Patient Monitor Device Solution

The Patient Monitor Device solution can incorporate additional clinical context with the patient monitoring device alarms in an escalation pathway.

FDA regulated devices require our 510k clearance compliance. Vocera integrates with regulated devices, such as Physiological Monitors, Ventilators, and IV infusion pumps that use the HL7 standard to communicate device events. Vocera can receive alarms from the regulated device, and send notifications to the appropriate staff with an escalation pathway as designed. The notification alert can include the patient details for additional clinical context.

When a patient monitor (such as a Philips Physiologic Monitor) triggers an Extreme Bradycardia alarm, the HL7 message sends an alarm notification event to Vocera, and a rule is triggered to send an alert notification to the nurse assigned to the patient. If that nurse is unable to respond, the alert notification is sent to the Charge Nurse. The alert notification includes additional patient context such as the Heart Rate at the time of the alarm event and the admitting diagnoses of the patient.

Using an OBX Segment in an ORU-R40 Event

In an HL7 ORU-R40 message, the Observation Request (OBR) segment defines the attributes of a particular request for diagnostic services (e.g., laboratory, EKG) or clinical observations (e.g., vital signs or physical exam). The Observation/result (OBX) segment is used to transmit a single observation or observation fragment.

In this HL7 sample, the Mindray eGateway device identified in the OBR segment reports a Low SpO2 value in the first OBX segment. This ORU-R40 event will trigger a configured Vocera rule to initiate an escalation path to notify caregivers of the alert for the identified Surgery patient.

MSH|^~\&|MINDRAY_EGATEWAY^00A037EB2175780F^EUI-64|MINDRAY|AM_PHILIPS_IEM^00095CFFFE741952^EUI-64|PHILIPS|20120111150457- 0600||ORU^R40^ORU_R40|1|P|2.6|||AL|NE||UNICODE UTF-8|||IHE_PCD_ACM_001^IHE PCD^1.3.6.1.4.1.19376.1.6.4.4.1^ISO
PID|||HO2009001^^^Hospital^PI||Hon^Albert^^^^^L||18991230|M
PV1||I|HO Surgery^OR^1
OBR|1|1^MINDRAY_EGATEWAY^00A037EB2175780F^EUI64|↵ 1^MINDRAY_EGATEWAY^00A037EB2175780F^EUI64|
196616^MDC_EVT_ALARM^MDC|||20120111150457- 0600||||||||||||||||||||||^1&MINDRAY_EGATEWAY&00A037EB2175780F&EUI-64 OBX|1|ST|196670^MDC_EVT_LO^MDC|1.3.1.150456.1|LowSpO2|||L~PM~SP|||F|||201201111504570600||||F1519EFX^SHENZHEN_DEVICE^mindray.com^DNS
OBX|2|NM|150456^MDC_PULS_OXIM_SAT_O2^MDC|1.3.1.150456.2|88|262688^MDC_DIM_PERCENT^MDC|90-96||||F|||20120111150457-0600
OBX|3|ST|68481^MDC_ATTR_EVENT_PHASE^MDC|1.3.1.150456.3|start||||||F
OBX|4|ST|68482^MDC_ATTR_ALARM_STATE^MDC|1.3.1.150456.4|active||||||F
OBX|5|ST|68483^MDC_ATTR_ALARM_INACTIVATION_STATE|1.3.1.150456.5|enabled|||||F