PCD Pump 2018-06-11 WebEx

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Meeting Purpose

IHE PCD Infusion Pump Working Group discussions.

WebEx Information

Topic: IHE PCD Infusion Pump WG

Date: Monday, June 11, 2018

Time: 11:00, Eastern Time (GMT -05:00, New York)

Duration: 60 Minutes


Note: Specific web & phone information will be provided via e-mail to group members.

Contact Kurt Elliason for more information.

Proposed Agenda

1. Review today's Agenda
2. Review 2018.05.14 WebEx Discussion Notes & Action Items
3. Review PIV Order limits from EMR
4. Review first pass of common data terms for library synchronization.
5. Review PCD Device Infusion Pump Action Items
6. New Business / Next Meetings

Attachments / Materials

  • <add attachments links here>
Purpose: EMR can send limits specific to an individual patient order which can override pump drug library limits
CP needed: add descriptive text to PIV in TF to include order limits as optional functionality 2 use cases:
• Limits entered by provider at order entry
• Limits from drug or order configuration in EMR
• 0 to 4 limits may be present in a PCD-03 message (0-1 of each term)
New terms:
MDCX_ORDER_LOWER_HARD_LIMIT
MDCX_ORDER_LOWER_SOFT_LIMIT
MDCX_ORDER_UPPER_SOFT_LIMIT
MDCX_ORDER_UPPER_HARD_LIMIT
Example:
OBX|1|NM|9999^MDCX_ORDER_UPPER_HARD_LIMIT^MDC|1.1.1.1.|25|8888^MDC_blob_per_kg^MDC
F2F discussion
New limits would further constrain the existing limits, would only apply to dose limits, not concentration, times etc,

Discussion Notes

Chair/Host: Kurt Elliason (Smiths Medical)
Participants: Tom Kowalczyk (Bbraun), Al Engelbert (Bbraun), Ray Kan (Baxter), Caroline Cornelius (Baxter), Jeff Rinda (ICU Medical), Jack Hoffman (BBraun), Lori Belfort (Bbraun), Bill Haralson (Smiths), Chip Stubsten (BBraun), Christophe Fournier (Fresenius), Larry Decelles (Ivenix), Matt Hottel (Cerner), Cindy Warych (AllScripts)


NOTE: Action Item Review updates have been posted directly to the Infusion Pump Action Items wiki page


Item Topic Discussion
1 Agenda & Discussion Notes Review
- Chair
Status/Discussion:


Decisions/Issues:


Action(s):

2 PIV Order limits from EMR
- Chair
Status/Discussion:
Questions:
Baxter- What is the scenario where this would be used.
Cerner- on order side physician will build out the order. Could pull in titration limits for an order, would not be filled out each time.
For basic orders (outside the library) limits could be provided.
If EMR could send the entire order over, there wouldn't be any issues with drug library alignment.
Would not use library for pump programming orders, only for manual programming.

Decisions/Issues:

Defer order limits discussion to consider at a future date.

Action(s):

Add to Actions items list
3 Common library terms for synchronization
- Chair
Status/Discussion:
Basic Info to Share between EHRs and Library Software:
DrugRecordID – GUID (each Name, Concentration, Advisory combiniation)
CommonID - RxNorm, NDC code, GUID
Name – Common Drug Name
Concentration - unreduced drug amount and volume
Advisory
Care Are/Unit/Ward
Potential Options:
InfusionSetupID – GUID (each protocol that references a DrugRecordID would have one of these)
DrugRecordID
Rate/Dose
DosingUnits
LOWER_HARD_LIMITs
LOWER_SOFT_LIMITs
UPPER_SOFT_LIMITs
UPPER_HARD_LIMITs


Decisions/Issues:

How do we envision this working. Is it a common format that we write conversion tools for.


Action(s):

For June 25 propose scenarios and work flows for mapping


4 Next Meeting
- Chair
Status/Discussion:

Decisions/Issues:

  • Topics will include ...
Common library terms for synchronization - user scenarios and mapping workflows

Action(s):


Next Meeting

NOTE: Next Meeting will be held during the regularly scheduled time: 11:00 (Eastern) on June 25 (60 minutes)


(Reviewed & approved by PCD Infusion Pump WG on <TBD>


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