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Interfaces and Robotics

BD Cato™ is not an isolated application but can be integrated into the existing IT infrastructure of the hospital.

BD Cato™ Interfaces and Robotics

BD Cato™ Standard Interfaces

Interfaces and robotics 3
BD Cato™ has interoperability with external systems, such as:
  • Hospital information systems
  • Patient administration systems
  • Laboratory information systems
  • Pharmacy information systems
  • Medication prescribing systems
  • Automated compounding systems – IV compounding robots
  • Billing software systems
  • Inventory management systems
Easy configuration

BD Cato™ can be adapted to the respective system environment by an Administrator. Communication is either file-based or takes place via TCP/IP. The interface can be linked to several systems simultaneously (e.g. Hospital Information System and the laboratory system) and can therefore receive messages from different systems at the same time.

Methods of integration

Automatic Import of Patient Data, Including Medical Results, Diagnoses, and Administrative Data.

HL7 is a worldwide established standard for exchanging medical data between different software systems. The BD Cato™ HL7 interface uses this standard to easily connect BD Cato™ to the patient administration system, the laboratory system, or other IT systems in the hospital.

Patient information is directly imported into the BD Cato™ database and no manual entry is necessary. Both physician and pharmacist automatically have e.g. access to the latest medical results of the patient and can therefore utilize the BD Cato™ automated therapy monitoring features to full extent.

The BD Cato™ HL7 Engine runs as a server-side Windows service, receiving HL7 messages and importing the content into the BD Cato™ database. The sending system usually filters down to those patients intended for the BD Cato™ database, with the option of some additional filtering on the BD Cato™ side (e.g. by ward). If the sending system supports HL7 Query (”QRY”), an even more precise patient filter can be applied by searching for patients within the hospital system using BD Cato™ client and selectively import patients.

Currently the BD Cato™ HL7 interface is able to receive the following data using the corresponding HL7 standard:

  • patient demographic data
  • patient administration data
  • admissions, transfers and discharges: administration of cases / visits / patient account information ("case assignment")
  • patient location ("unit assignment")
  • medical results of a patient
  • diagnoses of a patient
  • medication orders (only physician- or pharmacist-verified)
  • preparation results of medications prepared externally by an automated compounding system ("robot")

BD Cato™ Data Export is used for exporting clinical as well as logistic data from BD Cato™.

A number of different formats are supported (CSV, XML, PDF, HL7,..) and can be exported in a file format (network share, SMB, FTP), sent via TCP (e.g. HL7) or using remote function call formats like SAP BAPI or web services. It is designed to run exports as scheduled service or can be triggered manually by a user. A configuration utility allows the authorized user to customize, schedule and batch exports in many ways.

The BD Cato™ Data Export service can be used for e.g. the following purposes:

  • sending consumption data to external material management systems or external billing and accounting systems
  • sending service and billing codes to external billing and accounting systems
  • sending therapy plans for archiving in an external patient data archiving system
  • sending therapy plans for display (read-only) in external hospital information systems
  • sending medication data to external reporting or analytic software
  • sending medication order messages to automated compounding systems
  • sending preparation results of medications to external medication ordering systems
  • sending master data records of users to user management systems

BD Cato™ Data Import ("CDI") is a server-side interface that periodically checks a Windows file share for CSV files to synchronize lot and inventory information between an inventory / materials management system and BD Cato™.

The CDI interface can be configured with a graphical user interface (GUI). BD Cato™ Data Import is intended to import or synchronize lot and inventory information (with optional import of prices) with an external inventory / materials management system for:

  • product lots
  • infusion solution lots
  • empty container lots
  • additional articles lots

What is BD Care Coordination Engine (CCE)?

CCE is a flexible integration platform that provides your organization with interoperability between many BD products and your health information system.

Core

The CCE Core contains common interfacing functionality used by many BD products. This expandable core is the foundation for current and future solutions. Investment in a common interface platform interconnects BD technologies. CCE enables hospitals to add functionality and devices as they grow.

Solutions

Solutions provide scalable plug-and-play functionality onto the CCE Core to enable interoperability with many BD products. Hospitals can add disparate solutions as the needs arise in the future.

Benefits of CCE

Scalable

  • Accommodates hospital sizes from the individual facility to integrated IDNs.
  • Runs on a platform that grows with expanding needs.

Flexible

  • Allows various deployment options: software only, virtual machine (VM) or turnkey solution.
  • Utilises open interface standards ensuring agile and simplified implementation.

Secure

  • Works with existing hospital security and data retention policies.
  • Uses built-in security that helps authorise BD support access.

Reliable

  • Minimises unscheduled downtime through proactive monitoring alerts to BD Technical Support Center (TSC).
  • Leverages existing hospital failover system.
Example of a EMR workflow with BD Cato™
Robot interface

BD Cato™ also allows you to include robotic compounding devices into the ecosystem. BD Cato™ treats compounding robots as an incremental way to do the actual compounding procedure, in addition to manual volumetric and manual gravimetric. It is integrated into the overall workflow following the same method of inventory management, documentation and reporting. So far BD Cato™ has successfully established integrations with the following robotic vendors: Loccioni Apoteca, Fresenius PharmaHelper, Girfols Kiro and RIVA ARxIUM.

We provide a bi-directional interface with the following capabilities

  • Medication orders and preparation results can be sent to a robot system over a HL7 interface.
  • Imported preparation data is validated with additional medication checks provided in BD Cato™.
  • Orders with consumables and infusion sets can also be sent via the BD Cato™ interface to the robot.
  • Configuration of different robot types can be managed in BD Cato™ at the same time.
  • Patient specific preparations and batch productions are supported.
Loccioni testimonial
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“The projects conceived by Loccioni aim at developing high-innovative technologies and re-engineering the clinical processes to ensure high-quality medications for patients and safety for healthcare workers.

 

One of the prime objectives is to make the management of injectable medications safer and more efficient, thereby lowering the risk of medication errors that cause potentially adverse events at any stages of prescription, compouding, and administration to the patients.

 

In Europe, several hospitals have successfully implemented system interfaces between the robotic compounding systems APOTECA and the medication workflow solutions BD Cato™ in order to close the loop and secure the entire medication-use process. Indeed, the systems have been bi-directionally integrated, thereby ensuring complete traceability, accurate process documentation (patient safety), as well as reduce the risk of occupational exposure to hazardous subastances and repetitive motion injuries of healthcare workers. ”

Demis Paolucci, Ph.D.
Head of the Technical Depts (R&D, Science and Customercare) at Loccioni Humancare

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