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Enhancing Device Interoperability in Integrated EHR for Remote Pacemaker and Defibrillator Monitoring

This document outlines advanced approaches to device interoperability within integrated Electronic Health Record (EHR) systems, specifically focusing on remote monitoring of pacemaker and defibrillator patients at home. It details the data review processes whereby clinicians receive reports via the IDCO profile, ensuring streamlined communication between hospital systems like Epic and Medtronic's EHR solutions. The comprehensive integration emphasizes medication safety, vital signs monitoring, and the use of various medical devices, supporting outpatient care through seamless EHR updates.

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Enhancing Device Interoperability in Integrated EHR for Remote Pacemaker and Defibrillator Monitoring

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  1. Act 10 – Device Interoperability For The Integrated EHR 10-1 Remote Monitoring Pacemaker / Defibrillator Patient at Home 10-2 Physician Review Pacemaker / Defib Data Review System Sends Report Using IDCO Profile to MD’s and Hospital ‘s EHR 10-3 Hospital Outpatient Admitting Medtronic (IDCR) NextGen physician’s office EHR (IDCC) Epic hospital EHR (IDCC) Epic EHR (DOC) Medtronic Home Monitor Start END 10-6 Discharge 10-5 PACU BCMA for Medication Safety, Pump, Bed , Vital Signs 10-4 Outpatient OR Physiologic, Device Data Draeger Phys Mon (DOR) Epic EHR (DOC, IOP, IDCC) Pumps with BCMA: 1. B Braun (IOC, DOR) 2. CareFusion (IOC, DOR) 3. Hospira (IOC, DOR) Medtronic (IDCR) GE Muse (IDCC) Capsule with Bed (DOR) GE Anesthesia , Phys Mon and Gateway (DOR) Capsule with Sedation Monitor (DOR) Surgical Information Systems (DOC, XPHR) LiveDataDashboard (DOC) Epic EHR (DOC) DOR: Device Observation Reporter; DOC: Device Observation Consumer; IOP: Infusion Order Programmer; IOC: Infusion Order Consumer

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