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Patient Care Devices Todd Cooper Breakthrough Solutions Foundry, Inc. Board, IHE International Co-chair, IHE PCD Technical Committee.

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Presentation on theme: "Patient Care Devices Todd Cooper Breakthrough Solutions Foundry, Inc. Board, IHE International Co-chair, IHE PCD Technical Committee."— Presentation transcript:

1 Patient Care Devices Todd Cooper Breakthrough Solutions Foundry, Inc. Board, IHE International Co-chair, IHE PCD Technical Committee

2 2 IHE Patient Care Devices (PCD) IHE-PCD Charter The Patient Care Device 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 and laboratory. NOTE: Formed in 2005 & sponsored by HIMSS & ACCE NOTE: Formed in 2005 & sponsored by HIMSS & ACCE

3 3 Welch Allyn Connex TM DataManagementSystem Vital Signs Monitor GEAwareGateway Patient Monitor, Ventilator PhilipsIntellivueInformationCenter Patient Monitor, Ventilator Emergency CareIntensive Care LiveDataOR-DashBoardGE Centricity ® Periop Anesthesia Draeger Innovian ® Solution Suite Patient Monitor, Anesthesia Sys B. Braun DoseTrac TM InfusionManagementSoftware Infusion Devices Perioperative Care Philips Intellivue Clinical InformationPortfolio HIMSS 07 Systems

4 4 HIMSS 08 Systems

5 5 HIMSS Showcase 08

6 6 PCD Profile Development Framework Development Framework Development –Enterprise sharing of Patient Care Data (DEC) –Patient Identity Binding to Device Data (PIB) –Subscribe to Patient Data (SPD) Key Objectives 2008/2009Key Objectives 2008/2009 –Rosetta Stone Terminology Project (RTM) –PCD Alarm Communication Management (ACM) –Point-of-care Infusion Verification (PIV) Key Objectives 2009 and beyondKey Objectives 2009 and beyond –Device Point-of-care Integration (DPI) –Medical Equipment Management (MEM) –Waveform Communication Management (WCM) –Query for Bulk Data (QBD) Initial device classes…Initial device classes… vital signs / physiological monitors, infusion pumps and ventilators

7 7 PCD Profile Development 2009 White Paper Proposals2009 White Paper Proposals –Device Point-of-care Integration (DPI) –Medical Equipment Management (MEM) –Medical Device Semantic Architecture –Regulatory Considerations in Deploying Systems Incorporating IHE PCD Profiles IHE PCD Users HandbookIHE PCD Users Handbook –What is & is not specified in PCD Profiles –How to assess PCD profile support –System verification & validation testing considerations

8 8 GE Centricity ® Periop Anes. Enterprise DOC Patient LiveData OR – DashBoard TM DOR = Device Observation Reporter IOP = Infusion Order Programmer DOC = Device Observation Consumer IOC = Infusion Order Consumer AR = Alarm Reporter / AM = Alarm Manager PDQ/PAM Server Philips IntelliVue Clinical Clinical Info Portfolio DOC Draeger Innovian ® Web Capsule GE Centricity ® Enterprise DOC LiveData Alert Manager Philips Emergin AM OR Time Server Step-DownICU AM Hospital Bed, BIS Monitor Capsule DataCaptor DOR, AR Patient Monitor DOR, AR Philips IntelliVue Info. Center AR DOR, AR Cerner CareMobile TM DOCIOP AC DOR, AR Hospital Bed, VS Monitor Cerner CareAware TM DOR, AR Infusion Devices IOC B. Braun HospiraCardinal Patient Monitor, Ventilator DOR GE Aware Gateway DOR, AR Infusion Devices IOC B. Braun HospiraCardinal Patient Monitor, Anesthesia Sys DOR, AR Draeger Infinity Gateway DOR, AR Infusion Devices B. Braun HospiraCardinal Patient Polycom Wireless Phone Alarm Client Capsule SIS Periop Solution DOC Cerner CareMobile TM DOCIOP IHE PCD 09 Showcase

9 9 IHE PCD Profile: DEC w/ PIB

10 10 IHE PCD DEC: Simplified Specs

11 11 IHE PCD Profile: DEC w/ SPD

12 12 IHE PCD Profile: RTM

13 13 IHE PCD Profile: RTM Migrating Toward True PCD Semantic Interoperability

14 14 GroupREFERENCE_ID Vendor_ Description CODEVendor AVendor BVendor C CVS_ECG_HRMDC_ECG_CARD_BEAT_RATEHeart Rate (DBR 326)16770HR CVS_ECG_HRMDC_ECG_CARD_BEAT_RATE_BTBBeat-to-Beat Rate16778btbHR CVS_ECG_HRMDC_ECG_HEART_RATEHeart Rate (DBR 2178)16770HR CVS_ECG_HRMDC_ECG_PACED_BEAT_RATE%PACED 16554%PACED CVS_ECG_HRMDC_ECG_TIME_PD_RR_GLR to R Interval 16168rr_time CVS_ECG_QTMDC_ECG_TIME_PD_QT_GLQT interval 16160QT CVS_ECG_QTMDC_ECG_TIME_PD_QTcQT interval (corrected)16164QTc CVS_ECG_RHYMDC_ECG_ARRHYArrhythmia 4410ARR CVS_ECG_RHYMDC_ECG_V_P_C_CNTPVC rate.16993PVC/min PVC CVS_ECG_STMDC_ECG_AMPL_STST generic label 768ST CVS_ECG_STMDC_ECG_AMPL_ST_AVFST lead aVF 832STaVF ST-AVF ST-aVF CVS_ECG_STMDC_ECG_AMPL_ST_AVLST lead aVL 831STaVL ST-AVL ST-aVL CVS_ECG_STMDC_ECG_AMPL_ST_AVRST lead aVR 830STaVRST-AVRST-aVR IHE PCD Profile: RTM

