Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD) Alarm Communication...
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Transcript of Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD) Alarm Communication...
Integrating the Healthcare Enterprise (IHE) Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD)Patient Care Devices Domain (PCD)
Alarm Communication Management (ACM)Alarm Communication Management (ACM)Requirements for AM – AC InteroperabilityRequirements for AM – AC Interoperability
Monroe PattilloMonroe PattilloPhilips Patient Monitoring Informatics (PMI)Philips Patient Monitoring Informatics (PMI)
Boca Raton, FL, USABoca Raton, FL, USA
IHE Patient Care Devices DomainIHE Patient Care Devices DomainACM Working GroupACM Working Group
[email protected]@philips.com
© 2009 ACCE, HIMSS, IHE© 2009 ACCE, HIMSS, IHE
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This presentation can be found at...This presentation can be found at...
ftp.ihe.net/ftp.ihe.net/Patient_Care_Devices/Patient_Care_Devices/
Presentations/Presentations/ACM/ACM/
2009-10-22 ACM AM-AC Requirements 01.ppt2009-10-22 ACM AM-AC Requirements 01.ppt
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OutlineOutline
• ACM AM – AC MessagesACM AM – AC Messages
• AM-AC Protocol RequirementsAM-AC Protocol Requirements
• What are some possibilities?What are some possibilities?
• What do we do next?What do we do next?
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AlarmCommunicator
AC
AlarmCommunicator
AC
AlarmManager
AM
AlarmManager
AM
AlarmReporter
AR
ACM AM – AC MessagesACM AM – AC Messages
AlarmArchiver
AA
Report AlarmPCD-04 →
← PCD-05Report Alarm
Status
DisseminateAlarm
PCD-06 →
← PCD-07Report
DisseminationAlarm Status
PCD-08 ↑SubscribeTo Alarm
PCD-04 ↓ReportAlarm
PCD-04, PCD-05, PCD-08all HL7 v2.6→v2.7
PCD-06, PCD-07Data items defined
Currently using SMTPas open standardsbased transport,but needs better
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PCD-04 MessagePCD-04 Message
An HL7 ORU^R01 message containing segments for...An HL7 ORU^R01 message containing segments for...
MSHMSH HeaderHeaderPIDPID Patient IdentificationPatient IdentificationPV1PV1 Location InformationLocation InformationOBROBR Unique Observation IdentificationUnique Observation IdentificationORCORC Optional Order InformationOptional Order InformationOBXOBX Observations, containingObservations, containing
Type, Units, Range, Text Type, Units, Range, Text description, description,
Priority (indication - low, med, high),Priority (indication - low, med, high), Type (physiological, technical, etc.),Type (physiological, technical, etc.), State (onset, continue, escalate, State (onset, continue, escalate,
end)end)NTENTE Notes and CommentsNotes and Comments
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PCD-06 AM to AC MessagePCD-06 AM to AC Message
AM to ACAM to ACPCD-06 – Disseminate AlarmPCD-06 – Disseminate AlarmSends the message to the AC’s device by way of ACSends the message to the AC’s device by way of AC
Identification of message recipientsIdentification of message recipientsMessage, containingMessage, containing
Location associated with alarmLocation associated with alarmPatient associated with alarmPatient associated with alarmMessage text (incl. physiological info.)Message text (incl. physiological info.)Identifier unique identifierIdentifier unique identifierCallback (telephony dial back)Callback (telephony dial back)Contextual Data Reference (URL)Contextual Data Reference (URL)CommentCommentEvidentiary DataEvidentiary Data
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PCD-07 AC to AM MessagePCD-07 AC to AM Message
AC to AMAC to AMPCD-07 – Report Dissemination Alarm StatusPCD-07 – Report Dissemination Alarm StatusSends message deliver status updates to the AMSends message deliver status updates to the AM
Accepted by AC (delivered to carrier)Accepted by AC (delivered to carrier)Undeliverable to endpointUndeliverable to endpointDelivered to endpointDelivered to endpointAccepted by endpointAccepted by endpointAccepted by endpoint as true positive (info)Accepted by endpoint as true positive (info)Accepted by endpoint as true positive however not Accepted by endpoint as true positive however not clinically relevant (operator note)clinically relevant (operator note)Accepted by endpoint as false positive (info)Accepted by endpoint as false positive (info)Rejected by endpointRejected by endpointCanceled by endpoint (escalation, not alarm)Canceled by endpoint (escalation, not alarm)
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AM-AC Protocol RequirementsAM-AC Protocol Requirements
Must be an existing protocolMust be an existing protocolIHE uses standards, it does not develop themIHE uses standards, it does not develop them
Must be an open protocolMust be an open protocolNot proprietaryNot proprietaryMust have unrestricted useMust have unrestricted use
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AM-AC Protocol RequirementsAM-AC Protocol Requirements
Preferences/FocusPreferences/FocusContemporary, Healthcare, Contemporary, Healthcare, People CommunicationsPeople Communications
XML based – extensibleXML based – extensibleHTTP transport – works with firewalls and NATsHTTP transport – works with firewalls and NATsMultiple Choice Response (MCR) – “soft keys”Multiple Choice Response (MCR) – “soft keys”Pushed, not polled status updates – quickerPushed, not polled status updates – quickerPresence/Status – for escalation responsivenessPresence/Status – for escalation responsiveness
Dynamic – online/offline, busy, BRB, away, DNDDynamic – online/offline, busy, BRB, away, DNDTLS capable – SSL securable, messages contain ePHITLS capable – SSL securable, messages contain ePHI
WCM Supportive – hyperlink or large evidentiary dataWCM Supportive – hyperlink or large evidentiary data
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AM-AC Protocol RequirementsAM-AC Protocol Requirements
ACM Specific Messaging ItemsACM Specific Messaging ItemsDevice is on network identified by ID/Number/NameDevice is on network identified by ID/Number/NameDelivery target is ultimately people, not systemsDelivery target is ultimately people, not systemsDissemination/Status unsolicited, not subscribedDissemination/Status unsolicited, not subscribedPCD-04 round trip event message identificationPCD-04 round trip event message identificationMany status potentials in status enumerationMany status potentials in status enumeration
delivery/not at multiple levels (carrier, delivery/not at multiple levels (carrier, device)device)
human interactionshuman interactionsread receiptread receiptmultiple response possibilitiesmultiple response possibilities
more than accept/reject or more than accept/reject or timeouttimeout
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ResourcesResources
This presentation can be found at...This presentation can be found at...
ftp.ihe.net/ftp.ihe.net/Patient_Care_Devices/Patient_Care_Devices/
Presentations/Presentations/ACM/ACM/
2009-10-22 ACM AM-AC Requirements 01.ppt2009-10-22 ACM AM-AC Requirements 01.ppt
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IHE PCD ContactsIHE PCD Contacts
PCD Co-ChairsPCD Co-Chairs Todd CooperTodd Cooper [email protected]@ieee.org Ken FuchsKen Fuchs [email protected] [email protected]
PCD SecretariatPCD Secretariat Manny FurstManny Furst [email protected] [email protected]
ACM WG Co-ChairsACM WG Co-Chairs Monroe PattilloMonroe Pattillo
[email protected]@philips.com John RhoadsJohn Rhoads [email protected]@philips.com
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Thank YouThank You