Patient Care Devices Infusion Pump Modeling Overview 2009.05.19 – San Diego Todd Cooper Breakthrough Solutions Foundry, Inc. Board, IHE International Co-chair,

Patient Care DevicesPatient Care Devices

Infusion Pump Infusion Pump Modeling OverviewModeling Overview

2009.05.19 – San Diego2009.05.19 – San Diego

Todd CooperTodd Cooper Breakthrough Solutions Foundry, Inc.Breakthrough Solutions Foundry, Inc.Board, IHE InternationalBoard, IHE InternationalCo-chair, IHE PCD Technical CommitteeCo-chair, IHE PCD Technical Committee

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X73 Background…

PCD TF: Standards & Profiles

11073-10301 Infusion Pump Specialization

MDCIG Demo II Document

What’s on?What’s on?

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ISO/IEEE 11073 Purpose (classic):ISO/IEEE 11073 Purpose (classic):

Provide real-time plug-and-play interoperability for patient-connected medical devices

andFacilitate the efficient exchange of vital signs and medical device data, acquired at or near the point-of-care, in all health care environments

…leveraging off-the-shelf technologies, scaling across a wide range of system complexities, and supporting commercially viable implementations.

ISO/IEEE 11073 BackgroundISO/IEEE 11073 Background

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ISO/IEEE 11073 Purpose (2009.04):ISO/IEEE 11073 Purpose (2009.04):

Standardization in the application of Information and Communications Technologies (ICT) to health device informatics and device interoperability in support of medicine, health care, and wellness.

ISO/IEEE 11073 BackgroundISO/IEEE 11073 Background

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Multi-layered Integration ProfilesMulti-layered Integration Profiles

Device

Interface

Profile

Device Semantics & Services Terminology & Data Models

Services

Events

Application Services (security, QoS)

Transport Technologies (WiFi … Ethernet, simple serial…Bluetooth…)

Device integration involves many levels…

Standards-based interoperability profiles must support all levels…

From transmitter to abstract semantics!

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11073-10201 Domain Info Model11073-10201 Domain Info Model

Object Model

One Model – Multiple Packages/ Subject Areas:

System Level

Medical & Alert Info

Patient Info

…

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Notes: MDS can nest

Device Context

Mechanical System Architecture

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Strict Containment

Channels provide primary parameter aggregation

Waveforms

Persistence - Buffers

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Primary Alert Object Used Information reported by

“Alert Scanner”

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Baxter Colleague (MDCIG II)Baxter Colleague (MDCIG II)

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X73 Background…





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IHE PCD Profile: DPI

Device Point-of-Care IntegrationDevice Point-of-Care Integration• Discovery and Association (PnP)Discovery and Association (PnP)• Real-Time Data ReportingReal-Time Data Reporting• Bi-Directional / SymmetricBi-Directional / Symmetric• External ControlExternal Control

Enterprise IntegrationEnterprise Integration

Semantic InteroperabilitySemantic Interoperability

Monitored ParametersMonitored ParametersAlarms & LimitsAlarms & LimitsWaveforms (Real-Time)Waveforms (Real-Time)Control ParametersControl Parameters

Semantic InteroperabilitySemantic Interoperability

Monitored ParametersMonitored ParametersAlarms & LimitsAlarms & LimitsWaveforms (Real-Time)Waveforms (Real-Time)Control ParametersControl Parameters

Device Reporting, Device Reporting, Management & Management &

ControlControl

Device Reporting, Device Reporting, Management & Management &

ControlControl

Real-TimeClinical Decision Support

Point-of-Care

Applications Real-Time

Closed / OpenLoop Control

DPI Manager / Enterprise

Gateway

DPI Manager / Enterprise

Gateway

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Need for Semantic Profiles

Migrating Toward True PCD Semantic Interoperability

Status QuoPCD

Enabled

ISO/IEEE 11073Semantic Standards

Vendor Semantics

IHE PCD TF Content

Vendor A

Vendor C

Vendor B

RosettaMappingTables(RTM)

11073PnP Comm

HL7 v3CDA/CCD

HL7 v2Messages

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Measurement Context is Dynamic

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IEEE 11073 Domain Information Model Defines Device Context

10..n

Medical Device System (MDS)

Virtual Medical Device (VMD)

Channel (Chan)

Numeric

Enumeration

1

*

1

*

1

*

1

0..*

Metric

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Mapping preserves measurement context

Medical Device System (MDS)

Virtual Medical Device (VMD)

Channel (Chan)

Numeric

Enumeration

1

*

1

*

1

*

1

0..*

Metric

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Role of IHE PCD Infusion Pump WG:Role of IHE PCD Infusion Pump WG:

Extend and develop content for next version of the ISO/IEEE 11073-10301 Infusion Pump Device Specialization standard.

