Post on 27-Mar-2015
transcript
HL7 Healthcare Device SIG Device Informatics Update to
Government Projects SIG
General Overview and
IEEE PCD WG + IHE PCDActivities
2006 September 12
Todd CooperISO TC215 WG7, IEEE EMBS 11073, HL7 DEV SIG, IHE PCD, HITSP Board
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Session Overview
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Topics to be discussed…
IHE Patient Care Device (PCD) Domain
Organizational & Project Overview
Q & A
IEEE Personal Health Device WG
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Foundational Concepts and Definitions
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Vent
Vital Signs
Monitor
Infusion Pumps
Pulse Ox
Dialysis Machine
PoC Integration (X73)
Device Data
Manager
Enterprise Integration (HL7, DICOM, X12,…X73)
HIS
PACS
CIS
Pharmacy
LAB
Gateway
Multi-vendor environmentRequires both semantic & technical interoperability
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Foundational Concepts and Definitions
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Key Benefits of PCD Interoperability:
– HeterogeneityHeterogeneity – Multiple manufacturers + multiple device – Multiple manufacturers + multiple device modalities coexisting over a shared infrastructure modalities coexisting over a shared infrastructure
– Semantic InteroperabilitySemantic Interoperability ( comparability) – shared ( comparability) – shared terminology and data models, interpret data based on the terminology and data models, interpret data based on the clinical context, compare information from different clinical context, compare information from different healthcare facilities, and interrogate systems across healthcare facilities, and interrogate systems across enterprises and regions.enterprises and regions.
– Real-Time AvailabilityReal-Time Availability – ability to provide data in a time – ability to provide data in a time frame appropriate to the physiologic function being frame appropriate to the physiologic function being measured, displayed or affected (controlled). measured, displayed or affected (controlled).
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Medical Device Informatics Standardization
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
IEEEEMBS 11073
CENTC251 WG4
HL7DEV & CBCC
SIGs
ISOTC215 WG7
Single set of
Internationally
Harmonized
Medical Device
Informatics & Interoperability
Standards
IHE Patient Care Devices
Domain
DICOM
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Medical Device Informatics Standardization
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Cabled
11073-30200
e.g., RS-232C
RS-422 (USB)
ENet
11073-30400 [802.3]
-20404ID
-20402QoS Mngt
-20403Location
IrDA11073-30300
-20400 Network Services - Framework & Overview
-20000 Application Profile – Framework & Overview
wLAN
11073-30503
e.g., 802.11a802.11b802.11g
-20401IP protocol
(applies only to ENet, wLAN)
wPAN
11073-30501[BT /
802.15.1]
-2040x BT Data
wPAN
11073-30502[low-rate]
802.15.4MICs /
MedRadio
wPAN
11073-30503[high-rate] e.g., UWB
-2040? -2040?
-30000 Transport Profile – Framework & Overview
-30500 RF Wireless - Framework & Overview
wMANwRAN
11073-30504
e.g., 802.16e802.20802.22
wWAN
11073-30505
e.g.,2G3G
Mesh Networks
11073-30507
WMTS
11073-30508
-20500 Security – Framework & Overview
-10316Dialysis
-10312Hemo
-10309Airway
-10306ECG
-10303Ventilator
WIRED WIRELESS
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ISO/IEEE Standards
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Published ISO/IEEE 11073 Standards…
ISO/IEEE 11073-10201 Domain Information Model
ISO/IEEE 11073-20101 Application Profile – Base Std.
