DCM4MD:Use case candidates

Medical Device Detailed Clinical Models Use Case Candidates

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Note to the reader: The following is a list containing a combination of business use cases, 
                      technical use cases, and other device reporting requiremetns. 
                      By convention, use case names contain active verbs (e.g. "Intubate patient") 
                      rather than qualified nouns (e.g. "Patient Intubation").

	Candidate Use Case Name	Source	Type	Priority	Notes/Description
1	Intubate Patient, Planned	Martha Mosely (VA)	Business Use Case	1	<to be defined>
2	Change settings	Martha Mosely (VA)	Business Use Case	2	<to be defined>
3	Wean Patient	Martha Mosely (VA)	Business Use Case	2	<to be defined>
4	Additive therapy	Martha Mosely (VA)	Business Area	2	<to be defined>
5	Extubate Patient, Planned	Martha Mosely (VA)	Business Use Case	2	<to be defined>
6	Extubate Patient, Unplanned	Martha Mosely (VA)	Business Use Case	tbd	<to be defined>
7	Respirator-acquired pneumonia	VA	Scenario
8	Glucose measurement	Patient Care/Healthcare Devices Joint Meeting at WGM, Jan 2010	Technical Use Case		Record blood glucose
9	Blood Glucose Monitor	Example for the teleconference 7-7 2010	Technical Use Case		Work in progress
10	Insulin delivery by pump	Patient Care/Healthcare Devices Joint Meeting at WGM, Jan 2010	Technical Use Case
11	Patient Controlled Analgesia (or maybe infusion pump?)	Patient Care/Healthcare Devices Joint Meeting at WGM, Jan 2010	Technical Use Case		Configure PCA; Deliver PCA
12	Respiratory therapy using patient ventilator	Patient Care/Healthcare Devices Joint Meeting at WGM, Jan 2010	Technical Use Case
13	Patient registered at hospital	Ruth Berge (IHE Patient Care Device group)	Business Use Case		Register patient
14	Patient admitted to ICU	Ruth Berge (IHE Patient Care Device group)	Business Use Case		Admit patient to ICU
13	Nurse initiates bedside flowsheet in ICU, confirms patient location	Ruth Berge (IHE Patient Care Device group)	Business Use Case		Configure measurement
14	Nurse ‘admits’ patient to monitor (& ventilator)	Ruth Berge (IHE Patient Care Device group)	Business Use Case		Connect patient
15	Monitor & vent data flow to flowsheet	Ruth Berge (IHE Patient Care Device group)	Business Use Case		Record measurement; Trigger alarm . . .
16	Stop PCA Infusion (when respiration monitor indicates a problem)	ASTM ICE Group (named by Jay Lyle - VA)	Business Use Case
17	Abort Ventilator Imaging Pause (when imaging complete or time limit exceeded)	ASTM ICE Group (named by Jay Lyle - VA)	Business Use Case
18	Identify Need to Adjust Infusion Dosage (when tests indicate concentrations are incorrect)	ASTM ICE Group (named by Jay Lyle (VA))	Business Use Case
19	Restart Ventilator (when CPB machine is removed)	ASTM ICE Group (named by Jay Lyle (VA))	Business Use Case
20	Adjust Infusion Dosage (when tests indicate concentrations are incorrect	ASTM ICE Group (named by Jay Lyle - VA)	Business Use Case
21	Alert Rapid Response Team (when vital signs indicate)	ASTM ICE Group (named by Jay Lyle (VA))	Business Use Case
22	Confirm device configuration (when device is connected)	ASTM ICE Group (named by Jay Lyle (VA))	Business Use Case
23	Apgar Score	HL7 Patient Care DCM documentation	Observation		Record apgar score. Preparing for ballot in January 2011
24	Barthel Index	HL7 Patient Care DCM documentation	Observation		Preparing for ballot in January 2011
25	Blood Pressure	HL7 Patient Care DCM documentation	Observation		Preparing for ballot in January 2011
26	Body Height	HL7 Patient Care DCM documentation	Observation		Will be in ballot in september 2010. The material is almost ready.
27	Body Temperature	HL7 Patient Care DCM documentation	Observation		Preparing for ballot in January 2011
28	Body Weight	HL7 Patient Care DCM documentation	Observation		Will be in ballot in september 2010. The material is almost ready.
29	Braden Scale	HL7 Patient Care DCM documentation	Observation		Will be in ballot in september 2010. The material is almost ready.
