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Distributed Alarm System in the Hospital based on DAKS. Medical or other device/system. (µ)ESPA-X connections to the active DAKS server. VoIP/TDM trunk; SMS service; OAP, DSAP, and SMTP connections. Medical or other device/system. e.g. HL7. Medical or other device/system.

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system topology

Medicalor other

device/system

(µ)ESPA-X connections to the active DAKS server

VoIP/TDM trunk; SMS service; OAP, DSAP, and SMTP connections

Medicalor other

device/system

e.g. HL7

Medicalor other

device/system

Smartphoneswith integrated'DAKS Mobile Client'

SIEMENSMed

OPENLink

e.g. HL7

DAKS server #1 with process server

Wi-Fi

Medicalor other

device/system

e.g. HL7

DAKS cluster: one active –one hot standby

Medicalor other

device/system

PublicGSM/UMTS

e.g. HL7

Hospital'spGSM server

StandardGSM phones

µDAKS-Adapt

Medicalor other

device/system

DAKS server #2 with process server

ESPA 4.4.4

ISDN

DECT or WiFitags and medallions

Medicalor other

device/system

TAP

DAKS Administrator:

DOCS (browser based)

DAKS-TT Administrator-Tools

Contacts

Medicalor other

device/system

Internet

DECT/WiFihandsets

DECT

DAKS DatabaseServer

DAKS Operators: DOCS (browser-based) and/or DAKS-TT Operator-Toolsand/or DAKS Customized Operator

Hospital's PBX

Stationaryphones

Hospital's Ethernet-LAN

System Topology

Distributed Alarm System in the Hospital based on DAKS (Draft)

overall strategy
Overall Strategy

Distributed Alarm System in the Hospital based on DAKS (Draft)

  • Single DAKS server or DAKS cluster (one active / one in hot-standby) for alarm control
  • Hospital's LAN as basis for the data interchange between the components of the "Distributed Alarm System"
  • DAKS peripheral components for operation and administration:
    • DAKS process server (attached to every DAKS server)
    • DAKS database server (one per system)
    • DAKS-TT administrator tools (Windows PC software)
    • DAKS-TT operator tools (Windows PC software)
    • Customer-specific graphical user interfaces "DAKS Customized Operator = DCO", as an add-on to the DAKS-TT Operator tools (Windows PC software)
    • completely browser-based "DAKS-Operator-Control-System = DOCS"
  • µ(ESPA)-X interfaces on the host side:
    • directly from the medical or non-medical devices/systems
    • from the medical or non-medical devices/systems with serial interfaces or contact interfaces via µDAKS-Adapt converters
    • from the medical or non-medical devices/systems with e.g. HL7 interfaces and a data concentrator e.g. from Siemens Med
  • VoIP trunk, TDM trunk, SMS messaging, SMTP messaging, OAP and/or DSAP connections to the caregiver's devices (mobile or stationary):
    • Telephone calls, emergency telephone conferences
    • Simple messaging
    • Intelligent communication with DAKS Mobile Clients (Apps for Smartphones and PCs)
scenario 1 patient call via ip nurse call to ascom i75 with escalation to blackberry via gsm umts

Data

Data

Data

ESPA-X

Voice

Voice

Voice

TDMVoIP

Data

OScAR-Pro

Data

Scenario #1: Patient call via IP Nurse Call to Ascom i75 with escalation to BlackBerry via GSM/UMTS

Distributed Alarm System in the Hospital based on DAKS (Draft)

DoorIntercom

IP Nurse CallServer

Wi-Fi AP

PATIENT CALL

W01 R22 B02

Ascom i75

Pos Neg Call

AscomIMS

Bilateral voice communication

TCP/IP LAN

GSM/UMTS

HiPath

  • Competent responders(calling numbers/calling groups etc.)
  • Text message indicating Ward/Room/Bed
  • Assigned voice announcements

BlackBerryEnterprise Server

BlackBerry

scenario 2 patient call via ip nurse call to an iphone via gsm umts

Data

ESPA-X

Voice

Voice

Voice

TDMVoIP

Data

OScAR-Pro

Data

Scenario #2: Patient call via IP Nurse Callto an iPhone via GSM/UMTS

Distributed Alarm System in the Hospital based on DAKS (Draft)

DoorIntercom

IP Nurse CallServer

Wi-Fi AP

Bilateral voice communication

TCP/IP LAN

GSM/UMTS

HiPath

  • Competent responders(calling numbers/calling groups etc.)
  • Text message indicating Ward/Room/Bed
  • Assigned voice announcements

iPhone

transport logistics assignment from syncrotess to blackberry via gsm umts or wi fi

ESPA-X

DAKS

Transport Logistics Assignment from SyncroTESSto BlackBerry via GSM/UMTS or Wi-Fi

Distributed Alarm System in the Hospital based on DAKS (Draft)

SyncroTESS Server

assigned

Transparent Mode

TCP/IP LAN

Wi-Fi

GSM/UMTS

BlackBerryEnterprise Server

  • Dialog via text messagesin combination with soft keys

BlackBerry

transmission of a confidential message including pin request and text to voice translation

