patient care devices ihe north america 2009 showcase participant workshop todd cooper, breakthrough...
TRANSCRIPT
Patient Care DevicesPatient Care Devices
IHE North America 2009 Showcase IHE North America 2009 Showcase
Participant WorkshopParticipant Workshop
Todd CooperTodd Cooper, Breakthrough Solutions, Breakthrough Solutions Co-Chair, IHE PCD Technical CommitteeCo-Chair, IHE PCD Technical Committee
Manny FurstManny Furst, Improvement Technologies, Improvement TechnologiesIHE PCD Technical Project ManagerIHE PCD Technical Project Manager
IHE Patient Care Device DomainIHE Patient Care Device Domain
The Patient Care Device Domain is The Patient Care Device Domain is concerned with use cases in which at concerned with use cases in which at least one actor is a least one actor is a regulated patient-regulated patient-centric point-of-care medical devicecentric point-of-care medical device that communicates with at least one that communicates with at least one other actor such as a medical device other actor such as a medical device or information system. or information system.
HIMSS ’08 IHE Showcase
2009 PCD Showcase Systems2009 PCD Showcase Systems ((in processin process))
GE GE CentricityCentricity®®
Periop Anes.Periop Anes.
EpicEpicInPatientInPatient
EMREMR
Enterprise
DOC DOC
DOC
Patient Patient Patient
LiveDataLiveDataOR –OR –
DashBoardDashBoardTMTM
PDQ/PAMServer
TimeServer
PhilipsPhilipsIntelliVueIntelliVue ClinicalClinical
Info PortfolioInfo Portfolio
DOC
Patient
Patient Monitor
DOR, AR
DOC
DraegerDraegerInnovianInnovian® ® WebWeb
CapsuleCapsule
GE GE CentricityCentricity®®
EnterpriseEnterprise
DOC
LiveDataLiveData
HospiraHospiraVeriScanVeriScan
DOCIOP
DraegerDraeger InfinityInfinityGatewayGateway
Patient Monitor,Anesthesia Sys
CapsuleCapsuleDOR, AR
PhilipsPhilipsEmerginEmergin
AM
OR Step-DownICU
AM
GEGEAwareAware
GatewayGateway
Patient Monitor,Ventilator
DOR
CernerCerner
CareAwareCareAwareTMTM
Devices
DOR
Devices
CapsuleCapsuleDataCaptorDataCaptor
DOR,AR
PhilipsPhilipsIntelliVueIntelliVue
Info. CenterInfo. Center
AR DOR, AR
CernerCerner
CareMobileCareMobileTMTM
DOCIOP
EpicEpic
IOP
GEGE
IOP
AlarmDevice
B.
Bra
un
B.
Bra
un
DOR
InfusionDevices
Ho
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Ho
sp
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Ca
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Ca
rdin
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IOC
B.
Bra
un
B.
Bra
un
DOR
InfusionDevices
Ho
sp
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Ho
sp
ira
Ca
rdin
al
Ca
rdin
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IOC
B.
Bra
un
B.
Bra
un
DOR
InfusionDevices
Ho
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Ho
sp
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Ca
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Ca
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IOC
AlarmClient
AC
2009 PCD Showcase Profiles
• DEC – Device-to-Enterprise Communication– Send data acquired from devices to enterprise applications using
consistent syntax & semantics– Subscribe to Patient Data (SPD) will be included
• ACM – Alarm Communication Management– Medical Device Alarm reporting from the point-of-care to clinicians
• PIV – Point-of-care Infusion Verification– Communicate 5-Rights verified “infusion program” from a BCMA to
an infusion pump / manager.
• RTM – Rosetta Terminology Mapping– PCD semantic content is specifiedPCD semantic content is specified by the RTM profile, including
semantic co-constraints, incl. parameter + UoM + Enumerated Values + Body Sites
2009 PCD Showcase Clinical Scenario2009 PCD Showcase Clinical Scenario
PCD Scenario - OverviewPCD Scenario - OverviewMale patient, 65 years, coronary artery disease, moderate COPD (smoker), compensated renal insufficiency...
