This wiki has undergone a migration to Confluence found Here
<meta name="googlebot" content="noindex">

Difference between revisions of "201609 Device Integration"

From HL7Wiki
Jump to navigation Jump to search
m (→‎Expected participants: Updated potential vendors)
(→‎Scenarios: Updating "scenario" content)
Line 50: Line 50:
 
==Scenarios==
 
==Scenarios==
  
'''''TBD - Scenarios are being developed leveraging IHE connectathon & showcase activities in recent years.'''''
+
'''''Scenarios will leverage previous work, but will replace standardized FHIR interfaces where appropriate and feasible:'''''
 +
 
 +
'''EDITING IS IN PROGRESS'''
 +
 
 +
::* IHE PCD TF vol 1 / Connectathon Use Cases for DEC:
 +
:::* <list DEC use cases>
 +
::* IHE PCD Showcase Examples
 +
:::* <list related documentation>
 +
::* CDS Collaborative HIMSS'16 Demo
 +
:::* <list demo overview>
 +
:::*
 +
 
 +
Devices will include ...
 +
:# Physiological Monitor (including waveform capability) - Acute Care
 +
:# Pulse oximeter (either from a physio monitor or a Personal Health Device (PHD))
 +
:# Personal Health Device (PHD) - specifically non-acute care settings; mobile / tele-care
 +
:# Infusion Pump - LVP or PCA for acute care
 +
 
 +
<Capabilities>
 +
::* <periodic reporting a la DEC>
 +
::* <async episodic reporting>
 +
::* <snapshot reporting>
 +
::* <trended values over <X> period>
 +
::* waveform
 +
::* pub/sub reporting
 +
::* ...
 +
 
 +
path to FHIR resource profiles  (RTMMS=>DIM Editor=>XML device specialization=>ADL=>FHIR Resource Profiles
 +
 
 +
CIMI aligned
 +
MDIDS aligned
 +
IEEE 11073 specialization aligned
 +
NIST test tooling aligned
 +
 
 +
201701 connectathon will extend to Medication Administration (incl. broader infusion pump integration with PIV and IPEC)
 +
 
 +
 
 +
 
 +
=== Scenario 1:  <acute care  reporting> ===
 +
 
 +
===Scenario Step 1 Name===
 +
:Action: <!--Who does what?  (Use the role names listed above when referring to the participants -->
 +
:Precondition: <!-- What setup is required prior to executing this step? -->
 +
:Success Criteria: <!-- How will the participants know if the test was successful? -->
 +
:Bonus point: <!-- Any additional complexity to make the scenario more challenging -->
 +
 
 +
<!-- Provide a description of each task -->
 +
 
 +
 
 +
=== Scenario 1:  <PHD reporting > ===
 +
 
 +
===Scenario Step 1 Name===
 +
:Action: <!--Who does what?  (Use the role names listed above when referring to the participants -->
 +
:Precondition: <!-- What setup is required prior to executing this step? -->
 +
:Success Criteria: <!-- How will the participants know if the test was successful? -->
 +
:Bonus point: <!-- Any additional complexity to make the scenario more challenging -->
 +
 
 +
<!-- Provide a description of each task -->
 +
 
 +
 
 +
=== Scenario 3:  <CDS> ===
  
 
===Scenario Step 1 Name===
 
===Scenario Step 1 Name===

Revision as of 19:52, 20 June 2016


Device Data Integration

The focus for this track is the exchange of information from a simple pulse oximeter to a physiological monitor to an infusion pump. Scenarios and test scripts will ensure that at least 80% of the core data elements for these device-related resources are leveraged. Data exchanged will be consistent (per resource mappings) with the ISO/IEEE 11073 standards for device semantic content. This will include integration of data that is sourced from an IEEE 11073-based Personal Health Device (PHD), as well as, communicated using the HL7 v2-based profiles supported by the IHE Patient Care Device (PCD) group.

For the 2016-09 track, device data will include physiological data ("observations"),both periodic and aperiodic, and device settings. Waveform data may be considered as a stretch goal; however, device alert information will be deferred to a subsequent FHIR connectathon.

NOTE: Subsequent FHIR connectathon tracks will include more advanced scenarios and applications, such as medication administration or CDS utilization of real-time high granularity device acquired information.

Submitting WG/Project/Implementer Group

"'Health Care Devices (DEV) WG"'

Justification

This track is intended to advance the maturity of device-related FHIR resources (i.e., Device, DeviceComponent and DeviceMetric) to FMM2 (see FHIR Maturity Model). It will test mappings for the ISO/IEEE 11073 information model, as well as the IHE Patient Care Device (PCD) profiles based on HL7 v2. This work will inform the potential development of an implementation guide for device information integration, as well as the possible definition of profiles for specific device modalities (e.g., an LVP Infusion Pump).

Proposed Track Lead

Todd Cooper
E-mail: Todd@TrustedSolutionsFoundry.com
Skype: ToddCooperAFC

Expected participants

The following organizations have indicated an interest in participating in this track:

Draeger (Stefan Schlicting)
Epic (Chris Courville)
Lampry Networks (Brian Reinhold)
Philips (John Rhoads)

NOTE: Other organizations are actively considering participation:

  • Pump Vendor(s)
  • CDS Vendor(s)

Roles

Device Observation Reporter (DOR)

Send device acquired information to a FHIR server using the device-related resources (i.e., [Device], DeviceComponentDeviceMetric, Observation).

NOTE: This is analogous to the IHE PCD Device Enterprise Communication (DEC) profile DOR actor. Typically a device or a device "gateway" system.

Device Information Server (DIS)

Process updates from a DOR and respond to queries from a DOC.

Device Observation Consumer (DOC)

Retrieve and use device-acquired information from the DIS, e.g. for flow-charting or clinical decision support applications.

NOTE: This is analogous to the IHE PCD Device Enterprise Communication (DEC) profile DOC actor. Typically an EHR or similar information system.

Scenarios

Scenarios will leverage previous work, but will replace standardized FHIR interfaces where appropriate and feasible:

EDITING IS IN PROGRESS

  • IHE PCD TF vol 1 / Connectathon Use Cases for DEC:
  • <list DEC use cases>
  • IHE PCD Showcase Examples
  • <list related documentation>
  • CDS Collaborative HIMSS'16 Demo
  • <list demo overview>

Devices will include ...

  1. Physiological Monitor (including waveform capability) - Acute Care
  2. Pulse oximeter (either from a physio monitor or a Personal Health Device (PHD))
  3. Personal Health Device (PHD) - specifically non-acute care settings; mobile / tele-care
  4. Infusion Pump - LVP or PCA for acute care

<Capabilities>

  • <periodic reporting a la DEC>
  • <async episodic reporting>
  • <snapshot reporting>
  • <trended values over <X> period>
  • waveform
  • pub/sub reporting
  • ...

path to FHIR resource profiles (RTMMS=>DIM Editor=>XML device specialization=>ADL=>FHIR Resource Profiles

CIMI aligned MDIDS aligned IEEE 11073 specialization aligned NIST test tooling aligned

201701 connectathon will extend to Medication Administration (incl. broader infusion pump integration with PIV and IPEC)


Scenario 1: <acute care reporting>

Scenario Step 1 Name

Action:
Precondition:
Success Criteria:
Bonus point:


Scenario 1: <PHD reporting >

Scenario Step 1 Name

Action:
Precondition:
Success Criteria:
Bonus point:


Scenario 3: <CDS>

Scenario Step 1 Name

Action:
Precondition:
Success Criteria:
Bonus point:


TestScript(s)

TBD - Based on evaluation of what needs to be performed to ensure the requisite 80% + coverage.