11 May IHE Patient Care Device (PCD)

Posted at 16:03h in Linking PGHD with PROMs by
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Approach or solution
Drawing upon popular industry health standards, an IHE profile provides uniform implementation guidance on the practical application of PGHD into the clinical workflow to improve patient outcomes while reducing the burden to staff. Education of the staff will be essential to its understanding and adoption in mainstream markets.

 

Organisation or initiative
HIMSS and PCHAlliance sponsor the IHE International Devices Domain Personal Connected Health Program in which this profile development work would take place.

 

URL or reference
https://www.ihe.net/ihe_domains/devices/

 

Summary of the innovation
IHE implementation profiles already exist that applies IEEE and FHIR standards to collect PGHD and uploads them to a health record system. A draft FHIR implementation guide proposes an abstract model and capabilities required for a PROM ecosystem. However, there is presently no uniform guidance on how to combine and connect these two implementations to create a practical application of those standards and profiles.

Key issues to be addressed in bringing an operational solution to market include:

  • The questionnaire filler application must be advised that a measurement shall happen at a certain step, including the type of the measurement (in order to properly guide the user).
  • The questionnaire filler application must be advised if a “fallback strategy” to allow typing in a measurement would be acceptable if a personal health device is not available.
  • The resulting measurement(s) must include a reference to the questionnaire response that was generated alongside the measurement.
  • The resulting questionnaire response must include references to all measurements that was generated while filling the questionnaire.
  • The resulting questionnaire response must include references to the questionnaire that the answers were based on.
  • Education of the staff will be essential to its understanding and adoption in mainstream markets

 

Use cases supported
  •  A patient is invited to complete a questionnaire involving a measurement of vitals. The patient uses an advanced questionnaire application. The patient has a Personal Health Device capable of automatically transferring the observation to the questionnaire application on a Personal Health Gateway / tablet.
  • A clinician is viewing the answers a patient has submitted for a questionnaire, and needs the accompanying measurements to be on the screen (or just a click away).
  • A clinician studying the trends of a patient’s historic measurements viewed as a graph and want to be able to learn the context (answers to the questionnaire) of a particular data point by just selecting the point.
  • The clinician responsible for the care of a patient needs a complete overview of documents (questionnaire responses, measurements, orders, notes, appointments, prescriptions, lab reports etc.) related to the current treatment.
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