Medical Device Management System

I have designed a Medical Device Management System that can be hosted as follows

The Medical Device Management System can be used:

• BizTalk On-premise – only
• BizTalk On-premise – Azure Hybrid
• Azure only
• Open source On-premise – only
• Open source On-premise – Azure Hybrid

BizTalk Server 2020 is able to receive device twins and transform them into HL7 FHIR Observation Resources.  I have developed an MQTT adapter which allows BizTalk to become an Edge Device. In addition, I am developing  PowerShell and SSH adapters. I am using the open-source  Azure FHIR Server. 

The solution is in Alignment with the SDPi+FHIR Device Interoperability Project
➢ Application of IEEE 11073 Service-oriented Device Connectivity (SDC) standards with HL7 FHIR
to support medical and health device interoperability across multiple use contexts and
applications that interact with and consume information from devices.
➢This includes regulated (medical) and non-regulated (health) devices.
➢ Software as a Medical Device (SAMD) and health apps are to be supported.

Device informatics/interoperability standardization has been progressing in parallel within
HL7 Devices, IHE Devices, and IEEE 11073 Standards Committee.
➢ Although these efforts are generally well-coordinated, there is an increasing need to ensure
strong linkages between the specifications, especially between FHIR and IEEE 11073 SDC.
➢The latter is tailored for the most acute, medical-grade device connectivity applications (e.g.,
operating room and ICU), including service-oriented plug-and-play and medical content
reporting, alerting, and external control (including closed-loop clinical apps/SAMD).
➢ FHIR supports interoperability across the broad landscape of health information exchange,
including the integration of device-sourced content and services.
➢This project ensures the coordinated and cohesive development of FHIR profiles, extensions
and implementation guides, as well as SDC-based IHE profiles to enable the next generation of
device interoperability standardization

The following is a high-level diagram of the on-premise version.