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Medical device terminology and identification standards
HTW17, 20 June 2017
Alastair_Kenworthy@moh.govt.nz
10024.2:2017
Medical Device Terminology and
Identification Standards
Published June 2017
10024.2:2017
Medical Device Terminology and
Identification Standards
Published June 2017
kahoot.it
New Zealand Health Strategy
Personal medical devices and wearables are options
for everyone who needs them
Our health system readily enables the uptake of new
technology
Electronic health records include medical device
information as core content
Medical devices
Orthopaedic implants, arterial stents, pacemakers and
prostheses
Wearables and home based monitors
Colostomy bags, catheters and other appliances
Wound care products
Peritoneal dialysis equipment and supplies
Diagnostic scanners and therapeutic nuclear medicine
machines
In vitro diagnostic devices and laboratory test equipment
Equipment such as hospital beds
Electronic health record
Medicines and devices
Allergies and adverse events
Problems and conditions
New Zealand Medicines Terminology
NZ Universal List of Medicines
NZ Formulary
New Zealand Medicines Terminology
Lists over 2400 approved medicines and 400 device
types
Based on SNOMED
NZULM adds funding details from the Pharmaceutical
Schedule and safety information
NZ Formulary further includes indications,
contraindications and cautions for clinical decision
support
New Zealand Medicines Terminology
Medicinal Product (MP)
paracetamol
Medicinal Product Unit of Use (MPUU)
paracetamol 500 mg tablet
Medicinal Product Pack (MPP)
paracetamol 500 mg tablet, 20
Trade Product (TP)
Panadol
Trade Product Unit of Use (TPUU)
Panadol 500 mg tablet: film-coated, 1
tablet
Trade Product Pack (TPP)
Panadol 500 mg tablet: film coated, 20
tablets
Containered Trade Product Pack
(CTPP)
Panadol 500 mg tablet: film-coated,
20 tablets, blister pack
SNOMED is a network of clinical concepts
associated morphology
finding site
fully specified name
preferred term
is a
physical product
pharmaceutical
disorder
living organism
substance
SNOMED is a network of clinical concepts
Unique Device Identifiers
Each manufactured item has a UDI, with two components
Device identifier (our standard is GTIN) indicates the
manufacturer and specific device type, including any options
Production identifier includes the batch number, expiry date
and serial number
Linking clinical and supply chain use
Unique Device Identifier (UDI)
Physical device identified for
supply chain purposes
Possibly many per CTPP
Device Terminology
Abstract medical device description representing
relevant clinical features
Containered Trade
Product Pack (CTPP)
Production Identifier
(PI) Batch number
Expiry date
Serial number
Device Identifier (DI)
GTIN
Universal list of medicines and devices
Unique Device Identifier (UDI)
Physical device identified for
supply chain purposes
Possibly many per CTPP
Device Terminology
Abstract medical device description representing
relevant clinical features
Containered Trade
Product Pack (CTPP)
Device Identifier (DI)
GTIN
Production Identifier
(PI) Batch number
Expiry date
Serial number
Device labels and barcodes
Unique Device Identifier (UDI)
Physical device identified for
supply chain purposes
Possibly many per CTPP
Device Terminology
Abstract medical device description representing
relevant clinical features
Containered Trade
Product Pack (CTPP)
Device Identifier (DI)
GTIN
Production Identifier
(PI) Batch number
Expiry date
Serial number
Electronic health records
Unique Device Identifier (UDI)
Physical device identified for
supply chain purposes
Possibly many per CTPP
Device Terminology
Abstract medical device description representing
relevant clinical features
Containered Trade
Product Pack (CTPP)
Device Identifier (DI)
GTIN
Production Identifier
(PI) Batch number
Expiry date
Serial number
Alerting example
Patient in hospital for management of recurrent venous ulcers
Recorded diagnosis of congestive heart failure
Clinician begins to prescribe compression hosiery
Contraindication alert is raised
Patient also has recorded latex allergy
Nurse scans wound care products before use
Allergy alert is raised
Product recall example
Electronic health record documents each device dispensed to
a patient, including both the clinical device description from
the terminology and the UDI for the physical product
Any adverse events involving a device are captured in the
electronic health record
A safety issue is raised and a given batch of a product is
recalled
