Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Biomedical Engineering / Biomedizinische Technik

Joint Journal of the German Society for Biomedical Engineering in VDE and the Austrian and Swiss Societies for Biomedical Engineering and the German Society of Biomaterials

Editor-in-Chief: Dössel, Olaf

Editorial Board: Augat, Peter / Habibović, Pamela / Haueisen, Jens / Jahnen-Dechent, Wilhelm / Jockenhoevel, Stefan / Knaup-Gregori, Petra / Lenarz, Thomas / Leonhardt, Steffen / Plank, Gernot / Radermacher, Klaus M. / Schkommodau, Erik / Stieglitz, Thomas / Boenick, Ulrich / Jaramaz, Branislav / Kraft, Marc / Lenthe, Harry / Lo, Benny / Mainardi, Luca / Micera, Silvestro / Penzel, Thomas / Robitzki, Andrea A. / Schaeffter, Tobias / Snedeker, Jess G. / Sörnmo, Leif / Sugano, Nobuhiko / Werner, Jürgen /

6 Issues per year

IMPACT FACTOR 2017: 1.096
5-year IMPACT FACTOR: 1.492

CiteScore 2017: 0.48

SCImago Journal Rank (SJR) 2017: 0.202
Source Normalized Impact per Paper (SNIP) 2017: 0.356

See all formats and pricing
More options …
Volume 63, Issue 1


Volume 57 (2012)

Connecting the clinical IT infrastructure to a service-oriented architecture of medical devices

Björn AndersenORCID iD: http://orcid.org/0000-0003-4547-7438 / Martin KasparickORCID iD: http://orcid.org/0000-0003-0577-8463 / Hannes Ulrich / Stefan Franke / Jan Schlamelcher / Max Rockstroh / Josef Ingenerf
Published Online: 2017-12-22 | DOI: https://doi.org/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.

Keywords: clinical information systems; computer-assisted surgery; integrated operating room; IEEE 11073 SDC; medical communication standards; medical device interoperability


  • [1]

    An Application Protocol for Electronic Data Exchange in Healthcare Environments, Health Level Seven Messaging Standard Version 2.6, Health Level Seven International Std., Rev. Version 2.6, 2007.Google Scholar

  • [2]

    Andersen B, Dehm J, Gessner C, et al. Weissbuch – Interoperabilität von Geräten und Systemen in OP und Klinik (2. Version). 2015.Google Scholar

  • [3]

    Andersen B, Kasparick M, Golatowski F, Ingenerf J. Extending the IEEE 11073-1010X nomenclature for the modelling of surgical devices. In: 2016 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI). 2016: 244–247.Google Scholar

  • [4]

    Andersen B, Kasparick M, Ulrich H, et al. Point-of-care medical devices and systems interoperability: a mapping of ICE and FHIR. In: 2016 IEEE Conference on Standards for Communications and Networking (CSCN). 2016: 1–5.Google Scholar

  • [5]

    Andersen B, Kock A-K, Wrage J-H, Ingenerf J. Propagation of patient data from IT systems to medical devices. In: Engineering in Medicine and Biology Society (EMBC), 2014 36th Annual International Conference of the IEEE, 2014.Google Scholar

  • [6]

    Andersen B, Ulrich H, Kock A-K, Wrage J-H, Ingenerf J. Semantic Interoperability in the OR. NET Project on Networking of Medical Devices and Information Systems – A Requirements Analysis,” In: 2014 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI). IEEE, 2014: 428–431.Google Scholar

  • [7]

    Andersen B, Ulrich H, Rehmann D, Kock AK, Wrage JH, Ingenerf J. Reporting device observations for semantic interoperability of surgical devices and clinical information systems. In: 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). 2015: 1725–1728.Google Scholar

  • [8]

    CEN ISO/IEEE 11073 Health informatics – Medical/health device communication standards, ISO Std. ISO/IEEE 11 073, 2004–2014.Google Scholar

  • [9]

    DICOM Working Group 6. Supplement 67: Configuration Management. 2004. [Online]. Available: ftp://medical.nema.org/medical/dicom/final/sup67_ft.pdf.

  • [10]

    “DOOP-Projekt (Dienst-orientierte OP-Integration),” 16.01.2017. [Online]. Available: http://www.doop-projekt.de/.

  • [11]

    Eichelberg M, Riesmeier J, Wilkens T, Jensch P. One decade of medical imaging standardisation and implementation: a short review of DICOM and the OFFIS DICOM Toolkit. In: Proceedings of the 22th EuroPACS Annual Meeting, 01 2004.Google Scholar

  • [12]

    Gregorczyk D, Bußhaus T, Fischer S. Robust and semi-automatic electronic health record dissemination using the devices profile for web services. In: ICIW 2013, The Eighth International Conference on Internet and Web Applications and Services. 2013: 38–44.Google Scholar

  • [13]

    Health Level Seven International (HL7), HL7 Fast Healthcare Interoperability Resources Specification (FHIR), Health Level Seven International Std., Rev. Version 3.0.1, 2017. [Online]. Available: www.hl7.org/fhir/.

