1. Philips PCCI EPIS, Boca Raton, FL, USA IHE Patient Care Devices Domain
Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD) Alarm Communication Management (ACM) For 2011 Connectathon/Showcase IHE PCD 2010 Fall F2F, Plymouth Meeting, PA
Monroe Pattillo
Philips PCCI EPIS, Boca Raton, FL, USA
IHE Patient Care Devices Domain
ACM Working Group
© 2010 ACCE, HIMSS, IHE

2. ACM Supplement Update
New ACM Supplement TI for 2011 Connectathon (not in TF)
HL7 now at 2.6 (2.7’s PRT segment imported into TI)
PCD-04 – changed from ORU R01 to ORU R40
PCD-05 – changed from ORU R01 to ORA R41 or R42
PCD-04 – PCD-05 fire hose avoided by default, filter not required
Re-use of PCD-04 for AM to AA, now PCD-11, still PCD-04 based
PCD-06/PCD-07 - WCTP only, SMTP will not be in final TI or TF
New Options in Gazelle (uptake status)
AR AM – support for PCD-05 (no ARs, only 1 AM)
AR AM – support for indicated AC destinations in PCD-04 (no takers)
AM AC – WCTP or SMTP (all ACs this cycle indicate WCTP, SMTP out)
AR AM AC – WCM within PCD-04 (no set of end to end takers this cycle) 2

3. ACM Transactions and Protocols
Disseminate
Alarm
PCD-06 →
Report Alarm
PCD-04 →
Alarm
Reporter AR
Alarm
Manager AM
Alarm
Communicator AC
HL7 2.6
WCTP
← PCD-05
Report Alarm
Status
← PCD-07
Report
Dissemination
Alarm Status
PCD-08 ↑
Subscribe
To Alarm
HL7 2.6
PCD-11 ↓
Report
Alarm
Alarm
Archiver AA 3

4. Areas of Improved Validation Scrutiny
Affects all HL7 msgs in ACM
PCD 04, 05, 08, 11
MSH Segment for messages & ACKs
Sending & Receiving Application
Sending & Receiving Facility
H7 version identification 2.6
Profile identification IHE ACM PCD-nn
Equipment IDs (strong preference EUI-64) 4

5. WCTP for AM PCD-06 & AC PCD-07
WCTP wctp.org constrained by ACM 2010 TI
Only a subset of WCTP required
Single message (no multi-/group msgs)
Multiple Choice Response (MCR)
Accept/Reject device response abstraction – AC soft keys
AM to map PCD-04 indicated priority to PCD-06 WCTP
Permits AC to implement priority ring tones
Phone directory not required
Presumes AM & AC pre-config of destination devices
PCD-07 – web push response, not polled 5

6. ACM WG Co-Chairs Google Group (IHE-PCD-ACM) Weekly WebEx
Monroe Pattillo
John Rhoads
Google Group (IHE-PCD-ACM)
Weekly WebEx
4 PM ET (Manny’s WebEx schedule)