January 20101 Strictly confidential

Ken FuchsKen Fuchs M.Eng., MBA M.Eng., MBADraeger Medical Systems, Inc.Draeger Medical Systems, Inc.Co-chair, IHE PCD Planning CommitteeCo-chair, IHE PCD Planning Committee

What is the End-Goal?What is the End-Goal?

January 20102 Strictly confidential

Do these terms have meaning?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 20103 Strictly confidential

January 20104 Strictly confidential

Levels of Interoperability

QualifiedInteroperability

QualifiedInteroperability

SemanticInteroperability

SemanticInteroperability

Proprietary protocols

SyntacticInteroperability

SyntacticInteroperability

Standards-based protocols

Profiled standards

““Plug & Code”Plug & Code”

““Plug & Pray”Plug & Pray”

““Plug & Test”Plug & Test”

PhysicalConnectivity

PhysicalConnectivity

Standards-basedlower layers…

““Plug”Plug”

A, A & AInteroperability

A, A & AInteroperability

Profiled standards

““Plug & Find”Plug & Find”

A, A & A = Authentication, Authorization & Association

Pro

cess

Co

mp

lexi

ty

Ease of Integration

January 20105 Strictly confidential

Levels of Interoperability

QualifiedInteroperability

QualifiedInteroperability

SemanticInteroperability

SemanticInteroperability

Proprietary protocols

SyntacticInteroperability

SyntacticInteroperability

Standards-based protocols

Profiled standards

““Plug & Code”Plug & Code”

““Plug & Pray”Plug & Pray”

““Plug & Test”Plug & Test”

PhysicalConnectivity

PhysicalConnectivity

Standards-basedlower layers…

““Plug”Plug”

A, A & AInteroperability

A, A & AInteroperability

Profiled standards

““Plug & FindPlug & Find

HL7, DICOM, HL7, DICOM, IEEE 11073, …IEEE 11073, …

IHE, Continua,IHE, Continua,HITSP, ICE, …HITSP, ICE, …

The “norm” (chaos)…The “norm” (chaos)…

RS232, Ethernet, 802.11, TCP/IP, …RS232, Ethernet, 802.11, TCP/IP, …

Pro

cess

Co

mp

lexi

ty

Ease of Integration

January 20106 Strictly confidential

Levels of Interoperability

““Plug &Plug &Interoperate”Interoperate”

QualifiedInteroperability

QualifiedInteroperability

SemanticInteroperability

SemanticInteroperability

Proprietary protocols

SyntacticInteroperability

SyntacticInteroperability

Standards-based protocols

Profiled standards

““Plug & Code”Plug & Code”

““Plug & Pray”Plug & Pray”

““Plug & Test”Plug & Test” CertifiedInteroperability

CertifiedInteroperabilityIndependently certified

implementations

PhysicalConnectivity

PhysicalConnectivity

Standards-basedlower layers…

““Plug”Plug” CertifiedConnectivity

CertifiedConnectivity

Independently certified implementations

““Plug & Work”Plug & Work”

WIFI Alliance, WIFI Alliance, UNH, Bluetooth, …UNH, Bluetooth, …

Continua,Continua,CCHIT, …CCHIT, …

CCHIT - Certification Commission for Healthcare Information Technology

A, A & AInteroperability

A, A & AInteroperability

Profiled standards

““Plug & FindPlug & Find

Pro

cess

Co

mp

lexi

ty

Ease of Integration

January 20108 Strictly confidential

IHE Patient Care Devices (PCD)

IHE-PCD CharterIHE-PCD Charter The Patient Care Device Domain is a group within The Patient Care Device Domain is a group within IHE concerned with creating and testing standards IHE concerned with creating and testing standards based profiles which address based profiles which address Use CasesUse Cases in which at in which at least one actor is a least one actor is a regulated Patient Care Deviceregulated Patient Care Device. The . The PCD coordinates with other IHE clinical specialty based PCD coordinates with other IHE clinical specialty based domains such as medical imaging and laboratory.domains such as medical imaging and laboratory.

NOTE:NOTE: Formed in 2005 & co-sponsored by HIMSS & ACCEFormed in 2005 & co-sponsored by HIMSS & ACCE

January 201010 Strictly confidential

PCD Use Cases

Current: 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 201011 Strictly confidential

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 201012 Strictly confidential

Connectathon ‘09

January 201013 Strictly confidential

HIMSS – PCD in Action

January 201014 Strictly confidential

PCD & Industry Coordination

PCD coordination with other groups…PCD coordination with other groups…

HL7 & IEEE EMB

Continua Health Alliance

HITSP (RMON & CMDC use cases)

CIMIT MDPnP Program & “ICE” Architectures (ICE-PAC group)