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HL7 Working Group Session May 3-7, 2004 San Antonio, TX

Standards for Implantable Devices - Cardiac. HL7 Working Group Session May 3-7, 2004 San Antonio, TX. Overview. Project Progress Next Steps Artifact Review Appendix: Implantable Cardiac Device Overview Current Clinician Environment Implantable Device – Cardiac (IDC) Project Overview

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HL7 Working Group Session May 3-7, 2004 San Antonio, TX

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  1. Standards for Implantable Devices - Cardiac HL7 Working Group Session May 3-7, 2004 San Antonio, TX

  2. Overview • Project Progress • Next Steps • Artifact Review • Appendix: • Implantable Cardiac Device Overview • Current Clinician Environment • Implantable Device – Cardiac (IDC) Project Overview • Participants

  3. Project Progress • Validated requirements through interviews and site visits • Compiled HL7 v3.0 artifacts for Device Summary message • Storyboard • Application Roles • Trigger Event • Message Type • Interaction Diagram • Refined Message Information Model (R-MIM) • Hierarchical Message Definition (HMD) • Identified nomenclature terms to be balloted via IEEE Vital Signs Nomenclature

  4. Next Steps • Obtain feedback from participants and enhance current artifacts • Prepare Device Summary artifacts for ballot • Participate in enhancements to IEEE Vital Signs Nomenclature • Gather additional requirements through interviews and site visits • Create new HL7 v3.0 artifacts to support additional messages in this area

  5. Scenario Overview: Office Follow-Up

  6. Device Summary Data • Aggregated set of data that is typically filed in the patient’s chart at follow-up • Implanted Device Data Types: • Device Therapy Settings • Pacing settings • Defibrillation settings • Arrhythmia Logging Data • Event Counters • Diagnostic Data • Diagnostics on device functionality (e.g., lead impedance, sensing thresholds, pacing thresholds)

  7. Office Follow-Up: Interaction Diagram

  8. Office Follow-Up: Interactions, Roles & Trigger Events

  9. R-MIM

  10. Appendix • Implantable Cardiac Device Overview • Current Clinician Environment • Implantable Device – Cardiac (IDC) Project Overview

  11. Implantable Cardiac Device Overview • Pacemakers • Implantable Cardioverter Defibrillators • Heart Failure devices • Sensors • Programmer • Implantable cardiac devices exist as siloed subsystems

  12. Current Clinician Environment Data Integration Opportunity Integrated EHR/HIS/CIS Implantable Cardiac Device Data Referring, Implanting & Following Physicians Clinicians will prefer systems that integrate with their CIS

  13. IDC Project Overview Current Working Relationships • Project under the sponsorship of the O&O Tech. Cmte. • Participate in LAPOCT SIG and IEEE Joint Working Group • Work with IEEE on extending Nomenclature Intended Working Relationships • Monitor the work of the Vocabulary Tech. Cmte. • This group will stay alert to and be prepared to work with any outside organization with similar or related goals, including: • DICOM WG1 • IEC (International Electrotechnical Commission) SC62D • IHE (Integrating the Healthcare Enterprise) Cardiology • NASPE (North American Society of Pacing and Electrophysiology) – Heart Rhythm Society • SNOMED

  14. Participants • Implantable Device Companies & Medical Instrument Companies • Interested Clinicians • EHR Vendors • Providers • Payors • Remote Monitoring Companies • Electrophysiology (EP) Lab Diagnostic Vendors • Healthcare Consulting Companies

  15. Implantable Cardiac Device Process Flow

  16. Device Data Overview • Implanted Device Data Types: • Device Therapy Settings • Pacing settings • Defibrillation settings • Therapy tuning features • Arrhythmia Logging Data • Stored details on each episode • Electrograms and event markers before, during, and after an event • Diagnostic Data • Trended diagnostics on device functionality (e.g., lead impedance, sensing thresholds, pacing thresholds) • Diagnostic data for titration of patient therapy • Data from in-clinic testing • Inductions • Various device status tests

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