Andersen Björn, Kasparick Martin, Ulrich Hannes, Franke Stefan, Schlamelcher Jan, Rockstroh Max, Ingenerf Josef
Institute of Medical Informatics, University of Lübeck, 23562 Lübeck, Germany.
Institute of Applied Microelectronics and Computer Engineering, University of Rostock, 18119 Rostock, Germany.
Biomed Tech (Berl). 2018 Feb 23;63(1):57-68. doi: 10.1515/bmt-2017-0021.
The new medical device communication protocol known as IEEE 11073 SDC is well-suited for the integration of (surgical) point-of-care devices, so are the established Health Level Seven (HL7) V2 and Digital Imaging and Communications in Medicine (DICOM) standards for the communication of systems in the clinical IT infrastructure (CITI). An integrated operating room (OR) and other integrated clinical environments, however, need interoperability between both domains to fully unfold their potential for improving the quality of care as well as clinical workflows. This work thus presents concepts for the propagation of clinical and administrative data to medical devices, physiologic measurements and device parameters to clinical IT systems, as well as image and multimedia content in both directions. Prototypical implementations of the derived components have proven to integrate well with systems of networked medical devices and with the CITI, effectively connecting these heterogeneous domains. Our qualitative evaluation indicates that the interoperability concepts are suitable to be integrated into clinical workflows and are expected to benefit patients and clinicians alike. The upcoming HL7 Fast Healthcare Interoperability Resources (FHIR) communication standard will likely change the domain of clinical IT significantly. A straightforward mapping to its resource model thus ensures the tenability of these concepts despite a foreseeable change in demand and requirements.
新的医疗设备通信协议IEEE 11073 SDC非常适合（手术）床边护理设备的集成，已确立的医疗信息交换标准第七版（HL7）V2和医学数字成像与通信（DICOM）标准也适用于临床信息技术基础设施（CITI）中各系统的通信。然而，集成手术室（OR）和其他集成临床环境需要两个领域之间的互操作性，以充分发挥其在改善护理质量和临床工作流程方面的潜力。因此，这项工作提出了将临床和管理数据传输到医疗设备、将生理测量数据和设备参数传输到临床信息技术系统以及双向传输图像和多媒体内容的概念。派生组件的原型实现已证明能与联网医疗设备系统和CITI很好地集成，有效地连接了这些异构领域。我们的定性评估表明，互操作性概念适合集成到临床工作流程中，预计将使患者和临床医生都受益。即将推出的HL7快速医疗互操作性资源（FHIR）通信标准可能会显著改变临床信息技术领域。因此，直接映射到其资源模型可确保这些概念在需求和要求可预见的变化下仍具可持续性。
