ENRICH-mHealth FHIR Implementation Guide
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Official URL: https://www.bihealth.org/fhir/enrich-mhealth/ImplementationGuide/bih-cei.enrich-mhealth Version: 0.1.0
Draft as of 2026-07-16 Computable Name: ENRICHmHealthImplementationGuide

ENRICH-mHealth Implementation Guide

Note: This Implementation Guide is derived from and builds upon the UTN (University Telemedicine Network) Implementation Guide. The original framework and large parts of the underlying profiles were created by the UTN authors (see Acknowledgements). ENRICH-mHealth adapts and extends this work, in particular by adding the current ISiK Vitalparameter (gematik) profiles for mobile health (mHealth) and wearable/IoT data capture.

Aim of ENRICH-mHealth

ENRICH-mHealth focuses on the standardized, interoperable capture and integration of vital signs and other health parameters generated by mobile health applications, wearables, and IoT devices. Building on the telemedicine framework established by the UTN, the focus is on semantic and syntactic interoperability as well as integration into the NUM and MII infrastructure, using FHIR profiles based on the gematik ISiK Vitalparameter specification.

The possibilities of mobile health and telemedicine to support and enable longitudinal data capture, especially in cohort studies, will be explored. Through suitable use cases, the added value of high-frequency, telemedically and wearable-generated research data capture across university hospitals and its integration for research will be demonstrated, with a particular focus on an active contribution from study participants in providing their data via an app, wearables, or tele-visits for intelligent processing and analysis.

Use Cases

Tele Consultation

  • Secure, interoperable teleconsultation workflows for specialists.
  • Standardized reporting and documentation using FHIR profiles of MII, KBV, FHIR Base.
  • Remote decision support for physicians in hospitals.
    • Doctor to Doctor:
      • Real time remote monitoring of ICU patients.
      • Standardized data sharing between ICU teams across multiple hospitals as well as doctor to doctor
    • Patient to Doctor:
      • General patient to doctor consultation representation

Remote Assessment of Depression and Anxiety Severity

  • Remote assessment and follow-up of cognitive and psychiatric symptoms.
  • Integration of patient-reported and clinician-assessed data.
  • Evidence-based telehealth interventions.
  • GRID HAMD 17 Questionnaire

Vital Sign & Wearable Data Capture

  • Standardized capture of vital signs (heart rate, blood pressure, SpO₂, respiratory rate, body core temperature, ECG, body height, head circumference, GCS) based on the gematik ISiK Vitalparameter profiles.
  • Integration of mHealth / wearable / IoT measurements into clinical and research workflows.

Background

This FHIR Implementation Guide (IG) provides a comprehensive framework for standardized data exchange and interoperability within the ENRICH-mHealth project. It defines:

  • Standardized electronic consent management for telemedicine services.
  • Composition for tele consultation.
  • Vital sign and wearable observation profiles based on ISiK Vitalparameter.
  • Implementation best practices for research and clinical workflows.

These components ensure that all stakeholders—hospitals and researchers—can participate in a cohesive, interoperable mHealth and telemedicine ecosystem that supports both routine care and high-frequency research data collection.

Authors

  • Marco Schaarschmidt
  • Eduardo Salgado
  • Margaux Gatrio

Acknowledgements & Credits

ENRICH-mHealth is based on the UTN Implementation Guide. We gratefully acknowledge the original UTN authors:

  • Rasim Atakan Poyraz
  • Michael Rusongoza Muzoora
  • Eduardo Salgado
  • Alexander Bartschke

Derived and referenced specifications (gematik):

  • The vital sign / observation profiles are based on the gematik ISiK Vitalparameter Implementation Guide (v6.0.0-rc).
  • The Personal Health Device and Device Metric profiles are modeled after the gematik HDDT – Health Device Data Transfer Implementation Guide (v1.0.0-rc2, § 374a SGB V), adapted for the ENRICH research context.

Credit for these underlying specifications belongs to gematik GmbH.