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Section 1e: Version 3 (V3)
Section 2: Clinical and Administrative Domains

HL7 Version 3 Domain Analysis Model: Detailed Clinical Models for Medical Devices, Release 1

DESCRIPTION

The objectives of this specification are to use a Domain Analysis Model (DAM) in order to specify reusable Detailed Clinical Models (DCM) to describe the information exchanged by medical devices with information systems. The DCMs are providing full semantics and structural description of measurements, settings, and other events reported by devices using standard clinical terminology. The analysis process associated with DAMs is used here to identify the context and content of DCMs as units of information intended to enable interoperability across devices and systems.

The DCMs and the associated DAM enable semantic interoperability for medical device measurements across devices and information system regardless of the information exchange standard used to move the information across (e.g. HL7 Version 2.x, HL7 CDA, etc.).

A DAM is intended to improve communication of interoperability requirements and workflow automation between the business stakeholders, clinicians, vendors, and integrators (both IT and clinical engineering) by involving the involving the clinicians in the definition of information relevant for interoperability.

ALTERNATIVE NAMES

HL7 Version 3 Domain Analysis Model: Detailed Clinical Models for Medical Devices, Release 1 may also go by the following names or acronyms:

"V3 DAM: Detailed Clinical Models for Medical Devices, R1", Medical Device Interoperability, Detailed Clinical Models, Information Analysis, Domain Analysis Model, DCM4MD, DCM

TARGETS

  • EHR, PHR Vendors
  • Equipment Vendors
  • Clinical Decision Support Systems Vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Creates business-centric, detailed models describing the structure and semantics of medical device information as a basis for quality  technical specifications
  • Enables interoperability through rigorous modeling of business requirements including the semantics of medical device measurements, setting, qualifiers, etc.
  • Supports the needs of clinicians to have medical device information reported automatically to charting and electronic
  • Support business requirements and the active involvement of clinicians in the development of medical device interoperability  profiles and implementation guides interdependent of the information exchange
  • Supports semantic interoperability by relating analysis concepts and requirements to standard terms to standard-based clinical terminology thus merging device data into the enterprise in a seamless way

IMPLEMENTATIONS/CASE STUDIES

  • IHE Patient Care Devices (PCD) Pulse Oximetry Integration (POI) Supplement
  • Pulse Oximeter Device Vendors (e.g. Covidien, Masimo)

DEVELOPMENT BACKGROUND

This analysis was conceived as a full specification of semantics referring to standard terminology systems already adopted by Electronic Health Records Systems  and  reusable structures to enable interoperability between medical devices and information systems regardless of information exchange format (e.g.. HL7 Version 2.x, HL7 CDA, HL7 FHIR).

While this DAM as already  been applied to HL7 Version 2.x IGs it may be similarly applied to create or constrain other standard exchange formats.

RELATED DOCUMENTS

HL7 Version 3 Domain Analysis Model: Detailed Clinical Models for Medical Devices, Release 1

(Download) (7.65 MB)

TOPICS

  • Healthcare Devices
  • Patient Care

BALLOT TYPES

  • Informative

STATUS DATE

2015-03-13

RESPONSIBLE WORK GROUP

Devices

PRODUCT TYPES

  • ANSI-registered Technical Report
  • Domain Analysis Model

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Equipment Vendors
  • Healthcare Institutions

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal