PCD Pump 2026-07-13 GoogleMeet: Difference between revisions
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:'''Chair/Host:''' ''Kurt Elliason'' | :'''Chair/Host:''' ''Kurt Elliason'' | ||
:'''Participants:''' '' | :'''Participants:''' ''Al Engelbert (BBraun), Amy Rowe (BBraun), Brendan Burke (Bbraun), Brian Witkowski (Baxter), Dan Lee (ICU Medical), Evan O'Grady(Fresenius-Kabi), Jeffery Gaetano (BD), Marufur Rahman (ICU Medical), Paul Schluter (Paul Schluter Consulting), Tom Kowalczyk (BBraun) | ||
::'''NOTE:''' '''''Action Item Review updates have been posted directly to the [[PCD_Device_Infusion_Pump_Action_Items | Infusion Pump Action Items wiki page]]''''' | ::'''NOTE:''' '''''Action Item Review updates have been posted directly to the [[PCD_Device_Infusion_Pump_Action_Items | Infusion Pump Action Items wiki page]]''''' | ||
| Line 76: | Line 76: | ||
| ''' Agenda topics''' <br>- tbd | | ''' Agenda topics''' <br>- tbd | ||
| '''Status/Discussion:''' | | '''Status/Discussion:''' | ||
:''3a. OBR-2 OrderID reporting options with both primary and secondary channels enabled | |||
:::'' DEC defines OBR as Required [1..1], R01 trigger only allows 1 OBR. | |||
:::'' Can't have two OBRs - OBR|1| is Primary, OBR|2| is secondary/piggyback without duplicating the entire observation with Multiple MDS, VMD, Delivery Info channels - could end up with conflicting information in duplicated channels | |||
:::'' Decided to create new MDC code( MDC_ORDER_ID) for Infusion OrderID to include in OBX under each MDC_DEV_PUMP_INFUSATE_SOURCE_PRIMARY and MDC_DEV_PUMP_INFUSATE_SOURCE_SECONDARY | |||
:''4a. Potential changes needed in Appendix B.9 ORC – Common Order Segment | |||
:::''Description in HL7 v2.7 for ORC -8 states:"ORC-8-parent is the same as OBR-29-parent. If the parent is not present in the ORC, it must be present in the associated OBR." So the text in question is actually correct. | |||
:::''In v2.8 OBR-54 was added and states ORC-8/OBR-54 – parent order is not the same as OBR-29 – parent result. Further analysis and discussion is needed before moving DEC/IPEC up to v2.8 | |||
'''Decisions/Issues:''' | '''Decisions/Issues:''' | ||
Latest revision as of 12:20, 13 July 2026
Meeting Purpose
IHE PCD Infusion Pump Working Group discussions.
WebEx Information
Topic: IHE PCD Infusion Pump WG
Date: Monday, July 13, 2026
Time: 12:00, 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 2026-06-22 Pump Google Meet Session
- 3a. OBR-2 OrderID reporting options with both primary and secondary channels enabled
- Options:
- OBR-2 is always the order id of the active source channel (MDC_PUMP_ACTIVE_SOURCES)
- Use multiple OBR segments, one for Primary source, one for Secondary source
- *Multiple MDS, VMD, Delivery Info channels - could end up with conflicting information in duplicated channels
- *MDS, VMD, Delivery Info in first OBR with Primary Source, only Secondary source in second OBR.
- *OBR|1| is Primary, OBR|2| is secondary/piggyback
- Create new MDC code for Infusion OrderID to include in OBX under each MDC_DEV_PUMP_INFUSATE_SOURCE_PRIMARY and MDC_DEV_PUMP_INFUSATE_SOURCE_SECONDARY
- Options:
- 3b.
- 3d.
- 4a. Potential changes needed in Appendix B.9 ORC – Common Order Segment
- Description for ORC -8 states:"ORC-8-parent is the same as OBR-29-parent. If the parent is not present in the ORC, it must be present in the associated OBR." Should it state "it must not be present in the associated OBR"
- 4b.
- 4c.
- 5. Review PCD Device Infusion Pump Action Items
- 6. New Business / Next Meetings
Attachments / Materials
- <add attachments links here>
Discussion Notes
- Chair/Host: Kurt Elliason
- Participants: Al Engelbert (BBraun), Amy Rowe (BBraun), Brendan Burke (Bbraun), Brian Witkowski (Baxter), Dan Lee (ICU Medical), Evan O'Grady(Fresenius-Kabi), Jeffery Gaetano (BD), Marufur Rahman (ICU Medical), Paul Schluter (Paul Schluter Consulting), Tom Kowalczyk (BBraun)
- 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
- ChairStatus/Discussion:
Decisions/Issues:
Action(s):2 Agenda topics
- tbdStatus/Discussion: - 3a. OBR-2 OrderID reporting options with both primary and secondary channels enabled
- DEC defines OBR as Required [1..1], R01 trigger only allows 1 OBR.
- Can't have two OBRs - OBR|1| is Primary, OBR|2| is secondary/piggyback without duplicating the entire observation with Multiple MDS, VMD, Delivery Info channels - could end up with conflicting information in duplicated channels
- Decided to create new MDC code( MDC_ORDER_ID) for Infusion OrderID to include in OBX under each MDC_DEV_PUMP_INFUSATE_SOURCE_PRIMARY and MDC_DEV_PUMP_INFUSATE_SOURCE_SECONDARY
- 4a. Potential changes needed in Appendix B.9 ORC – Common Order Segment
- Description in HL7 v2.7 for ORC -8 states:"ORC-8-parent is the same as OBR-29-parent. If the parent is not present in the ORC, it must be present in the associated OBR." So the text in question is actually correct.
- In v2.8 OBR-54 was added and states ORC-8/OBR-54 – parent order is not the same as OBR-29 – parent result. Further analysis and discussion is needed before moving DEC/IPEC up to v2.8
Decisions/Issues:
Action(s):
3 TBD
- tbdStatus/Discussion:
Decisions/Issues:
Action(s):
4 Next Meeting
- ChairStatus/Discussion: Decisions/Issues:
- Topics will include ...
Action(s):
- 3a. OBR-2 OrderID reporting options with both primary and secondary channels enabled
Next Meeting
NOTE: Next Meeting will be held during the regularly scheduled time: 12:00 (Eastern) on Jul 27 (60 minutes)
(Reviewed & approved by PCD Infusion Pump WG on <TBD>