Text for TTV

Data

DAKS

Data

Voice

Transmission of a Confidential MessageIncluding PIN Request and Text-to-Voice Translation

Distributed Alarm System in the Hospital based on DAKS (Draft)

DAKS-TT Operator-Tool with DCO

TCP/IP LAN

GSM/UMTS

BlackBerryEnterprise Server

  • Text-to-speech conversion via Text-to-Voice (TTV)

BlackBerry

no movement alarm from a gmd emergency medallion with subsequent positioning

DAKS

No-movement Alarm from a GMD Emergency Medallionwith Subsequent Positioning

Distributed Alarm System in the Hospital based on DAKS (Draft)

DPS-view

Wi-Fi AP

Operator Tool

GMD-22

TCP/IP LAN

GSM/UMTS

  • Competent responders(calling numbers/calling groups etc.)
  • Text message includingpositioning result
  • Assigned voice announcements

BlackBerryEnterprise Server

BlackBerry

typical work flow of a patient call using the example of a blackberry smartphone

Alert next nurse

letsring

Nurse callsystem

attentionsignal

Patient calling

takescall

Typical Work Flow of a Patient CallUsing the Example of a BlackBerry Smartphone

Distributed Alarm System in the Hospital based on DAKS (Draft)

After talk-back to the patient room the following options are available:

"Store call" (hang up)

"Prioritize call" ('1')

"Delete call" ('#')

End of patient call

"Store call"

emergency alarm from an iphone with an installed dmc with subsequent positioning

DAKS

Emergency Alarm from an iPhone withan Installed DMC, with Subsequent Positioning

Distributed Alarm System in the Hospital based on DAKS (Draft)

Control Center

DPS-view

Wi-Fi AP

iPhone with an installed'DAKS Mobile Client'

TCP/IP LAN

  • Competent responders(calling numbers/calling groups etc.)
  • Text message w/ positioning result
  • Assigned voice announcements
triggering of a crisis team conference from a blackberry with an installed dmc

DAKS

Triggering of a Crisis Team Conference froma BlackBerry with an Installed DMC

Distributed Alarm System in the Hospital based on DAKS (Draft)

Control Center

Wi-Fi AP

BlackBerry with an installed'DAKS Mobile Client'

TCP/IP LAN

  • Competent responders(calling numbers/calling groups etc.)
  • Display text
  • Assigned voice announcements
espa x modern link up of host systems to alarm servers
ESPA-XModern Link-up of Host Systems to Alarm Servers

Distributed Alarm System in the Hospital based on DAKS (Draft)

PBX

e.g. eurse call system

ESPA-X

Soft switch

LAN / WAN

Alarmserver

e.g. emerg. resp. host computer

ESPA-X

DECT

  • XML encoded client server interface
  • broad standardized basis,expandable on proprietary basis
  • easy implementation
  • with feedback evaluableby the computer
  • more at: http://www.espa-x.org

ESPA-X

Wi-Fi

e.g. BCM tool

GSM /UMTS

the continuously growing espa x community in alphabetic order

Industry SectorAutomation Technology

Industry SectorBuilding Technologies

Enterprise Communications

The Continuously Growing ESPA-X Community(in alphabetic order)

Distributed Alarm System in the Hospital based on DAKS (Draft)

functionalities of a daks mobile client dmc if supported by the device
Functionalities of a 'DAKS Mobile Client' (DMC)(if supported by the device)

Distributed Alarm System in the Hospital based on DAKS (Draft)

  • Notification via text messages (also complex dialogs) with accompanying variable attention signal (regular, urgent and emergency), also during ongoing telephone calls
  • Softkeys:
    • for PIN inputs and instant confirmation or rejection of received tasks (closed-loop-notifications)
    • to set up telephone calls (e.g. to a prepared conference)
    • for dynamic links to a web page (e. g. video image or ECG details)
  • Background information exchange with DAKS for presence status detection
  • Campus-wide location tracking information in the Wi-Fi environment
  • Automatic communication route selection
    • WiFi communication  for in-house subscribers
    • GSM/UMTS communication  for external subscribers
  • Emergency button to set off alarm calls
  • Automatic 'History' function (received messages and type of ACK)
  • Additional features in preparation
daks smartphone access dsa schematic overview and roadmap

Ascom i62 or i75

Ascom IMS

OAP

Apple iOS(in review at Apple)

Windows mobile (planned)

BlackBerry (RIM)(available)

DAKS Smartphone Access Protocol (DSAP)

Android(planned)

Apple Mac OS(planned)

DAKSwith DAKS SmartphoneAccess Service (DSAS)

Windows Vista / 7(planned)

Microsoft Lync(planned)

DAKS Smartphone Access (DSA):Schematic Overview and Roadmap

Distributed Alarm System in the Hospital based on DAKS (Draft)

DAKS Mobile Client (DMC)

on various terminals