IHE Devices Spring Face to Face 2024

Planning Committee Co-chairs

Kurt Elliason, ICU Medical (kurt.elliason@icumed.com) – PCD Rep to Devices Domain

Rob Wilder, Spok (rob.wilder@spok.com)

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Technical Committee Co-chairs

Tom Kowalczyk, BBraun (Tom.Kowalczyk@bbraun.com) – PCD Rep to Devices Domain

Lisa Digget, BD (lisa.digget@bd.com)

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Pump WG -IPEC/DEC/PIV�Kurt

• Met this week on Tuesday
• Updating example HL7 messages in Flush reporting and programming white paper.
• Discussion of categorizing and expanding PIV(PCD03) error codes in Technical Framework.
• Additional improvements to CP to clarify expectations for PIV Application ACKs and update PIV examples.
• Continue work on containment model to identify what is required or optional for DEC vs IPEC.

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Pump WG -IPEC/DEC/PIV�Kurt

• Digital barcodes, how to standardize the information encoded in the barcodes
• Use of RXG/OBX vs RXV in PCA PIV, what orders look like, how they are constructed.
• Multistep/bolus orders, how to create example orders
• ACM discussion, reporting of infusion device online/offline from AR to AM

ACM WG�Rob

1. Draft CP for keep alive/heartbeat between reporter and consumer.
2. Nurse call and Bed Management

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MEM WG - Monroe

MEM WG - Monroe

PCIM - Purpose

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• Accurate patient and location information stamped on device data increases safety, efficacy and efficiency
• Clinicians don’t want or have time to search, select patients on all device displays!
• Many device vendors don’t provide UI implementations for selecting patients
• Interoperable interfaces facilitate plug and play system participation

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PCIM Profile Status – Sunny Skies!

PCIM Profile Status - Marketing

• HIMSS Health Pathway Showcase Demonstration in March 2024
• 4 vendors (EMR, Infusion Pump, RTLS and MDI)
• Highlighted value of accurate patient and location information on multiple types of data reported by devices
• Demonstrated value of interoperable interfaces by showcasing RTLS scanner and fixed and integrated barcode reporters as well as multiple consumers from a single manager
• Demonstrated value of infusion pumps being associated with accurate patient and location information
• Demonstrated value of ventilator data with accurate patient and location information

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PCIM Profile Status – Technical

• Foundational CP completed late 2023
• Edits applied and draft for public comment posted
• Connectathon tests refined for NA CAT24
• 6 vendors tested at IHE NA Connectathon

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PCIM Actors

Examples of Actors

• PCIM Consumer
• Medical device (Ventilator, Infusion Pump, Patient Monitor, Dialysis Machine, …)
• Clinical application that needs this information
• PCIM Reporter
• EMR
• Custom software application (desktop, tablet, phone)
• Dedicated hardware device in the room
• RTLS system with no user interface
• Medical device itself in some instances
• PCIM Manager
• EMR
• Cloud-based or on-prem system
• Dedicated third-party product or integrated vendor offering

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Notes

• No one vendor will typically implement all three roles in deployed scenario
• Interoperable, hospital system chooses manager and reporters of their choice based on features, IT capabilities and budget

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PCIM Profile – Roadmap

PCIM Profile - Next Steps

• Rev 2.0 Feedback incorporation
• Outstanding issues
• Optional Order ID
• FHIR interface for retrospective queries, more?
• Update Connectathon Tests and NIST validation tool