  • [14]

    Healthcare Information and Management Systems Society (HIMSS). HIMSS dictionary of healthcare information technology terms, acronyms and organizations. 3rd ed. 2013: 75.Google Scholar

  • [15]

    Hooper MH, Weavind L, Wheeler AP, et al. Randomized trial of automated, electronic monitoring to facilitate early detection of sepsis in the intensive care unit. Crit Care Med 2012; 40: 2096.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [16]

    IEEE 11073-20702-2016 – IEEE Approved Draft Standard for Medical Devices Communication Profile for Web Services, IEEE Std., 2016.Google Scholar

  • [17]

    IEEE P11073-10207 – IEEE Draft Standard for Domain Information & Service Model for Service-Oriented Point-of-Care Medical Device Communication, IEEE Std., 2017.Google Scholar

  • [18]

    IEEE P11073-20701 – Standard for Service-Oriented Medical Device Exchange Architecture & Protocol Binding, IEEE Std., 2017.Google Scholar

  • [19]

    ISO/IEEE 11073-10101:2004 Health Informatics – Point-of-care Medical Device Communication – Part 10101: Nomenclature, ISO Std. ISO/IEEE 11 073-10 101, 2004.Google Scholar

  • [20]

    Janß A, Thorn J, Schmitz M, et al. Certification and testing procedures for the approval process of integrated medical devices using the IEEE 11073 communication standard. Biomed Eng-Biomed Tech 2018; 63: 95–103.Google Scholar

  • [21]

    Kasparick M, Schlichting S, Golatowski F, Timmermann D. Medical DPWS: New IEEE 11073 standard for safe and interoperable medical device communication. In: 2015 IEEE Conference on Standards for Communications and Networking (CSCN). Tokyo, Japan, 2015: 212–217.Google Scholar

  • [22]

    Kasparick M, Schlichting S, Golatowski F, Timmermann D. New IEEE 11073 standards for interoperable, networked point-of-care Medical Devices. In: 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Milan, Italy, 2015: 1721–1724.Google Scholar

  • [23]

    Kasparick M, Schmitz M, Andersen B, et al. OR.NET: a service-oriented architecture for safe and dynamic medical device interoperability. Biomed Eng-Biomed Tech 2018; 63: 11–30.Google Scholar

  • [24]

    Koeny M, Benzko J, Czaplik M, et al. Distributed Networks – Intelligence, Security, and Applications. Boca Raton, FL, USA: CRC Press, 2013, ch. Chapter 12. The Smart Operating Room: smartOR, pp. 291–315.Google Scholar

  • [25]

    NEMA. Digital Imaging and Communications in Medicine (DICOM). Rosslyn, VA, USA: NEMA Standards Publication PS 3.x/ISO 12052, National Electrical Manufacturers Association, 2017. [Online]. Available: ftp://medical.nema.org/MEDICAL/Dicom/2017b/.

  • [26]

    Oasis. Devices Profile for Web Services (DPWS). 2009. [Online]. Available: http://docs.oasis-open.org/ws-dd/ns/dpws/2009/01.

  • [27]

    Pfeiffer JH, Kasparick M, Strathen B, et al. OR.NET RT: how service-oriented medical device architecture meets real-time communication. Biomed Eng-Biomed Tech 2018; 63: 81–93Google Scholar

  • [28]

    Riesmeier J. An approach to DICOM image display handling the full flexibility of the standard’s specification. In: Medical Imaging 1999: Image Display. SPIE 01, 1999: 363–369.Google Scholar

  • [29]

    Rockstroh M, Franke S, Dees R, et al. From SOMDA to application – integration strategies in the OR.NET demonstration sites. Biomed Eng-Biomed Tech 2018; 63: 69–80.Google Scholar

  • [30]

    Rockstroh M, Franke S, Hofer M, et al. OR.NET: multi-perspective qualitative evaluation of an integrated operating room based on IEEE 11073 SDC. Int J Comput Assist Radiol Surg 2017: 1–9. [Online]. Available: http://dx.doi.org/10.1007/s11548-017-1589-2.Web of Science

  • [31]

    Salazar C. A security architecture for medical application platforms. Ph.D. dissertation, Kansas State University, 2014.Google Scholar

  • [32]

    Schlamelcher J, Onken M, Eichelberg M, Hein A. Dynamic DICOM configuration in a service–oriented medical device architecture. In: Engineering in Medicine and Biology Society (EMBC), 2015 37th Annual International Conference of the IEEE. 2015: 1717–1720.Google Scholar

  • [33]

    The Health Level Seven Version 3 (V3) Normative Edition, Health Level Seven International Std., 2014.Google Scholar

  • [34]

    Ulrich H, Kock-Schoppenhauer A-K, Andersen B, Duhm-Harbeck P, Ingenerf J. Mapping clinical care and research data to HL7 FHIR to improve sharing and reuse. In: MIE 2017. Manchester, United Kingdom, 2017, in press.Google Scholar

  • [35]

    Will A, Pahontu R, Bergh B. Vernetzte Medizintechnik im Krankenhaus: Vernetzung von Medizingeräten und weiteren IT-Komponenten. KU Gesundheitsmanagement, 2015: 54–56.Google Scholar

About the article

Received: 2017-02-22

Accepted: 2017-10-13

Published Online: 2017-12-22

Published in Print: 2018-02-23

Research funding: This work was supported by the German Federal Ministry of Education and Research (BMBF) as part of the OR.NET project (grant numbers 16KT1236, 16KT1237, 16KT1238, and 16KT1239).

Citation Information: Biomedical Engineering / Biomedizinische Technik, Volume 63, Issue 1, Pages 57–68, ISSN (Online) 1862-278X, ISSN (Print) 0013-5585, DOI: https://doi.org/10.1515/bmt-2017-0021.

Export Citation

©2017 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in