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E-raamat: Integrating Device Data into the Electronic Medical Record: A Developer's Guide to Design and a Practitioner's Guide to Application

(Malvern (USA))
  • Formaat: PDF+DRM
  • Ilmumisaeg: 23-Dec-2008
  • Kirjastus: Publicis MCD Verlag,Germany
  • Keel: eng
  • ISBN-13: 9783895786327
  • Formaat - PDF+DRM
  • Hind: 43,16 €*
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  • See e-raamat on mõeldud ainult isiklikuks kasutamiseks. E-raamatuid ei saa tagastada.
  • Formaat: PDF+DRM
  • Ilmumisaeg: 23-Dec-2008
  • Kirjastus: Publicis MCD Verlag,Germany
  • Keel: eng
  • ISBN-13: 9783895786327

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Future generations of vital signs and point-of-care medical devices must interoperate directly and seamlessly with information technology systems to facilitate effective patient care management within the healthcare enterprise. This is the first book addressing medical device integration with the computer-based patient record in a holistic way. Readers step into the area of two-way device communication & control and learn best practises from an author known for his brilliant expertise in this field. It is a fundamental guide for a broad group of people: clinical and biomedical engineers, physicians, bioinformatics practitioners, and vendors.
Providing the essential how-to for medical device integration into the electronic medical record (EMR), health information system (HIS), and computerized patient record (CPR), the book highlights information on data extraction, usually not offered by device vendors. This comprises topics such as the use of third-party software, information on what to do when you develop interfaces on your own, regulatory issues, and how to assure connectivity and access to data.
For physicians, it is a primer and knowledge manual for data integration when applied to clinical care and trials. It gives information on knowledge management and how data can be used statistically and as a tool in patient care management. Furthermore, it impresses upon the reader the quantities of data that must be processed and reduced to make for effective use at the point of care.
HIS and CPR vendors may learn how data integration can be simplified and how software developers may be assisted in the process of communicating vital information to their repositories.
The book is rounded off by a chapter on the future of integration.
1 The Medical Device Integration Landscape
9
1.1 Introduction
9
1.2 Medical Device Integration Landscape
14
1.3 Evolving Standards in Medical Device Communication (IEEE/ISO & MD PnP™)
21
1.4 Data Integration: A First Look
25
1.5 Discussion
38
2 Device Networking and Communication
39
2.1 Medical Device Interfaces
39
2.2 Communication Methods
48
2.3 Interface Standardization
60
2.4 Medical Device Gateways
62
2.5 Medical Device Gateway Networking
64
2.6 Summary
68
3 Mechanisms for Interfacing and Integrating Device Data
70
3.1 Medical Device Interfaces
70
3.2 Communication Interface Architectures
75
3.3 Standardized Data Interfacing Formats
89
3.4 Other Medical Device Data
96
4 Real-Time and Non-Real-Time Data Management
97
4.1 Real-Time Vital Signs Monitoring & Telemetry
97
4.2 Communication Protocols & Networking
102
4.3 End-User Display
105
4.4 Real-Time Data and the EMR
106
5 Computer-Based Patient Record
107
5.1 EMR: What's in a Name?
107
5.2 EMR Data
109
5.3 EMR Architecture
113
5.4 Make-versus-Buy Decisions
118
6 Correctly Associating Device Data With Patients
120
6.1 Identifying the Patient
120
6.2 A Patient Data Association Scenario
122
6.3 Associating Data with Patients During Normal Rounds
125
6.4 Summary
130
7 Balancing Data Quantity with Quality: Techniques for Data Analysis and Reduction
131
7.1 Analyzing Medical Data
131
7.2 ICU Patient Data
132
7.3 Simple Statistics Modeling
134
7.4 Nonparametric Tests for Significance
139
7.5 Least Squares Regression
147
7.6 Spatial-Temporal Methods for Data Filtering
153
7.7 Kalman Filtering
169
7.8 Summary
177
8 How to Display Data in a Flowsheet
178
8.1 Guidelines for Effective Displays of Data
178
8.2 The Data Story
179
8.3 Displaying Medical Device Data
185
8.4 A User Interface that Stresses Data Comparisons
191
8.5 Data Validation Mechanisms
193
8.6 Key Points in User Interface Design
194
9 Interface Software as a Medical Device
196
9.1 The Need for Quality and Regulatory Management
196
9.2 Regulatory Requirements and Process
198
9.3 FDA Guidance on Software
201
9.4 FDA and the EMR
206
9.5 Summary
207
10 The Future of Medical Device Integration, Including Device Command & Control 209
10.1 Introduction
209
10.2 Automatic Control Systems
210
10.3 Mathematical Development and Application
213
10.4 Automatic Control System Theory
214
10.5 Discussion
233
11 Example Methods and Software 235
11.1 Implementation Overview
235
11.2 Serial Port Communications
236
11.3 Mechanical Ventilator
243
11.4 Chi-Square Probability Distribution
275
11.5 Matrix Inversion
277
11.6 Haar Wavelet Transform
282
11.7 User Interface Program
309
List of Abbreviations 348
Index 351
JOHN ZALESKI is Principal Key Expert at the Siemens MED Health Services Division in, Malvern, PA. He has been awarded Innovator of the Year by Siemens in three different years. He is responsible for coordinating research into leading edge technologies for the purpose of applying these to clinical information systems and medical devices.