The IEEE 11073 service-oriented device connectivity (SDC) family of standards defines a communication protocol for point-of-care (PoC) medical devices. The main purpose is to enable manufacturer-independent medical device-to-device interoperability. [1] [2] Furthermore, interconnection between medical devices and medical information systems is enabled. [3] However, IEEE 11073 SDC does not compete with established and emerging standards like HL7 v2 or HL7 FHIR. [4] IEEE 11073 SDC is part of the established ISO/IEEE 11073 family of standards.
IEEE 11073 SDC is based on the paradigm of a service-oriented architecture (SOA). The IEEE 11073 SDC family of standards currently comprises three parts: Core Standards, Participant Key Purpose (PKIP) standards, and Devices Specialisation (DevSpec) standards. The Core Standards consist of a transport standard, ISO/IEEE 11073-20702, called Medical Devices Communication Profile for Web Services, a Domain Information and Service Model (ISO/IEEE 11073-10207), and Architecture and Binding definition (ISO/IEEE 11073-20701). While the three Core standards have been approved and published by the IEEE as well as by ISO, PKIPs and DevSpecs are currently under development.
The concepts have been technically and clinically evaluated. [5] [6] Comprehensive demonstrators were shown, for example, at the conhIT exhibitions 2016 and 2017.
The standard "ISO/IEEE International Standard for Health informatics - Point-of-care medical device communication - Part 20702: Medical devices communication profile for web services" [7] (short Medical DPWS or MDPWS) enables the foundational interoperability between medical devices. This includes the ability of medical devices to exchange data safely in a distributed system and the ability to discover network participants dynamically. MDPWS is derived from the OASIS standard Devices Profile for Web Services (DPWS). It defines extensions and restrictions to meet safety requirements of medical devices for high acuity environments. [1] [2] [8]
The Standard "ISO/IEEE International Standard - Health informatics--Point-of-care medical device communication - Part 10207: Domain Information and Service Model for Service-Oriented Point-of-Care Medical Device Communication" [9] is derived from the IEEE 11073-10201 Domain Information Model. It is designed to meet the requirements of networked systems of medical devices establishing multipoint-to-multipoint communication.
The Domain Information Model defines the capability description of the medical devices as well as the representation of the current state. The Service Model specifies the way in which service consumer can interact with medical devices implementing the role of a service provider. IEEE 11073-10207 enables the structural interoperability between medical devices. The non-normative name is Basic Integrated Clinical Environment Protocol Specification (BICEPS). [1] [2] [10]
The "ISO/IEC/IEEE International Standard for Health informatics - Device interoperability - Part 20701:Point-of-care medical device communication--Service oriented medical device exchange architecture and protocol binding" [11] defines the allover service-oriented architecture, specifies the binding between IEEE 11073-20702 and IEEE 11073–10207, and specifies the binding to other standards like Network Time Protocol (NTP) or Differentiated Services (DiffServ) for aspects like time synchronization and Quality of Service (QoS) requirements. Together with the usage of terminology standards (like IEEE 11073-10101), this standard contributes to the semantic interoperability of medical devices. [1] [2] Due to its nature of binding the other SDC standards together it is often referred to as "SDC GLUE".
PKPs describe process requirements according to the role of a network participant. While P11073-10700 [12] defines the Base PKP with basic requirements for participating providers and consumers, the three additional PKP standards focus on specific functionalities:
PKPs are thus independent from the particular medical devices and their concrete medical use case. However, they mainly restrict the IEEE 11073 SDC Core standards to enable safe and interoperable medical device systems and to facilitate the approval process.
In contrast to PKPs, the DevSpecs are standards for particular classes of medical devices. [16] DevSpecs describe the way the devices are modelled in the network representation and define requirements for the interaction of provider and consumer via SDC, if necessary. Currently, the PoCSpec [17] project develops DevSpecs for High-Frequency Surgical Equipment (IEEE P11073-10721 [18] ), endoscopic camera and light source (IEEE P11073-10722 [19] and -10723 [20] ), insufflator (IEEE P11073-10724 [21] ), and medical suction and irrigation pump (IEEE P11073-10725 [22] ). Modules that can be used by different types of device are defined in the so-called Module Specifications (ModSpecs, IEEE P11073-10720 [23] ).
There are open source libraries available implementing the IEEE 11073 SDC standards:
The Open Systems Interconnection (OSI) model is a reference model from the International Organization for Standardization (ISO) that "provides a common basis for the coordination of standards development for the purpose of systems interconnection." In the OSI reference model, the communications between systems are split into seven different abstraction layers: Physical, Data Link, Network, Transport, Session, Presentation, and Application.
