Stream: devices
Topic: 2016-09 Connectathon
Todd Cooper (Jun 15 2016 at 19:34):
A proposal for the 2016-09 FHIR Connectathon "device integration" track has been created; very strong interest ... very initial draft! Feedback requested (http://wiki.hl7.org/index.php?title=201609_Device_Integration#Device_Data_Integration)
Ioana Singureanu (Jun 21 2016 at 00:18):
I reviewed the the proposal and it seems limited to transactions from devices to information systems. Is there any interest in adding a "associated patient-to-device-to-operator" request via Encounter? One of the problems we could not solve very easily with V2 was the patient-to-devices and device-to-operator association at the point of care.
Todd Cooper (Jun 21 2016 at 01:09):
You read it ... THANK YOU!!!
Todd Cooper (Jun 21 2016 at 01:11):
One of the possible objectives I put in the list today was to address patient-device association; definitely could add operator too. We have to address this at some point - and in a FHIR word that point is at the get-go IMHO. So we can put it on the list for September, but if not then, then January for sure.
Todd Cooper (Jun 21 2016 at 01:12):
Feel free to update the spec accordingly - or I can do it if you would rather.
Ioana Singureanu (Jun 21 2016 at 18:09):
Great, I will add the Patient-to-Device and Operator-to-Device association using the "Encounter" resource. These associations could be used for infusion pumps to support 8-rights (initially the 5-rights). It would be interesting if we could recruit interested implementers who are looking for opportunities to go beyond the current IHE PCD DEC profile.
Ioana Singureanu (Jun 22 2016 at 17:11):
@Todd Cooper I updated the http://wiki.hl7.org/index.php?title=201609_Device_Integration#Device_Data_Integration page and added an example scenario. My primary objective would be to add an Encounter "create" to associate a patient-to-device-to-operator/performer.
Todd Cooper (Jun 22 2016 at 17:15):
Boy ... you did! [graphic renders pretty huge]. I'll give it a look. I too updated at about exactly the same time - what are the odds given all the hours in a day - the section below with the links & info for the device component at the HIMSS 2016 Interop Showcase.
Ioana Singureanu (Jun 22 2016 at 17:44):
Sorry, there is probably way to resize it but I didn't want to fiddle with that.
I will add the FHR Encounter "interaction" to including the UDI scanning.
Todd Cooper (Jun 23 2016 at 02:13):
@Ioana Singureanu No worries ... I moved the Encounter content down with the other tech aspects and then created a 5th potential scenario for "5+3 Rights of Medication Administration", included a resized graphic & link to the nursing ed. page you indicated. NOTE: I think the 5+3 Rights might work better ... give it a thought.
Ioana Singureanu (Jun 28 2016 at 17:33):
Hi Todd:
I added some clarification regarding Scenario 4: http://wiki.hl7.org/index.php?title=201609_Device_Integration#Scenario_4:_Patient-Device-Operator_Association._Management_using_EHR_Encounter_and_FDA_UDI
Basically we can support the patient-to-device-to-operator association using the UDI of the devices, the patient id band, and the operator's employee badge - all scanned at the point of care. Since FHIR Encounter does not support a participating but we could create profile to support a device extension to support "device-involved encounters"
Ioana Singureanu (Jul 07 2016 at 15:05):
I reached out to Continua members to see if the personal device may benefit from adoption FHIR resource to establish remote monitoring sessions.
Todd Cooper (Jul 07 2016 at 19:43):
FWIW - We actually have been pretty plugged into the PCHA/Continua work for this connectathon, with @Brian Reinhold participating from LNI; also there is a Continua / Devices track at the November FHIR Dev Days in Amsterdam, etc. We are working to get a consistent semantic representation whether you end up with 11073/PHD or acute, IHE PCD (w/ HL7 V2), HL7 FHIR, OpenICE or OpenSDC. Are also tracking the work with the CIMI WG esp. that Grahame has been doing to advance FHIR profiles from CIMI ADL models.
Last updated: Apr 12 2022 at 19:14 UTC
