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Potential Posters for HIMSS11

Potential Posters for HIMSS11. PCD and Continua; Integration of home, personal and regulated medical devices.

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Potential Posters for HIMSS11

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  1. Potential Posters for HIMSS11 PCD and Continua; Integration of home, personal and regulated medical devices

  2. Continua-IHE interoperability standard alignment is an example of medical system and ICT convergence that was precipitated by the global demand for interoperable hospital, eHealth, telemedicine, and telehealth solutions: • Allows almost any brand of Continua personal health device and/or IHE clinical (medical) device can be used or interchanged in any appropriate setting; • TECHNOLOGY can finally assure automatic and accurate data capture and eliminate error-prone manual entry (similar to most other industries like aviation and manufacturing); and • Can provide near real-time update of Electronic Health Record/Personal Health Record. NOTE: Must specify the “Continua-WAN” interface for IHE compatibility

  3. IHE-PCD and Continua “live” in two different but overlapping worlds • Continua – “Personal Health Devices” non-regulated personal appliances, non-life-critical settings like home, car, gym, simple data sets • Personal wellness status, chronic illness home care • IHE-PCD – Full-on clinical devices and applications, from home chemotherapy through intensive care, implanted devices, and surgery • Becoming MUCH more mobile, including relative acute care management at the home • Both products must co-exist in the home, with overlapping missions, different price-points

  4. Beginning this Fall, a single data interface architecture can be used by all Continua Personal Health Devices, all IHE-PCD Medical Devices, and all IHE EHRs! 4 With permission, Continua Alliance

  5. Continua and IHE-PCDCollaborative solutions! • The Continua Health Alliance focuses on “Personal Health Devices,” principally oriented towards non-life-critical health and wellness management outside of hospital settings • Primarily focused on gathering chronic disease diagnostic health data, and wellness monitoring data, into Personal Health Records www.ContinuaAlliance.org • The IHE Patient Care Device Domain deals with all clinical settings, life-critical applications, and chronic disease diagnosis and treatment (acute/intensive care, surgery, implants, physician offices, and home care) • Focused on device safety and integrating data into Electronic Medical Records/Electronic Health Records and Personal Health Records www.IHE.net/PCD

  6. IHE Patient Care Device Clinical Areas 1 8 Physiologic  Monitoring  System ACM,  DEC,  WCM 2 CPOE/ Pharmacy  System Clinical Decision  Support System Ventilation/ Anesthesia System ACM,  DEC,  WCM ACM,  DEC,  WCM 3 7 Barcode  Medication  Administration  System EMR/EHR CIS ACM,  DEC,  WCM Infusion  Pump Implantable  Device Equipment Management System ACM,  DEC DEC PIV IDCO ACM,  MEM 4 Home Based Systems eHealth & TeleHealth 6 Other  Devices ACM: Alarm Communication Management DEC: Device Enterprise Communication IDCO: Implantable Device – Cardiac – Observation MEM: Medical Equipment Management PIV: Point‐of‐Care Infusion Verification WCM:  Waveform Communication Management 5 Current PCD Future PCD Future  Non‐ PCD 32

  7. Profiling has emerged as a POWERFUL enabler • IHE’s and Continua’s “Integration Profiles” take myriad “base standards” such as DICOM, ICD9/10, HL7, or IEEE and “CONSTRAINS THE OPTIONALITIES” • e.g., Each standard has a different (or many different) coding choices and data structure locations for Date and Time • An Integration Profile specifies the SOLE option to be used for each standard AND specifies a SOLE Global Standard for “Universal Timekeeping” (typically “internet time”)

  8. The EMBS IEEE 11073.x standards are foundational to both Continua and IHE

  9. IHE’s Rosetta Project maps ALL vendor clinical coding to each other via IEEE 11073

  10. IHE Rosetta Project • Now over 400 columns of vendor-specific mappings of clinical variables and globally-harmonized UCUM units of measurements • e.g., Every brand of ECG monitor, EHR, or IV pump can “know” the kinds of data that other branded products might send, and can therefore translate that information correctly • This is ESSENTIAL for life-critical data preservation, interpretation, and, ultimately, closed-loop multi-vendor systems

  11. All IHE and IHE-PCD profiles are FREE to download and use • www.IHE.net and www.IHE.net/PCD • Continua Alliance profiles are proprietary, and require membership in the Community

  12. For further information Integrating the Healthcare Enterprise IHE Web:www.ihe.netPCD Web:www.ihe.net/pcd and www.accenet.org/ihe Wiki:http://wiki.ihe.net/index.php?title=Patient_Care_Device PCD Getting Started:http://wiki.ihe.net/index.php?title=PCD_Getting_Started PCD Users’ Handbook:http://www.ihe.net/Resources/handbook.cfm Continua Health Alliance Web:http://www.continuaalliance.org Continua Wiki:http://en.wikipedia.org/wiki/The_Continua_Health_Alliance Continua Overview Presentation, Video, Flyers:http://www.continuaalliance.com/about-the-alliance.html National Institute of Standards and Technology Web:http://www.nist.gov Medical Devices:http://www.nist.gov/medicaldevices

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