Distributed Alarm System in the Hospital based on DAKS

Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.Stand: 07/20/2011

Distributed Alarm System in the Hospital based on DAKS

Copyright © 2011 tetronik GmbH AEN. All Rights Reserved.

Distributed Alarm System in the Hospital based on DAKS (Draft)

Folie 2

DECT

System Topology

Medicalor other

device/system

DAKS Operators: DOCS (browser-based)

and/or DAKS-TT Operator-Toolsand/or DAKS Customized Operator

DAKS Administrator:DOCS (browser based)DAKS-TT Administrator-Tools

DAKS DatabaseServer

StandardGSM phones

Stationaryphones

Hospital's Ethernet-LAN

Public

GS

M/U

MT

SInternet

Smartphoneswith integrated'DAKS Mobile Client'

Wi-Fi

Hospital'spGSM server

Hospital's PBX

ISDN

µDAKS-Adapt

Medicalor other

device/system

ESPA 4.4.4

Medicalor other

device/system

Medicalor other

device/system

TAP

Contacts

e.g. HL7

Medicalor other

device/system

SIEMENSMed

OPENLink

Medicalor other

device/system

Medicalor other

device/system

Medicalor other

device/system

e.g. HL7

e.g. HL7

e.g. HL7

DECT or WiFitags and medallions

DECT/WiFihandsets

(µ)ESPA-X connections to the

active DAKS server

DAKS server #2 with process server

DAKS server #1 with process server

DAKS cluster: one active –

one hot standby

VoIP/TDM trunk; SMS service; OAP, DSAP,

and SMTP connections



Folie 3

Overall Strategy

Single DAKS server or DAKS cluster (one active / one in hot-standby) for alarm control

Hospital's LAN as basis for the data interchange between the components of the "Distributed Alarm System"

DAKS peripheral components for operation and administration:• DAKS process server (attached to every DAKS server)• DAKS database server (one per system)• DAKS-TT administrator tools (Windows PC software)• DAKS-TT operator tools (Windows PC software)• Customer-specific graphical user interfaces "DAKS Customized Operator = DCO", as an add-on to the DAKS-

TT Operator tools (Windows PC software)• completely browser-based "DAKS-Operator-Control-System = DOCS"

µ(ESPA)-X interfaces on the host side:• directly from the medical or non-medical devices/systems• from the medical or non-medical devices/systems with serial interfaces or contact interfaces via µDAKS-

Adapt converters• from the medical or non-medical devices/systems with e.g. HL7 interfaces and a data concentrator e.g. from

Siemens Med

VoIP trunk, TDM trunk, SMS messaging, SMTP messaging, OAP and/or DSAP connections to the caregiver's devices (mobile or stationary):

• Telephone calls, emergency telephone conferences• Simple messaging• Intelligent communication with DAKS Mobile Clients (Apps for Smartphones and PCs)



Folie 4

GSM/UMTS

Competent responders(calling numbers/calling groups etc.)

Text message indicating Ward/Room/Bed Assigned voice announcements



TDM

VoIP

TCP/IP LAN

OScAR-Pro HiPath

BlackBerry

Wi-Fi APDoorIntercom

IP Nurse CallServer

ESPA-X

BlackBerryEnterprise Server

Data

Voice

Data

Voice

Data

Dat

a

Voice

Pos Neg Call

PATIENT CALLW01 R22 B02Ascom i75

Data

AscomIMS

Scenario #1: Patient call via IP Nurse Call to Ascom i75 with escalation to BlackBerry via GSM/UMTS

Bilateral voice communication



Folie 5

GSM/UMTS





TDM

VoIP

TCP/IP LAN

OScAR-Pro HiPath

iPhone

Wi-Fi APDoorIntercom

IP Nurse CallServer

ESPA-XData

Voice Voice

Data

Dat

a

Voice

Scenario #2: Patient call via IP Nurse Callto an iPhone via GSM/UMTS

Bilateral voice communication



Folie 6

Transport Logistics Assignment from SyncroTESSto BlackBerry via GSM/UMTS or Wi-Fi

