ISO/IEEE 11073-10471:2024

International
Standard
ISO/IEEE
11073-10471
Second edition
Health informatics — Device
2024-09
interoperability —
Part 10471:
Personal health device
communication — Device
specialization — Independent living
activity hub
Informatique de santé — Interopérabilité des dispositifs —
Partie 10471: Communication entre dispositifs de santé
personnels — Spécialisation des dispositifs — Concentrateur
d’activités pour une vie autonome
Reference number
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Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out through
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The procedures used to develop this document and those intended for its further maintenance are described
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ISO document should be noted (see www.iso.org/directives).
IEEE Standards documents are developed within the IEEE Societies and the Standards Coordinating
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IEEE does not independently evaluate, test, or verify the accuracy of any of the information contained in its
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ISO/IEEE 11073-10471 was prepared by the IEEE 11073 Standards Committee of the IEEE Engineering in
Medicine and Biology Society (as IEEE Std 11073-10471) and drafted in accordance with its editorial rules. It
was adopted, under the “fast-track procedure” defined in the Partner Standards Development Organization
cooperation agreement between ISO and IEEE, by Technical Committee ISO/TC 215, Health informatics.
This second edition cancels and replaces the first edition (ISO/IEEE 11073-10471:2010), which has been
technically revised.
The main changes are as follows:
— added current value sensors (temperature, humidity, utility usage);
— added humidity alert sensor;
— added support for location sensors;
— added support for Base-Offset-Time;
© IEEE 2024 – All rights reserved
iii
— added new location identifiers;
— incorporated location identifiers from ZigBee Home Automation and Health Care profiles;
— added new appliance identifiers;
— changed from bit string to simple OIDs to report events;
— updated the example to simple OID;
— changed supplementary types to have upper 11 bits for location and lower 5 bits for number
to support more codes within partition;
— updated the version of this device specialization;
— updated the association details based on new version;
— updated the wording in 6.3 regarding the Not Allowed and Observational;
— added systematic names;
— tamper detected flag made a general health status flag for all sensors;
— enumeration codes provided to other systems (ZigBee);
— location RefId discriminator changed from parentheses to underscore ((3)->_3);
— encounter object added.
A list of all parts in the ISO 11073 series can be found on the ISO website.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.
© IEEE 2024 – All rights reserved
iv
Abstract: Within the context of the ISO/IEEE 11073 family of standards for device communication, a
normative definition of communication between personal telehealth independent living activity hub devices
and compute engines (e.g., cell phones, personal computers, personal health appliances, set top boxes) in a
manner that enables plug-and-play interoperability is established in this standard. Appropriate portions of
existing standards, including ISO/IEEE 11073 terminology, information models, application profile standards,
and transport standards are leveraged. The use of specific term codes, formats, and behaviors in telehealth
environments restricting optionality in base frameworks in favor of interoperability are specified. A common
core of communication functionality for personal telehealth independent living activity hubs is defined in this
standard.
