ISO/IEEE FDIS 11073-10441

FINAL DRAFT
International
Standard
ISO/IEEE
FDIS
11073-10441
ISO/TC 215
Health informatics — Device
Secretariat: ANSI
interoperability —
Voting begins on:
2026-09-14
Part 10441:
Device specialization —
Voting terminates on:
2027-02-01
Cardiovascular fitness and activity
monitor
This document has not been edited by the ISO Central Secretariat.
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RECIPIENTS OF THIS DRAFT ARE INVITED TO SUBMIT,
WITH THEIR COMMENTS, NOTIFICATION OF ANY
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Reference number
ISO/IEEE FDIS 11073­10441:2026(en) © IEEE 2026

FINAL DRAFT
International
Standard
ISO/IEEE
FDIS
11073-10441
ISO/TC 215
Health informatics — Device
Secretariat: ANSI
interoperability —
Voting begins on:
Part 10441:
Device specialization —
Voting terminates on:
Cardiovascular fitness and activity
monitor
This document has not been edited by the ISO Central Secretariat.
FAST TRACK PROCEDURE
RECIPIENTS OF THIS DRAFT ARE INVITED TO SUBMIT,
WITH THEIR COMMENTS, NOTIFICATION OF ANY
RELEVANT PATENT RIGHTS OF WHICH THEY ARE AWARE
AND TO PROVIDE SUPPORTING D OCUMENTATION.
IN ADDITION TO THEIR EVALUATION AS
© IEEE 2026
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO­
ISO/CEN PARALLEL PROCESSING
LOGICAL, COMMERCIAL AND USER PURPOSES, DRAFT
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
INTERNATIONAL STANDARDS MAY ON OCCASION HAVE
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
TO BE CONSIDERED IN THE LIGHT OF THEIR POTENTIAL
the internet or an intranet, without prior written permission. Permission can be requested from IEEE at the address below.
TO BECOME STAND ARDS TO WHICH REFERENCE MAY BE
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Published in Switzerland Reference number
ISO/IEEE FDIS 11073­10441:2026(en)
© IEEE 2025
© IEEE 2026 – All rights reserved
ii
Foreword
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(the International Organization for Standardization) is a worldwide federation of national standards bodies
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ISO document should be noted (see www.iso.org/directives).
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ISO/IEEE 11073-10441 was prepared by the IEEE 11073 Standards Committee of the IEEE Engineering in
Medicine and Biology Society (as IEEE Std 11073-10441™-2025), in collaboration with the European
Committee for Standardization (CEN), in accordance with the Agreement on technical cooperation between
ISO and CEN (Vienna Agreement), 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 11073-10441:2015), which has been
technically revised.
The main changes are as follows:
— updated normative reference to refer to ISO/IEEE 11073-20601-2019;
— updated the version of this device specialization;
— updated the association details based on the new version;
© IEEE 2025 – All rights reserved
© IEEE 2025 – All rights reserved
iii
— updated the wording in 6.3 regarding the observational attributes;
— add one ICS statement regarding version of device specialization;
— added some text to 6.12 to further elaborate the DIM extensibility rule;
— updated the text in 8.5.2 regarding attribute-id-list, to be compliant with 20601-V4;
— removed the year in bibliography to represent the latest version;
— made ISO/IEEE 11073-10101 a normative reference;
— updated the wording at 1.3 and 4.1 regarding the precedence of nomenclature between ISO/IEEE 11073-
10101, ISO/IEEE 11073-20601, 104zz, and this standard;
— updated the usage of nomenclature-version. Tied it with the corresponding protocol-version;
— corrected some nomenclature code values;
— added the concepts of target range of heat rate (HR), speed, and energy expended;
— added the concepts of user exercise target and health status.
A list of all parts in the ISO/IEEE 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 2025 – All rights reserved
iv
IEEE Std 11073-10441™-2025
(Revision of IEEE Std 11073-10441-2013)
Health informatics — Device interoperability
Part 10441:
Device specialization —
Cardiovascular fitness and activity
monitor
Developed by the
IEEE 11073 Standards Committee
of the
IEEE Engineering in Medicine and Biology Society
Approved 12 February 2025
IEEE SA Standards Board
Abstract: Within the context of the ISO/IEEE 11073 family of standards for device communication,
a normative definition of communication between personal telehealth cardiovascular fitness and
activity monitor devices and managers (e.g., cell phones, personal computers, personal health
appliances, and set top boxes) in a manner that enables plug-and-play interoperability is
established in this standard. Appropriate portions of existing standards are leveraged including
ISO/IEEE 11073 terminology, information models, application profile standards, and transport
standards. The use of specific term codes, formats, and behaviors in telehealth environments
restricting optionality in base frameworks in favor of interoperability is specified. A common core of
communication functionality for personal telehealth cardiovascular fitness and activity monitor
devices is defined in this standard.
