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Integration Profile: Device Enterprise Communication

Integration Profile Information

Id: 276

Keyword: DEC

Name: Device Enterprise Communication

Description: The Device Enterprise Communication Profile supports communication of vendor independent, multi-modality Patient Care Devices data to Enterprise Applications using consistent semantics. It accomplishes this by mapping PCD data from proprietary syntax and semantics into a single syntactic and semantic representation for communication to the enterprise. The PCD data is time stamped with a consistent enterprise time. Options are provided to allow applications to filter particular PCD data of interest

Status: Final Text

Document Section:

None

Id
Keyword
Name
Description
Action
77 DEV_OBS_REPORTER Device Observation Reporter The Device Observation Reporter (DOR) actor receives data from PCDs, including those based on proprietary formats, and maps the received data to transactions providing consistent syntax and semantics.
78 DEV_OBS_FILTER Device Observation Filter The Device Observation Filter (DOF) actor is responsible for providing PCD data filtering services based on publish/subscribe predicates negotiated with client applications implementing the Device Observation Consumer.
79 DEV_OBS_CONSUMER Device Observation Consumer The actor responsible for receiving PCD data from the Device Observation Reporter, the Device Observation Filter, or both.
Assertion Id
Description
DEC-Vol1-001 Each actor implementing this Patient Care Device (PCD) profile shall be grouped with the IT Infrastructure Consistent Time profile Time Client Actor for the purpose of consistent time-stamping of messages and data
DEC-Vol2-001 The Communicate PCD Data [PCD-01] transaction references the following chapters from the HL7 Version 2.6 standard: Chapter 7 Observation Reporting
DEC-Vol2-002 The Communicate PCD Data [PCD-01] transaction references the IEEE 11073-10201 Domain Information Model standard
DEC-Vol2-003 The Communicate PCD Data [PCD-01] transaction references the IEEE 11073-10101a Nomenclature standard
DEC-Vol2-004 The static definition for the PCD-01 Communicate PCD Data message is defined in the unnamed table in this section of the doument
DEC-Vol2-005 The PCD-01 message structure differs from the basic HL7 version 2.6 by allowing for the appearance of PRT segments, a segment new in HL7 version 2.7, in certain locations.
DEC-Vol2-006 The period for periodic reporting shall be several times a minute for high acuity reports and maximum interval of once every 24 hours, with a typical interval of 1 minute.
DEC-Vol2-007 Upon receipt of a PCD-01 message the DOC actor validates the message and shall respond with an acccept acknowledgement message as defined in Appendix G.11 Acknowledgement Modes.
DEC-Vol2-008 For PCD-01 messages MSH-9 Message Type shall contain ORU^R01^ORU_R01.
DEC-Vol2-009 Device to Enterprise Communications PCD-01 Communicate PCD Data message (also used for observations in response to a PCD-02 PCD Data Query) shall contain in MSH-21 Message Profile Identifier the value 1.3.6.1.4.1.19376.1.6.1.1.1
DEC-Vol2-010 For PCD-01 messages the ORC segment use is X, i.e. not sent.
DEC-Vol2-011 Pulse Oximetry Integration (POI) device observations shall include an observation of oxygen saturation of blood gas as a percentage numeric data type. Given the variety of available device designs (dedicated function SPO2 monitor or modular component to a physiologic monitor), the variety of sensor capabilities, and that the observation identification can include the sense point body part, i.e. left/right arm, etc. there is no single observation definition for all devices and all use cases. Any communicated SPO2 observation shall appear in RTMMS. A non-exclusive example is 150456^MDC_PULS_OXIM_SAT_O2^MDC.
PCD-Vol2-001 OBX-3 shall be expressed as an HL7 Coded Element With Exceptions (CWE) data type
PCD-Vol2-002 OBX-4 shall be expressed as the containment level of a particular item expressed in OBX-3
PCD-Vol2-003 Ordinal numbers in OBX-4 are not normative for a given parameter and may vary between implementations. They shall be unique within a given containment, however, numbers may change between messages.
PCD-Vol2-004 Source for nomenclature codes is IEEE 11073-10101 current version. Additional codes not yet standardized are contained in the RTMMS
PCD-Vol2-005 Periodic versus aperiodic data shall be distinguished by the IEEE 11073 Metric Access code in OBX-17
PCD-Vol2-006 The value in MSH-2 Encoding Characters shall be ^~\&
PCD-Vol2-007 MSH-3 Sending Application shall uniquely identify the software application implementing the actor sending the message
PCD-Vol2-008 If MSH-4 Sending Facility is populated, the first component shall identify the organizational entity responsible for sending the message, the second component if present shall identify the Universal ID of the organizational entity responsible for the sender of the message, the third component if present shall identify the Universal ID Type

Domains

Id
Keyword
Name
Description
7 PCD Patient Care Devices The Patient Care Device Domain is concerned with use cases in which at least one actor is a regulated patient-centric point-of-care medical device that communicates with at least one other actor such as a medical device or information system.

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