GSM/UMTS

TCP/IP LAN

DAKS

SyncroTESS Server


ESPA-X

BlackBerry Dialog via text messages

in combination with soft keys

Dialog via text messagesin combination with soft keys

Wi-Fi

assignedTransparent Mode



Folie 7

Transmission of a Confidential MessageIncluding PIN Request and Text-to-Voice Translation

GSM/UMTS

TCP/IP LAN

DAKS

BlackBerry

Text for TTV

Text-to-speech conversion via Text-to-Voice (TTV)

Text-to-speech conversion via Text-to-Voice (TTV)


Data

Voice

Data

DAKS-TT Operator-Tool with DCO



Folie 8

No-movement Alarm from a GMD Emergency Medallionwith Subsequent Positioning

Wi-Fi AP

GSM/UMTS

TCP/IP LAN

DAKS

BlackBerry

Operator Tool

DPS-view

GMD-22


Text message includingpositioning result

Assigned voice announcements


Text message includingpositioning result





Folie 9

Typical Work Flow of a Patient CallUsing the Example of a BlackBerry Smartphone

takescall

letsring

Alert next nurse

Nurse callsystem

Patient calling

attentionsignal

After talk-back to the patient room the following options are available:

"Store call" (hang up)

"Delete call" ('#')

End of patient call

"Prioritize call" ('1')

"Store call"



Folie 10

Wi-Fi AP

TCP/IP LAN

DAKS

Control Center DPS-viewiPhone with an installed'DAKS Mobile Client'


Text message w/ positioning result Assigned voice announcements


Text message w/ positioning result Assigned voice announcements

Emergency Alarm from an iPhone withan Installed DMC, with Subsequent Positioning



Folie 11

Triggering of a Crisis Team Conference froma BlackBerry with an Installed DMC

Wi-Fi AP

TCP/IP LAN

DAKS

BlackBerry with an installed'DAKS Mobile Client'


Display text



Display text


Control Center



Folie 12

AlarmserverAlarmserver

GSM /UMTS

e.g. BCM tool

e.g. BCM tool

e.g. emerg. resp. host computer

e.g. emerg. resp. host computer

e.g. eurse call systeme.g. eurse

call system

LAN / WAN

ESPA-X

ESPA-X

ESPA-X

Wi-Fi

DECT

…

Soft switchSoft

switch

PBX PBX

…

ESPA-XModern Link-up of Host Systems to Alarm Servers

XML encoded client server interface

broad standardized basis,expandable on proprietary basis

easy implementation

with feedback evaluableby the computer

more at: http://www.espa-x.org



Folie 13

The Continuously Growing ESPA-X Community(in alphabetic order)

Industry SectorAutomation Technology

Industry SectorBuilding Technologies

Enterprise Communications



Folie 14

Notification via text messages (also complex dialogs) with accompanying variable attention signal (regular, urgent and emergency), also during ongoing telephone calls

Softkeys:

• for PIN inputs and instant confirmation or rejection of received tasks (closed-loop-notifications)

• to set up telephone calls (e.g. to a prepared conference)

• for dynamic links to a web page (e. g. video image or ECG details)

Background information exchange with DAKS for presence status detection

Campus-wide location tracking information in the Wi-Fi environment

Automatic communication route selection

• WiFi communication for in-house subscribers

• GSM/UMTS communication for external subscribers

Emergency button to set off alarm calls

Automatic 'History' function (received messages and type of ACK)

Additional features in preparation

Functionalities of a 'DAKS Mobile Client' (DMC)(if supported by the device)



Folie 15

DAKS Mobile Client (DMC)on various terminals

DAKSwith DAKS SmartphoneAccess Service (DSAS)

BlackBerry (RIM)(available)

Apple iOS(in review at Apple)

DAKS Smartphone Access Protocol (DSAP)

Windows Vista / 7(planned)

DAKS Smartphone Access (DSA):Schematic Overview and Roadmap

Windows mobile (planned)

Apple Mac OS(planned)

Microsoft Lync(planned)

Android(planned)

Ascom i62 or i75

OAP

Ascom IMS

Distributed Alarm System in the Hospital based on DAKS

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