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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 /

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1862-278X
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Volume 63, Issue 1

Issues

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

Abstract

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

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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.

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