IEEE 1073 Framework & Overview (under revision)
ISO/IEEE 11073-30200 Transport Profile – Cable Connected
ISO/IEEE 11073-10101 Nomenclature / Terminology
ISO/IEEE 11073-30300 Transport Profile – IR Wireless
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ISO/IEEE Standards
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Active ISO/IEEE projects (partial) …
-20103 Clinical Context Management (CCoM)
-20301 Remote Control
-10102 Annotated ECG Terminology
-30400 Inter-LAN (IP protocol profiling)
-10103 Implantable Device, Cardiac Terminology
-30503 wLAN & -30505 wWAN
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IEEE 11073 Personal Health Device WG
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Serial IrDA Bluetooth USB ZigBee
Consistent Data/Command Framework
Tra
nsp
or
t
Layers
1-6
Layer
7
OSIPulse
OximeterBlood
Pressure Glucose Pulse WeightSpiro-meter
…Device Specializations
Technical Report PARTechnical Report PAR PAR for –2yyzz series work
PAR(s) for –1yyzz series work
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IEEE 11073 Personal Health Device WG
Proposed key milestones
08/04 ’06 Project Approval Request (PAR) submission deadline–Requires Phase I device specialization selection
09 ’06 Early draft specs available for November prototype testing
09/12 or 09/13
Data work group face to face meeting in Boca Raton with report out to ISO/IEEE 11073 general committee 09/14
11/12 or 11/13
Data work group face to face in Zurich (just prior to Medica in Düsseldorf)
12 ’06 Document updated based on prototype discovery
02/10 ’07 Bluetooth unplugfest to ratify nearly final specs
03 ’07 Final specification completed
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
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IHE Patient Care Device Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
5 Technical Frameworks5 Technical Frameworks39 Integration Profiles, Testing at Multiple Connectathons Annually39 Integration Profiles, Testing at Multiple Connectathons Annually
IHE
EHR- Longitudinal Record
IHE Cardiology
IHE Laboratory
IHE Radiology
New IHE Domains
Patient Care Coordination
IHE
IT Infrastructure
16 Integration Profiles
5 Integration Profiles
4 Integration Profiles
13 Integration Profiles
1 Integration Profile 2 Integration Profiles
Patient Care Devices
Expanding ReachExpanding Reach
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IHE Patient Care Device Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
IHE-PCD Charter
The Patient Care Devices Domain is The Patient Care Devices Domain is concerned with Use Cases in which at concerned with Use Cases in which at least one actor is a regulated patient least one actor is a regulated patient care device. The PCD coordinates care device. The PCD coordinates with other IHE clinical specialty based with other IHE clinical specialty based domains such as medical imaging.domains such as medical imaging.
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IHE Patient Care Device Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
PCD Roadmap…
Year 1:Enterprise sharing of Patient Care Data Initial device classes – vital sign
monitors, infusion pumps, ventilators … and possibly others
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IHE Patient Care Device Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Year 2++ Point-of-Care Device PnP Connectivity Home Health / Personal Care Devices Emergency Care Real-time data archiving and communication PCD Alarm Management + smart alarms & interlocks Medication Management Device Control (e.g., Hospital Bed–Blood Pressure
Coordination) Mobile, enterprise-wide, reliable vital signs monitoring … many more!
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IHE Patient Care Device Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
2006 Development Schedule:2006 Development Schedule: Planning Committee decision:Planning Committee decision: mid-Januarymid-January Issue Public Comment version: Issue Public Comment version: June 2006June 2006 Public Comment Due:Public Comment Due: July 2006July 2006 Issue Trial Implementation version: Issue Trial Implementation version: August 8, 2006August 8, 2006 IHE Connectathon: IHE Connectathon: January 2007January 2007 HIMSS Demo: HIMSS Demo: February 2007February 2007
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IHE Patient Care Device Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
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IHE Patient Care Devices Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
n
TestingFramework
HL7v2.xStandard
IHE/PCD TechnicalFramework (vol 2)
(Transactions)
MessageProfile
xml
ICS-Generator ICS XML File
-Attribute ID, Term codes, value ranges, qualifiers…-Object Containment Tree
11073Standards
(DIM + Terms)
IEEE 11073Standard
IHE-ITIPatient
Administration
P11073-60101HL7 V2.x ORI
(gateway)
IHEMessageProfile
IHEMessageProfile
(XSLT)
NISNISTT
Test Framework …
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IHE Patient Care Devices Domain
DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
2006 Development Schedule:2006 Development Schedule: Planning Committee decision:Planning Committee decision: mid-Januarymid-January Issue Public Comment version: Issue Public Comment version: June 2006June 2006 Public Comment Due:Public Comment Due: July 2006July 2006 Issue Trial Implementation version: Issue Trial Implementation version: August 2006August 2006 IHE Connectathon: IHE Connectathon: January 2007January 2007 HIMSS Demo: HIMSS Demo: February 2007February 2007
19DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper
Q & A