Todd CooperBreakthrough Solutions

20050929

Patient Care DeviceInteroperability Standards

IHE-PCD

Breakthrough Solutions, Todd Cooper, 20050928 2

IHE-PCD

State of open standards-based medical device connectivity?

Nonexistent!

Proprietary Interfaces + Partnerships =

Security for vendorsLimitations & expense for providers & patients

A business issue – not a lack of technology

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IHE-PCD

What has blocked implementation of medical device interoperability?

Incomplete standards … but no longer the case!Uncoordinated & inconsistent demand

from providers and other user stakeholdersUndefined stakeholder value

propositionsResources – esp. of standardization effortsInfrastructure is a hard sell (who benefits?!)

A business issue – not a lack of technology

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IHE-PCD

Vent

Vital Signs

Monitor

Infusion Pumps

Pulse Ox

Dialysis Machine

PoC Integration (X73)

Device Data

Manager

Enterprise Integration (HL7, DICOM, X12,…X73)

HIS

PACS

CIS

Pharmacy

LAB

Gateway

Multi-vendor environmentRequires both semantic & technical interoperability

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IHE-PCD

IEEEEMBS 1073

CENTC251 WGIV

HL7DEV SIG

ISOTC215 WG7

Single set of

Internationally

Harmonized

Medical Device

Informatics & Interoperability

Standards

IHE Patient Care Devices

Domain

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IHE-PCD

Provide real-time plug-and-play interoperability for patient-connected medical devices

ISO/IEEE 11073 purpose:

andFacilitate 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.

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IHE-PCD

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 wirelessTogether these support connector-to-content interfaces!

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IHE-PCD

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IHE-PCD

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)

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IHE-PCD

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

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IHE-PCD

IHE PCD will…

Define open standards-based implementation profilesDrive further standardization efforts

Enable realization of PCD value propositions!