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Remote Patient Monitoring Framework

Continuous vitals capture from connected devices, threshold-based alerting, and care team dashboards, deployable against Bluetooth and cellular RPM devices without custom device integration work each time.

Bluetooth LEFHIR ObservationCPT 99457Cellular Devices
AT A GLANCE Live
6–10 wksTypical deployment
99453–99458RPM CPT codes supported
BLE + CellularDevice connectivity
HIPAACompliance built in
ARCHITECTURE

How the Remote Patient Monitoring framework is put together

RPM Devices BLE & cellular vitals capture Device Gateway Pairing & ingestion FHIR Normalization Observation data model Alert Rules Engine Threshold & trend evaluation Care Team Dashboard Worklist & drill-down Billing Export CPT 99453–99458 tracking EHR Sync Vitals & alerts routed to EHR
Core pipeline
Configurable output
OVERVIEW

A vitals-to-alert pipeline your team configures, not rebuilds

Most digital health teams rebuild the same RPM core three times: device pairing, a streaming pipeline, and an alerting layer, before they ever get to the part that differentiates their product. This framework gives you that core already built and already validated against live BLE and cellular devices, so your engineering time goes into your care model and your brand, not into re-solving device connectivity.

The framework ships with a documented data model mapped to FHIR Observation resources, a configurable alert-threshold engine per vital sign and per patient cohort, and RPM billing code mapping (CPT 99453–99458) built into the same data layer that logs device readings. Time-in-monitoring and clinician-review minutes are captured automatically rather than reconstructed later for billing.

At a glance

  • Deployment modelWhite-labeled, configurable
  • Device protocolsBluetooth LE, cellular gateways
  • Data standardFHIR R4 Observation
  • Billing supportCPT 99453–99458
  • HostingYour cloud or ours
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CAPABILITIES

What's already built into the framework

01

Device onboarding & pairing

Guided pairing flows for Bluetooth LE and cellular RPM devices, with device inventory, patient assignment, and replacement/return workflows handled out of the box.

02

Real-time vitals streaming

A streaming ingestion pipeline normalizes readings from heterogeneous device vendors into a single FHIR-aligned data model as they arrive, not on a batch delay.

03

Configurable alert thresholds

Set per-vital, per-cohort, and per-patient thresholds, including trend-based and missed-reading alerts, without touching the underlying rules engine.

04

Care team dashboards

Worklist-style dashboards surface flagged patients first, with drill-down into reading history and device status for the assigned care team member.

05

RPM billing code support

CPT 99453–99458 time and setup tracking is captured directly from monitoring and review activity, ready for export into your billing workflow.

06

EHR & device vendor mapping

A configuration layer maps incoming device data and outgoing alerts to your EHR of choice, so the framework fits your existing clinical workflow rather than replacing it.

TECHNICAL SPECIFICATION

Under the hood

Dimension Details
Data standard FHIR R4 (Observation, Device, DeviceMetric resources)
Device connectivity Bluetooth LE pairing, cellular gateway ingestion
Alerting Configurable threshold, trend, and adherence rules
Billing CPT 99453, 99454, 99457, 99458 mapping
Compliance HIPAA, BAA-ready hosting
Extensibility API access for new device vendors and cohorts

Standards & protocols

Bluetooth LEFHIR R4 ObservationHL7 v2 (optional bridge)CPT / HCPCS

Cloud & compliance

AWSAzureGCPHIPAASOC 2
DEPLOYMENT PATH

How this framework reaches production

01

Fit Assessment

Match your device vendors and RPM program to the framework's configuration surface.

02

Device & EHR Mapping

Pair supported devices, connect your EHR, and set cohort-level thresholds.

03

Sandbox Validation

Test the full vitals-to-alert path against your own device sandboxes.

04

Go-Live

Staged rollout with live monitoring and a rollback plan in place.

FAQ

Common questions about the Remote Patient Monitoring framework

Which RPM devices does the framework support out of the box?

The framework ships pre-integrated with common Bluetooth LE and cellular vital-sign devices (blood pressure cuffs, pulse oximeters, glucometers, weight scales). New vendors are added through the same configuration and mapping layer used for existing devices, without touching the core engine.

Can we set different alert thresholds for different patient cohorts?

Yes. Thresholds are configurable per vital sign, per cohort, and per individual patient, including trend-based and missed-reading alerts, so a post-surgical cohort and a chronic hypertension cohort can run different rules on the same engine.

Does it handle RPM billing automatically?

The framework captures device-setup and clinician-review time against CPT 99453–99458 as monitoring and review activity happens, and makes that data exportable to your billing workflow. It doesn't submit claims on your behalf.

How does data get into our EHR?

Through the framework's configuration and mapping layer, which routes vitals and alerts into your EHR using FHIR Observation resources or an HL7 bridge where that's what your EHR expects.

Can this be combined with the Care Management framework?

Yes. Both frameworks share a common data model, so RPM readings feed directly into Care Management's risk stratification and task orchestration without duplicating patient records.

EXPLORE MORE

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