Keywords: activity monitor, cardiovascular fitness, IEEE 11073-10441™, medical device
communication, personal health devices
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Participants
At the time this IEEE 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 Todd H. Cooper Robert Hall
Charles R. Abbruscato Sandra Costanzo Shu Han
Nabil Abujbara Douglas Coup Nathaniel Hamming
Maher Abuzaid Nigel Cox Rickey L. Hampton
James Agnew Hans Crommenacker Sten Hanke
Manfred Aigner Tomio Crosley Aki Harma
Jorge Alberola Allen Curtis Jordan Hartmann
David Aparisi Jesús Daniel Trigo Kai Hassing
Lawrence Arne David Davenport Avi Hauser
Diego B. Arquillo Russell Davis Nathaniel Heintzman
Serafin Arroyo Sushil K. Deka Charles Henderson
Muhammad Asim Ciro de la Vega Jun-Ho Her
Kit August Jim Dello Stritto Timothy L. Hirou
Doug Baird Kent Dicks Allen Hobbs
David Baker Alex Holland
Hyoungho Do
Anindya Bakshi Fangjie Dong Arto Holopainen
Ananth Balasubramanian Jonathan Dougherty Kris Holtzclaw
Sunlee Bang Xiaolian Duan Robert Hoy
M. Jonathan Barkley Sourav Dutta Anne Huang
Gilberto Barrón Jakob Ehrensvard Guiling Huang
David Bean Fredrik Einberg Haofei Huang
John Bell Javier Escayola Calvo Zhiyong Huang
Olivia Bellamou-Huet Mark Estes David Hughes
Rudy Belliardi Leonardo Estevez Robert D. Hughes
Daniel Bernstein Michael Faughn Jiyoung Huh
George A. Bertos Bosco T. Fernandes Hugh Hunter
Chris Biernacki Christoph Fischer Philip O. Isaacson
Ola Björsne Morten Flintrup Atsushi Ito
Thomas Blackadar Michael Jaffe
Russell Foster
Thomas Bluethner
Eric Freudenthal Praduman Jain
Douglas P. Bogia Matthias Frohner Zongbo Jiang
Xavier Boniface Kenneth Fuchs Hu Jin
Shannon Boucousis Jing Gao Danny Jochelson
Lyle G. Bullock, Jr. Marcus Garbe Akiyoshi Kabe
Bernard Burg John Garguilo Steve Kahle
Chris Burns Liang Ge Tomio Kamioka
Jeremy Byford-Rew Rick Geimer James J. Kang
Satya Calloji Igor Gejdos Kei Kariya
Carole C. Carey Ferenc Gerbovics Andy Kaschl
Craig Carlson Alan Godfrey Junzo Kashihara
Santiago Carot-Nemesio Nicolae Goga Ralph Kent
Seungchul Chae Julian Goldman Laurie M. Kermes
Yao Chen Raul Gonzalez Gomez Sanjay R. Kharche
Jing Cheng Chris Gough Ahmad Kheirandish
Channa Gowda
Peggy Chien Junhyung Kim
David Chiu Charles M. Gropper Minho Kim
Jinyong Choi Amit Gupta Min-Joon Kim
Chia-Chin Chong Jeff Guttmacher Taekon Kim
Jinhan Chung Rasmus Haahr Tetsuya Kimura
John A. Cogan Christian Habermann Michael J. Kirwan
John T. Collins Michael Hagerty Alfred Kloos
Cory Condek Jerry Hahn Edward Koch
Jeongmee Koh Marco Paleari Emily Sopensky
Jean-Marc Koller Bud Panjwani Rajagopalan Srinivasan
John Koon Carl Pantiskas Nicholas Steblay
Patty Krantz Harry P. Pappas Lars Steubesand
Alexander Kraus Hanna Park John (Ivo) Stivoric
Ramesh Krishna Jong-Tae Park Hermanni Suominen
Geoffrey Kruse Myungeun Park Lee Surprenant
Falko Kuester Phillip E. Pash Ravi Swami
Rafael Lajara Tongbi Pei Ray Sweidan
Pierre Landau Soren Petersen Na Tang
Jaechul Lee James Petisce Haruyuyki Tatsumi
Jong-Muk Lee Peter Piction Isabel Tejero
Kyong Ho Lee Tom Thompson
