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HL7 Healthcare Device SIG Device Informatics Update to Government Projects SIG

General Overview and IEEE PCD WG + IHE PCD Activities. HL7 Healthcare Device SIG Device Informatics Update to Government Projects SIG. 2006 September 12. Todd Cooper ISO TC215 WG7, IEEE EMBS 11073, HL7 DEV SIG, IHE PCD, HITSP Board.

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HL7 Healthcare Device SIG Device Informatics Update to Government Projects SIG

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  1. General Overview and IEEE PCD WG + IHE PCD Activities HL7 Healthcare Device SIGDevice Informatics Update to Government Projects SIG 2006 September 12 Todd Cooper ISO TC215 WG7, IEEE EMBS 11073, HL7 DEV SIG, IHE PCD, HITSP Board

  2. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper Session Overview Topics to be discussed… • Organizational & Project Overview • IEEE Personal Health Device WG • IHE Patient Care Device (PCD) Domain • Q & A

  3. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper Dialysis Machine Vital Signs Monitor Infusion Pumps PACS HIS Pharmacy CIS Pulse Ox Vent LAB Device Data Manager Foundational Concepts and Definitions Enterprise Integration (HL7, DICOM, X12,…X73) Gateway PoC Integration (X73) Multi-vendor environmentRequires both semantic & technical interoperability

  4. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper Foundational Concepts and Definitions Key Benefits of PCD Interoperability: • Heterogeneity – Multiple manufacturers + multiple device modalities coexisting over a shared infrastructure • Semantic Interoperability ( comparability) – shared terminology and data models, interpret data based on the clinical context, compare information from different healthcare facilities, and interrogate systems across enterprises and regions. • Real-Time Availability – ability to provide data in a time frame appropriate to the physiologic function being measured, displayed or affected (controlled).

  5. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper DICOM Medical Device Informatics Standardization IHE Patient Care Devices Domain ISO TC215 WG7 Single set of Internationally Harmonized Medical Device Informatics & Interoperability Standards IEEE EMBS 11073 CEN TC251 WG4 HL7 DEV & CBCC SIGs

  6. -0yyzz Guidelines / Technical Reports Information System -01010 RF Wireless -6yyzz Application Gateway Monitor/Manager -1yyzz Information Profiles -10101 Nomenclature -10201 Domain Info Model (DIM) HL7 / CEN/ISO/IEEE / POCT-1A Compatible -103xx / -104xx -10313 Pulmonary -10301 Infusion -10304 Pulse Ox -10307 BP -10310 Cardiac -10315 Scale -10302 Vital Signs -10305 Defib -10308 Temp -10311 Gas Anl DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper -10316 Dialysis -10303 Ventilator -10306 ECG -10309 Airway -10312 Hemo -20000 Application Profile – Framework & Overview -9yyzz Analytic Instruments – PoC Tests -20500 Security – Framework & Overview -5yyzz Internetworking Support -20400 Network Services - Framework & Overview -20402 QoS Mngt -20403 Location -20404 ID -2040? -2040? -20401 IP protocol (applies only to ENet, wLAN) -2040x BT Data ISO / OSI Model Framework -30000 Transport Profile – Framework & Overview -30500 RF Wireless - Framework & Overview IrDA 11073-30300 ENet 11073-30400 [802.3] Cabled 11073-30200 e.g., RS-232C RS-422 (USB) WMTS 11073 -30508 Mesh Networks 11073 -30507 wMAN wRAN 11073 -30504 e.g., 802.16e 802.20 802.22 wWAN 11073 -30505 e.g., 2G 3G wLAN 11073-30503 e.g., 802.11a 802.11b 802.11g wPAN 11073 -30501 [BT / 802.15.1] wPAN 11073 -30502 [low- rate] 802.15.4 MICs / MedRadio wPAN 11073 -30503 [high- rate] e.g., UWB WIRED WIRELESS Device Medical Device Informatics Standardization

  7. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper ISO/IEEE Standards Published ISO/IEEE 11073 Standards… • IEEE 1073 Framework & Overview (under revision) • ISO/IEEE 11073-10101 Nomenclature / Terminology • ISO/IEEE 11073-10201 Domain Information Model • ISO/IEEE 11073-20101 Application Profile – Base Std. • ISO/IEEE 11073-30200 Transport Profile – Cable Connected • ISO/IEEE 11073-30300 Transport Profile – IR Wireless

  8. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper ISO/IEEE Standards Active ISO/IEEE projects (partial) … • -10102 Annotated ECG Terminology • -10103 Implantable Device, Cardiac Terminology • -20103 Clinical Context Management (CCoM) • -20301 Remote Control • -30400 Inter-LAN (IP protocol profiling) • -30503 wLAN & -30505 wWAN

  9. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper IEEE 11073 Personal Health Device WG PAR(s) for –1yyzz series work Pulse Oximeter Blood Pressure Glucose Pulse Weight Spiro- meter … Device Specializations OSI Layer 7 Consistent Data/Command Framework Layers 1-6 Serial IrDA Bluetooth USB ZigBee Transport Technical Report PAR PAR for –2yyzz series work

  10. IEEE 11073 Personal Health Device WG Proposed key milestones DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper

  11. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper Patient Care Devices IHE Patient Care Device Domain Expanding Reach IHE EHR - Longitudinal Record IHE IT Infrastructure IHE IHE 13 Integration Profiles Radiology Cardiology 4 Integration Profiles 16 Integration Profiles IHE Patient Care Coordination New IHE Laboratory Domains 5 Integration Profiles 1 Integration Profile 2 Integration Profiles 5 Technical Frameworks 39 Integration Profiles, Testing at Multiple Connectathons Annually

  12. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper IHE Patient Care Device Domain IHE-PCD Charter The Patient Care Devices Domain is concerned with Use Cases in which at least one actor is a regulated patient care device. The PCD coordinates with other IHE clinical specialty based domains such as medical imaging.

  13. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper IHE Patient Care Device Domain PCD Roadmap… • Year 1: • Enterprise sharing of Patient Care Data • Initial device classes – vital sign monitors, infusion pumps, ventilators… and possibly others

  14. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper IHE Patient Care Device Domain • 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!

  15. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper IHE Patient Care Device Domain • 2006 Development Schedule: • Planning Committee decision: mid-January • Issue Public Comment version: June 2006 • Public Comment Due: July 2006 • Issue Trial Implementation version: August 8, 2006 • IHE Connectathon: January 2007 • HIMSS Demo: February 2007

  16. IHE Patient Care Device Domain DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper

  17. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper 11073 Standards (DIM + Terms) HL7v2.x Standard IEEE 11073 Standard IHE-ITI Patient Administration n NIST -Attribute ID, Term codes, value ranges, qualifiers…-Object Containment Tree P11073-60101 HL7 V2.x ORI (gateway) ICS-Generator ICS XML File (XSLT) IHE/PCD Technical Framework (vol 2) (Transactions) Testing Framework IHE Message Profile Message Profile xml IHE Patient Care Devices Domain Test Framework …

  18. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper IHE Patient Care Devices Domain • 2006 Development Schedule: • Planning Committee decision: mid-January • Issue Public Comment version: June 2006 • Public Comment Due: July 2006 • Issue Trial Implementation version: August 2006 • IHE Connectathon: January 2007 • HIMSS Demo: February 2007

  19. DEV SIG – Update to the Government Projects SIG – 2006-09-12 – Boca Raton – Todd Cooper Q & A

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