15 15 IHE PCD Profile: RTM 2008/09 RTM development goals… Expand number of numeric parameters Expand number of numeric parameters supported by PCD-01 from 40 today to over 400; Harmonize Harmonize the use of existing nomenclature terms defined by ISO/IEEE ; units-of-measure, enumerated values body siteseach Specify the units-of-measure, enumerated values and body sites associated with each numeric parameter; define new nomenclature terms Identify and define new nomenclature terms that are currently missing from the ISO/IEEE x standards. NOTE: Respiratory / Ventilator terms are a major area. See

16 16 IHE PCD Profile: ACM Alarm Communication Management …enables systems to deliver the right alarms, with the right priority, to the right individuals via devices with the right content, escalating to other individuals via devices (based on system configuration) Alarm Communication Management …enables systems to deliver the right alarms, with the right priority, to the right individuals via devices with the right content, escalating to other individuals via devices (based on system configuration)

17 17 IHE PCD Profile: ACM Alarm Source Alarm Aggregator Alarm Receiver Alarm Coordinator Alarm Disseminator Alarm Communication Alarm Endpoint Alarm Communicator (AC) Alarm Communicator (AC) Alarm Manager (AM) Alarm Manager (AM) Alarm Reporter (AR) Alarm Reporter (AR) Alarm Reporter Alarm Cache Alarm Archiver AA (AA) Alarm Archiver AA (AA) Communication detailed in ACM profile Communication not detailed in ACM profile PCD Inputs (PM, NC, Resp, Pump, etc.) PCD Inputs (PM, NC, Resp, Pump, etc.) Output Devices (Marquee Sign, Pager, Wi-Fi Phone or Badge, etc.) Output Devices (Marquee Sign, Pager, Wi-Fi Phone or Badge, etc.) HIS, EMR Optional

18 18 IHE PCD Profile: PIV This is the focus of PIV … only!

19 19 IHE PCD Profile: PIV

20 20 DPI: Scope – one actor is a regulated patient centric point-of-care medical device device-to-device communication Device Point-of-care Integration (DPI) is concerned with use cases that include care contexts that fall within the stated charter of the IHE PCD, namely where "at least one actor is a regulated patient centric point-of-care medical device," and that require device-to-device communication. IHE PCD Profile: DPI

21 21 IHE PCD Profile: DPI Device Point-of-Care Integration Discovery and Association (PnP) Discovery and Association (PnP) Real-Time Data Reporting Real-Time Data Reporting Bi-Directional / Symmetric Bi-Directional / Symmetric External Control External Control Enterprise Integration Semantic Interoperability Monitored Parameters Alarms & Limits Waveforms (Real-Time) Control Parameters Semantic Interoperability Monitored Parameters Alarms & Limits Waveforms (Real-Time) Control Parameters Device Reporting, Management & Control Real-Time Clinical Decision Support Point-of-Care Applications Real-Time Closed / Open Loop Control DPI Manager / Enterprise Gateway

22 22 Alarm Reporter Alarm Manager Alarm Communicator HL7 HL7 Messages per ACM and WCM profiles HL7 Messages per ACM and WCM profiles Alarm Archiver Waveforms and annotations as evidentiary data items Waveforms and annotations as evidentiary data items Device Specific graphics Device Specific graphics Profile defined data items Profile defined data items Historical Storage Alarm Information Source, Phase, State, Priority Patient Location Instance Alarm text Callback Timestamp Evidentiary data (WCM) Dissemination Status Instance Accepted by AC Undeliverable Delivered Read Accepted Rejected Cancelled Callback start/stop Alarm Source Communication Device HL7 IHE Profiles: ACM & WCM

23 23 IHE PCD Profile: MEM

24 24 NIST Test Tooling Support DIM XSchema Compare Devices HL7/OBX Mapping (XML) Device UML Diagram ISO/IEEE DIM Part Nomenclature Part ICSGenerator Now Developing Terminology Management Tools

25 25 NIST Test Tooling Support

26 26 IHE PCD Cycle 4 Schedule

27 27 PCD & Industry Coordination PCD coordination with other groups… HL7 & IEEE EMB (MoUs) Continua Health Alliance (MoU) HITSP (RMON & CMDC use cases) CIMIT MDPnP Program & ICE Architectures (ICE-PAC group)

28 28 PCD - Meeting Expectations! Patient safety Quality of care Clinical workflow efficiency ECRI – Anticipated Health I.T. Benefits: Improved… IHE PCD Profiles and Tooling – Enabling improved patient care!

29 29 For Further Information InternetInternet –Web:www.ihe.net/pcd –Wiki:wiki.ihe.net/index.php?title=Patient_Care_Device PCD Co-ChairsPCD Co-Chairs –Ken FuchsPlanning –Steve Merritt Planning –Todd Cooper Technical –John RhoadsTechnical PCD Technical Project ManagerPCD Technical Project Manager –Manny Sponsor RepresentativesSponsor Representatives –Jack –Elliot SloaneIHE –Ray

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