and recommend that PHR developers use it's algorithms for generating sample data for various medical conditions.

./Tutorial-Dermatogram.jpg

Domain Analysis

The following table provides links to clinical workflow simulations, relevant terminologies, file types, estimated data usage, and diagnostic algorithms used in various medical domains that are typically incorporated into electronic medical records.

Note: the following table was partially generated using Claude LLM. Please review for accuracy.

Domain Value Sets File Types Avg. File Size Frequency Diagnostic Algorithm
Genomics Sequence Type
Human Chromosome
FASTQ, BAM, VCFs ~1TB Annual/Lifetime Pharmacogenomics
Personalized Medicine
Genetic Risk Scoring
Radiology AcquisitionModality
Laterality
SNOMED CT Body Structures
DICOM, JPG, PNG ~1GB Per Study Surgical Planning
Autosegmentation
Lesion Detection
Radiation Therapy Planning
Embryology Embryonic Development Stages PDF, SVG ~100KB Periodic Checkups Developmental Anomaly Detection
Genetic Screening
Dermatology SNOMED CT Skin Conditions JPG, PNG, DICOM ~2MB As Needed Skin Lesion Classification
Melanoma Detection
Dermatitis Progression
Endocrinology Endocrine Disorder Codes PDF, CSV ~100KB Quarterly/Annually Hormone Level Analysis
Thyroid Function Evaluation
Pediatrics Pediatric Growth Standards PDF, CSV ~100KB Periodic Checkups Growth Trajectory Monitoring
Developmental Milestone Tracking
Metabolism & Biometrics HL7 Observation Codes CSV, JSON ~100KB Daily/Weekly Metabolic Rate Calculation
Body Composition Analysis
Neurology Neurological Disorder Classifications EEG, MRI, PDF ~100KB Periodic/As Needed Seizure Pattern Recognition
Neuroplasticity Mapping
Cardiology & Hemodynamics Cardiac Condition Codes ECG, DICOM ~5GB Periodic/Continuous Arrhythmia Detection
Cardiovascular Risk Scoring
Pulmonology Respiratory Disorder Codes X-Ray, CT, PDF ~500MB Periodic/As Needed Lung Function Analysis
Cancer Progression Tracking
Kinesthesiology Movement Disorder Codes Video, CSV ~200MB As Needed Movement Pattern Analysis
Rehabilitation Tracking
Immunology Immunization Codes PDF, CSV ~100KB Periodic Immune Response Profiling
Vaccination Efficacy
Virology (COVID19) COVID-19 Diagnostic Codes PDF, CSV ~20KB Periodic/As Needed Viral Load Tracking
Variant Identification
Gastroenterology Digestive System Disorder Codes Endoscopy, MRI ~4GB As Needed Inflammatory Marker Analysis
Digestive Function Evaluation
Obstetrics Pregnancy Complication Codes Ultrasound, PDF ~100MB Periodic Fetal Development Monitoring
High-Risk Pregnancy Identification
Pregnancy Maternal Health Codes Ultrasound, PDF ~100MB Monthly/Trimesterly Gestational Age Tracking
Prenatal Health Assessment
Gynecology Reproductive Health Codes Ultrasound, PDF ~200MB Annual/As Needed Reproductive Health Screening
Hormonal Balance Analysis
Andrology Male Reproductive Health Codes Semen Analysis, PDF ~100MB Annual/As Needed Fertility Assessment
Hormonal Profiling
Urology Urinary System Disorder Codes Ultrasound, CT ~200MB Periodic/As Needed Kidney Function Analysis
Urinary Tract Infection Tracking
Healthy Aging Geriatric Assessment Codes PDF, CSV ~100KB Annual Cognitive Function Screening
Lifestyle Risk Assessment
Hospice Care Palliative Care Codes PDF, Medical Records ~200MB Ongoing Symptom Management
Quality of Life Assessment

Synthetic Data Generator Installation

# download synthea
git clone https://github.com/synthetichealth/synthea

# go into the cloned directory
cd synthea

# build the app
./gradlew build check test

References

SyntheaTM Patient Generator
Simulacres Et Simulation - Jean Baudrillard