DCM4MD:Use case candidates

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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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