IHE PCD Rosetta Terminology Mapping · 2018-10-24 · 2/ GE IHE PCD Rosetta Project Overview 2008 / 2008-04-24 IHE Patient Care Devices – a new domain Electronic Health Record Cardiology

1 /GE IHE PCD Rosetta Project Overview 2008 /

2008-04-24

IHE Patient Care Devices

Rosetta Terminology Mapping

Paul Schluter and Todd CooperGE Healthcare IEEE 11073 Chair

2008-05-07 HL7 and IEEE 11073 Meeting, Phoenix

Wiki: http://wiki.ihe.net/index.php?title=PCD_Profile_Rosetta_Terminology_Mapping

http://wiki.ihe.net/index.php?title=PCD_Profile_Rosetta_Terminology_Mapping


2008-04-24

IHE Patient Care Devices –

a new domain

Electronic Health Record

Cardiology

Laboratory

Radiology

Oncology

Future Domains

IHE IT Infrastructure

16 Integration Profiles



1133 IInntteeggrraattiioonn PPrrooffiilleess

Patient Care Coordination

1 Integration Profile

Patient Care

Device

Pathology Eye Care


2008-04-24

GEGE

AwareAwareGatewayGateway

Patient Monitor, Ventilator

Intensive Care

PhilipsPhilips IntellivueIntellivue ClinicalClinical

InformationInformationPortfolioPortfolio

DraegerDraegerInnovianInnovian®®

Solution SuiteSolution Suite

CapsuleCapsule

PhilipsPhilips IntellivueIntellivue

InformationInformationCenterCenter

Patient Monitor

Emergency Care Perioperative Care

LiveDataLiveData

OR OR –– DashBoardDashBoard

GE GE CentricityCentricity®®

PeriopPeriop AnesthesiaAnesthesia

EpicEpic

InPatientInPatient

Enterprise

PDQ/PAM Server

Time Server

SpacelabsSpacelabs

IntesysIntesys Clinical SuiteClinical Suite

Patient Monitor

Welch AllynWelch Allyn ConnexConnexTMTM

Data MgmtData MgmtSystemSystem

Vital Signs Monitor

Patient Care Devices HIMSS Interoperability Showcase 2008

D O R

D O C

B. BraunB. Braun DoseTracDoseTracTMTM

InfusionInfusionMgmt SWMgmt SW

Infusion Devices

DraegerDraeger

InfinityInfinity GatewayGateway

Patient Monitor, Anesthesia Sys


2008-04-24

Patient Care Devices –

ER and OR


2008-04-24


ICU


2008-04-24


New Directions


2008-04-24


Rosetta Project


2008-04-24

PCD Rosetta Terminology Mapping (RTM)


2008-04-24

Cardiovascular (ECG) (multiple vendors)

CARDIOVASCULAR - ECG

Group REFERENCE_ID Vendor_Description CODE10 Vendor A Vendor B Vendor C

CVS_ECG_HR MDC_ECG_CARD_BEAT_RATE Heart Rate (DBR 326) 16770 HR HR HR

CVS_ECG_HR MDC_ECG_CARD_BEAT_RATE_BTB Beat-to-Beat Rate 16778 btbHR

CVS_ECG_HR MDC_ECG_HEART_RATE Heart Rate (DBR 2178) 16770 HR HR HR

CVS_ECG_HR MDC_ECG_PACED_BEAT_RATE %PACED 16554 %PACED

CVS_ECG_HR MDC_ECG_TIME_PD_RR_GL R to R Interval 16168 rr_time rr_time rr_time

CVS_ECG_QT MDC_ECG_TIME_PD_QT_GL QT interval 16160 QT

CVS_ECG_QT MDC_ECG_TIME_PD_QTc QT interval (corrected) 16164 QTc

CVS_ECG_RHY MDC_ECG_ARRHY Arrhythmia 4410 ARR

CVS_ECG_RHY MDC_ECG_V_P_C_CNT PVC rate. 16993 PVC/min PVC PVC

CVS_ECG_ST MDC_ECG_AMPL_ST ST generic label 768 ST ST

CVS_ECG_ST MDC_ECG_AMPL_ST_AVF ST lead aVF 832 STaVF ST-AVF ST-aVF

CVS_ECG_ST MDC_ECG_AMPL_ST_AVL ST lead aVL 831 STaVL ST-AVL ST-aVL

CVS_ECG_ST MDC_ECG_AMPL_ST_AVR ST lead aVR 830 STaVR ST-AVR ST-aVR


2008-04-24

RTM Goals for 2008-2009 and HIMSS 2009

•

Expand the number of numeric parameters

supported

by PCD-01 from 40 today to nearly 300.