Keywords: IEEE 11073-10471™, independent living activity hub, medical device communication, personal health
devices
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viii
Participants
At the time this standard was completed, the Personal Health Devices Working Group had the following membership:
Daidi Zhong, Chair
Malcolm Clarke, Vice Chair
Raymond Krasinski, Secretary
Karsten Aalders Nigel Cox Kai Hassing
Charles R. Abbruscato Hans Crommenacker Avi Hauser
Nabil Abujbara Tomio Crosley Nathaniel Heintzman
Maher Abuzaid Allen Curtis Charles Henderson
James Agnew Jesús Daniel Trigo Jun-Ho Her
Manfred Aigner David Davenport Timothy L. Hirou
Jorge Alberola Russell Davis Allen Hobbs
David Aparisi Sushil K. Deka Alex Holland
Lawrence Arne Ciro de la Vega Arto Holopainen
Diego B. Arquillo Jim Dello Stritto Kris Holtzclaw
Serafin Arroyo Kent Dicks Robert Hoy
Muhammad Asim Hyoungho Do Anne Huang
Kit August Fangjie Dong Guiling Huang
Doug Baird Jonathan Dougherty Haofei Huang
David Baker Xiaolian Duan Zhiyong Huang
Anindya Bakshi Sourav Dutta David Hughes
Ananth Balasubramanian Jakob Ehrensvard Robert D. Hughes
Sunlee Bang Fredrik Einberg Jiyoung Huh
M. Jonathan Barkley Javier Escayola Calvo Hugh Hunter
Gilberto Barrón Mark Estes Philip O. Isaacson
David Bean Leonardo Estevez Atsushi Ito
John Bell Bosco T. Fernandes Michael Jaffe
Olivia Bellamou-Huet Christoph Fischer Praduman Jain
Rudy Belliardi Morten Flintrup Hu Jin
Daniel Bernstein Russell Foster Danny Jochelson
George A. Bertos Eric Freudenthal Akiyoshi Kabe
Chris Biernacki Matthias Frohner Steve Kahle
Ola Björsne Ken Fuchs Tomio Kamioka
Thomas Blackadar Jing Gao James J. Kang
Thomas Bluethner Marcus Garbe Kei Kariya
Douglas P. Bogia John Garguilo Andy Kaschl
Xavier Boniface Liang Ge Junzo Kashihara
Shannon Boucousis Rick Geimer Ralph Kent
Lyle G. Bullock, Jr. Igor Gejdos Laurie M. Kermes
Bernard Burg Ferenc Gerbovics Sanjay R. Kharche
Chris Burns Alan Godfrey Ahmad Kheirandish
Jeremy Byford-Rew Nicolae Goga Junhyung Kim
Satya Calloji Julian Goldman Minho Kim
Carole C. Carey Raul Gonzalez Gomez Min-Joon Kim
Craig Carlson Chris Gough Taekon Kim
Santiago Carot-Nemesio Channa Gowda Tetsuya Kimura
Seungchul Chae Charles M. Gropper Michael J. Kirwan
Yao Chen Amit Gupta Alfred Kloos
Jing Cheng Jeff Guttmacher Edward Koch
Peggy Chien Rasmus Haahr Jeongmee Koh
David Chiu Christian Habermann Jean-Marc Koller
Jinyong Choi Michael Hagerty John Koon
Chia-Chin Chong Jerry Hahn Patty Krantz
Jinhan Chung Robert Hall Alexander Kraus
John A. Cogan Shu Han Ramesh Krishna
John T. Collins Nathaniel Hamming Geoffrey Kruse
Cory Condek Rickey L. Hampton Falko Kuester
Todd H. Cooper Sten Hanke Rafael Lajara
Sandra Costanzo Aki Harma Pierre Landau
Douglas Coup Jordan Hartmann Jaechul Lee
© IEEE 2024 – All rights reserved
ix
JongMuk Lee Phillip E. Pash Hermanni Suominen
Kyong Ho Lee Tong Bi Pei Lee Surprenant
Rami Lee Soren Petersen Ravi Swami
Sungkee Lee James Petisce Ray Sweidan
Woojae Lee Peter Piction Na Tang
Jing Li Michael Pliskin Haruyuyki Tatsumi
Qiong Li Varshney Prabodh Isabel Tejero
Xiangchen Li Jeff Price Chn Jonas Tirén
Xiaoyu Li Harald Prinzhorn Janet Traub
Patrick Lichter Lifei Qian Gary Tschautscher
Jisoon Lim Harry Qiu Masato Tsuchid
Wei-Jung Lo Tanzilur Rahman Ken Tubman
Charles Lowe Lin Ran Akib Uddin
Ling Luo Phillip Raymond Sunil Unadkat
Don Ludolph Terrie Reed Fabio Urbani
Christian Luszick Barry Reinhold Philipp Urbauer
