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Patient Care Device Interoperability Standards

IHE-PCD. Patient Care Device Interoperability Standards. 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.

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Patient Care Device Interoperability Standards

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  1. IHE-PCD Patient Care DeviceInteroperability Standards

  2. 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

  3. 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

  4. Dialysis Machine Vital Signs Monitor Infusion Pumps Vent Pulse Ox HIS PACS CIS Pharmacy LAB Device Data Manager Enterprise Integration (HL7, DICOM, X12,…X73) Gateway PoC Integration (X73) Multi-vendor environmentRequires both semantic & technical interoperability

  5. IHE Patient Care Devices Domain ISO TC215 WG7 Single set of Internationally Harmonized Medical Device Informatics & Interoperability Standards IEEE EMBS 1073 CEN TC251 WGIV HL7 DEV SIG

  6. 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.

  7. 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!

  8. 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)

  9. 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

  10. IHE PCD will… Define open standards-based implementation profiles Drive further standardization efforts Enable realization of PCD value propositions!

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