•

Harmonize the use of existing nomenclature terms defined by ISO/IEEE 11073-10101.

•

Specify the

units-of-measure

and

enumerated values

associated with each

numeric parameter.

•

Identify and add new nomenclature terms

that are

currently missing from ISO/IEEE 11073-10101.


2008-04-24

RTM Technical Steps

1.

Create the Rosetta Terminology Mapping Table•

Current draft (1k) has over 930 rows submitted by six vendors.

2.

Identify implementation differences and resolve.•

Resolve differences in interpretation.•

Pre-

or post-coordinated measurement site location(s).

3.

Identify missing terms and propose new terms to standards organizations.•

IHE PCD –

need to add 40+ terms to ISO/IEEE 11073.•

Continua –

need to add 100+ terms to ISO/IEEE 11073.

4.

Generate final set of terms, units-of-measure and enumerations for testing.•

Working with NIST for HL7 test and validation tooling

Wiki: http://wiki.ihe.net/index.php?title=PCD_Profile_Rosetta_Terminology_Mapping

http://wiki.ihe.net/index.php?title=PCD_Profile_Rosetta_Terminology_Mapping


2008-04-24

Questions?


2008-04-24

Extra Slides


2008-04-24

‘PCD-01’ Transaction (Year 1)

Data Observation Consumer (DOC)

Device Observation Reporter (DOR)

Device

PCD-01: Communicate Device Data

• Periodic Physiologic Data: Heart Rate, Respiration rate• Episodic Physiologic Data: NIBP, Weight, Cardiac tests• Primarily structured data but facilities non structured data as well• Must include Patient ID• > 1 minute sampling rate (but could be faster)• Alarms and alerts currently not supported (but could be)• No Waveforms and control operations• No Security, privacy confidentiality scope

• ISO/IEEE 11073-10101 nomenclature (does not rule out LOINC or SNOMED)• ISO/IEEE 11073 or

UCUM units-of-measure• OBX-4 used for «mds.vmd.chan.metric», new OBX-20 for measurement site• Profile and simplify other aspects of HL7 V2.5 messaging


2008-04-24

Mapping Preserves Measurement Context

<vmd> <parametric instance>

<chan><mds>Medical:

Containment Tree Hierarchical LevelSubject

3121Ordinal

<HR><Ctach><ECG><VS Mon>Virtual (Medical)32211Ordinal

<PR><Ptach><PulsOxim><VS Mon>Virtual (Medical)2Ordinal

Virtual (Medical)

11

<Oxim><PulsOxim>

1

<Spo2>

1

<VS Mon>1Examples

OBX-4

Recommend that Ordinal value is unique among entire set

Medical Device System (MDS)

Virtual Medical Device (VMD)

Channel (Chan)

Numeric

Enumeration

1

*

1

*

1

*

1

0..*

Metric


2008-04-24

PCD-01 Message Example

MSH|^~\&|HL7^080019FFFF4F6AC0ÊUI-64|MMS|||20070118133700||ORU^R01|a4e2e3:11036b5cdbb:-

