1. © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

2. © IHE 2009 2 This document provides an overview of the HIMSS 2009 New Directions IHE PCD DPI door poster. Use Case scope is summarized in the following table. Harmonization Use Matrix Developed from contributions by several harmonization* working groups Initial phase focuses on normalization of acute care data interchange representation and transportation (see Phasing) Table, p.8

3. © IHE 2009 3 Poster Location - Presentation

4. © IHE 2009 4 Poster - Areas of Interest Round-trip Engineering (RTE) DPI Point-of-Care (PoC) [Sub-]Acute care [wireless] Patient/Local Area Networking ([w]P/LAN) Clinical Workflow Support Concentric Patient-related information integration SCADA eMR Harmonization Use Matrix Patient Mgmt Appl’ns Use Cases

5. © IHE 2009 5 DPI PoC [w]P/LAN DPI Point-of-Care (PoC) acute care Patient/Local Area Network (P/LAN), incl. wirelesss (wP/LAN) Supervisory Control and Data Acq’n (SCADA): may be local or remote, wired or wireless, patient- or body-area network-based (wP/LAN). Transport without data transform via Clinical LAN is necessary to integrate patient data from mobile location(s), e.g. Ancillaries, to “home- bed” and “home-nurses’ station[s]” Transport with data transform (e.g. IEEE 11073- 10201  HL7 v2.x is necessary for integration in Clinical Document Arch. (CDA) format via IHE PCD DEC method Publish /Subscribe method is facilitated by use of data topology ‘tree’ @ ICS Generator tool XML format

6. © IHE 2009 6 DPI PoC [w]P/LAN Relationships DPI Point-of-Care (PoC) acute care Patient/Local Area Network (P/LAN), incl. wirelesss (wP/LAN) Sensor-based data acquisition DPI Data Transporter Interchanges data between Clinical/Hospital LAN and PoC LAN/PAN DPI Data Transceiver Interchanges data between Transporter and PoC [w]LAN/PAN Agents, in this case between private [w]BAN agent and public [w]PAN agent (e.g. Pump) Manageable Data Descriptor defines manageable data elements per Medical Device Information Base (MDIB) [see next slide] Device-Enterprise Communication (DEC), Publish/Subscribe methods extended to include “Discovery” per distributed directory of MDD’s

7. © IHE 2009 7 DPI - Manageable Data Definition (MDD) @ IEEE 11073-10202 Domain Information Model (DIM) XML and - 10101 Nomenclature @ IHE DPI RTM “Rosetta” ICS Generator tool Generated XML MDD Observed Value definition

8. © IHE 2009 8 IEEE 11073 Standards Layering Overview -Upper Layers (-001xx – 002xx) Serial IrDAInter-LANwLANwPAN Layers 5-7 OSI -Lower Layers -101zz Nomenclature -103zz Device Specializations -1yyzzFormat Profiles -2yyzz Appl’n Profiles -20601 PHD Base Std -104zz PHD Spec’s -20101 Base Standard -20202 … Classic Profiles “Classic”“Personal Health Devices (PHD)” -3yyzz Format Profiles Other (e.g. USB, …) -101zz Domain Information Model Phase 1U – Upper Layers: Representation Normalization Phase 1L: Lower Layers: Transportation Normalization Phasing Notes