Card Plan Minutes 2011.10.04

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Attendees

  • Alan Katz - ACC
  • Anthony Scinicariello - SJM
  • Antje Schroeder - Siemens
  • Bill Weintraub
  • Bruce Ferguson
  • Bryan Jennings - Medical Micrographics
  • Barry Brown - Mortara
  • Dan Roman - ACC
  • David Slotwiner - HRS
  • Gerald Serwer
  • Harry Solomon - GE
  • Jorge Bohorquez - Siemens
  • Mary Scneider - GE
  • Nick Gawrit - Heartbase
  • Paul Seifert - Agfa
  • Tom Dolan - Philips

Meeting Notes

  • ACC would like to see development on proposals that support the PINNACLE and NCDR registries
  • Strategy for 2011-2012
    • Increase adoption of existing profiles
    • Work on profiles that are a continuation of last years work items
    • Work on a max of 1-2 new profiles plus Technical Framework Maintenance
  • Profile proposals
    • Pre Procedure Document option for CATH Workflow
      • Some of the CDA implementation Guides (eg CCD and History and Physical) will be part of Meaningful Use Stage 2 requirements, therefore it is important to add this information to Cath Workflow
    • Cath Report Content
      • ACC is writing a health policy statement for Cath Lab data (similiar what has been done on structured reporting in cardiac imaging)
      • There is a risk of not keeping these to parallel efforts in syng. The publication timeline for the ACC paper is most likely longer than the one for the profile
      • The consensus was to make use of the preliminary information from the ACC paper for the public comment/trial implementation version and then update the final text version according to the finalized ACC paper.
    • Cath Registry súbmission
      • based on the Cath Report Content profile. The Cath report will be used for prepopulation of the NCDR registry
      • There was some discussion with regard to the workflow, since the cath report is very different from the data captured in the lab (evidence documents versus final report).
      • Three stages: Evidence documents in the lab, final Cath Report (as defined in previous profile) and data to be submitted to registry
    • Pre-Authorization
      • Independent from any other of the CATH profiles discussed above
    • Cardiac EP Content
      • Continuation of the work started with a whitepaper last year.
      • NCDR ICD registry submission based on information in EP Lab report
      • There are some gaps in the Key Data Elements defined by HRS/ACC compared to what is needed for registry submission
      • Big interest from HRS, they want to use this to promote IHE to their membership
    • EP Lab workflow
      • build on CATH Workflow and apply it to the EP lab
      • Should be pretty straight forward after defining the EP report
    • Evidence Documents workshop
      • There are interoperability issues with local extensions to the defined measurement sets
      • Evaluation of how well these profiles are implemented
      • Should be either done by IHE Rad or Card, Cardiology has some big issues with the adoption of TID 5200
    • TF Maintenance
      • Transition to new templates defined by the Domain Coordination Committee and some cleanup for mandatory options
  • Short listing of profiles
    • It was suggested to defer work on the Cath Registry Submission and the EP lab workflow, since there are dependencies on other profiles that need to be developed.
    • Remaining six profile will undergo technical analysis by the Technical Committee
    • Planning Committee needs to vote on final work items based on Effort estimates of TC by the end of November