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1 /GE IHE PCD Rosetta Project Overview 2008 /
2008-04-24
IHE Patient Care Devices
Rosetta Terminology Mapping
Paul Schluter and Todd CooperGE Healthcare IEEE 11073 Chair
2008-05-07 HL7 and IEEE 11073 Meeting, Phoenix
Wiki: http://wiki.ihe.net/index.php?title=PCD_Profile_Rosetta_Terminology_Mapping
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2008-04-24
IHE Patient Care Devices –
a new domain
Electronic Health Record
Cardiology
Laboratory
Radiology
Oncology
Future Domains
IHE IT Infrastructure
16 Integration Profiles
5 Integration Profiles
4 Integration Profiles
1133 IInntteeggrraattiioonn PPrrooffiilleess
Patient Care Coordination
1 Integration Profile
Patient Care
Device
Pathology Eye Care
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GEGE
AwareAwareGatewayGateway
Patient Monitor, Ventilator
Intensive Care
PhilipsPhilips IntellivueIntellivue ClinicalClinical
InformationInformationPortfolioPortfolio
DraegerDraegerInnovianInnovian®®
Solution SuiteSolution Suite
CapsuleCapsule
PhilipsPhilips IntellivueIntellivue
InformationInformationCenterCenter
Patient Monitor
Emergency Care Perioperative Care
LiveDataLiveData
OR OR –– DashBoardDashBoard
GE GE CentricityCentricity®®
PeriopPeriop AnesthesiaAnesthesia
EpicEpic
InPatientInPatient
Enterprise
PDQ/PAM Server
Time Server
SpacelabsSpacelabs
IntesysIntesys Clinical SuiteClinical Suite
Patient Monitor
Welch AllynWelch Allyn ConnexConnexTMTM
Data MgmtData MgmtSystemSystem
Vital Signs Monitor
Patient Care Devices HIMSS Interoperability Showcase 2008
D O R
D O C
B. BraunB. Braun DoseTracDoseTracTMTM
InfusionInfusionMgmt SWMgmt SW
Infusion Devices
DraegerDraeger
InfinityInfinity GatewayGateway
Patient Monitor, Anesthesia Sys
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Patient Care Devices –
ER and OR
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Patient Care Devices –
ICU
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Patient Care Devices –
New Directions
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Patient Care Devices –
Rosetta Project
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PCD Rosetta Terminology Mapping (RTM)
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Cardiovascular (ECG) (multiple vendors)
CARDIOVASCULAR - ECG
Group REFERENCE_ID Vendor_Description CODE10 Vendor A Vendor B Vendor C
CVS_ECG_HR MDC_ECG_CARD_BEAT_RATE Heart Rate (DBR 326) 16770 HR HR HR
CVS_ECG_HR MDC_ECG_CARD_BEAT_RATE_BTB Beat-to-Beat Rate 16778 btbHR
CVS_ECG_HR MDC_ECG_HEART_RATE Heart Rate (DBR 2178) 16770 HR HR HR
CVS_ECG_HR MDC_ECG_PACED_BEAT_RATE %PACED 16554 %PACED
CVS_ECG_HR MDC_ECG_TIME_PD_RR_GL R to R Interval 16168 rr_time rr_time rr_time
CVS_ECG_QT MDC_ECG_TIME_PD_QT_GL QT interval 16160 QT
CVS_ECG_QT MDC_ECG_TIME_PD_QTc QT interval (corrected) 16164 QTc
CVS_ECG_RHY MDC_ECG_ARRHY Arrhythmia 4410 ARR
CVS_ECG_RHY MDC_ECG_V_P_C_CNT PVC rate. 16993 PVC/min PVC PVC
CVS_ECG_ST MDC_ECG_AMPL_ST ST generic label 768 ST ST
CVS_ECG_ST MDC_ECG_AMPL_ST_AVF ST lead aVF 832 STaVF ST-AVF ST-aVF
CVS_ECG_ST MDC_ECG_AMPL_ST_AVL ST lead aVL 831 STaVL ST-AVL ST-aVL
CVS_ECG_ST MDC_ECG_AMPL_ST_AVR ST lead aVR 830 STaVR ST-AVR ST-aVR
10 /GE IHE PCD Rosetta Project Overview 2008 /
2008-04-24
RTM Goals for 2008-2009 and HIMSS 2009
•
Expand the number of numeric parameters
supported
by PCD-01 from 40 today to nearly 300.