Bob MacWilliams Brian Reinhold Laura Vanzago
Srikkanth Madhurbootheswaran John G. Rhoads Alpo Värri
Miriam L. Makhlouf Jeffrey S. Robbins Andrei Vasilateanu
M. Sabarimalai Manikandan Chris Roberts Dalimar Velez
Romain Marmot Moskowitz Robert Martha Velezis
Sandra Martinez Stefan Robert Rudi Voon
Miguel Martínez de EsproncedaCámara Scott M. Robertson Isobel Walker
Peter Mayhew Timothy Robertson David Wang
Jim McCain Sean Rocke Jerry P. Wang
LászlóMeleg David Rosales Shiwei Wang
Alexander Mense Bill Saltzstein Yao Wang
Behnaz Minaei Giovanna Sannino Yi Wang
Jinsei Miyazaki Jose A. Santos-Cadenas Steve Warren
Madhu Mohan Stefan Sauermann Fujio Watanabe
Erik Moll John Sawyer Toru Watsuji
Darr Moore Alois Schloegl Kathleen Wible
Chris Morel Paul S. Schluter Paul Williamson
Carsten Mueglitz Mark G. Schnell Jia-Rong Wu
Soundharya Nagasubramanian Richard A. Schrenker Will Wykeham
Alex Neefus Antonio Scorpiniti Ariton Xhafa
Trong-Nghia Nguyen-Dobinsky KwangSeok Seo Ricky Yang
Michael E. Nidd Riccardo Serafin Melanie S. Yeung
Jim Niswander Sid Shaw Qiang Yin
Hiroaki Niwamoto Frank Shen Done-Sik Yoo
Thomas Norgall Min Shih Zhi Yu
Yoshiteru Nozoe Mazen Shihabi Jianchao Zeng
Abraham Ofek Redmond Shouldice Jason Zhang
Sternly K. Simon Zerui Zhang
Brett Olive Marjorie Skubic Shibai Zhao
BegonyaOtal Robert Smith Yu Zhao
Marco Paleari Ivan Soh Liang Zheng
Bud Panjwani Motoki Sone Yuanhong Zhong
Carl Pantiskas Emily Sopensky Qing Zhou
Harry P. Pappas Rajagopalan Srinivasan Miha Zoubek
Hanna Park Nicholas Steblay Szymon Zyskoter
Jong-Tae Park Lars Steubesand
Myungeun Park John (Ivo) Stivoric

The following members of the individual Standards Association balloting group voted on this standard. Balloters may have
voted for approval, disapproval, or abstention.
Bjoern Andersen Immanuel Freedman Atsushi Ito
William Byrd David Fuschi Raj Jain
Randy Carroll Randall Groves Ghalib Muhammad Waqas Janjua
Keith Chow Werner Hoelzl Piotr Karocki
Malcolm Clarke Noriyuki Ikeuchi
© IEEE 2024 – All rights reserved
x
Raymond Krasinski Beth Pumo Oren Yuen
H. Moll Stefan Schlichting Jia Zheng
Nick S.A. Nikjoo Walter Struppler

When the IEEE SA Standards Board approved this standard on 30 March 2023, it had the following membership:
David J. Law, Chair
Ted Burse, Vice Chair
Gary Hoffman, Past Chair
Konstantinos Karachalios, Secretary

Sara R. Biyabani Joseph S. Levy Paul Nikolich
Doug Edwards Howard Li Annette D. Reilly
Ramy Ahmed Fathy Gui Lin Robby Robson
Guido R. Hiertz Johnny Daozhuang Lin Lei Wang
Yousef Kimiagar Xiaohui Liu F. Keith Waters
Joseph L. Koepfinger* Kevin W. Lu Karl Weber
Thomas Koshy Daleep C. Mohla Philip B. Winston
John D. Kulick Andrew Myles Don Wright
*Member Emeritus
© IEEE 2024 – All rights reserved
Introduction
This introduction is not part of IEEE Std 11073-10471-2023, IEEE Standard for Health informatics—Device Interoperability—Part 10471:
Personal health device communication—Device specialization—Independent living activity hub.
ISO/IEEE 11073 standards enable communication between medical devices and external computer systems. This document uses
the optimized framework created in ISO/IEEE 11073:20601 and describes a specific, interoperable communication approach for
the Independent Living Activity Hub of personal health devices. These standards align with and draw on the existing clinically
focused standards to provide support for communication of data from clinical or personal health devices (PHDs).
