PCD Connectathon&Showcase Focused 2008-12-10 Webex

Special Meeting to address visitor/patient, caregiver and device ID

Agenda

Last Year:

• Kiosks on corners of Showcase booth where attendees could register
• ADT feed (provided John Donnelly’s group) that sent an A04 message to all registered ADT clients
• At start of tour, picked attendee from crowd that had registered at a Showcase kiosk
  • If none had registered, then backup “patient” (who was registered) was used
• Epic admitted patient into their system and printed wristband with barcoded MRN (and with MRN and name in clear text)
  • MRN was same as PID-3.1 (Patient Identifier List.ID Number) in ADT message
• Wristband was passed around so systems could either scan the barcode or type in the patient name

This year:

• Visitor Registration
• MRNs on badges?
  • Format?
• If PCD-only wristband is required:
  • Same format as last year?
    • Barcoded MRN, clear text MRN and name
  • When printed?
  • Who provides printer?
• PAM/PDQ
  • The PAM transaction for PIB option doesn't include A04 (see below)
  • Any PCD systems not supporting A04?
  • If not supporting A04, supporting PDQ?
  • Any PCD systems not supporting either A04 or PDQ?
    • Entry via keyboard only?
• Other barcodes
  • Caregiver ID
    • Responsibility of vendor of system requiring caregiver ID
  • Device ID
    • PIV will require scanning of Pump ID (pump vendor responsibility to provide barcode)
    • Need to agree on format that IOPs will be able to read
      • Code 128
      • Code 39
    • Will be tested at Connectathon as part of PIV tests
  • Medication
    • Pump vendors may optionally use barcoded medication info for OR (the only non-PIV scene)
      • If barcodes not used, can use menu sequence to select med info (either prior to start of OR scene or during)
  • Others?
• Wireless Networking
  • At the Connectathon
  • At the Showcase
  • Issues and solutions
• Timeline
  • What additional information is needed?
  • When do Steve, John Donnelly need more information?

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Information on PAM from previous email.

Here’s the ITI document for PAM:

http://wiki.ihe.net/index.php?title=Patient_Administration_Management

It looks like there are two use cases, and hence two transactions, in PAM:

• Patient Identity Management, which uses ITI-30 (Patient Identity Feed)
• Patent Encounter Management, which uses ITI-31 (Patent Encounter Management)

The PIB option calls out use of ITI-30 (Patient Identity Feed). ITI-30 has two options, “Merge” and “Link/Unlink”.

Use of the Merge option requires support for the following ADT messages:

• A28 – Create new patient
• A31 – Update patient information
• A47 – Change Patient Identifier List
• A40 – Merge two patients

Use of the Link/Unlink option requires support for the following ADT messages:

• A28 – Create new patient
• A31 – Update patient information
• A47 – Change Patient Identifier List
• A24 – Link Patient Information
• A37 – Unlink Patient Information

Note that the ADT messages in question in the action items from the Showcase Workshop (A04, A01, A02...) are not part of the PAM transaction required for PIB.

However, they are part of ITI-31. Here are the ADT messages in the “Basic Subset” for ITI-31:

• A01 – Admit inpatient
• A04 – Register outpatient
• A03 – Discharge patient
• A08 – Update patient information
• A40 – Merge patient identifier list

In conclusion, systems that support only those ADT messages required in the PIB option will not handle A04, A01, etc.

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Manny's original notes below:

Visitor/Patient ID

- PAM, PDQ testing

- PAM, PDQ reception of all HIMSS registrants - is it possible?

- Bar coding of badges (MRN alone, name alone) and human readable

- Ability of Epic, GE to read, print

- Ability of others using PIB options

- Ability to borrow printers

Device ID

- Is it necessary? For which systems?

- How can this be accomplished?

- How can we best test at the Connectathon or in a Virtual Connectathon setting?

Caregiver ID

- Is it necessary? For which systems?

- How can this be accomplished?

- How can we best test at the Connectathon or in a Virtual Connectathon setting?

Wireless Networking

- At the Connectathon

- At the Showcase

- Issues and solutions

Timeline

- What additional information is needed?

- When do Steve, John Donnelly need more information?

Participants

Names are placeholders Dan Bowling, Rita Brahmbhatt, Anupriyo Chakravarti, Bikram Day, Al Engelbert, Robert Flanders, Brian Fors, John Garguilo, Karen Jimenez, Brad Lunde, Gary Meyer, Monroe Pattillo, John Rhoads, Khalid Zubaidi, Manny Furst

Return to main WG page which has links to individual meeting pages

Return to main PCD Connectathon/Showcase WG page: PCD_Connectathon&Showcase_WG_2008-9