Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD) Alarm Communication Management (ACM) Requirements for AM – AC Interoperability.
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Integrating the Healthcare Enterprise (IHE) Integrating the Healthcare Enterprise (IHE) Patient Care Devices Domain (PCD)Patient Care Devices Domain (PCD)
Alarm Communication Management (ACM)Alarm Communication Management (ACM)Requirements for AM – AC InteroperabilityRequirements for AM – AC Interoperability
Type, Units, Range, Text Type, Units, Range, Text description, description,
Priority (indication - low, med, high),Priority (indication - low, med, high), Type (physiological, technical, etc.),Type (physiological, technical, etc.), State (onset, continue, escalate, State (onset, continue, escalate,
end)end)NTENTE Notes and CommentsNotes and Comments
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PCD-06 AM to AC MessagePCD-06 AM to AC Message
AM to ACAM to ACPCD-06 – Disseminate AlarmPCD-06 – Disseminate AlarmSends the message to the AC’s device by way of ACSends the message to the AC’s device by way of AC
Identification of message recipientsIdentification of message recipientsMessage, containingMessage, containing
Location associated with alarmLocation associated with alarmPatient associated with alarmPatient associated with alarmMessage text (incl. physiological info.)Message text (incl. physiological info.)Identifier unique identifierIdentifier unique identifierCallback (telephony dial back)Callback (telephony dial back)Contextual Data Reference (URL)Contextual Data Reference (URL)CommentCommentEvidentiary DataEvidentiary Data
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PCD-07 AC to AM MessagePCD-07 AC to AM Message
AC to AMAC to AMPCD-07 – Report Dissemination Alarm StatusPCD-07 – Report Dissemination Alarm StatusSends message deliver status updates to the AMSends message deliver status updates to the AM
Accepted by AC (delivered to carrier)Accepted by AC (delivered to carrier)Undeliverable to endpointUndeliverable to endpointDelivered to endpointDelivered to endpointAccepted by endpointAccepted by endpointAccepted by endpoint as true positive (info)Accepted by endpoint as true positive (info)Accepted by endpoint as true positive however not Accepted by endpoint as true positive however not clinically relevant (operator note)clinically relevant (operator note)Accepted by endpoint as false positive (info)Accepted by endpoint as false positive (info)Rejected by endpointRejected by endpointCanceled by endpoint (escalation, not alarm)Canceled by endpoint (escalation, not alarm)
Preferences/FocusPreferences/FocusContemporary, Healthcare, Contemporary, Healthcare, People CommunicationsPeople Communications
XML based – extensibleXML based – extensibleHTTP transport – works with firewalls and NATsHTTP transport – works with firewalls and NATsMultiple Choice Response (MCR) – “soft keys”Multiple Choice Response (MCR) – “soft keys”Pushed, not polled status updates – quickerPushed, not polled status updates – quickerPresence/Status – for escalation responsivenessPresence/Status – for escalation responsiveness
ACM Specific Messaging ItemsACM Specific Messaging ItemsDevice is on network identified by ID/Number/NameDevice is on network identified by ID/Number/NameDelivery target is ultimately people, not systemsDelivery target is ultimately people, not systemsDissemination/Status unsolicited, not subscribedDissemination/Status unsolicited, not subscribedPCD-04 round trip event message identificationPCD-04 round trip event message identificationMany status potentials in status enumerationMany status potentials in status enumeration
delivery/not at multiple levels (carrier, delivery/not at multiple levels (carrier, device)device)
human interactionshuman interactionsread receiptread receiptmultiple response possibilitiesmultiple response possibilities
more than accept/reject or more than accept/reject or timeouttimeout
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