Health providers query the electronic health record to identify
the patients affected and make contact with them
1. Use GTIN as the supply chain device identifier
2. Support international efforts to develop a common
UDI standard using GTIN as device identifier
3. Support the international project to develop a
SNOMED based device model and terminology
4. Implement a SNOMED based device terminology
5. Record GTIN and other UDI data elements in
electronic health records for device traceability
6. Extend NZULM to devices and use it to master the
linkage between the SNOMED based device
terminology and GTIN as device identifier
1. Use GTIN as the supply chain device identifier
2. Support international efforts to develop a common
UDI standard using GTIN as device identifier
3. Support the international project to develop a
SNOMED based device model and terminology
4. Implement a SNOMED based device terminology
5. Record GTIN and other UDI data elements in
electronic health records for device traceability
6. Extend NZULM to devices and use it to master the
linkage between the SNOMED based device
terminology and GTIN as device identifier
Published direction on medical device terminology
and identification standards
Benefits for patients, health providers, industry
partners, regulators, funders and purchasers
The same proven international standards for
devices as medicines
You can use the standards now
Work with us on implementation

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Medical device terminology and identification standards

  • 1. Let’s be decisive about devices Medical device terminology and identification standards HTW17, 20 June 2017 Alastair_Kenworthy@moh.govt.nz
  • 2. 10024.2:2017 Medical Device Terminology and Identification Standards Published June 2017
  • 3. 10024.2:2017 Medical Device Terminology and Identification Standards Published June 2017
  • 5.
  • 6. New Zealand Health Strategy Personal medical devices and wearables are options for everyone who needs them Our health system readily enables the uptake of new technology Electronic health records include medical device information as core content
  • 7. Medical devices Orthopaedic implants, arterial stents, pacemakers and prostheses Wearables and home based monitors Colostomy bags, catheters and other appliances Wound care products Peritoneal dialysis equipment and supplies Diagnostic scanners and therapeutic nuclear medicine machines In vitro diagnostic devices and laboratory test equipment Equipment such as hospital beds
  • 8. Electronic health record Medicines and devices Allergies and adverse events Problems and conditions
  • 9. New Zealand Medicines Terminology NZ Universal List of Medicines NZ Formulary
  • 10. New Zealand Medicines Terminology Lists over 2400 approved medicines and 400 device types Based on SNOMED NZULM adds funding details from the Pharmaceutical Schedule and safety information NZ Formulary further includes indications, contraindications and cautions for clinical decision support
  • 11. New Zealand Medicines Terminology Medicinal Product (MP) paracetamol Medicinal Product Unit of Use (MPUU) paracetamol 500 mg tablet Medicinal Product Pack (MPP) paracetamol 500 mg tablet, 20 Trade Product (TP) Panadol Trade Product Unit of Use (TPUU) Panadol 500 mg tablet: film-coated, 1 tablet Trade Product Pack (TPP) Panadol 500 mg tablet: film coated, 20 tablets Containered Trade Product Pack (CTPP) Panadol 500 mg tablet: film-coated, 20 tablets, blister pack
  • 12. SNOMED is a network of clinical concepts
  • 13. associated morphology finding site fully specified name preferred term is a physical product pharmaceutical disorder living organism substance SNOMED is a network of clinical concepts
  • 14. Unique Device Identifiers Each manufactured item has a UDI, with two components Device identifier (our standard is GTIN) indicates the manufacturer and specific device type, including any options Production identifier includes the batch number, expiry date and serial number
  • 15. Linking clinical and supply chain use Unique Device Identifier (UDI) Physical device identified for supply chain purposes Possibly many per CTPP Device Terminology Abstract medical device description representing relevant clinical features Containered Trade Product Pack (CTPP) Production Identifier (PI) Batch number Expiry date Serial number Device Identifier (DI) GTIN
