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

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

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

© IHE 20091

-HIMSS 2009 New Directions

IHE PCDDevice Point-of-care Integration (DPI)

Door Poster

Overview - Handout

Page 2: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20092

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

Page 3: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20093

Poster Location - Presentation

Page 4: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20094

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

Page 5: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20095

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

Page 6: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20096

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 TransporterInterchanges data

between Clinical/Hospital LAN

and PoC LAN/PAN

DPI Data TransceiverInterchanges 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

Page 7: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20097

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

Page 8: © IHE 2009 1 -HIMSS 2009 New Directions IHE PCD D evice Point-of-care Integration (DPI) Door Poster Overview - Handout

© IHE 20098

IEEE 11073 Standards Layering Overview

-Upper Layers (-001xx – 002xx)

Serial IrDA Inter-LAN wLAN wPAN

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