Abbott FreeStyle Libre (CGM & BGM)

Checklist for CGM Implementation

(Key:

• [x] available in data protocol/documented in spec and implemented
• [-] available in data protocol/documented in spec but not yet implemented
• [?] unknown whether available in data protocol/documented in spec; not yet implemented
• *[ ] TODO: needs implementation!
• [ ] unavailable in data protocol and/or not documented in spec and not yet implemented)

Required if Present

CBG

• [x] cbg values
• [ ] units of cbg values (read from device, not hard-coded)
• [x] out-of-range values (LO or HI)
• [x] out-of-range value thresholds (e.g., often 40 for low and 400 for high on CGMs)

Device-specific? (Add any device-specific notes/additions here.)

• internal glucose unit is always mg/dL for this device, independent of display unit
• out-of-range thresholds are 41 mg/dL and 499 mg/dL
• out-of-range measurements are reported as values 40 or 500 respectively

Device Events

• [ ] calibrations
  • [ ] calibration value
  • [ ] units of calibration value (read from device, not hard-coded)
• [x] time changes (presence of which is also in the BtUTC section below)
  • [x] device display time from (before change) and to (result of change)
  • [x] agent of change (automatic or manual)
  • [ ] timezone
  • [ ] reason for change (read from device)

Device-specific? (Add any device-specific notes/additions here.)

• device does not need calibration

Settings

• [x] units preference for BG display
• [x] units of data being uploaded (will be mutated to mmol/L storage units if not mmol/L)
• [x] transmitter ID
• [ ] low alert settings
  • [ ] enabled
  • [ ] level/threshold
  • [ ] snooze threshold
• [ ] high alert settings
  • [ ] enabled
  • [ ] level/threshold
  • [ ] snooze threshold
• [ ] rate-of-change alerts
  • [ ] fall rate alert
    • [ ] enabled
    • [ ] rate threshold for alerting
  • [ ] rise rate alert
    • [ ] enabled
    • [ ] rate threshold for alerting
• [ ] out-of-range alerts
  • [ ] enabled
  • [ ] snooze time between alerts
• [ ] predictive alerts
  • [ ] low prediction
    • [ ] enabled
    • [ ] time sensitivity (minutes to predicted low for alerting)
  • [ ] high prediction
    • [ ] enabled
    • [ ] time sensitivity (minutes to predicted high for alerting)
• [ ] calibration alerts/reminders
  • [ ] pre-reminder
  • [ ] overdue alert

Settings history:

• [ ] device stores all changes to settings OR
• [x] device only returns current settings at time of upload

No Tidepool data model (yet): volume and/or vibrate mode of all alerts (can/should go in payload).

Device-specific? (Add any device-specific notes/additions here.)

"Bootstrapping" to UTC

• [x] index
  • [ ] UTC timestamp (Hey, one can dream!) OR
  • [x] internal timestamp or persistent log index (across device communication sessions) to order all pump events (regardless of type), independent of device display time OR
  • [ ] ephemeral log index (does not persist across device communication sessions) to order all pump events (regardless of type), independent of device display time
• [x] date & time settings changes
• [x] use common.checkDeviceTime(currentDeviceTime, timezone, cb) to check against server time

Device-specific? (Add any device-specific notes/additions here.)

No Tidepool Data Model Yet

NB: You can and should add to this section if there are other data types documented in the device's data protocol specification but not part of Tidepool's data model (yet).

• [-] activity/exercise
• [-] food (e.g., Dexcom allows logging carb events)
• [-] notes/other events
• [-] insulin (rapid acting, long term)

Tidepool ingestion API

Choose one of the following:

• [x] legacy "jellyfish" ingestion API
• *[ ] platform ingestion API

Known implementation issues/TODOs

Use this space to describe device-specific known issues or implementation TODOs not contained in the above datatype-specific sections.

Checklist for Blood Glucose Meter Implementation

Required if Present

• [x] smbg values
• [ ] units of smbg values (read from device, not hard-coded)
• [x] out-of-range values (LO or HI)
• [x] out-of-range value thresholds (e.g., often 20 for low and 600 for high on BGMs)
• [x] date & time settings changes
• [x] blood ketone values
• [ ] units of blood ketone values (read from device, not hard-coded)
• [x] ketone out-of-range values
• [x] ketone out-of-range value thresholds
• [x] use common.checkDeviceTime(currentDeviceTime, timezone, cb) to check against server time

Device-specific? (Add any device-specific notes/additions here.)

• internal glucose unit is always mg/dL for this device, independent of display unit
• glucose out-of-range thresholds are 41 mg/dL and 499 mg/dL
• glucose out-of-range measurements are reported as values 40 or 500 respectively
• ketone out-of-range upper threshold is 8.0 mmol/L

No Tidepool Data Model Yet

• [x] control (solution) tests (whether marked in UI or auto-detected) - until we have a data model, these should be discarded
• [-] device settings, other than date & time (e.g., target blood glucose range)
• [-] tag/note (e.g., pre- vs. post-meal)

Tidepool ingestion API

Choose one of the following:

• [x] legacy "jellyfish" ingestion API
• *[ ] platform ingestion API

Known implementation issues/TODOs

Use this space to describe device-specific known issues or implementation TODOs not contained in the above datatype-specific sections.