© IEEE 2024 – All rights reserved
xii
Contents
1. Overview . 1
1.1 Scope . 1
1.2 Purpose . 1
1.3 Word usage . 1
1.4 Context . 1
2. Normative references . 2
3. Definitions, acronyms, and abbreviations . 2
3.1 Definitions . 2
3.2 Acronyms and abbreviations . 3
4. Introduction to ISO/IEEE 11073 personal health devices . 3
4.1 General . 3
4.2 Introduction to IEEE Std 11073-20601 modeling constructs . 4
4.3 Compliance with other standards . 4
5. Independent living activity hub device concepts and modalities . 5
5.1 General . 5
5.2 Concepts . 5
5.3 Collected data . 6
5.4 Reporting data from multiple persons . 11
6. Independent living activity hub domain information model . 12
6.1 Overview . 12
6.2 Class extensions . 12
6.3 Object instance diagram . 12
6.4 Types of configuration . 15
6.5 Medical device system object . 16
6.6 Numeric objects . 19
6.7 Real-time sample array objects. 33
6.8 Enumeration objects . 33
6.9 PM-store objects . 50
6.10 Scanner objects . 50
6.11 Class extension objects . 50
6.12 Independent living activity hub information model extensibility rules . 50
7. Independent living activity hub service model . 51
7.1 General . 51
7.2 Object access services . 51
7.3 Object access event report services . 52
8. Independent living activity hub communication model . 52
8.1 Overview . 52
8.2 Communication characteristics . 53
8.3 Association procedure . 53
8.4 Configuring procedure . 55
8.5 Operating procedure . 55
8.6 Time synchronization . 56
© IEEE 2024 – All rights reserved
xiii
9. Test associations . 56
9.1 Behavior with standard configuration . 56
9.2 Behavior with extended configurations . 56
10. Conformance . 57
10.1 Applicability . 57
10.2 Conformance specification . 57
10.3 Levels of conformance. 57
10.4 Implementation conformance statements (ICSs) . 58
Annex A (informative) Bibliography . 62
Annex B (normative) Any additional ASN.1 definitions . 63
Annex C (normative) Allocation of identifiers . 66
C.1 Systematic derivations of terms and codes for independent living monitoring measurements . 73
Annex D . 100
(informative) Message sequence examples . 100
Annex E (informative) Protocol data unit examples . 102
E.1 General . 102
E.2 Association information exchange . 102
E.3 Configuration information exchange—extended configuration . 104
E.4 GET MDS attributes service . 106
E.5 Data reporting . 107
E.6 Disassociation. 108
Annex F (informative) Revision History . 109
© IEEE 2024 – All rights reserved
xiv
Health Informatics—Device Interoperability—
Part 10471:
Personal Health Device Communication—Device
Specialization—Independent Living Activity Hub
1. Overview
1.1 Scope
Within the context of the ISO/IEEE 11073 family of standards for device communication, this standard establishes a normative
definition of the communication between independent living activity hubs and managers (e.g., cell phones, personal computers,
personal health appliances, and set top boxes) in a manner that enables plug-and-play interoperability. It leverages appropriate
portions of existing standards, including ISO/IEEE 11073 terminology and information models. It specifies the use of specific
term codes, formats, and behaviors in telehealth environments restricting ambiguity in base frameworks in favor of
interoperability. This standard defines a common core of communication functionality for independent living activity hubs. In
this context, independent living activity hubs are defined as devices that communicate with simple situation monitors (binary
sensors), normalize information received from the simple environmental monitors, and provide this normalized information to
one or more managers. This information can be examined, for example, to determine when a person’s activities/behaviors have
deviated significantly from what is normal for them such that relevant parties can be notified. Independent living activity hubs
will normalize information from the following simple situation monitors (binary sensors) for the initial release of the proposed
standard: fall sensor, motion sensor, door sensor, bed/chair occupancy sensor, light switch sensor, smoke sensor, (ambient)
temperature threshold sensor, personal emergency response system (PERS), and enuresis sensor (bed-wetting).
