PCD Profile DEC Overview
Device Enterprise Communication communicates PCD data to Enterprise applications (CDS, CDRs, EMRs, etc.).
Summary
This profile addresses the need for consistent communication of PCD data to the enterprise. Recipients of enterprise PCD data include, but are not limited to, Clinical Decision Support applications, Clinical Data Repositories (CDRs), Electronic Medical Record applications (EMRs), and Electronic Health Records (EHRs). Examples of patient care devices included in this profile include, but are not limited to, vital signs monitors, point of care blood analyzers, infusion pumps, point of care glucometers, anesthesia systems, ventilators, and dialysis systems.
The Device Enterprise Communication profile provides an optional "Publish/Subscribe" mechanism for applications to negotiate which PCD messages are communicated to a given application based on negotiated predicates. Publish and subscribe refers to the ability of one system, the publisher, to offer a data stream that can be sent to recipient systems upon subscription.
This profile also provides an option to address the binding of the patient identification with the data from a PCD.
Benefits
In a recent HIMSS survey of requirements for Patient Care Device (PCD) the respondents identified Enterprise Sharing of PCD data as their highest priority. Benefits of DEC include shortening decision time, increasing productivity, minimizing transcription errors, and obtaining increased contextual information regarding the data.
Details
<Detailed discussion of what the profile does and how it works>
Systems Affected
Patient care device data includes periodic physiologic data (heart rate, invasive blood pressure, respiration rate, etc.), aperiodic physiologic data (non-invasive blood pressure, patient weight, cardiac output, etc.), CLIA waived (or equivalent international waiver) point-of-care laboratory tests (i.e. home blood glucose, etc.), and continuous data (ECG and invasive blood pressure waveforms). It must include patient identity data and may include contextual data such as caregiver identification, and patient care device configuration information.
The Device Enterprise Communication (DEC) profile addresses the need for consistent communication of periodic, aperiodic, and CLIA waived patient care device data to the enterprise. Enterprise recipients of patient care device data include, but are not limited to, Clinical Decision Support applications, Clinical Data Repositories (CDRs), Electronic Medical Record (EMRs) applications, and Electronic Health Records (EHRs).
The following examples describe which actors typical systems might be expected to support. This is not intended to define requirements, but rather to provide illustrative examples. •A general purpose observation reporting gateway which combines the Device Observation Reporter and the Device Observation Filter. •A clinical decision support application which combines the Device Observation Consumer and Device Observation Filter. •A patient care device which bundles the Device Observation Reporter and the Device Observation Filter.
References
<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis) >
See Also
Profile Status: Trial Implementation
The Patient Care Devices Technical Framework is the official master document for this Profile.
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The Profile FAQ Template answers typical questions about what the Profile does.
The Profile Purchasing Template describes considerations when purchasing equipment to deploy this Profile.
The Profile Implementation Template provides additional information about implementing this Profile in software.
This page is based on the Profile Template