•
Harmonize the use of existing nomenclature terms defined by ISO/IEEE 11073-10101.
•
Specify the
units-of-measure
and
enumerated values
associated with each
numeric parameter.
•
Identify and add new nomenclature terms
that are
currently missing from ISO/IEEE 11073-10101.
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2008-04-24
RTM Technical Steps
1.
Create the Rosetta Terminology Mapping Table•
Current draft (1k) has over 930 rows submitted by six vendors.
2.
Identify implementation differences and resolve.•
Resolve differences in interpretation.•
Pre-
or post-coordinated measurement site location(s).
3.
Identify missing terms and propose new terms to standards organizations.•
IHE PCD –
need to add 40+ terms to ISO/IEEE 11073.•
Continua –
need to add 100+ terms to ISO/IEEE 11073.
4.
Generate final set of terms, units-of-measure and enumerations for testing.•
Working with NIST for HL7 test and validation tooling
Wiki: http://wiki.ihe.net/index.php?title=PCD_Profile_Rosetta_Terminology_Mapping
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Questions?
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Extra Slides
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‘PCD-01’ Transaction (Year 1)
Data Observation Consumer (DOC)
Device Observation Reporter (DOR)
Device
PCD-01: Communicate Device Data
• Periodic Physiologic Data: Heart Rate, Respiration rate• Episodic Physiologic Data: NIBP, Weight, Cardiac tests• Primarily structured data but facilities non structured data as well• Must include Patient ID• > 1 minute sampling rate (but could be faster)• Alarms and alerts currently not supported (but could be)• No Waveforms and control operations• No Security, privacy confidentiality scope
• ISO/IEEE 11073-10101 nomenclature (does not rule out LOINC or SNOMED)• ISO/IEEE 11073 or
UCUM units-of-measure• OBX-4 used for «mds.vmd.chan.metric», new OBX-20 for measurement site• Profile and simplify other aspects of HL7 V2.5 messaging
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Mapping Preserves Measurement Context
<vmd> <parametric instance>
<chan><mds>Medical:
Containment Tree Hierarchical LevelSubject
3121Ordinal
<HR><Ctach><ECG><VS Mon>Virtual (Medical)32211Ordinal
<PR><Ptach><PulsOxim><VS Mon>Virtual (Medical)2Ordinal
Virtual (Medical)
11
<Oxim><PulsOxim>
1
<Spo2>
1
<VS Mon>1Examples
OBX-4
Recommend that Ordinal value is unique among entire set
Medical Device System (MDS)
Virtual Medical Device (VMD)
Channel (Chan)
Numeric
Enumeration
1
*
1
*
1
*
1
0..*
Metric
