The Importance of State and Context in Safe Interoperable Medical Systems

Weininger, Sandy; Jaffe, Michael B.; Robkin, Michael; Rausch, Tracy; Arney, David; Goldman, Julian M.

doi:10.1109/jtehm.2016.2596283

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…In practice, Medical PnP has already successfully been applied for sharing electronic health information [26]. A group at the University of Florida prototyped a system to synchronize x-ray radiography device with the patient's breathing cycle to improve the quality of the radiography on a ventilated patient [13]. There are other examples, where medical device interoperability and medical system integration improved patient safety especially on clinical engineering area such as prioritizing ventilation system alarms [10], [20].…”

Section: Discussionmentioning

confidence: 99%

“…Effective interoperable medical systems should be safe, secure and usable at all levels of conjunction and require holistic view [12]. Tolk et al postulated a model consisting of five levels for conceptual interoperability [13], which was then extended to seven levels by Turnitsa et al [14]. These models characterize the internal and external interactions occurring in systems.…”

Section: Introductionmentioning

confidence: 99%

“…The mature form of interoperability is Plug-and-Play (PnP). At this level, devices interoperate with each other seamlessly and solely based on configuration without significant engineering effort [13]- [15]. PnP capability could bring great reductions to the burden of patients, physicians and hospitals and it could prevent technical issues and clinical workflow inefficiencies by integrating the data and functionalities of medical devices and clinical information systems [10].…”

Section: Introductionmentioning

confidence: 99%

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Unified Open Hardware Platform for Digital X-Ray Devices; its Conceptual Model and First Implementation

Durmaz

Brusan

Öztürk

2020

IEEE J. Transl. Eng. Health Med.

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Background: Digital radiography devices are still the gold standard for diagnosis or therapy guidance in medicine. Despite the similarities between all direct digital x-ray systems, researchers and new companies face significant challenges during the development phase of innovative x-ray devices; each component is manufactured independently, guidance towards device integration from manufacturers is limited, global standards for device integration is lacking. Method: In scope of this study a plug-integrateplay (PIP) conceptual model for x-ray imaging system is introduced and implemented as an open hardware platform, SyncBox. The researchers are free to select each individual device component from different vendors based on their intended application and target performance are utilized in criteria. Result: As its first implementation, SyncBox and its platform a full body high resolution radiographic scanner that employs a novel TDI digital detector. Conclusion: We believe that SyncBox has a potential for introducing an open source hardware platform to x-ray equipment design. INDEX TERMS Medical imaging, open source hardware, plug-integrate-play (PIP) medical device development, x-ray applications, x-ray imaging hardware.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Unified Open Hardware Platform for Digital X-Ray Devices; its Conceptual Model and First Implementation

Durmaz

Brusan

Öztürk

2020

IEEE J. Transl. Eng. Health Med.

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“…They must be validated and celebrated with specific standards to provide accurate and reliable information for meaningful use in healthcare. Sandy Weininger, Michael B. Jaffe, Michael Robkin, Tracy Rausch, David Arney, and Julian M. Goldman argue on this important challenge in their paper, The Importance of State and Context in Safe Interoperable Medical Systems describing the roles of devices with respect to interactions such as human user workflows and device to device communication in clinical environment [16] .…”

Section: Special Issuementioning

confidence: 99%

Collaborative Paradigm of Preventive, Personalized, and Precision Medicine With Point-of-Care Technologies

Dhawan

2016

IEEE J. Transl. Eng. Health Med.

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Recent advances in biosensors, medical instrumentation, and information processing and communication technologies (ICT) have enabled significant improvements in healthcare. However, these technologies have been mainly applied in clinical environments, such as hospitals and healthcare facilities, under managed care by well-trained and specialized individuals. The global challenge of providing quality healthcare at affordable cost leads to the proposed paradigm of P reventive, Personalized, and Precision Medicine that requires a seamless use of technology and infrastructure support for patients and healthcare providers at point-of-care (POC) locations including homes, semi or pre-clinical facilities, and hospitals. The complexity of the global healthcare challenge necessitates strong collaborative interdisciplinary synergies involving all stakeholder groups including academia, federal research institutions, industry, regulatory agencies, and clinical communities. It is critical to evolve with collaborative efforts on the translation of research to technology development toward clinical validation and potential healthcare applications. This special issue is focused on technology innovation and translational research for POC applications with potential impact in improving global healthcare in the respective areas. Some of these papers were presented at the NIH-IEEE Strategic Conference on Healthcare Innovations and POC Technologies for Precision Medicine (HI-POCT) held at the NIH on November 9–10, 2015. The papers included in the Special Issue provide a spectrum of critical issues and collaborative resources on translational research of advanced POC devices and ICT into global healthcare environment.

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“…Differences between the model for the sender and receiver can lead to hazardous situations" for patients. 14 In the U.S., state laws currently specify: (1) what medical information to include in a patient's health records;…”

mentioning

confidence: 99%

Pragmatic Approaches to Interoperability – Surmounting Barriers to Healthcare Data and Information Across Organizations and Political Boundaries

Perugu, MBA,

Wadhwa, BS,

Kim, ME

et al. 2023

THMT

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Objective This paper provides a review of the landscape of interoperability efforts in healthcare from 2010 to 2023, in the US and abroad. Interoperability, in the context of this paper, is “the ability to share information across time and space from multiple devices, sources, and organizations”, as defined by the IEEE (Institute of Electrical and Electronic Engineers). This review is followed by recommendations for future work toward improving the standardization of heterogeneous data in the healthcare setting. Methodology and Results A literature review was conducted on established interoperability standards and systems in healthcare, based on information obtained from journal publications, government, academy reports, published materials, and publicly available websites. The review emphasizes four interoperability parameters: device/equipment interoperability, compatibility issues, involved organizations, and migration and conversion issues. It evaluates adoption levels for each standard, evaluating factors supporting and/or limiting systemic adoption. Estimations on the number of users – both medical professionals and patients – for each system were made in instances where verifiable data were available. Examples of specific interoperability efforts and an evaluation of their feasibility were conducted at three levels of healthcare interoperability, as defined by the National Academy of Medicine: Inter-facility (macro-tier) interoperability, Intra-facility (meso-tier) interoperability, and Point-of-care (micro-tier) interoperability. Conclusions Despite many parallel ongoing efforts to improve the standardization of healthcare information, in the mobile devices, IoT, and EHR sectors, there is still more space for improvement. The recent development of the TEFCA framework has greatly reduced the friction of data exchange in many healthcare contexts. In addition, funding architectures for mediating data between separate healthcare organizations, or middleware architectures, may also be an effective strategy for consolidating healthcare data and improving information exchange.

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The Importance of State and Context in Safe Interoperable Medical Systems

Cited by 9 publications

References 10 publications

Unified Open Hardware Platform for Digital X-Ray Devices; its Conceptual Model and First Implementation

Unified Open Hardware Platform for Digital X-Ray Devices; its Conceptual Model and First Implementation

Collaborative Paradigm of Preventive, Personalized, and Precision Medicine With Point-of-Care Technologies

Pragmatic Approaches to Interoperability – Surmounting Barriers to Healthcare Data and Information Across Organizations and Political Boundaries

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