IHE PCD 2016 Fall F2F Profile PC and TC Updates ACM, MEM: DMC, LS, RDC Monroe Pattillo – PHI, LLC

IHE PCD 2016 Fall Face-to-Face Planning (PC) Updates

Alert Communication Management (ACM) PCD 2016 Fall F2F Planning Committee Update Alert Communication Management (ACM) Status: Final Text, in current PCD TF, was in 2016 NA C’thon, was in 2016 HIMSS Annual Interoperability Showcase, was in 2016 AAMI Interoperability Experience, plan is for same demonstrations the next cycle Technical details during TC portion of presentation Expectation - this cycle’s published PCD TF to contain all ACM CPs. ACM documented alert attribute MDCs reflect IEEE 11073-10101a. Increase demonstrations of alerts containing device cached LS data, AM added location data, alerts from CMMS systems, & alerts from LS systems. Continue work on alerts (alarms & advisories) and containments list. Need more participating AC vendors. Would like to see demo of ACM+WCM (AM or AC generated ECG graphics) Added optional support for ITI mACM (FHIR based AR to AM)

PCD 2016 Fall F2F Planning Committee Update Medical Equipment Management – Device Management Communication (MEMDMC) Status: Trial Implementation (TI), was in 2016 NA C’thon, was in 2016 HIMSS Interoperability Showcase, was in 2016 AAMI Interoperability Experience, plan is for same in next cycle Technical details during TC portion of presentation Current version of TI includes all approved CPs REFID/MDC inputs for IEEE 11073-10101b sent to Paul Schluter Need more participating CMMS vendors

Medical Equipment Management – Location Services (LS) PCD 2016 Fall F2F Planning Committee Update Medical Equipment Management – Location Services (LS) Status: Trial Implementation (TI) updated, was in 2016 NA C’thon, was in 2016 HIMSS Interoperability Showcase, was in 2016 AAMI Interoperability Experience, plan is for same for next cycle Technical details during TC portion of presentation Current version of TI includes all approved CPs REFID/MDC inputs for IEEE 11073-10101b sent to Paul Schluter Related Works: IEEE p1847 LS for Healthcare Need more participating LS vendors

Medical Equipment Management – Remote Device Control (RDC) PCD 2016 Fall F2F Planning Committee Update Medical Equipment Management – Remote Device Control (RDC) Status: Whitepaper in PCD domain review. Plan is for vendors to implement demonstrations for new directions (exhibition events TBD) Technical details during TC portion of presentation Device type and use case agnostic Focuses on safety and security Limited set of low risk initial use cases Prior art referenced as available

TECHNICAL (TC) Updates IHE PCD 2016 Fall Face-to-Face TECHNICAL (TC) Updates

Alert Communication Management (ACM) PCD 2016 Fall F2F Technical Committee Update Alert Communication Management (ACM) Connectathon Tools need to verify PCD-04 min requirement CPs on worklist, not yet ready for balloting 125 – Added opt EI Display/Print component text for add’l AR to AM text 126 – Added alert status ack phase and indcation 127 – Add reference to ITI domain mACM for FHIR flavors of alert notification

Alert Communication Management (ACM) cont. PCD 2016 Fall F2F Technical Committee Update Alert Communication Management (ACM) cont. Discussion: Currently no ACM profile documented mechanism in Report Alert PCD-04 basic containment for communication of any items in IEEE 11073-10201 Alert Status Alert-Flags, specifically state of local-audible Some alerts (technical alarms, advisories) may be communicated to clinician (AC) without producing alert originating device local audio annunciation, even though local audio is enabled IEC 60601-1-8 6.3.3 Auditory Alarm Signals, Table 3 Note d – auditory component generation of LOW PRIORITY ALARM CONDITION optional State of, particularly absence of, device local audio in presence of an active alert should be included in ACM’s PCD-04 basic containment otherwise decision-making for alert fatigue management and retrospective analysis not empowered Alert instance specific state of device local audio at time alert is sent from AR to AM – distinctly different from what ACM currently communicates which is device operator manually asserted control of alert local audio as indicated in ACM Alarm Inactivation State audio-paused and audio-off which communicate using the name of the negative of the audio enables Currently no values in Alert Flags, in which local-audible is defined, communicated in ACM basic containment – need new basic containment OBX MDC/REFID communicating Alert Flags Currently no MDC/REFID for communication of state of local-audible (a Boolean) in OBX-5 – local-audible implies audio for alert is annunciating, how do we indicate local-silent? Implementation would result in ACM CP, small number of MDC/REFID additions to 11073-10101

PCD 2016 Fall F2F Technical Committee Update Medical Equipment Management – Device Management Communication (MEMDMC) TI housekeeping updates – not sufficient to warrant TI update Use RTMMS plus CP to update final MDCs/REFIDs from IEEE 11073-10101b

Medical Equipment Management – Location Services (LS) PCD 2016 Fall F2F Technical Committee Update Medical Equipment Management – Location Services (LS) TI housekeeping updates – not sufficient to warrant TI update Use RTMMS plus CP to update final MDCs/REFIDs from IEEE 11073-10101b References to units in pixels not to be used (kicked off island)

MEM – Remote Device Communication (RDC) PCD 2016 Fall F2F Technical Committee Update MEM – Remote Device Communication (RDC) Whitepaper for communication to devices aka Medical Device Remote Command and Control Security and safety issues – separate F2F MEM discussion topic Define 1st in HL7 v2/11073 to identify the details (FHIR future?) Defines baseline for future expansion of capabilities & use cases To improve re-use by others define in PCD MEM DMC WG Initial use cases (multiple PCD areas – alerts, pumps) Pause audio (reduces ambient noise, doesn’t clear alert) Clear vol infused so far (clinical documentation, easier than digging through to do at pump, doesn’t alter active program) Temporarily pause an infusion (doesn’t alter active program) Decide on means of target unambiguous ID of object attribute MDS/VMS/CHAN/Infusate Source and/or OBX-4 dot notation Single device multiple values need to be changeable per transaction

IHE PCD Cookbook Purpose – educate hospital device purchasers PCD 2016 Fall F2F Technical Committee Update IHE PCD Cookbook Purpose – educate hospital device purchasers Regarding IHE in general and specifically IHE PCD profiles Identification of information sources PCD profiles on Wiki, IHE Integration Statements, Connectathon Results Browser, IHE Product Registry, PCD Commercially Available List How to create RFQs that include IHE PCD profile actor references Cookbook Status Hasn’t been updated in a few years Somewhat usurped IHE cross domain Interoperability for Dummies Jeff Rinda provided pump updated integrated copy Monroe to integrate ACM deployment related changes and produce updated version as WP for IHE publication