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Electronic communication of data directly from medical device systems can significantly improve patient care and safety. With
standards-based interoperable communication, institutions can select the "best of breed" for specific applications,
mixing vendors and models, with assurance of compatibility. However, in the absence of interoperable communications this becomes
a difficult and expensive undertaking, with additional overhead and maintenance requirements.
The Patient Care Device Domain (PCD) of Integrating the Healthcare Enterprise is concerned with integration use cases in which
at least one actor is a regulated patient-centric point-of-care medical device. The PCD coordinates with other IHE
clinical specialty based domains such as medical imaging and lab to ensure consistency of medical device integration solutions
across all IHE technical frameworks, as well as the I.T. Infrastructure (ITI) domain to leverage common technical solutions that
are deployed across the enterprise.
In existence a scant 5 years, the PCD has developed messaging for
- Device Enterprise Communication (physiologic and device operational data) from devices to CIS and EMR systems
- Point-of-care Infusion Verification (support for 5 rights-based pump configuration)
- Implantable Device – Cardiac – Observation (pacemaker data from home and clinic conveyed to medical record systems)
- Alarm Communication Management (limited in scope, it will become significantly more powerful this year)
- Rosetta Terminology Mapping (provides standards-based common terms, units of measure, other elements for patient and device data)
We invite you to spend a short time at the Interoperability Showcase at HIMSS10, Booth # 233, where you will see demonstrations of
interoperable systems, and find help in meeting the demanding requirements of customers and regulators. Look for the Patient Care Device
demonstrations where simulated clinical settings demonstrate:
- Continuity of care and documentation from home to hospital to physician and various follow up sites,
- Home health and pacemaker follow up leading to hospitalization
- Involvement of patient and family
- Improved workflow and clinical efficiency,
- Medical data immediately available when and where needed
- Alarm and alert communications
- Improvements in patient safety,
- Alarm and alert communications
- Infusion pump medication management (5 rights)
- Descriptions of existing and future PCD technical profiles that support the ARRA / HITECH legislation and the requirements identified in the ONC Common Device Connectivity use case
- Reduced development, implementation, acquisition, and installation costs and improved maintainability of the healthcare IT network and of medical devices and systems
The PCD section of the Showcase will provide users, developers and vendors with important information. The PCD invites you to come,
learn, discuss, and join in making the changes which benefit patients, staff, and the organization. More information is available
from pcd@accenet.org.
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