1.2 Purpose
This standard addresses a need for an openly defined, independent standard for controlling information exchange to and from
personal health devices and managers (e.g., cell phones, personal computers, personal health appliances, and set top boxes).
Interoperability is the key to growing the potential market for these devices and to enabling people to be better informed
participants in the management of their health.
1.3 Word usage
The word shall indicates mandatory requirements strictly to be followed in order to conform to the standard and from which no
6,7
deviation is permitted (shall equals is required to).
The word should indicates that among several possibilities one is recommended as particularly suitable, without mentioning or
excluding others; or that a certain course of action is preferred but not necessarily required (should equals is recommended that).
The word may is used to indicate a course of action permissible within the limits of the standard (may equals is permitted to).
The word can is used for statements of possibility and capability, whether material, physical, or causal (can equals is able to).
1.4 Context
See IEEE Std 11073-20601™ for an overview of the environment within which this standard is written.

The use of the word must is deprecated and cannot be used when stating mandatory requirements; must is used only to describe unavoidable situations.
The use of will is deprecated and cannot be used when stating mandatory requirements; will is only used in statements of fact.
Information on references can be found in Clause 2.
© IEEE 2024 – All rights reserved
This document, IEEE Std 11073-10471™, defines the device specialization for the independent living activity hub, being a
specific agent type, and provides a description of the device concepts, its capabilities, and its implementation according to this
standard.
This standard is based on IEEE Std 11073-20601, which in turn draws information from both IEEE Std 11073-10201™ [B5]
and ISO/IEEE 11073:20101 [B9]. The medical device encoding rules (MDERs) used within this standard are fully described in
IEEE Std 11073-20601.
This standard reproduces relevant portions of the nomenclature found in ISO/IEEE 11073:10101 [B8] and adds new
nomenclature codes for the purposes of this standard. Between this standard and IEEE Std 11073-20601, all required
nomenclature codes for implementation are documented.
The object classes and attributes in this standard are identified by nomenclature codes. Each code consists of a reference
identifier (RefID) string and an integer code value. By using a consistent nomenclature, interoperability is enhanced as all
implementations maintain the same semantic meaning for the numeric codes. This standard leverages the existing nomenclature
codes in ISO/IEEE 11073:10101.
This standard defines specialized nomenclature codes that will be collected in IEEE Std 11073-10101™. Between this standard,
IEEE Std 11073-10101, IEEE Std 11073-20601, and other IEEE Std 11073-104xx, all required nomenclature codes for
implementation are documented. New codes may be defined in newer versions/revisions of each of these documents. In the case
of a conflict, where one term code has been assigned to two separate semantic concepts with different RefIDs, in general the
oldest definition that is in actual use should take precedence. The same policy applies when one RefID has two different code
values assigned in different specifications. The resolution of such conflicts will be determined through joint action by the
responsible workgroups and other stakeholders and any corrective action published as corrigenda.
NOTE—In this standard, IEEE Std 11073-104zz is used to refer to the collection of device specialization standards that utilize IEEE Std
11073-20601, where zz can be any number from 01 to 99, inclusive.
2. Normative references
The following referenced documents are indispensable for the application of this document (i.e., they must be understood and
used, so that each referenced document is cited in text and its relationship to this document is explained). For dated references,
only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments
or corrigenda) applies.
IEEE Std 11073-20601™-2019, Health informatics—Personal health device communication—Part 20601: Application
11,12
profile—Optimized Exchange Protocol.
ISO/IEEE 11073:10101-2020, Health informatics—Point-of-care medical device communication—Part 10101:
Nomenclature.
See Annex A for all informative material referenced by this standard.
3. Definitions, acronyms, and abbreviations
For the purposes of this standard, the following terms and definitions apply. The IEEE Standard Dictionary Online Error!
Reference source not found. should be referenced for terms not defined in this clause.
3.1 Definitions
agent: A node that collects and transmits personal health data to an associated manager.

The numbers in brackets correspond to those of the bibliography in Annex A.
Notes in text, tables, and figures are given for information only and do not contain requiremen
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