PCD Connectathon&Showcase 2008-11-05 Webex

PCD Connectathon/Showcase WG

Agenda

Action Items

• Open Date: Monitor registrations for various actors.
• Nov. 5: Determine how RTM will be tested in Pre-Connectathon, Virtual Connectathon, and Connectathon.
• Oct. 15: Why are more companies not implementing SPD query within DOC? Which companies will implement and test this query this year?

Issues and questions about:

• The Trial Implementation version of any profiles
• The MWB
• HL7
• Timeline
• Interview Form, Kudu, Installation Test (PAM, PDQ)

Connectathon and Showcase Planning

Scenario update, see below, and

• ftp://ftp.ihe.net//Patient_Care_Devices/Showcases/HIMSS2009April/
• Will we demonstrate DOF/SPD? Should it be shown on the block diagram?

• How would we demo in the short time available?

• Should we plan on a stronger Docent/Tour Leader role for continuity?

Status report on Test Case development

• DEC
• ACM
• PIV
• RTM

IHE PCD Showcase Scenario Draft 2009

Overview: Male patient, 65 years, BMI 32 (slightly overweight), coronary artery disease (AMI 6 months ago), moderate COPD (smoker), compensated renal insufficiency (40% GFR). Adenocarcinoma of the lower esophagus (close to the entry into the stomach), scheduled for gastrectomy and distal, transabdominal esophagectomy.

Operating Room Patient needs full invasive CV monitoring starting at induction. Patient identified on each of the 3 vendor pumps and started on 3 infusions: Dextrose 5% 1000 mL @ 75 mL/hr, propofol, @100 mcg/kg/min and morphine 100 mg/ dextrose 5% 100 nL @ 1 mg/hr. Status of all 3 infusions is viewable on monitors via PCD01/02.

Intensive Care Unit After surgery patient remains intubated and is transferred to ICU. After initial stabilization (some fluids according to CO and SvO2, low dose Dopamine) rapid weaning of the ventilator on SmartCare/PS.

Using PIV, the nurse uses BCMA to send low dose Dopamine 400 mg in Dextrose 5% 250 mL @ 2.5 mcg/kg/min) to pump to aid kidney perfusion. The infusion status is viewable on monitors via PCD01/02

The patient is extubated after 12 hours after admission to ICU. Ventilator Alarms are managed, routed and displayed Discharge to SDU after 36 hours.

Step-Down Unit On SDU patient require still monitoring of HR, BP, RR and SpO2

Antibiotic continued for 72 hours. Vancomycin 1 g in Dextrose 5% 250 mL is infused over 60 minutes via IV device. Using PIV, the nurse uses BCMA to send Vancomycin order data to pump. The infusion status is viewable on monitors via PCD01/02

Discussion

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Action(s):
2	Approval of Minutes - Chair	Status/Discussion: Decisions/Issues: Action(s):
3	Action Items Review - Chair	Status/Discussion: Decisions/Issues: Action(s):
4	Announcements - Chair	Status/Discussion: Announcements: Decisions/Issues: Action(s):
5	F2F - Todd	Status/Discussion: Decisions/Issues: Action(s):
6	xyz - <lead>	Status/Discussion: ... Decisions/Issues: Action(s):
7	xyz - <lead>	Status/Discussion: ... Decisions/Issues: Action(s):
8	xyz - <lead>	Status/Discussion: ... Decisions/Issues: Action(s):
9	xyz - <lead>	Status/Discussion: ... Decisions/Issues: Action(s):
n	Next Meeting - Chair	Status/Discussion: Decisions/Issues: Action(s):

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PCD Connectathon&Showcase WG 2008-9