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PCD-01 Message Example
MSH|^~\&|HL7^080019FFFF4F6AC0^EUI-64|MMS|||20070118133700||ORU^R01|a4e2e3:11036b5cdbb:-
|P|2.5|20070118133700||NE|AL||8859/1PID|||GE101^^^DefaultDomai||JACKSON^IRWIN^^^^^LPV1||E|3WICU^305^305OBR|1|080019FFFF4F6AFE200701|080019FFFF4F6AC0200701|126.3.3.1^2000^MDC|||20070118133700OBX|1|NM|147842^MDC_ECG_HEART_RATE^MDC|1.6.1.1|80|/min^/min^UCUM|||||ROBX|2|NM|148065^MDC_ECG_V_P_C_CNT^MDC|1.6.1.2|0|/min^/min^UCUM|||||ROBX|3|NM|150035^MDC_PRESS_BLD_ART_MEAN^MDC|1.3.1.1|96|{mm[Hg]}^{mm[Hg]}^UCUM|||||ROBX|4|NM|150033^MDC_PRESS_BLD_ART_SYS^MDC|1.3.1.2|120|{mm[Hg]}^{mm[Hg]}^UCUM|||||ROBX|5|NM|150034^MDC_PRESS_BLD_ART_DIA^MDC|1.3.1.3|80|{mm[Hg]}^{mm[Hg]}^UCUM|||||ROBX|6|NM|149522^MDC_BLD_PULS_RATE_INV^MDC|1.2.1.1|80|/min^/min^UCUM|||||ROBX|7|NM|150047^MDC_PRESS_BLD_ART_PULM_MEAN^MDC|1.4.2.1|15|{mm[Hg]}^{mm[Hg]}^UCUM|||||ROBX|8|NM|150045^MDC_PRESS_BLD_ART_PULM_SYS^MDC|1.4.2.2|24|{mm[Hg]}^{mm[Hg]}^UCUM|||||ROBX|9|NM|150046^MDC_PRESS_BLD_ART_PULM_DIA^MDC|1.4.2.3|10|{mm[Hg]}^{mm[Hg]}^UCUM|||||ROBX|10|NM|150344^MDC_TEMP^MDC|1.10.1.1|26.4|cel^cel^UCUM|||||ROBX|11|NM|150344^MDC_TEMP^MDC|1.10.1.2|37.4|cel^cel^UCUM|||||ROBX|12|NM|151610^MDC_VENT_CO2_RESP_RATE^MDC|1.5.1.1|12|{{breath}/min}^{{breath}/min}UCUM|||||ROBX|13|NM|151804^MDC_PRESS_AWAY_END_EXP_POS^MDC|1.5.1.2|4|{cm[H20]}^{cm[H20]}^UCUM|||||ROBX|14|NM|152008^MDC_VENT_VOL_MINUTE_AWAY^MDC|1.5.1.3|0.0|l/min^l/min^UCUM|||||ROBX|15|NM|151920^MDC_VENT_CONC_AWAY_O2_INSP^MDC|1.5.1.4|21|%^%^UCUM|||||ROBX|16|NM|151980^MDC_VENT_VOL_TIDAL^MDC|1.5.1.5|920|ml^ml^UCUM|||||ROBX|17|NM|151957^MDC_VENT_PRESS_MAX^MDC|1.5.1.6|17|{cm[H20]}^{cm[H20]}^UCUM|||||ROBX|18|NM|151784^MDC_PRESS_RESP_PLAT^MDC|1.5.1.7|31|{cm[H20]}^{cm[H20]}^UCUM|||||ROBX|19|NM|151792^MDC_PRESS_AWAY^MDC|1.5.1.8|36|{cm[H20]}^{cm[H20]}^UCUM|||||ROBX|20|NM|151808^MDC_PRESS_AWAY_END_EXP_POS_INTRINSIC^MDC|1.5.1.9|1|{cm[H20]}^{cm[H20]}^UCUM|||||R
‘Heart Rate’ ‘/min’ UOM
IEEE EUI-64
OBX-4
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‘PCD-02’ Transaction (Years 2 and 3)
Device Observation Reporter (DOR)
Device
PCD-01: CommunicateDevice Data
PCD-02 filter (HL7 V2.5 §5.7)Filter predicates …- MRN - one or more patient identifiers [‘’ matches all patients]- Patient Location (PV1.3) [‘’ matches all location results]- Hospital Service (PV1.10) [‘’ matches all results]- SRVC (OBR.4) [‘’ matches all orders]- time interval
(all predicates are ANDed)
Device Observation Filter (DOF)
PCD-02: Subscribe toPCD Data
Data Observation Consumer (DOC)
PCD-01: CommunicateDevice Data