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)IHE PCD 2011 Spring Face-to-FaceIHE PCD 2011 Spring Face-to-Face

Boca Raton, FLBoca Raton, FL

Monroe PattilloMonroe PattilloPhilips PCCI EPIS, Boca Raton, FL, USAPhilips PCCI EPIS, Boca Raton, FL, USA

IHE Patient Care Devices DomainIHE Patient Care Devices DomainACM Working GroupACM Working Group

monroe.pattillo@philips.commonroe.pattillo@philips.com

© 2010 ACCE, HIMSS, IHE© 2010 ACCE, HIMSS, IHE

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ACM Supplement UpdateACM Supplement Update

• ACM currently 2010 Supplement Trial ACM currently 2010 Supplement Trial Implementation (not in Technical Framework)Implementation (not in Technical Framework)

• Updates last cycleUpdates last cycle– HL7 2.6, PCD-04 ORU R40 PRT seg (for NC), profile in MSHHL7 2.6, PCD-04 ORU R40 PRT seg (for NC), profile in MSH

– PCD-05 ORA R42 no firehose PRT segPCD-05 ORA R42 no firehose PRT seg

– PCD-06/07 WCTP, AA PCD-11, exit SMTPPCD-06/07 WCTP, AA PCD-11, exit SMTP

• Gazelle OptionsGazelle Options– PCD-04 – PRT supported (NC), WCM supported,PCD-04 – PRT supported (NC), WCM supported,

– PCD-05 – supportedPCD-05 – supported

– PCD-06 – WCM supportedPCD-06 – WCM supported

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Hurdles for TF InclusionHurdles for TF Inclusion

• Considerable 2010 updates (vendor burden)Considerable 2010 updates (vendor burden)

• No Connectathon verificationNo Connectathon verification– Actors – Alarm Archiver (AA)Actors – Alarm Archiver (AA)

– Transactions – PCD-05/08/11Transactions – PCD-05/08/11

– OptionsOptions• PCD-04 PRT, WCMPCD-04 PRT, WCM

• PCD-06 WCMPCD-06 WCM

• Insufficient Connectathon verificationInsufficient Connectathon verification– Alarm Communicator (AC) actor (move from Alarm Communicator (AC) actor (move from

SMTP and proprietary to WCTP reset it)SMTP and proprietary to WCTP reset it)

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Recommendations to Progress TF InclusionRecommendations to Progress TF Inclusion

• Goal – ACM inclusion in PCD TF at Goal – ACM inclusion in PCD TF at start of Cycle 7 (2012-2013)start of Cycle 7 (2012-2013)

• In Cycle 6 (2011-2012), remove from In Cycle 6 (2011-2012), remove from Trial ImplementationTrial Implementation– Actors – Alarm Archiver (AA)Actors – Alarm Archiver (AA)

• ADQ as replacement outside ACM profileADQ as replacement outside ACM profile

– Transactions – PCD-08 and PCD-11Transactions – PCD-08 and PCD-11• AA associated transactionsAA associated transactions

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HL

7 2

.6

WCTPHL7 2.6Alarm

CommunicatorAC

AlarmCommunicator

AC

AlarmManager

AM

AlarmManager

AM

AlarmAlarmReporterReporter

ARAR

AlarmAlarmReporterReporter

ARAR

ACM 2010 Transactions and ProtocolsACM 2010 Transactions and Protocols

AlarmAlarmArchiverArchiver

AAAA

AlarmAlarmArchiverArchiver

AAAA

Report AlarmPCD-04 →

← PCD-05Report Alarm

Status

DisseminateAlarm

PCD-06 →

← PCD-07Report

DisseminationAlarm Status

PCD-08 ↑SubscribeTo Alarm

PCD-11 ↓ReportAlarm

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WCTPHL7 2.6Alarm

CommunicatorAC

AlarmCommunicator

AC

AlarmManager

AM

AlarmManager

AM

AlarmAlarmReporterReporter

ARAR

AlarmAlarmReporterReporter

ARAR

Proposed ACM 2011 Transactions and ProtocolsProposed ACM 2011 Transactions and Protocols

Report AlarmPCD-04 →

← PCD-05Report Alarm

Status

DisseminateAlarm

PCD-06 →

← PCD-07Report

DisseminationAlarm Status

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Recommendations to Attract AC VendorsRecommendations to Attract AC Vendors

• Add to PCD-06Add to PCD-06– Waveform static graphic produced by AM from PCD-04 Waveform static graphic produced by AM from PCD-04

WCM data (AR – AC abstracted by AM)WCM data (AR – AC abstracted by AM)• AM impact – makes AM an EMDAM impact – makes AM an EMD

• AC impact – meant to remove EMD hurdleAC impact – meant to remove EMD hurdle

– For Connectathon, for AM – AC tests, either dynamic For Connectathon, for AM – AC tests, either dynamic WCM graphics or static snippet should passWCM graphics or static snippet should pass

– Progression – once AC vendors comprehend the value of Progression – once AC vendors comprehend the value of WCM the expectation is they would move from static WCM the expectation is they would move from static snippets to become an EMD for generation of active snippets to become an EMD for generation of active graphics from WCM data in CD-06graphics from WCM data in CD-06

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ACM WGACM WG

Co-ChairsCo-Chairs

Monroe PattilloMonroe Pattillomonroe.pattillo@philips.commonroe.pattillo@philips.com

John RhoadsJohn Rhoads john.rhoads@philips.comjohn.rhoads@philips.com

Google Group (IHE-PCD-ACM)Google Group (IHE-PCD-ACM)

http://groups.google.com/group/ihe-pcd-acmhttp://groups.google.com/group/ihe-pcd-acm

Weekly WebExWeekly WebEx

Thursdays 4 PM ETThursdays 4 PM ET (see Manny’s WebEx schedule) (see Manny’s WebEx schedule)