PCD Profile Device Point-of-Care Integration (DPI)
Overview
The Device Point-of-care Integration (DPI) profile proposal is concerned with use cases that involve the interoperability of equipment around the point-of-care, often patient connected. In previous PCD development Cycles, this profile was named "plug-and-play (PnP)"; however, after further consideration, this was seen as a bit too narrow and thus the DPI moniker more accurate and inclusive. The profile will focus primarily on technical interoperability (e.g., Volume 2 - Transactions) but will integrate with device specialization "semantic content" profiles to provide for interoperability from the physical connection to abstract device data and services.
It should be noted that the DPI profile is viewed as foundational (e.g., as the ITI XDS profile set), and additional profiles shall be added. For example, DPI-PNP vs. DPI-XC (external control). Therefore, some of the current discussion will look at the overall scope of DPI, and generate a roadmap of profiles, some of which are intended for the next PCD profile development cycle (e.g., basic Plug-and-Play), and some that will come in future cycles (e.g., closed-loop control).
DPI Profile Discussions
The following links are to specific profile proposal discussion pages that support the DPI work:
- DPI White Paper Discussion
- DPI-PnP Profile Discussion
- DPI-xyz Discussion
- DPI-XDC Profile Discussion
- DPI-PIB Profile Discussion
Also, though separate from the DPI profiles, the following links are to related profiling activities:
- Device Specialization - Physiological Monitor Discussion
- Device Specialization - Infusion Pump Discusison
- Device Specialization - Ventilator Discussion
These white paper discussions are also relevant to the DPI work:
- Medical Device Semantic Architecture White Paper Discussion
- Regulatory Considerations White Paper Discussion
Background Documents
- From Previous PCD PnP Profile Development:
- ICE Related Documents
- - ICE Part 1 Ballot Draft (2008.10.14)
- - ICE Presentation by Dr. Goldman @ FDA (2008.03.25
- - ICE Use Case Analysis - Wittenber (2008.05)
- Historic References
Meetings
- 2008.10.23 & 24 F2F in Boston
- 2008.10.17 Discussion Session
- 2008.10.15 Discussion Session
- 2008.10.13 Discussion Session
- 2008.10.09 Discussion Session
- 2008.10.02 Discussion Session
- 2008.09.22 Post-Vancouver Standards Meetings Session
- 2008.09.12 Pre-Vancouver Standards Meetings Session
- 2008.09.09 Initial WebEx Session
Action Items
(add newest items to the top of the list)
No. Action Item Owner Participants Due Open/Closed Description/Update 13 Determine Method for Handling "Transaction Packages" Todd Cooper 2008.10.17 Open DPI profiles such as PnP include dialogs that define a prescribed sequence of messages via a state model / phased conversation. Thus it isn't a single transaction / message but a set of messages. How should this be handled within the IHE framework? Poll IHE co-chairs and other experts to see (a) if this has already been handled, and (b) the best alternatives that we should consider. Status: Query sent out to the IHE Co-Chairs.
12 Establish Mechanisms for Use Case Description & analysis. Todd Cooper 2008.10.15 Open Review the various constructs used within IHE (incl. wiki content) for capturing use case descriptions & analysis. 11 DPI Scope Statement Todd Cooper 2008.10.13 Open An initial scope statement for the DPI profiles should be drafted for review at the 2008.10.13 WebEx session. This should be based on content from the DPI minutes as well as the PCD PnP proposal documents from 2007.06. 10 Coordinate w/ Dr. Goldman Todd Cooper 2008.10.21 Open Coordinate with Dr. Julian Goldman re. the Boston F2F schedule & agenda, and regarding IHE PCD sync with ICE & MDPnP work. 9 DPI WP & Process Todd Cooper 2008.10.13 Open Publish DPI White Paper outline & process. 8 Arrange DPI Sessions Todd Cooper 2008.10.02 Complete Publish Doodle poll for 3-4 WebEx sessions over the next two weeks. 7 Arrange 2008.10.24 Meeting @ CIMIT Todd Cooper 2008.10.02 Complete Contact Susan Whitehead to see if a joint meeting can be arranged @ CIMIT (65 Landsdowne Street, Cambridge). 6 Add Decisions table to DPI wiki page Todd Cooper 2008.09.22 Complete See below. The minutes need to be more consistent regarding the capture of key decisions. 5 Schedule DPI meeting on 2008.09.22 Todd Cooper 2008.09.12 Complete Only one day during the week of 2008.09.22 is available for meetings. Schedule one for that Monday (i.e., draft a Doodle poll for this). Scheduled for 2008.09.22 @ 10:00 Eastern.
4 Clearly define the relationship between DPI and other IHE TF Profiles (existing & proposed) Todd Cooper 2008.09.12 Open Create a graphic representation of these profile relationships. This should be similar to diagrams provided by IHE domains such as ITI. 3 Change mail groups etc. to reflect "DPI" Todd Cooper 2008.09.12 Complete Change the PnP Google Group to reflect the decision for DPI. Harmonize also with any related wiki information. 2 Migrate Current PCD "PnP" Detailed Profile Proposal Content Todd Cooper 2008.10.01 Open Move the content that was previously in the the PCD PnP detailed profile proposal into either a white paper for DPI or one or more profile proposals. To reduce duplication, profile proposals may reference use cases identified in the white paper. 1 Add White Paper proposals for PCD Consideration Todd Cooper 2008.09.12 Open Add white paper proposals for: - Device Point-of-Care Integration
- Regulatory Considerations (esp. for medical device related profiles)
- Medical Device Semantic Architecture
NOTE: The process for white papers will reviewed from domains such as ITI, which has developed quite a few of these papers
Working Group Decisions
NOTE: These decisions are in addition to the action items listed above.
No. Decision Date Description 1 Profile Name 2008.09.09 Name of profile set shall be "Device Point-of-care Integration" (DPI) 2 Device Scope 2008.09.09 DPI shall include: - All equipment around the point-of-care (as much as possible), not just traditional critical care devices.
- Not only acute care contexts, but per the PCD charter, other use cases that include at least one medical device.
3 ICE Use Case Support 2008.09.22 - As appropriate & agreed upon, the DPI White Paper should include / reference use cases identified in the ICE document. It is the intent that PCD DPI profiles will directly support ICE compliant networks.
4 DPI WP Layered Perspective 2008.09.22 - The DPI White Paper should contain a "layered perspective" of the technologies that need to be profiled (e.g., transports (wired & wireless), service models (e.g., polled & asynchronous), device semantics & services, external control (open & closed loop), etc.).
5 2008.10.24 Meeting @ CIMIT 2008.10.02 - The DPI WG confirmed that a joint meeting with the "ICE" team & MDPnP team should be held at CIMIT (Cambridge Landsdowne Street offices) on Friday, 2008.10.24 immediately after the scheduled IHE PCD F2F meetings in Boston. A key goal should be coordination with the ICE & MDPnP groups.
6 Target 11073-00000 F&0 Content 2008.10.02 - The DPI WG shall include content that is intended to be added in the ISO/IEEE 11073 Framework & Overview standard that is currently under revision.
7 Mixed Device Classes & Care Contexts 2008.10.09 - DPI shall address use cases that include both clinical and non-clinical care contexts, as well as, traditional critical care and non-acute care devices (e.g., personal health devices in a home care context).
8 White Paper Development Process 2008.10.13 - The PCD shall use the following process for developing the DPI white paper: :::- Brief Profile Proposal (only for a White Paper)
- - Detailed Profile Proposal
- - Document Development
- - Publication for Public Comment
- - Publication (with revision history)