1. What is the End-Goal? Interoperability? Integration? Connectivity?
Interfacing?
Ken Fuchs M.Eng., MBA
Draeger Medical Systems, Inc.
Co-chair, IHE PCD Planning Committee
January 2010

2. Do these terms have meaning?
Integrating the Healthcare Enterprise
Workshop on Interoperability
Medical Device Connectivity Conference
Integrated Clinical Environment
“Changing the way Healthcare Connects”
Medical Device Plug and Play
Connectivity Consultant ….
January 2010

3. January 2010

4. Levels of Interoperability
“Plug & Find”
A, A & A Interoperability
Ease of Integration
Profiled standards
“Plug & Test”
Semantic Interoperability
Profiled standards
“Plug & Pray”
Process Complexity
Syntactic
Interoperability
Standards-based protocols
“Plug & Code”
Qualified Interoperability
Proprietary protocols
“Plug”
Physical
Connectivity
A, A & A = Authentication, Authorization & Association
Standards-based lower layers…
January 2010

5. Levels of Interoperability
“Plug & Find
A, A & A Interoperability
Ease of Integration
Profiled standards
“Plug & Test”
Semantic Interoperability
IHE, Continua, HITSP, ICE, …
Profiled standards
“Plug & Pray”
Process Complexity
Syntactic
Interoperability
Standards-based protocols
HL7, DICOM, IEEE 11073, …
“Plug & Code”
Qualified Interoperability
The “norm” (chaos)…
Proprietary protocols
“Plug”
Physical
Connectivity
RS232, Ethernet, , TCP/IP, …
Standards-based lower layers…
January 2010

6. Levels of Interoperability
“Plug & Find
A, A & A Interoperability
Ease of Integration
“Plug & Interoperate”
Profiled standards
“Plug & Test”
Certified
Interoperability
Independently certified implementations
Semantic Interoperability
Profiled standards
“Plug & Pray”
Process Complexity
Continua, CCHIT, …
Syntactic
Interoperability
Standards-based protocols
“Plug & Code”
Qualified Interoperability
Proprietary protocols
“Plug & Work”
“Plug”
Certified
Connectivity
Independently certified implementations
Physical
Connectivity
WIFI Alliance, UNH, Bluetooth, …
Standards-based lower layers…
January 2010
CCHIT - Certification Commission for Healthcare Information Technology

7. IHE Process
January 2010

8. IHE Patient Care Devices (PCD)
IHE-PCD Charter
The Patient Care Device Domain is a group within IHE concerned with creating and testing standards based profiles which address 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 & co-sponsored by HIMSS & ACCE
January 2010

9. DPI and DEC DEC Device Enterprise Communication
Device PoC Integration
DEC
Device Enterprise
Communication
[Source: IEEE , Figure 2]
January 2010

10. PCD Use Cases Current: Under Development:
Enterprise sharing of Patient Care Data (DEC)
Patient Identity Binding to Device Data (PIB)
Subscribe to Patient Data (SPD)
PCD Alarm Communication Management (ACM)
Point-of-care Infusion Verification (PIV)
Rosetta Stone Terminology Project (RTM)
User Handbook
Implanted Device – Cardiac Observation (IDCO)
Under Development:
Device Point-of-Care Integration (DPI) – White Paper
Medical Equipment Management (MEM) – White Paper
Waveform Communication Management (WCM)
January 2010

11. PCD Use Cases Under Consideration: Asynchronous Data Query
Query for Bulk Data (QBD)
Location Tracking
Medical Equipment Management
Device to Patient Association
Device Integration Profiles
Device Integration – General Content Profile
Event Communication Management
January 2010

12. Connectathon ‘09
January 2010

13. HIMSS – PCD in Action
January 2010 13

14. PCD & Industry Coordination
PCD coordination with other groups…
HL7 & IEEE EMB
Continua Health Alliance
HITSP (RMON & CMDC use cases)
CIMIT MDPnP Program & “ICE” Architectures (ICE-PAC group)
January 2010