Adenocarcinoma of the lower esophagus (close to the entry into the stomach), scheduled for gastrectomy and distal, transabdominal esophagectomy.
2009 PCD Showcase Clinical Scenario2009 PCD Showcase Clinical Scenario
PCD Scene #1: ORPCD Scene #1: OR
Patient needs full invasive CV monitoring.
Patient will get peridural catheter for postoperative pain management.
Patient requires perioperative antibiotic prophylaxis with vancomycin and a third generation cefalosporine.
2009 PCD Showcase Clinical Scenario2009 PCD Showcase Clinical Scenario
PCD Scene #2: ICUPCD Scene #2: ICUAfter surgery patient remains intubated as planned and is transferred to ICU. After initial stabilization, rapid weaning of the ventilator.
Tight glycemic control.
Extubation after 12 hours after admission.
Discharge to SDU after 36 hours.
2009 PCD Showcase Clinical Scenario2009 PCD Showcase Clinical Scenario
PCD Scene #3: Step Down UnitPCD Scene #3: Step Down Unit
On SDU patient require still monitoring of HR, BP (NIBP or CNAP), RR and SpO2 (the latter two for his COPD and because of PCA).
Antibiotics scheduled for 72 hours. Vancomycin should be infused over 60 minutes via IV device
DEC & PIV TransactionsDEC & PIV Transactions
ACM TransactionsACM Transactions
PCD-04 Primary Transaction to be shown PCD-06 Will be a “new directions” component PCD-05 & -07 may also be in “new directions”
2009 PCD Showcase Systems2009 PCD Showcase Systems ((in processin process))
GE GE CentricityCentricity®®
Periop Anes.Periop Anes.
EpicEpicInPatientInPatient
EMREMR
Enterprise
DOC DOC
DOC
Patient Patient Patient
LiveDataLiveDataOR –OR –
DashBoardDashBoardTMTM
PDQ/PAMServer
TimeServer
PhilipsPhilipsIntelliVueIntelliVue ClinicalClinical
Info PortfolioInfo Portfolio
DOC
Patient
Patient Monitor
DOR, AR
DOC
DraegerDraegerInnovianInnovian® ® WebWeb
CapsuleCapsule
GE GE CentricityCentricity®®
EnterpriseEnterprise
DOC
LiveDataLiveData
HospiraHospiraVeriScanVeriScan
DOCIOP
DraegerDraeger InfinityInfinityGatewayGateway
Patient Monitor,Anesthesia Sys
CapsuleCapsuleDOR, AR
PhilipsPhilipsEmerginEmergin
AM
OR Step-DownICU
AM
GEGEAwareAware
GatewayGateway
Patient Monitor,Ventilator
DOR
CernerCerner
CareAwareCareAwareTMTM
Devices
DOR
Devices
CapsuleCapsuleDataCaptorDataCaptor
DOR,AR
PhilipsPhilipsIntelliVueIntelliVue
Info. CenterInfo. Center
AR DOR, AR
CernerCerner
CareMobileCareMobileTMTM
DOCIOP
EpicEpic
IOP
GEGE
IOP
AlarmDevice
B.
Bra
un
B.
Bra
un
DOR
InfusionDevices
Ho
sp
ira
Ho
sp
ira
Ca
rdin
al
Ca
rdin
al
IOC
B.
Bra
un
B.
Bra
un
DOR
InfusionDevices
Ho
sp
ira
Ho
sp
ira
Ca
rdin
al
Ca
rdin
al
IOC
B.
Bra
un
B.
Bra
un
DOR
InfusionDevices
Ho
sp
ira
Ho
sp
ira
Ca
rdin
al
Ca
rdin
al
IOC
AlarmClient
AC
Rosetta Terminology Mapping (RTM)Rosetta Terminology Mapping (RTM)