Message-oriented middleware (MOM) is software or hardware infrastructure supporting sending and receiving messages between distributed systems. MOM allows application modules to be distributed over heterogeneous platforms and reduces the complexity of developing applications that span multiple operating systems and network protocols. The middleware creates a distributed communications layer that insulates the application developer from the details of the various operating systems and network interfaces. Application programming interfaces (APIs) that extend across diverse platforms and networks are typically provided by MOM.
SDC may refer to:
The WiMedia Alliance was a non-profit industry trade group that promoted the adoption, regulation, standardization and multi-vendor interoperability of ultra-wideband (UWB) technologies. It existed from about 2002 through 2009.
Continua Health Alliance is an international non-profit, open industry group of nearly 240 healthcare providers, communications, medical, and fitness device companies. Continua was a founding member of Personal Connected Health Alliance which was launched in February 2014 with other founding members mHealth SUMMIT and HIMSS.
The European Committee for Standardization (CEN) Standard Architecture for Healthcare Information Systems, Health Informatics Service Architecture or HISA is a standard that provides guidance on the development of modular open information technology (IT) systems in the healthcare sector. Broadly, architecture standards outline frameworks which can be used in the development of consistent, coherent applications, databases and workstations. This is done through the definition of hardware and software construction requirements and outlining of protocols for communications. The HISA standard provides a formal standard for a service-oriented architecture (SOA), specific for the requirements of health services, based on the principles of Open Distributed Processing. The HISA standard evolved from previous work on healthcare information systems architecture commenced by Reseau d’Information et de Communication Hospitalier Europeen (RICHE) in 1989, and subsequently built upon by a number of organizations across Europe.
The Health informatics - Electronic Health Record Communication was the European Standard for an information architecture to communicate patients' electronic health records (EHRs). The standard was later adopted as ISO 13606 and later replaced with ISO 13606-2 and recently ISO 13606-5:2010.
CEN ISO/IEEE 11073 Health informatics - Medical / health device communication standards enable communication between medical, health care and wellness devices and external computer systems. They provide automatic and detailed electronic data capture of client-related and vital signs information, and of device operational data.
Web of Things (WoT) describes a set of standards by the World Wide Web Consortium (W3C) for the interoperability of different Internet of things (IoT) platforms and application domains.
ISO/IEEE 11073 Personal Health Device (PHD) standards are a group of standards addressing the interoperability of personal health devices (PHDs) such as weighing scales, blood pressure monitors, blood glucose monitors and the like. The standards draw upon earlier IEEE11073 standards work, but differ from this earlier work due to an emphasis on devices for personal use and a simpler communications model.
The Open Smart Grid Protocol (OSGP) is a family of specifications published by the European Telecommunications Standards Institute (ETSI) used in conjunction with the ISO/IEC 14908 control networking standard for smart grid applications. OSGP is optimized to provide reliable and efficient delivery of command and control information for smart meters, direct load control modules, solar panels, gateways, and other smart grid devices. With over 5 million OSGP based smart meters and devices deployed worldwide it is one of the most widely used smart meter and smart grid device networking standards.
Medical device connectivity is the establishment and maintenance of a connection through which data is transferred between a medical device, such as a patient monitor, and an information system. The term is used interchangeably with biomedical device connectivity or biomedical device integration. By eliminating the need for manual data entry, potential benefits include faster and more frequent data updates, diminished human error, and improved workflow efficiency.
ISO/IEC JTC 1/SC 7 Software and systems engineering is a standardization subcommittee of the Joint Technical Committee ISO/IEC JTC 1 of the International Organization for Standardization (ISO) and the International Electrotechnical Commission (IEC), that develops and facilitates standards within the field of engineering of software products and systems. The international secretariat of ISO/IEC JTC 1/SC 7 is the Bureau of Indian Standards (BIS) located in India.
Dipak Kalra is President of the European Institute for Health Records and of the European Institute for Innovation through Health Data. He undertakes international research and standards development, and advises on adoption strategies, relating to Electronic Health Records.
The Advanced Media Workflow Association (AMWA) is an industry association focused on the content creation industry's move to IP-based architectures. AMWA promotes industry standards that allow diverse devices to discover and interoperate with each other reliably and securely.
Clinical data standards are used to store and communicate information related to healthcare so that its meaning is unambiguous. They are used in clinical practice, in activity analysis and finding, and in research and development.
H.810, "E-health multimedia systems, services and applications - Personal health systems", also known as the Continua Design Guidelines (CDG), is an ITU-T Recommendation, developed in collaboration with the World Health Organization. It specifies standards for Connected health was first approved in 2013. In November 2019, version 4 was approved and published.