PCD Implantable Device Cardiac Observation

Implantable Device - Cardiac - Observation (IDCO) communicates data from implantable pacemakers, defibrillators or event recorders (or implantable loop recorders) to enterprise applications such as EHRs.

Summary

This profile describes a means to transfer information from an interrogated implantable cardiac device to information management systems. This profile is named Implantable Device – Cardiac – Observation or IDCO for short.

Benefits

• Standards based translation and transfer of summary device interrogation information

• Improved workflow efficiencies in Cardiology and Electrophysiology practices from management of “key” summary implantable rhythm control device interrogation information in a central system such as an electronic health record system (EHR) or a device clinic management system.

Details

Cardiac physicians follow patients with implantable cardiac devices from multiple vendors. These devices are categorized as pacemakers, implantable cardioverter defibrillators, cardiac resynchronization therapy devices, and cardiac monitor devices.

As part of patient follow-up an interrogation of a cardiac device is performed (either in-clinic or from a remote location). Information is collected about the device such as device identification, therapy settings, device diagnostics, and device testing. These interrogations are performed by vendor proprietary equipment.

To improve workflow efficiencies Cardiology and Electrophysiology practices require the management of “key” summary implantable rhythm control device interrogation information in a central system such as an electronic health record system (EHR) or a device clinic management system. To address this requirement, the Implantable Device – Cardiac – Observation (IDCO) Profile defines a standards based translation and transfer of summary device interrogation information from the interrogation system to the information management system.

With the increased use of EHR systems, the networking of in-clinic and remote follow-up systems for implanted cardiac devices, and the continued growth of the implantable cardiac device market, the importance of this profile to clinicians has become more acute. Strong device and EHR vendor participation in the IDCO profile development is an acknowledgement of this importance. As the IDCO Profile and associated standards continue to evolve there is little doubt that the use of this profile will be a critical component of comprehensive cardiac care.

IHE PCD IDCO / IEEE 11073-10103 implantable cardiac device system

IHE PCD IDCO / IEEE 11073-10103 usage diagram

The Device Observation Reporter (DOR) actor receives data from IDCs and maps the received data to transactions providing consistent syntax and semantics.

The Device Observation Consumer (DOC) is the actor responsible for receiving IDC data from the Device Observation Reporter.

Specification

Profile Status: Final Text

Documents:

• Details of the latest PCD-09 message specification can be found in Volume 2 of the Patient Care Devices Technical Framework

Underlying Standards:

1. HL7 V2.6
2. ISO/IEEE 11073-10101 (Point-Of-Care Medical Device Communication - Part 10101: Nomenclature)
3. ISO/IEEE 11073-10103 (Point-Of-Care Medical Device Communication - Part 10103: Nomenclature - Implantable device, cardiac)

Download:

• standards.ieee.org/downloads/11073 (Zip-File including IEEE-11073-10103 nomenclature, spreadsheet of identifiers and all codes as XML)
  Important notice / know issues of the zip-file:
  Some files inside the zip contain outdated IDs starting with MDC_IDC_ENUM_PG. These IDs should be replace by MDC_IDC_ENUM_DEV according to the standard.

Related Profiles

Related profiles based on IEEE 11073-10103:

• EPRC-IE (Electrophysiology Laboratory Report Content - Implant/Explant)
• iCARDEA (Personalized Remote Monitoring of CIED)

Other:

• Electrophysiology Report Content (for NCDR)
• IDCO Google Drive (Profile and Standard drafts, Connectathon files, example messages)

Systems Affected

• EHR systems which may store, manage, and/or display IDCO reports of implantable cardiac devices such as pacemakers, implantable defibrillators and implantable cardiac monitors/loop recorders.