30	Glasgow Coma Scale	HL7 Patient Care DCM documentation	Observation		Will be in ballot in september 2010. The material is almost ready.
31	Heart Rate	HL7 Patient Care DCM documentation	Observation		Will be in ballot in september 2010. The material is almost ready.
32	Respiration	HL7 Patient Care DCM documentation	Observation		Preparing for ballot in January 2011
33	Configure device settings	VA survey recommendations (Donna DuLong - VA)	Business Use Case
34	Patient's response	VA survey recommendations (Donna DuLong - VA)	Unk
35	Verify placement	VA survey recommendations (Donna DuLong - VA)	Business Use Case
36	Secretions	VA survey recommendations (Donna DuLong - VA)	Unk
37	ET tube	VA survey recommendations (Donna DuLong - VA)	Unk
38	Connect Patient	ICE functional decomposition (Jay Lyle - VA)	Business Use Case
39	Disconnect Patient	ICE functional decomposition (Jay Lyle - VA)	Business Use Case
40	Confirm configuration	ICE functional decomposition (Jay Lyle - VA)	Business Use Case
41	Schedule action	ICE functional decomposition (Jay Lyle - VA)	Business Use Case
42	Record observation	ICE functional decomposition (Jay Lyle -VA)	Business Use Case
43	Tracking and tracing	action item suggestions	Business area
44	Incident reporting	action item suggestions	Business area
45	Regulatory purposes	action item suggestions	Business area
46	Safety/Quality of Portable X-Rays	Catherine Hoang (VA)	Business Area		(PnP is doing this..so we would not want to duplicate but could maybe use what they have to help with more details?)
47	Pt controlled analgesia	Catherine Hoang (VA)	Technical Use Case		(PnP is doing this...same as above)
48	Vital signs (BP/temp/pulse/pulse ox)	Catherine Hoang (VA)	Observation		(Are there any use cases already out there?)BP, temp, pulse are in this tbale above. See there. We have a DCM Oxygen saturation in Dutch. (Should we use the Dutch DCM as a template for our DCMs? I'd be willing to do translation grunt work if so [employing a translation engine]- Scott Powell)
49	Infusion Pumps info feeding into the EHR	Catherine Hoang (VA)	Technical Use Case
50	OR of the Future Program	Catherine Hoang (VA)	Business Area		(This is already ongoing. How can we use this information to take it to another level?)
51	ICE Ecosystem	Catherine Hoang (VA)	Business Area		(This is work that is happening now. ASTM F2761 Integrated Clinical Environment, or ICE)
52	ICU (ventilator, pacemaker, etc..)	Catherine Hoang (VA)	Business Area
53	Anesthesia medical devices	Catherine Hoang (VA)	Technical Use Case
54	Tube feedings	Catherine Hoang (VA)	Business Use Case
55	Cardiac Stress Test	Catherine Hoang (VA)	Business Use Case
56	ECHO/EKG	Catherine Hoang (VA)	Observation
57	Ultrasound imaging	Catherine Hoang (VA)	Observation
58	Blood Glucose Monitoring	Catherine Hoang (VA)	Observation
59	Integrated Medication Manager (???)	Catherine Hoang (VA)	Program
60	CDS algorithms	Catherine Hoang (VA)	Business Area		(complete systems solutions that meets regulatory, safety and clinical requirements)
61	Clean Ventilator	Belinda Huff (VA)	Business Process		Ventilator Cleaning, set-up, check off and storage with consideration given to current RME requirements.
62	Connect Patient to Ventilator	Belinda Huff (VA)	Business Process		Ventilator patient set-up – ventilator settings and alarms with consideration given to ARDS NET lung protective strategies.
63	Manage Ventilated Patient	Belinda Huff (VA)	Business Process		Ventilator management to include consideration for subglottic evacuation endotracheal tubes, oral care for the ventilated patient, suctioning of the ventilated patient, cuff pressure measurements and routine ventilator /patient checks
64	Ventilator VAP Bundle	Belinda Huff (VA)	Business Area		Ventilator VAP Bundle (IPEC) practices – compliance and reporting
65	Wean Patient	Belinda Huff (VA)	Business Process		Ventilator Weaning Protocols
66	Extubate Patient	Belinda Huff (VA)	Business Process		Ventilator Extubation Protocols
67	Transport Ventilated Patient	Belinda Huff (VA)	Business Process		The transport of ventilated patients

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