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

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

3. 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 a.
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)

4. 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 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 b sent to Paul Schluter
Need more participating CMMS vendors

5. 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 b sent to Paul Schluter
Related Works: IEEE p1847 LS for Healthcare
Need more participating LS vendors

6. 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

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

8. 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

9. 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 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 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

10. 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 b

11. 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 b
References to units in pixels not to be used (kicked off island)

12. 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

13. 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