PCC Remote Monitoring

1. Proposed Profile: <Sharing Data from Remote Locations>

Proposal Editor: Kboone
Profile Editor: TBD
Date: N/A (Wiki keeps history)
Version: N/A (Wiki keeps history)
Domain: PCC

2. The Problem

There is a need for exchanging information from medical devices designed to send and receive data from remote locations for the purpose of monitoring health status or response to treatment.

3. Key Use Case

<Describe a short use case scenario from the user perspective. The use case should demonstrate the integration/workflow problem.>

Patients with chronic disease or impaired functional status benefit from the ability to be monitored from remote locations, including their home. The ability for clinicians to remotely monitor vital signs, physiologic measurements or tests provides and efficient method of controlling costs and improving customer service. Use of remote monitoring devices or methods adds a coordination layer of support to the provider/patient relationship and enables the patient or his caregiver or advocate to participate more fully in treatment.

Interoperable data structures and use of messaging standards are needed to enable sharing of the information between the patient and clinician so that treatment progress may be monitored, prescribed interventions modified if needed and visits to the physician's office or hospital less frequent and more focused on non-routine issues.

At present there is no single standard for exchanging data between devices and the patient's "medical home". Actors in this use case include anyone involved with patient monitoring that occurs in one location that is useful when communicated to another location. The prescription for use of remote monitoring devices comes from physcians but the users of the data vary between the patient (self monitoring), the patient's caregiver (family, home health nurse, private nurse, etc.) or a clinical coordinator responsible for managing information to support an interdisciplinary care team.

4. Standards & Systems

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<If known, list standards which might be relevant to the solution>

5. Discussion

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<Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.>

<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>

<What are some of the risks or open issues to be addressed?>

<This is the brief proposal. Try to keep it to 1 or at most 2 pages>

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