Potential Posters for HIMSS11

PCD and Continua; Integration of home, personal and regulated

medical devices

Continua-IHE interoperability standard alignment is an example of medical system and ICT convergence that was precipitated by the global demand for interoperable hospital, eHealth, telemedicine,

and telehealth solutions:• Allows almost any brand of Continua personal health device and/or IHE

clinical (medical) device can be used or interchanged in any appropriate setting;

• TECHNOLOGY can finally assure automatic and accurate data capture and eliminate error-prone manual entry (similar to most other industries like aviation and manufacturing); and

• Can provide near real-time update of Electronic Health Record/Personal Health Record.

NOTE: Must specify the “Continua-WAN” interface for IHE compatibility

IHE-PCD and Continua “live” in two different but overlapping worlds

• Continua – “Personal Health Devices” non-regulated personal appliances, non-life-critical settings like home, car, gym, simple data sets– Personal wellness status, chronic illness home care

• IHE-PCD – Full-on clinical devices and applications, from home chemotherapy through intensive care, implanted devices, and surgery – Becoming MUCH more mobile, including relative acute

care management at the home• Both products must co-exist in the home, with overlapping

missions, different price-points

© 2010 Elliot Sloane, all rights reserved. 4

Beginning this Fall, a single data interface architecture can be used by all Continua Personal Health Devices, all IHE-PCD

Medical Devices, and all IHE EHRs!

With permission, Continua AllianceWith permission, Continua Alliance

Continua and IHE-PCDCollaborative solutions!

• The Continua Health Alliance focuses on “Personal Health Devices,” principally oriented towards non-life-critical health and wellness management outside of hospital settings– Primarily focused on gathering chronic disease diagnostic

health data, and wellness monitoring data, into Personal Health Records www.ContinuaAlliance.org

• The IHE Patient Care Device Domain deals with all clinical settings, life-critical applications, and chronic disease diagnosis and treatment (acute/intensive care, surgery, implants, physician offices, and home care) – Focused on device safety and integrating data into Electronic

Medical Records/Electronic Health Records and Personal Health Records www.IHE.net/PCD

IHE Patient Care Device Clinical Areas

CPOE/ Pharmacy System

Ventilation/Anesthesia

System

ACM, DEC, WCM

Physiologic Monitoring

System

ACM, DEC, WCM

ACM, DEC, WCM

Clinical Decision Support System

Barcode Medication

Administration System

PIVInfusion

Pump

ACM, DEC

DEC

EMR/EHR

CIS

ACM, DEC, WCM

IDCO

ACM, MEM

Implantable Device

EquipmentManagement

System

CurrentPCD

FuturePCD

Future Non PCD‐

Other Devices

ACM: Alarm Communication ManagementDEC: Device Enterprise Communication

IDCO: Implantable Device – Cardiac – ObservationMEM: Medical Equipment ManagementPIV: Point of Care Infusion Verification‐ ‐

WCM: Waveform Communication Management

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Home BasedSystems

eHealth & TeleHealth

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Profiling has emerged as a POWERFUL enabler

• IHE’s and Continua’s “Integration Profiles” take myriad “base standards” such as DICOM, ICD9/10, HL7, or IEEE and “CONSTRAINS THE OPTIONALITIES”– e.g., Each standard has a different (or many different) coding

choices and data structure locations for Date and Time– An Integration Profile specifies the SOLE option to be used

for each standard AND specifies a SOLE Global Standard for “Universal Timekeeping” (typically “internet time”)

The EMBS IEEE 11073.x standards are foundational to both Continua and IHE

IHE’s Rosetta Project maps ALL vendor clinical coding to each other via IEEE 11073

IHE Rosetta Project

• Now over 400 columns of vendor-specific mappings of clinical variables and globally-harmonized UCUM units of measurements– e.g., Every brand of ECG monitor, EHR, or IV pump

can “know” the kinds of data that other branded products might send, and can therefore translate that information correctly

– This is ESSENTIAL for life-critical data preservation, interpretation, and, ultimately, closed-loop multi-vendor systems

All IHE and IHE-PCD profiles are FREE to download and use

• www.IHE.net and www.IHE.net/PCD

• Continua Alliance profiles are proprietary, and require membership in the Community

For further informationIntegrating the Healthcare EnterpriseIHE Web: www.ihe.net PCD Web: www.ihe.net/pcd and www.accenet.org/ihe

Wiki: http://wiki.ihe.net/index.php?title=Patient_Care_Device

PCD Getting Started: http://wiki.ihe.net/index.php?title=PCD_Getting_Started

PCD Users’ Handbook: http://www.ihe.net/Resources/handbook.cfm

Continua Health AllianceWeb: http://www.continuaalliance.org

Continua Wiki: http://en.wikipedia.org/wiki/The_Continua_Health_Alliance

Continua Overview Presentation, Video, Flyers: http://www.continuaalliance.com/about-the-alliance.html

National Institute of Standards and TechnologyWeb: http://www.nist.gov

Medical Devices: http://www.nist.gov/medicaldevices