  • 16. Universal list of medicines and devices Unique Device Identifier (UDI) Physical device identified for supply chain purposes Possibly many per CTPP Device Terminology Abstract medical device description representing relevant clinical features Containered Trade Product Pack (CTPP) Device Identifier (DI) GTIN Production Identifier (PI) Batch number Expiry date Serial number
  • 17. Device labels and barcodes Unique Device Identifier (UDI) Physical device identified for supply chain purposes Possibly many per CTPP Device Terminology Abstract medical device description representing relevant clinical features Containered Trade Product Pack (CTPP) Device Identifier (DI) GTIN Production Identifier (PI) Batch number Expiry date Serial number
  • 18. Electronic health records Unique Device Identifier (UDI) Physical device identified for supply chain purposes Possibly many per CTPP Device Terminology Abstract medical device description representing relevant clinical features Containered Trade Product Pack (CTPP) Device Identifier (DI) GTIN Production Identifier (PI) Batch number Expiry date Serial number
  • 19. Alerting example Patient in hospital for management of recurrent venous ulcers Recorded diagnosis of congestive heart failure Clinician begins to prescribe compression hosiery Contraindication alert is raised Patient also has recorded latex allergy Nurse scans wound care products before use Allergy alert is raised
  • 20. Product recall example Electronic health record documents each device dispensed to a patient, including both the clinical device description from the terminology and the UDI for the physical product Any adverse events involving a device are captured in the electronic health record A safety issue is raised and a given batch of a product is recalled Health providers query the electronic health record to identify the patients affected and make contact with them
  • 21.
  • 22. 1. Use GTIN as the supply chain device identifier
  • 23. 2. Support international efforts to develop a common UDI standard using GTIN as device identifier
  • 24. 3. Support the international project to develop a SNOMED based device model and terminology
  • 25. 4. Implement a SNOMED based device terminology
  • 26. 5. Record GTIN and other UDI data elements in electronic health records for device traceability
  • 27. 6. Extend NZULM to devices and use it to master the linkage between the SNOMED based device terminology and GTIN as device identifier
  • 28. 1. Use GTIN as the supply chain device identifier 2. Support international efforts to develop a common UDI standard using GTIN as device identifier 3. Support the international project to develop a SNOMED based device model and terminology 4. Implement a SNOMED based device terminology 5. Record GTIN and other UDI data elements in electronic health records for device traceability 6. Extend NZULM to devices and use it to master the linkage between the SNOMED based device terminology and GTIN as device identifier
  • 29.
  • 30. Published direction on medical device terminology and identification standards Benefits for patients, health providers, industry partners, regulators, funders and purchasers The same proven international standards for devices as medicines You can use the standards now Work with us on implementation

Editor's Notes

  1. Let’s implement medical device terminology and identification standards for value and high performance in the health system
  2. This new publication provides direction on the required information standards for precise and consistent description and identification of medical devices in New Zealand The essential requirements are captured in six directives These are standards that manufacturers, sponsors, Medsafe, PHARMAC, district health boards and health providers all need to follow Ultimately the standards benefit patients by helping to ensure the safety and performance of medical devices
  3. Our solution addresses both medical device terminology and medical device identification in a harmonious way
  4. I work for … health provider, manufacturer, software company, standards or the greater good Don’t talk to me about … deep learning, AI, convergence, disruption SNOMED or SNOWMED … SNOWMED, SNOMED, SNOMED CT, ICD 10 Health apps are like devices … not really, most certainly, and should be regulated, or at least star rated The ‘I’ in GTIN stands for … identifier, identification, item, Internet My LinkedIn connections are … all well known to me, mostly complete strangers, more quantity than quality, probably not even all human
  5. SNOMED CT and GS1 Standards are the two key international standards that we adopt
  6. Introducing the six directives