Levels of conceptual interoperability model for healthcare framework for safe medical device interoperability

Robkin, Michael; Weininger, Sandy; Preciado, Benjamin; Goldman, Julian M.

doi:10.1109/ispce.2015.7138703

Cited by 26 publications

(18 citation statements)

References 3 publications

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“…state, context, change of either) and have discussed where this information comes from, including approaches to capture information and why the information in the device model is necessary for safety. The paper has described an approach to achieve safe medical device PnP using comprehensive device models that are “standardized”-characterized by dynamic interoperability between devices and conceptual interoperability within the organization utilizing the levels of interoperability concepts of Tolk and Muguira [1] , Turnitsa [2] , and Robkin et al [3] . And lastly the paper proposes that shared clinical scenarios enable developers to be conceptually interoperable, sharing the same goals, constraints, and processes which is necessary for their work product to achieve dynamic interoperability.…”

Section: Discussionmentioning

confidence: 99%

“…The standard ISO/IEC 10746-2-2009, RM-ODP Reference Model Open Distributed Processing defines a model in which the objects in the system identified from the clinical scenarios, the interfaces, their interaction points, and the behaviors of each object (a behavior is a collection of actions together contained with a set of constraints) are determined. To achieve safe plug-and-play dynamic interoperability, device and patient states, and use context must also be gathered and exchanged [3] .…”

Section: Determining Relevant Attributes Of a Device Model Related Tomentioning

confidence: 99%

“…Robkin et al [3] applied Tolk’s and Turnitsa’s model of conceptual interoperability to medical devices and healthcare, and further showed that for systems to achieve an appropriate level of interoperability, the design process of the developers (of the interoperable components and interfaces) must be working at a higher level of interoperability. Current healthcare delivery systems are replete with examples of both successful and unsuccessful interoperability.…”

Section: Introductionmentioning

confidence: 99%

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The Importance of State and Context in Safe Interoperable Medical Systems

Weininger

Jaffe

Robkin³

et al. 2016

IEEE J. Transl. Eng. Health Med.

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This paper describes why “device state” and “patient context” information are necessary components of device models for safe interoperability. This paper includes a discussion of the importance of describing the roles of devices with respect to interactions (including human user workflows involving devices, and device to device communication) within a system, particularly those intended for use at the point-of-care, and how this role information is communicated. In addition, it describes the importance of clinical scenarios in creating device models for interoperable devices.

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Section: Discussionmentioning

confidence: 99%

Section: Determining Relevant Attributes Of a Device Model Related Tomentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Importance of State and Context in Safe Interoperable Medical Systems

Weininger

Jaffe

Robkin³

et al. 2016

IEEE J. Transl. Eng. Health Med.

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“…This ecosystem includes system architecture requirements, interface specifications, nomenclatures and test methods. To achieve safe and effective interoperability 22 , these requirements should be applied to all of the components in the medical device ecosystem. A “blueprint” or “roadmap,” developed by a broad coalition, is needed to connect the existing patchwork of standards that try to address those needs.…”

Section: Clinical Needs and Other Driversmentioning

confidence: 99%

The Need to Apply Medical Device Informatics in Developing Standards for Safe Interoperable Medical Systems

Weininger

Jaffe

Goldman

2017

Anesthesia &Amp; Analgesia

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Medical device and health information technology systems are increasingly interdependent with users demanding increased interoperability. Related safety standards must be developed taking into account this systems perspective. In this article we describe the current development of medical device standards and the need for these standards to address medical device informatics. Medical device information should be gathered from a broad range of clinical scenarios to lay the foundation for safe medical device interoperability. Five clinical examples show how medical device informatics principles, if applied in the development of medical device standards, could help facilitate the development of safe interoperable medical device systems. These examples illustrate the clinical implications of the failure to capture important signals and device attributes. We provide recommendations relating to the coordination between historically separate standards development groups; some which focus on safety and effectiveness, and others that focus on health informatics. We identify the need for a shared understanding among stakeholders and describe organizational structures to promote cooperation such that device-to-device interactions and related safety information are considered during standards development.

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“…5 Technical inter-operability is responsible for the infrastructure and ensures the use of the same data on different devices. 6 Semantic interoperability is responsible for the unambiguous understanding of data by both the sender and the recipient. It uses specific codes and standard templates that constrain the possible number of message types transferred.…”

Section: Introductionmentioning

confidence: 99%

Evaluating Manual Mappings of Russian Proprietary Formats and Terminologies to FHIR

Lenivtceva

Kopanitsa

2019

Methods Inf Med

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Background Evaluating potential data losses from mapping proprietary medical data formats to standards is essential for decision making. The article implements a method to evaluate the preliminary content overlap of proprietary medical formats, including national terminologies and Fast Healthcare Interoperability Resources (FHIR)—international medical standard. Methods Three types of mappings were evaluated in the article: proprietary format matched to FHIR, national terminologies matched to the FHIR mappings, and concepts from national terminologies matched to Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT). We matched attributes of the formats with FHIR definitions and calculated content overlap. Results The article reports the results of a manual mapping between a proprietary medical format and the FHIR standard. The following results were obtained: 81% of content overlap for the proprietary format to FHIR mapping, 88% of content overlap for the national terminologies to FHIR mapping, and 98.6% of concepts matching can be reached from national terminologies to SNOMED CT mapping. Twenty tables from the proprietary format and 20 dictionaries were matched with FHIR resources; nine dictionaries were matched with SNOMED CT concepts. Conclusion Mapping medical formats is a challenge. The obtained overlaps are promising in comparison with the investigated results. The study showed that standardization of data exchange between proprietary formats and FHIR is possible in Russia, and national terminologies can be used in FHIR-based information systems.

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Levels of conceptual interoperability model for healthcare framework for safe medical device interoperability

Cited by 26 publications

References 3 publications

The Importance of State and Context in Safe Interoperable Medical Systems

The Importance of State and Context in Safe Interoperable Medical Systems

The Need to Apply Medical Device Informatics in Developing Standards for Safe Interoperable Medical Systems

Evaluating Manual Mappings of Russian Proprietary Formats and Terminologies to FHIR

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