Michael Pliskin
Rami Lee Jonas Tirén
Varshney Prabodh
Sungkee Lee
Jeff Price Janet Traub
Woojae Lee Harald Prinzhorn Gary Tschautscher
Jing Li Lifei Qian Masato Tsuchid
Qiong Li Harry Qiu Ken Tubman
Xiangchen Li Tanzilur Rahman Akib Uddin
Patrick Lichter Lin Ran Sunil Unadkat
Jisoon Lim Phillip Raymond Fabio Urbani
Wei-Jung Lo Terrie Reed Philipp Urbauer
Charles Lowe Barry Reinhold Laura Vanzago
Don Ludolph Brian Reinhold Alpo Värri
Ling Luo Melvin I. Reynolds Andrei Vasilateanu
Christian Luszick John G. Rhoads Dalimar Velez
Bob MacWilliams Jeffrey S. Robbins Martha Velezis
Srikkanth Madhurbootheswaran
Moskowitz Robert Rudi Voon
Miriam L. Makhlouf Stefan Robert Isobel Walker
M. Sabarimalai Manikandan Chris Roberts David Wang
Romain Marmot Scott M. Robertson Jerry P. Wang
Sandra Martinez Timothy Robertson Shiwei Wang
Miguel Martínez de Espronceda Sean Rocke Yao Wang
Cámara David Rosales Yi Wang
Peter Mayhew Bill Saltzstein Steve Warren
Jim McCain Giovanna Sannino Fujio Watanabe
László Meleg José A. Santos-Cadenas Toru Watsuji
Alexander Mense Stefan Sauermann Kathleen Wible
Behnaz Minaei John Sawyer Paul Williamson
Jinsei Miyazaki Alois Schloegl Jia-Rong Wu
Madhu Mohan Paul S. Schluter Will Wykeham
Erik Moll Mark G. Schnell Ariton Xhafa
Darr Moore Richard A. Schrenker Ricky Yang
Chris Morel Antonio Scorpiniti
Melanie S. Yeung
Carsten Mueglitz Kwang-Seok Seo Qiang Yin
Soundharya Nagasubramanian Riccardo Serafin Done-Sik Yoo
Alex Neefus Sid Shaw Zhi Yu
Trong-Nghia Nguyen-Dobinsky Frank Shen Jianchao Zeng
Michael E. Nidd Min Shih Jason Zhang
Jim Niswander Mazen Shihabi Zerui Zhang
Hiroaki Niwamoto Redmond Shouldice Shiwei Zhao
Thomas Norgall Sternly K. Simon Liang Zheng
Yoshiteru Nozoe Marjorie Skubic Yuanhong Zhong
Abraham Ofek Robert Smith Qing Zhou
Ivan Soh Miha Zoubek
Brett Olive Szymon Zyskoter
Begonya Otal Motoki Sone
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 Marco Hernandez Esteban Pino
Boon Chong Ang Werner Hoelzl Cam Posani
Pradeep Balachandran Florence Hudson Stefan Schlichting
Pin Chang Piotr Karocki Jhony Sembiring
Malcolm Clarke Stuart Kerry Walter Struppler
Kurt Elliason Yongbum Kim John Vergis
Javier Espina Raymond Krasinski Yu Yuan
Niclas Granqvist Erik Moll Oren Yuen
Charles M. Gropper Rajesh Murthy Daidi Zhong
Bansi Patel
When the IEEE SA Standards Board approved this standard on 11 February 2025, it had the following
membership:
Lei Wang, Chair
Vacant Position, Vice Chair
David J. Law, Past Chair
Alpesh Shah, Secretary
Edward Au Ronald W. Hotchkiss Daleep C. Mohla
Ted Burse Tyler L. Jaynes Annette D. Reilly
Xiaofeng (Alfred) Chen Thomas Koshy Robby Robson
Doug Edwards Howard Li Jon Walter Rosdahl
Nehad El-Sherif Xiaohui Liu Daniel Sabin
J. Travis Griffith Kevin W. Lu F. Keith Waters
Deborah R. Hagar Hiroshi Mano Sha Wei
Guido R. Hiertz Luyang (Eric) Zhang
Introduction
This introduction is not part of IEEE Std 11073-10441-2025, Health Informatics—Device Interoperability—Part 10441:
Personal Health Device Communication—Device Specialization—Cardiovascular Fitness and Activity Monitor.
