Patient Medical Profile Template - PowerPoint by cfr19480

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									 IHE-PCD


              Patient Care Device
           Interoperability Standards

Todd Cooper
Breakthrough Solutions

20050929
IHE-PCD


 State of open standards-based medical device
     connectivity?


                                   Nonexistent!
 Proprietary Interfaces + Partnerships =
         Security for vendors
         Limitations & expense for providers & patients

 A business issue – not a lack of technology


   Breakthrough Solutions, Todd Cooper, 20050928          2
IHE-PCD


 What has blocked implementation of medical device
   interoperability?

                   Incomplete standards … but no longer the case!
                   Uncoordinated & inconsistent demand from
                        providers and other user stakeholders
                   Undefined stakeholder value propositions
                   Resources – esp. of standardization efforts

                   Infrastructure is a hard sell (who benefits?!)

 A business issue – not a lack of technology

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IHE-PCD


                                                                          Enterprise Integration
                                                                         (HL7, DICOM, X12,…X73)
                                 Dialysis
                                 Machine
                                                      Vital
                                                      Signs                               LAB
           Vent                                      Monitor
                                                                          Pharmacy

                                                                                          CIS
                                                      Pulse Ox
     Infusion
      Pumps



                                                                Device     Gateway
                                                                 Data
                                                               Manager      PACS
                       PoC Integration (X73)
                                                                                          HIS

 Multi-vendor environment
 Requires both semantic & technical interoperability


     Breakthrough Solutions, Todd Cooper, 20050928                                                 4
IHE-PCD



 IHE Patient                               ISO        Single set of
Care Devices                            TC215 WG7
   Domain                                             Internationally
                                                      Harmonized
                                                      Medical Device
                                                      Informatics &
                                                        Interoperability
                                                      Standards


     IEEE                                 CEN         HL7
   EMBS 1073                           TC251 WGIV   DEV SIG

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IHE-PCD


   ISO/IEEE 11073 purpose:

             Provide real-time plug-and-play interoperability
             for patient-connected medical devices

        and
          Facilitate the efficient exchange of vital signs and
          medical device data, acquired at the point-of-
          care, in all health care environments

   …leveraging off-the-shelf technologies, scaling
   across a wide range of system complexities, and
   supporting commercially viable implementations.

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IHE-PCD


    Core set of standards in place…
                   11073-10101                     Nomenclature / Terminology
                   11073-10201                     Information model
                   11073-20101                     Application Profile – Base Std.
                   11073-30200                     Transport Profile: Cabled
                   11073-30300                     Transport Profile: IR wireless


    Together these support connector-to-content interfaces!



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IHE-PCD




   Breakthrough Solutions, Todd Cooper, 20050928   8
IHE-PCD



   Pending IEEE projects (PARs) …

       -00201 – Recommended Practice – Profile template
       -10104 – Nomenclature - Virtual attributes
       -20103 – Application profile - Clinical context management (CCoM)
       -30400 – Inter-LAN (vLAN, IP, medical session, QoS, security, UDP, TCP,
                       multicast discovery, addressing characters)
       -30500 – RF wireless – Framework & Overview
       -30503 – RF wireless – Local area network (wLAN)
       -30505 – RF wireless – Wide area (mobile phone) network (wWAN)




   Breakthrough Solutions, Todd Cooper, 20050928                             9
IHE-PCD

 Current activities include…
    HL7 (v2.x) Observation Reporting Interface Gateway
    RF Wireless transports
    Profile templates
    Application profiles (incl. external control)
    Annotated ECG & IDC (pacemaker) terminologies
    Dialysis device specializations (incl. treatment
          summary reports)
    Conformance testing tools
    Operating Room of the Future Plug-n-Play Initiative
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IHE-PCD



 IHE PCD will…

    Define open standards-based implementation profiles

    Drive further standardization efforts

    Enable realization of PCD value propositions!




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