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IHE Patient Care Device Technical Framework Supplement – Alarm CommunicationManagement (ACM)______________________________________________________________________________ActorAlarm Reporter (AR)Alarm Manager (AM)Table X.2-1: ACM – Actors and OptionsOptionsReport Alarm Status optionIdentify Recipients optionWaveform Content Module (WCM) optionReport Alarm Status optionIdentify Recipients optionWaveform Content Module (WCM) in PCD-04 optionWaveform Content Module (WCM) in PCD-06 optionVol. &Section3.Y+13.Y+13.Y+13.Y+13.Y+13.Y+13.Y+1Alarm Communicator (AC) Waveform Content Module (WCM) 3.Y+1320325The Report Alarm Status option indicates whether or not the particular actor supports the ReportAlarm Status transaction (PCD-05).The Identify Recipients option for the Alarm Reporter identifies whether or not the Report Alarmtransaction (PCD-04) might include the identification of the notification recipient people ordevices.The Identify Recipients option for the Alarm Manager identifies whether or not the AlarmManager sends to the Alarm Reporter notification recipient details as to people or devicesnotified and replies.X.3 ACM Use Cases and Interaction Diagrams330335Alarm Communication Management is meant to improve clinical efficiency by using technologyto deliver the right alarms, with the right priority, to the right individuals via devices with theright content, and through configuration escalating communication of alarms to devicesassociated with other individuals.The following are the use cases. The use cases are noticeably generic and not so much focusedon the alarm clinical purpose as they are focused on the system interactions. The use cases maybe directly applicable to other IHE domains, and may be supplemented with additional use casesto serve specific needs in other domains.X.3.1 Case A1: Location Sourced340Use Case – Patient wants a pillow. Patient pulls nurse call. Nurse call system lights the room’sdome light and light at central station. Nurse call system, operating as an Alarm Reporter (AR)actor sends Report Alarm [PCD-04] to Alarm Manager (AM) indicating nurse call alarm. TheAlarm Manager (AM) logs receipt of the alarm. The Alarm Manager (AM) identifies theappropriate nurse based upon configured nurse to patient assignments, identifies the appropriateAlarm Communicator (AC) actor and destination communication device based upon nurse todevice configuration in Alarm Manager (AM), sends Disseminate Alarm [PCD-06] to nurse’s__________________________________________________________________________12Rev. 1.3– 2012-08-16Copyright © 2012: IHE International, Inc.
IHE Patient Care Device Technical Framework Supplement – Alarm CommunicationManagement (ACM)______________________________________________________________________________Case A1: Location SourcedNurse CallSystem(AR)AlarmManager(AM)AlarmCommunicator(AC)Patient wants pillow, sopulls nurse call alarmcordNurse call system reports alarmAlarm Sent to NurseNurse goes to room,provides patient with pillowReport nurse responseNurse receives alarmReport nurse responseNurse resets nurse callalarm cordNurse call system clears alarm345350355communication device. The Alarm Manager (AM) logs the dissemination to the AlarmCommunicator (AC). The nurse receives the alarm on their assigned device. The informationminimally includes the patient location (room number). The nurse replies to the alarm on thecommunication device, the Alarm Communicator (AC) sends a Report Dissemination AlarmStatus [PCD-07] to the Alarm Manager (AM). The Alarm Manager sends a Report Alarm Status[PCD-05] to the Alarm Reporter (AR). The nurse goes to the room, determines the needs of thepatient, and provides the patient with a pillow. The nurse then resets the nurse call pull. Thenurse call system turns off the room’s dome light and the light at the central station. The nursecall system, operating as an Alarm Reporter (AR) actor sends Report Alarm [PCD-04] to AlarmManager (AM) indicating reset of the nurse call alarm. The Alarm Manager (AM) receives thealarm turns off any configured alarm escalation and logs the alarm.X.3.2 Case A2: Identified Patient Source360Use Case – Alarm occurs on PCD assigned to patient. PCD or PCD gateway system, operatingas an Alarm Reporter (AR) actor sends Report Alarm [PCD-04] to Alarm Manager (AM)indicating PCD alarm. The Alarm Manager (AM) logs receipt of the alarm. The AlarmManager (AM) identifies the appropriate nurse based upon configured nurse to patientassignments, identifies the appropriate Alarm Communicator (AC) actor and destination__________________________________________________________________________13Rev. 1.3– 2012-08-16Copyright © 2012: IHE International, Inc.
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