Within the context of the ISO/IEEE 11073 family of standards for device communication, a normative
definition of communication between personal telehealth cardiovascular fitness and activity monitor devices
and managers (e.g., cell phones, personal computers, personal health appliances, and set top boxes) is
established in this standard in a manner that enables plug-and-play interoperability. Appropriate portions of
existing standards are leveraged including ISO/IEEE 11073 terminology, information models, application
profile standards, and transport standards. The use of specific term codes, formats, and behaviors in telehealth
environments restricting optionality in base frameworks in favor of interoperability is specified. A common
core of communication functionality for personal telehealth cardiovascular fitness and activity monitor
devices is defined in this standard.
Contents
1. Overview .14
1.1 Scope .14
1.2 Purpose .14
1.3 Word usage .15
1.4 Context .15
2. Normative references .16
3. Definitions, acronyms, and abbreviations .16
3.1 Definitions .16
3.2 Acronyms and abbreviations .17
4. Introduction to ISO/IEEE 11073 personal health devices .18
4.1 General .18
4.2 Introduction to ISO/IEEE 11073-20601 modeling constructs .18
4.3 Compliance with other standards .19
5. Cardiovascular fitness and activity monitor device concepts and modalities .19
5.1 General concepts .19
5.2 3D acceleration (numeric) .21
5.3 3D acceleration (RT-SA) .21
5.4 3D angular acceleration (numeric) .22
5.5 3D angular acceleration (RT-SA) .22
5.6 Activity intensity (numeric) .22
5.7 Age (numeric) .22
5.8 Altitude (numeric) .22
5.9 Altitude gain (numeric).22
5.10 Altitude loss (numeric) .23
5.11 Ascent time and distance (numeric) .23
5.12 Body height (numeric) .23
5.13 Blood oxygen (SpO ) (numeric) .23
5.14 Body weight (numeric) .23
5.15 Breathing rate (numeric) .24
5.16 Cadence (numeric) .24
5.17 Calories ingested (numeric) .24
5.18 Carbohydrate calories ingested (numeric) .24
5.19 Descent time and distance (numeric) .24
5.20 Distance (numeric) .24
5.21 Energy expended (numeric) .24
5.22 Energy expended target range (numeric) .24
5.23 Estimated weight loss (numeric) .25
5.24 Heart rate (numeric) .25
5.25 Heart rate target (numeric) .25
5.26 Incline (numeric) .25
5.27 Latitude (numeric) .25
5.28 Longitude (numeric) .25
5.29 Maximum recommended heart rate (numeric) .25
5.30 Proportional integral mode (PIM) (numeric) .25
5.31 Power (numeric) .26
5.32 Program identifier (enumeration) .26
5.33 Pulse rate (numeric) .26
5.34 Resistance (numeric) .26
5.35 Root mean square (RMS) (numeric) .26
5.36 Session (enumeration) .26
5.37 Session duration (numeric) .26
5.38 Session duration target (numeric) .26
5.39 Sleep awake total duration (numeric) .27
5.40 Sleep deep total duration (numeric) .27
5.41 Sleep light total duration (numeric) .27
5.42 Sleep REM total duration (numeric) .27
5.43 Sleep total duration (numeric) .27
5.44 Slopes (numeric) .27
5.45 Speed (numeric) .27
5.46 Speed target range (numeric) .27
5.47 Stride length (numeric) .27
5.48 Subsession (enumeration) .28
5.49 Subsession duration (numeric).28
5.50 Subsession duration target (numeric) .28
5.51 Subsession total duration (numeric) .28
5.52 Sustained physical activity threshold (numeric) .28
5.53 Time above threshold (TAT) (numeric) .28
5.54 TAT threshold (numeric) .29
5.55 User exercise target and health status (enumeration) .29
6. Cardiovascular fitness and activity monitor domain information model .29
6.1 Overview .29
6.2 Class extensions .29
6.3 Object instance diagram .29
6.4 Types of configuration .34
6.5 Profiles .35
6.6 Medical device system object .35
6.7 Numeric objects .39
6.8 Real-time sample array objects .94
6.9 Enumeration objects .101
6.10 PM-store objects .106
6.11 Scanner objects .111
6.12 Class extension objects .114
6.13 Cardiovascular fitness and activity monitor information model extensibility rules.115
7. Cardiovascular fitness and activity monitor service model .115
7.1 General .115
7.2 Object access services.
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