Cardiovascular Implant Data Interoperability Challenge - CIDIC 2020

logo-300x160_0.pngCardiovascular Implantable Electronic Devices (CIEDs) are great products. They provide significant benefits to patients. The data they generate can also help to improve the patient experience. For example, if cardiologists receive the implant data via telemetry, they can check if any further action is needed, like when the battery runs low or an electrode breaks. In this way the data helps to avoid unnecessary visits to cardiologists for the patients. Additionally, many patients want to access the data from their own implant, to then discuss it with their doctors.

Over time, IT standards have become available, to move the necessary data from the implant to the cardiologists, using safe and secure transfer methods. In the "Cardiovascular Implant Data Interoperability Challenge - CIDIC 2020" students of the Master study program "Medical Engineering & eHealth" at University of Applied Sciences Technikum Wien are going to implement the data transfer from implant to doctor, within the "Project Related Teamwork" course. We are inviting partners from industry and health care as well as patients to join this effort. Together we want to demonstrate what is doable today.

Timeline and Deliverables

  • CIDIC 2020 starts at the 12th September 2019, as part of the "Biomedial Project Exchange" at UAS Technikum Wien.
  • In February 2020 first interim results will be available and published. This will include detailed plans and first prototypes of software components.
  • In May 2020 we will demonstrate the data flows and publish final outcomes. One main goal is to present the results at the dHealth 2020 conference, 19-20th May 2020 in Vienna, Austria.

Move the data from the implant to the doctor - Goals, Use Cases

The CIDIC 2020 challenge is to demonstrate, how we can receive cardiovascular implant data from the implant manufacturers, feed it on into the clinical data repositories, and finally make it available to cardiologists and other care providers, so that they can use the data for medical care. We also want to explore how the data can be provided to patients for optimum benefit. In the same space we find data that care providers enter, e.g. at the time of implantation. This also generates a lot of benefit, if it is shared with those who need it and are allowed to access the data.

The data comes semantically fully structured, with each entry carefully encoded according to the standardised IEEE 11073 medical device nomenclature. One core element of the challenge is to move the data via standardised channels, preserving the semantic structure. Go here for more on IT standards for telemonitoring. In this way the data can automatically be processed, so that it can be optimally presented according to the specific needs of users. Doctors will be interested in other details as patients.

We are only going to use simulated data, and no live clinical data from real patients. The challenge is a learning and demonstration exercise, to better understand what is possible, and how it can be done efficiently. The following use cases are first sketches of the topics to be addressed.

Use Case: Record data during the implantation

After implanting the cardiac device, doctors will fully document the relevant information in the hospital information system (HIS). From there, some of the information will be transmitted to e.g. the implant register, and to a cross organisation electronic healthcare record (EHR), for sharing with e.g. the resident care providers. The image below shows this on the example of CDA documents that are shared with the Austrian EHR ELGA.

UCImplantation.jpg

Use Case: Implant Follow Up

Once the patient recovered from the operation and is again at home and mobile, the implant will transmit data via a patient device to the IT infrastructure of the implant manufacturer. In the second use case, we will pick up the (simulated) data from the manufacturer, and further share it with the care providers, using EHR technology and IT standards.

UCImplantFollowUp.jpg

We need you! How to join: Register NOW for calls in weeks 35 and 36!

Students

The CIDIC 2020 is open for students in the Medical Engineering & eHealth Master study program at UAS Technikum Wien. It is part of the Project Related Teamwork course. You will develop demonstration prototypes. Lecturers from UAS Technikum Wien will support you.

Students and lecturers from other institutions are also highly welcome. Your contribution may reach from learning, discussing and providing feedback, to actively taking part in prototype design, development and testing. Please get in contact with stefan.sauermann@technikum-wien.at, we will arrange useful ways to cooperate.

Cardiologists, Health Care Providers

Cardiologists and other health care providers are invited to join the challenge. Bring in your medical knowledge and discuss which data is needed where in which form. If you are in a care institution, you may also provide test IT infrastructures, so that specific data flows can be demonstrated in practice, just as your institution needs it.

Medical societies and standards development organisations are already in active contact with our group. We will use and extend these international contacts during the challenge. Have a look at the HL7 AT Implant Follow Up page for details from this end.

Implant Manufacturers, Software Industry

Implant manufacturers and the software industry are invited, to join the discussions on detailed requirements and specific methods. You can also provide demo versions of your products, so that specific data flows can be tested and demonstrated.

Already manufacurers associations and standards development organisations are in active contact with our group. We will use and extend these international contacts during the challenge. Have a look at the HL7 AT Implant Follow Up page for details from this end.

Patients

As a patients you are increasingly interested to better understand what your own implant is actually doing. This of course is a very relevant perspective. Join and explain, and discuss what CIDIC 2020 can do for you. We are happy to receive comments, requirements and feedback, and to show and demonstrate the potential and the limits of today's technology. Together we can contribute to improvements for the future.

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