IHE Integrating the Healthcare Enterprise PATIENT CARE DEVICE Overview of PCD DEC Profile Presented by Monroe Pattillo – PHI, LLC (PCD PC)
PATIENT CARE DEVICE PCD Domain Base HL7 v2.6 ITI-CT (NTP synchronized time) (except for IDCO)
PATIENT CARE DEVICE DEC Profiles is at Final Text status in Technical Framework Device to Enterprise Communication (DEC) Use case: Transmit patient care data between systems Actors: Device Observation Reporter (DOR) – the device or gateway Role: Sends PCD Data to DOC Device Observation Consumer (DOC) – the EMR Role: Receives PCD Data from DOR Transactions: PCD-01 (HL7 v2.6 ORU^R01^ORU_R01) Acknowledgement
PATIENT CARE DEVICE DEC PCD-01 (ORU^R01^ORU_R01) IHE PCD DEC specific areas Mapping IEEE DIM to HL7 v2 Timestamps purposes which HL7 timestamps serve what purpose IHE PCD profile identification by OID (MSH-21) IHE PCD equipment instance unique identification (EUI-64) Observation containment dot notation OBX-4 – MDS, VMD, CHAN, METRIC
PATIENT CARE DEVICE RTM Profile Rosetta Terminology Mapping (RTM) Managed value set to harmonize nomenclature terms used in PCD profiles Managed by NIST maintained RTM Management System (RTMMS)
PATIENT CARE DEVICE Example PCD-01 Observation Report MSH|^~\&|HL7^080019FFFF4F6AC0^EUI- 64|MMS||| ||ORU^R01^ORU_R01|12d15a9:11df9e61347:- 7fee: |P|2.6| ||NE|AL||8859/1|||IHE PCD ORU-R ^HL7^Universal ID^HL7 PID|||AB60001^^^A^PI||BROOKS^ALBERT^^^^^L PV1||E|3 WEST ICU^3001^1 OBR|1|080019FFFF4F6AFE ^AwareGateway^080019FFFF4F6AC0^EUI- 64|080019FFFF4F6AC ^AwareGateway^080019FFFF4F6AC0^EUI- 64| ^2000^MDC||| OBX|1|NM|147842^MDC_ECG_HEART_RATE^MDC| |60|/min^/min^UCUM|||||R||||||||| OBX|2|NM|148065^MDC_ECG_V_P_C_CNT^MDC| |0|/min^/min^UCUM|||||R||||||||| OBX|3|NM|150035^MDC_PRESS_BLD_ART_MEAN^MDC| |92|mm[Hg]^mm[Hg]^UCUM|||||R|||||||| | OBX|4|NM|150033^MDC_PRESS_BLD_ART_SYS^MDC| |120|mm[Hg]^mm[Hg]^UCUM|||||R|||||||| | OBX|5|NM|150034^MDC_PRESS_BLD_ART_DIA^MDC| |80|mm[Hg]^mm[Hg]^UCUM|||||R||||||||| OBX|6|NM|149522^MDC_BLD_PULS_RATE_INV^MDC| |60|/min^/min^UCUM|||||R||||||||| OBX|7|NM|150047^MDC_PRESS_BLD_ART_PULM_MEAN^MDC| |14|mm[Hg]^mm[Hg]^UCUM|||||R|| | |||||| OBX|8|NM|150045^MDC_PRESS_BLD_ART_PULM_SYS^MDC| |25|mm[Hg]^mm[Hg]^UCUM|||||R|||| ||||| OBX|9|NM|150046^MDC_PRESS_BLD_ART_PULM_DIA^MDC| |10|mm[Hg]^mm[Hg]^UCUM|||||R|||| |||||