1. Practical Health Interoperability, LLC IHE Patient Care Devices Domain
Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD) Alarm Communication Management (ACM) Cycle Efforts IHE PCD 2013 Spring F2F, San Diego, CA (updated 4/18/2013)
Monroe Pattillo
Practical Health Interoperability, LLC
Fort Lauderdale, FL, USA
IHE Patient Care Devices Domain
ACM Working Group
© 2013 ACCE, HIMSS, IHE

2. 2013-2014 Cycle Goals General edits to ACM TI
CP to change Alarm to Alert to extend reach
Merge final Cycle CP into TI
Extract untested features & options
Add ACM to PCD Technical Framework
Point out CPs needed to other documents
Report any issues with Test Tool to NIST
Create list of alarms and parameters for RTM for alarms & events for entry into NIST RTMMS 2

3. General Edits to ACM TI
Restore lost diagrams and tables that disappeared during Word to PDF transition 3

4. CP to change Alarm to Alert to extend reach
IEEE Domain Information Model (DIM) identifies Alerts = Alarms (physiological & technical) + Advisories
Applicability of ACM as Alarm Communication Management is narrow (alarms only)
Applicability of ACM as Alert Communication Management is broader (alerts = alarms & advisories)
PCD-04 as ORU^R40 unchanged
Profile and actor acronyms unchanged – AR stays AR, etc.
Transaction labels unchanged (PCD-04 stays PCD-04)
Transaction names change Report Alarm → Report Alert, etc.
Add new optional (assumes Alarm) parameter (OBX seg) ALERT_CLASS = MDC_EVT_ALARM (Alarm) or MDC_EVT_ADVIS_CHK (Advisory)
Events are covered under separate profile 4

5. CP to change Alarm to Alert to extend reach
Per IEEE Domain Information Model
ALERT
ALARM
EVENT
Physiological
Technical
ADVISORY 5

6. Merging Cycle CPs
ACM 2012 CP 05 + ACM 2013 CP to change Alarm to Alert will be the basis for the merge 6

7. Extract Untested Features & Options
These have never been implemented
These have never been tested
As they are all in the current TI they can be resurrected should the need arise
PCD-05 Report Alarm Status (delivery confirmation from AM back to AR)
WCM option of PCD-04 & PCD-06 (ability to send evidentiary data [ECG waveforms] to mobile devices)
PCD-04 PRT option (PIN/carrier) 7

8. Add ACM to PCD Technical Framework
Joint effort – PCD TF mgmt & ACM WG
Correct any section structuring issues
Adjust diagram titles 8

9. Point out CPs Needed for Other Documents
PCD TF
MSH-19 Principal Language (639, not 659)
HL7 ACK
MSH-7 Timestamp (value origin clarification)
MSH-15 & 16 (indicate both must be empty) 9

10. Report any issues with Test Tool to NIST
Processing for MSH-19 in original message versus ACK seems different
Case insignificant in original message
Case significant in ACK
Component details in MSH-3..6
silent rejection if not matching or missing
NIST Test Tool release packaging
Versioning
Release Notes 10

11. ACM and RTM for Alarms & Events
Joint effort with RTM WG
First list the all the alarms across all participating vendors (ignore filtering)
Second list all parameters for each alarm across all participating vendors
Initial device types
Infusion pumps
Physiological monitors
SPO2 monitors
Ventilators
Nurse Call
Beds 11