HL7 Healthcare Device SIG Device Informatics Update to Government Projects SIG

1
HL7 Healthcare Device SIG Device Informatics
Update to Government Projects SIG

• General Overview
• and
• IEEE PCD WG IHE PCD
• Activities

2006 September 12
Todd Cooper ISO TC215 WG7, IEEE EMBS 11073, HL7
DEV SIG, IHE PCD, HITSP Board
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Session Overview
Topics to be discussed

• Organizational Project Overview

• IEEE Personal Health Device WG

• IHE Patient Care Device (PCD) Domain

• Q A

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

3
Foundational Concepts and Definitions
Enterprise Integration (HL7, DICOM, X12,X73)
Gateway
PoC Integration (X73)
Multi-vendor environmentRequires both semantic
technical interoperability

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

4
Foundational Concepts and Definitions
Key Benefits of PCD Interoperability

• Heterogeneity Multiple manufacturers multiple
  device modalities coexisting over a shared
  infrastructure
• Semantic Interoperability ( comparability)
  shared terminology and data models, interpret
  data based on the clinical context, compare
  information from different healthcare facilities,
  and interrogate systems across enterprises and
  regions.
• Real-Time Availability ability to provide data
  in a time frame appropriate to the physiologic
  function being measured, displayed or affected
  (controlled).

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

5
Medical Device Informatics Standardization
IHE Patient Care Devices Domain
ISO TC215 WG7
Single set of Internationally Harmonized Medical
Device Informatics Interoperability Standards
IEEE EMBS 11073
CEN TC251 WG4
HL7 DEV CBCC SIGs

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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Medical Device Informatics Standardization

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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ISO/IEEE Standards
Published ISO/IEEE 11073 Standards

• IEEE 1073 Framework Overview (under revision)

• ISO/IEEE 11073-10101 Nomenclature / Terminology

• ISO/IEEE 11073-10201 Domain Information Model

• ISO/IEEE 11073-20101 Application Profile Base
  Std.

• ISO/IEEE 11073-30200 Transport Profile Cable
  Connected

• ISO/IEEE 11073-30300 Transport Profile IR
  Wireless

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

8
ISO/IEEE Standards
Active ISO/IEEE projects (partial)

• -10102 Annotated ECG Terminology

• -10103 Implantable Device, Cardiac Terminology

• -20103 Clinical Context Management (CCoM)

• -20301 Remote Control

• -30400 Inter-LAN (IP protocol profiling)

• -30503 wLAN -30505 wWAN

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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IEEE 11073 Personal Health Device WG
PAR(s) for 1yyzz series work
Pulse Oximeter
Blood Pressure
Glucose
Pulse
Weight
Spiro- meter

Device Specializations


OSI
Layer 7
Consistent Data/Command Framework
Layers 1-6
Serial
IrDA
Bluetooth
USB
ZigBee
Transport
Technical Report PAR
PAR for 2yyzz series work

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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IEEE 11073 Personal Health Device WG
Proposed key milestones
08/04 06 Project Approval Request (PAR) submission deadline Requires Phase I device specialization selection
09 06 Early draft specs available for November prototype testing
09/12 or 09/13 Data work group face to face meeting in Boca Raton with report out to ISO/IEEE 11073 general committee 09/14
11/12 or 11/13 Data work group face to face in Zurich (just prior to Medica in Düsseldorf)
12 06 Document updated based on prototype discovery
02/10 07 Bluetooth unplugfest to ratify nearly final specs
03 07 Final specification completed

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

11
IHE Patient Care Device Domain
Expanding Reach

IHE


EHR
-
Longitudinal Record


IHE


IT Infrastructure

IHE

IHE

13 Integration Profiles



Cardiology

Radiology





4 Integration Profiles
16 Integration Profiles
IHE

Patient Care Coordination
New IHE



Laboratory
Domains




5 Integration Profiles
1 Integration Profile

2 Integration Profiles



5 Technical Frameworks 39 Integration Profiles,
Testing at Multiple Connectathons Annually

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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IHE Patient Care Device Domain
IHE-PCD Charter
The Patient Care Devices 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.

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

13
IHE Patient Care Device Domain
PCD Roadmap

• Year 1
• Enterprise sharing of Patient Care Data
• Initial device classes vital sign monitors,
  infusion pumps, ventilators and possibly others

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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IHE Patient Care Device Domain

• Year 2
• Point-of-Care Device PnP Connectivity
• Home Health / Personal Care Devices
• Emergency Care
• Real-time data archiving and communication
• PCD Alarm Management smart alarms interlocks
• Medication Management
• Device Control (e.g., Hospital BedBlood Pressure
  Coordination)
• Mobile, enterprise-wide, reliable vital signs
  monitoring
• many more!

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

15
IHE Patient Care Device Domain

• 2006 Development Schedule
• Planning Committee decision mid-January
• Issue Public Comment version June 2006
• Public Comment Due July 2006
• Issue Trial Implementation version August 8,
  2006
• IHE Connectathon January 2007
• HIMSS Demo February 2007

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

16
IHE Patient Care Device Domain
DEV SIG Update to the Government Projects SIG
2006-09-12 Boca Raton Todd Cooper
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IHE Patient Care Devices Domain
Test Framework

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

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IHE Patient Care Devices Domain

• 2006 Development Schedule
• Planning Committee decision mid-January
• Issue Public Comment version June 2006
• Public Comment Due July 2006
• Issue Trial Implementation version August 2006
• IHE Connectathon January 2007
• HIMSS Demo February 2007

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper

19
Q A

• DEV SIG Update to the Government Projects SIG
  2006-09-12 Boca Raton Todd Cooper