|P|2.5|20070118133700||NE|AL||8859/1PID|||GE101^^^DefaultDomai||JACKSONÎRWIN^^^^^LPV1||E|3WICU^305^305OBR|1|080019FFFF4F6AFE200701|080019FFFF4F6AC0200701|126.3.3.1^2000^MDC|||20070118133700OBX|1|NM|147842^MDC_ECG_HEART_RATE^MDC|1.6.1.1|80|/min^/minÛCUM|||||ROBX|2|NM|148065^MDC_ECG_V_P_C_CNT^MDC|1.6.1.2|0|/min^/minÛCUM|||||ROBX|3|NM|150035^MDC_PRESS_BLD_ART_MEAN^MDC|1.3.1.1|96|{mm[Hg]}^{mm[Hg]}ÛCUM|||||ROBX|4|NM|150033^MDC_PRESS_BLD_ART_SYS^MDC|1.3.1.2|120|{mm[Hg]}^{mm[Hg]}ÛCUM|||||ROBX|5|NM|150034^MDC_PRESS_BLD_ART_DIA^MDC|1.3.1.3|80|{mm[Hg]}^{mm[Hg]}ÛCUM|||||ROBX|6|NM|149522^MDC_BLD_PULS_RATE_INV^MDC|1.2.1.1|80|/min^/minÛCUM|||||ROBX|7|NM|150047^MDC_PRESS_BLD_ART_PULM_MEAN^MDC|1.4.2.1|15|{mm[Hg]}^{mm[Hg]}ÛCUM|||||ROBX|8|NM|150045^MDC_PRESS_BLD_ART_PULM_SYS^MDC|1.4.2.2|24|{mm[Hg]}^{mm[Hg]}ÛCUM|||||ROBX|9|NM|150046^MDC_PRESS_BLD_ART_PULM_DIA^MDC|1.4.2.3|10|{mm[Hg]}^{mm[Hg]}ÛCUM|||||ROBX|10|NM|150344^MDC_TEMP^MDC|1.10.1.1|26.4|cel^celÛCUM|||||ROBX|11|NM|150344^MDC_TEMP^MDC|1.10.1.2|37.4|cel^celÛCUM|||||ROBX|12|NM|151610^MDC_VENT_CO2_RESP_RATE^MDC|1.5.1.1|12|{{breath}/min}^{{breath}/min}UCUM|||||ROBX|13|NM|151804^MDC_PRESS_AWAY_END_EXP_POS^MDC|1.5.1.2|4|{cm[H20]}^{cm[H20]}ÛCUM|||||ROBX|14|NM|152008^MDC_VENT_VOL_MINUTE_AWAY^MDC|1.5.1.3|0.0|l/min^l/minÛCUM|||||ROBX|15|NM|151920^MDC_VENT_CONC_AWAY_O2_INSP^MDC|1.5.1.4|21|%^%ÛCUM|||||ROBX|16|NM|151980^MDC_VENT_VOL_TIDAL^MDC|1.5.1.5|920|ml^mlÛCUM|||||ROBX|17|NM|151957^MDC_VENT_PRESS_MAX^MDC|1.5.1.6|17|{cm[H20]}^{cm[H20]}ÛCUM|||||ROBX|18|NM|151784^MDC_PRESS_RESP_PLAT^MDC|1.5.1.7|31|{cm[H20]}^{cm[H20]}ÛCUM|||||ROBX|19|NM|151792^MDC_PRESS_AWAY^MDC|1.5.1.8|36|{cm[H20]}^{cm[H20]}ÛCUM|||||ROBX|20|NM|151808^MDC_PRESS_AWAY_END_EXP_POS_INTRINSIC^MDC|1.5.1.9|1|{cm[H20]}^{cm[H20]}ÛCUM|||||R

‘Heart Rate’ ‘/min’ UOM

IEEE EUI-64

OBX-4


2008-04-24

‘PCD-02’ Transaction (Years 2 and 3)

Device Observation Reporter (DOR)

Device

PCD-01: CommunicateDevice Data

PCD-02 filter (HL7 V2.5 §5.7)Filter predicates …- MRN - one or more patient identifiers [‘’ matches all patients]- Patient Location (PV1.3) [‘’ matches all location results]- Hospital Service (PV1.10) [‘’ matches all results]- SRVC (OBR.4) [‘’ matches all orders]- time interval

(all predicates are ANDed)

Device Observation Filter (DOF)

PCD-02: Subscribe toPCD Data

Data Observation Consumer (DOC)

PCD-01: CommunicateDevice Data

Documents

IHE PCD Rosetta Terminology Mapping · 2018-10-24 · 2/ GE IHE PCD Rosetta Project Overview 2008 / 2008-04-24 IHE Patient Care Devices – a new domain Electronic Health Record Cardiology