What is the End-Goal? Interoperability? Integration? Connectivity?

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Presentation transcript:

What is the End-Goal? Interoperability? Integration? Connectivity? Interfacing? Ken Fuchs M.Eng., MBA Draeger Medical Systems, Inc. Co-chair, IHE PCD Planning Committee January 2010

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 2010

January 2010

Levels of Interoperability “Plug & Find” A, A & A Interoperability Ease of Integration Profiled standards “Plug & Test” Semantic Interoperability Profiled standards “Plug & Pray” Process Complexity Syntactic Interoperability Standards-based protocols “Plug & Code” Qualified Interoperability Proprietary protocols “Plug” Physical Connectivity A, A & A = Authentication, Authorization & Association Standards-based lower layers… January 2010

Levels of Interoperability “Plug & Find A, A & A Interoperability Ease of Integration Profiled standards “Plug & Test” Semantic Interoperability IHE, Continua, HITSP, ICE, … Profiled standards “Plug & Pray” Process Complexity Syntactic Interoperability Standards-based protocols HL7, DICOM, IEEE 11073, … “Plug & Code” Qualified Interoperability The “norm” (chaos)… Proprietary protocols “Plug” Physical Connectivity RS232, Ethernet, 802.11, TCP/IP, … Standards-based lower layers… January 2010

Levels of Interoperability “Plug & Find A, A & A Interoperability Ease of Integration “Plug & Interoperate” Profiled standards “Plug & Test” Certified Interoperability Independently certified implementations Semantic Interoperability Profiled standards “Plug & Pray” Process Complexity Continua, CCHIT, … Syntactic Interoperability Standards-based protocols “Plug & Code” Qualified Interoperability Proprietary protocols “Plug & Work” “Plug” Certified Connectivity Independently certified implementations Physical Connectivity WIFI Alliance, UNH, Bluetooth, … Standards-based lower layers… January 2010 CCHIT - Certification Commission for Healthcare Information Technology

IHE Process January 2010

IHE Patient Care Devices (PCD) IHE-PCD Charter The Patient Care Device Domain is a group within IHE concerned with creating and testing standards based profiles which address 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 and laboratory. NOTE: Formed in 2005 & co-sponsored by HIMSS & ACCE January 2010

DPI and DEC DEC Device Enterprise Communication Device PoC Integration DEC Device Enterprise Communication [Source: IEEE 11073-00101, Figure 2] January 2010

PCD Use Cases Current: Under Development: 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 2010

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 2010

Connectathon ‘09 January 2010

HIMSS – PCD in Action January 2010 13

PCD & Industry Coordination PCD coordination with other groups… HL7 & IEEE EMB Continua Health Alliance HITSP (RMON & CMDC use cases) CIMIT MDPnP Program & “ICE” Architectures (ICE-PAC group) January 2010