IHE PCD F2F Agenda Virtual / projectathon / certification testing program requirements MDPRI progress and next steps Certification plans Potential innovation.

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Presentation transcript:

IHE PCD F2F Agenda Virtual / projectathon / certification testing program requirements MDPRI progress and next steps Certification plans Potential innovation center vignette

Medical Device Patient Record Integration (MDPRI) Project January 29, 2014

The Patient Data is Here....

But Not Here...............

Project History – Participants To DATE IHE International PCD Domain IHE PCD Leadership Manny Furst Paul Schluter John Garguilo John Rhoads HIMSS Lisa Gallagher Tom Leary Stephanie Jamison Jeff Coughlin HIMSS and IHE USA Alex Lippitt Joyce Sensmeier Kearney & Co Jackie Hunt Kim Douglas Karla Chryar HL7 – Todd Cooper IEEE – Bill Ash CAP Debbie Klieman Paloma Hawry EHRA (HIMSS) Angie Gorden Charles Parisot FDA – Terrie Reed Pew Charitable Trusts – Ben Moscovitch

Partner SEARCH Project and Government Relationship Management Kearney & Company, HIMSS? Development/Testing/ Deployment Management (TBD) Development/Testing/ Deployment Management (Consultancy TBD) Development/Testing/ Deployment Management (EHRA Recco Consultancy) Health Device Testing Pilot Execution Health System Medical Device Vendors Medical Device Middleware Vendors Semantic Harmonization Terminology Baseline Terminology Mapping Application Mapping Maintenance & Support NIST NLM Semantic Domain Consultants EHR / Clinical Monitoring Application Development Testing Pilot Execution Health System Interface Engine EHR Vendor(s) Leadership, End to End Testing, Standards and Metrics - IHE USA (Lippitt) / ONC S&I Frameworks Charter, Business Case, Use Case Development Requirements, Specifications, Implementation Guides Measurement, Sustainability Test Management and Quality Assurance

MDPRI Technical Solution Device Observation Reporters (DOR) Network Gateways Device Integration Engines Individual Devices Device Observation Consumers (DOC) Enterprise EMR, EHR, … 1 2 ISO/IEEE 11073 mapping to SNOMED and/or LOINC for vital sign numerics Numerics Waveforms Annotations Events Alerts Configuration Commands IHE PCD DEC IHE PCD DEC WCM, EC, ACM, … 3 4

MDPRI Technical Solution Enterprise gateways, device integration engines (e.g. Capsule, iSiron, Nuvon) and possibly individual devices send near real-time medical device data using the IHE PCD DEC Profiles (HL7 V2.6 messaging and ISO/IEEE 11073 nomenclatures. For numeric vital signs observations, a normative mapping from ISO/IEEE 11073 to SNOMED and/or LOINC are developed (by organizations representing SNOMED and/or LOINC) and are made available on the NIST RTMMS and other nomenclature repositories. Enterprise “Device Observation Consumers” would use the normative mapping table to translate the ISO/IEEE 11073 nomenclature to SNOMED and/or LOINC. Device-centric data (waveforms, events, alerts, configuration and commands) would use the ISO/IEEE 11073 nomenclature. The IHE PCD DEC (Device Enterprise Communication) Technical Framework and ISO/IEEE 11073 nomenclature are recognized as “Meaningful Use” profiles and standards for medical device data transfer to and from enterprise entities.

ICU Use Case (all standards based IHE Profiles) Device Clinical Data (Typical) Arrives In or Is Placed in Smart Bed Weight, Variety of Alarms, Advisories Physiologic Monitoring Vital Signs with Alarms, Advisories Question: Do we include Events (work in process)? Medication Admin. (PIV IOP) Bedside (or Bar-Code) Medication Administration system communicates physician orders to pump system for clinician's review and initiation IV Pump Delivers medication as prescribed and reports drug therapy delivery, progress, alarms, advisories and events PCA Pump Delivers pain meds in response to patient's needs . Reports drug therapy delivery, progress, alarms, advisories and events Ventilator Provides oxygenated air Pulse Oximeter May be part of the physiologic monitor Transferred to Local Community Hospital Discharge Summary (future)