ISO/IEEE 11073 & IHE PCD ISO/IEEE 11073 & IHE PCD

(According to … Todd…!!!)

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X73 Background…





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ISO/IEEE 11073-10101 Infusion PumpISO/IEEE 11073-10101 Infusion Pump

Device Specialization Standards…

Select between multiple general model implementation options

Present basic concepts per modality

Device Types…

Single & Multiple Channels

Simple to complex infusion protocols

Fixed vs. dynamically configurable

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MDSs, VMDs vs. Channels…

Mechanical device architecture

Mechanical fluid line configurations

Infusion protocol complexity management

Pre- & Post- Terminology “coordination”

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Unfinished Topics…

Terminology & Attribute Gaps

Text Labels (externally settable)

Infusion Protocol Programs

…

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X73 Background…





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MDCIG Demo II DocumentMDCIG Demo II Document

IEEEIEEE Industry Standards & Technology Organization (ISTOISTO) – Medical Device Communications Industry Group (MDCIGMDCIG)

Documents pump & vent specializations from informationinformation modelmodel to dynamic modeldynamic model to message message examplesexamples

Basis for NIST X73 ToolingNIST X73 Tooling

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Todd CooperPresident

Breakthrough Solutions Foundry, Inc.San Diego “America’s Finest City”

(e) [email protected](v) +1 858.435.0729(s) ToddCooperX73

Q & AQ & A

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Extra SlidesExtra Slides

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IHE PCD ’09 Showcase

GE GE CentricityCentricity®®

Periop Anes.Periop Anes.

Enterprise

DOC

DOC

Patient Patient

LiveDataLiveDataOR –OR –

DashBoardDashBoardTMTM

DOR = Device Observation Reporter IOP = Infusion Order Programmer

DOC = Device Observation Consumer IOC = Infusion Order Consumer

AR = Alarm Reporter / AM = Alarm Manager

PDQ/PAMServer

PhilipsPhilipsIntelliVueIntelliVue ClinicalClinical

Info PortfolioInfo Portfolio

DOC DOC

DraegerDraegerInnovianInnovian® ® WebWeb

CapsuleCapsule

GE GE CentricityCentricity®®

EnterpriseEnterprise

DOC

LiveData LiveData Alert ManagerAlert Manager

PhilipsPhilipsEmerginEmergin

AM

OR

TimeServer

Step-DownICU

AM

Hospital Bed,BIS Monitor

CapsuleCapsuleDataCaptorDataCaptor

DOR,AR

Patient Monitor

DOR,AR

PhilipsPhilipsIntelliVueIntelliVue

Info. CenterInfo. Center

AR DOR,AR

CernerCerner

CareMobileCareMobileTMTM

DOCIOP

AC

DOR,AR

Hospital Bed,VS Monitor

CernerCerner

CareAwareCareAwareTMTM

DOR,AR

InfusionDevices

IOC

B.

Bra

un

B.

Bra

un

Ho

sp

ira

Ho

sp

ira

Ca

rdin

al

Ca

rdin

al

Patient Monitor,Ventilator

DOR

GEGEAwareAware

GatewayGateway

DOR,AR

InfusionDevices

IOC

B.

Bra

un

B.

Bra

un

Ho

sp

ira

Ho

sp

ira

Ca

rdin

al

Ca

rdin

al

Patient Monitor,Anesthesia Sys

DOR, AR

DraegerDraeger InfinityInfinityGatewayGateway

DOR,AR

InfusionDevices

B.

Bra

un

B.

Bra

un

Ho

sp

ira

Ho

sp

ira

Ca

rdin

al

Ca

rdin

al

Patient Patient

PolycomPolycomWirelessWirelessPhonePhone

AlarmClient

CapsuleCapsule

SISSISPeriopPeriop

SolutionSolutionDOC

CernerCerner

CareMobileCareMobileTMTM

DOCIOP

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IHE PCD Profile: PIV

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IHE PCD Profile: DEC w/ SPD

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