Card Tech Minutes 2013.04.29-05.01

Attendees

• Barry Brown (Mortara)
• Traci Connolly (ACC)
• Tom Dolan (Philips)
• Paul Dow (ACC)
• Nick Gawrit (heartbase)
• Scott Graunke (Medical Micrographics)
• Nicole Kallas (ACC)
• Nandini Kuntipuram (ACC)
• Chris Melo (Philips)
• Antje Schroeder (Siemens)
• Anthony Scinicariello (St Jude)
• Abdul Malik Shakir (ACC)
• Nakano Shinichi (Toshiba, IHE-J)
• Paul Seifert (Agfa)
• Harry Solomon (GE)
• Mead Walker (ACC)

Meeting Notes

Promotion

• Survey
  • Reviewed final version of survey questions
  • Survey will be out May 5th - May 22. Results are expected early in June
• Policy Papers
  • Paper by the ACC Clinical Quality Committee(CQC) with Title: "IHE profiles to achieve seamless integration of data and workflow in Cardiology.
    • Targeted for October
  • Paper by Drs. Katz, Tcheng, Slotwiner to address "IHE Support in Cardiology - why we impact Healthcare"
    • Paul Dow is coordinating via eMail with Drs. Katz, Tcheng, Slotwiner
    • Timing will be discussed at ACC informatics committee spring retreat. Targeted for end of Summer
  • Cath Lab Health Policy Statement by Dr Tcheng
    • Paul Dow to find out what the plan/status is
• MU Comments for Stage 3 are not processed yet. Due to the high amount of comment, ONC is re-thinking approach for MU-3
• ONC had a workshop a couple of weeks ago and is talking to deploy XDS and XDM to support HIEs. Approach is based on whitepaper published by IHE ITI.
• Connectathon participation
  • No testing of new IHE Card profiles during recent connectathons. Potential reasons:
    • There are no resources available to implement IHE due to high effort for achieving MU Goals
    • Multitude of profiles is too confusing for users. As long as customers do not request profile support, ´there is no pressure on vendors to implement them. Should profiles be bundled into complete solutions?
    • Are profiles to complex to implement? E.g. should IEO just address the communication between EHR and Image Manager?

Intravascular Imaging

• One comment was received during Public Comment, which has been addressed during the meeting. Furhtermore some rewording has been done
• Updated document was sent to Mary Jungers for publication

Update from other domains/standardization groups

• IHE Radiology
  • In order to address Meaninful Use requirement to provide access to images from an EHR system, IHE Rad is publishing the Invoke Image Display Profile (IID). It is modeled after transaction Card 15 (defined in IEO).
  • Due to the development of SWF.b (which combines SWF and PIR and solely mandates HL7 2.5.1) there are plans to retire SWF in the near future. For now, Cardiology decided to just add new wording to the ECHO, CATH, REWF, STRESS and IEO to explicitly state the HL7 version to be used and where useful add an option for HL7 2.5.1)
    • Harry to draft CPs for this change
• DICOM WG 8 and 20
  • updates to the exisiting Diagnostic Imaging Report Implementation guide in order to address RSNA reporting template requirements
  • International realm
  • Implementation guide will be maintained as a part of DICOM and will be handled through DICOM processes
  • DICOM Supplement 155
• DICOM WG 12
  • Working on a new version of TID 5200 (Adult Echo Report). This new template will be based on a 'golden set' of measurements and will pre-dominantly use pre-coordination
• IHE PCC Domain
  • Align existing TF docs ( universal realm) to CCDA. Big issue is meds vocabulary
  • Look @ tooling – Steve Moore has put most existing PCC content into MDHT
  • HL7 is working on an interchange format with trifolio to the supported by NIST
• HL7 Structured Document Workgroup
  • Mead introduced the Cardiology Domain Information Model, which is not of much practical use for IHE Card
  • MDHT tooling for CCDA IG development
  • Structured documents WG - Quality of implementation guide - this is useful work that should guide our development of the CCDA artifacts we are working on.

Domain Coordination Issues - DCC Survey

• Do you think your domain has a unified view?
  • Can you state the unified strategic view of your domain?
  • What processes do you follow to achieve those strategic goals?
    • IHE Cardiology: We currently do not have a unified view, a long term road map needs to be developed. Current work item selections are mostly to satify our main sponsors needs

• Do you think the quality of your profiles meets the standards it should to be effective?
  • What quality metrics?
  • How are they applied?
    • IHE Cardiology: We are currently not applying any metrics due to lack of adoption of Cardiology profils
    • IHE Cardiology thinks that these metrics should be unique across all domains. When defining the metrics first of all, it should be decided what to do with these metrics (e.g should they be used as indicators for retiring profiles, moving them to final text, ...) and then metrics should be defined based on use of metrics

• Do you think the profiles you develop meet user needs?
  • What steps do you take to gather feedback on whether your profiles meet user needs?
  • How is this information used in assessing the domain's strategic view and evaluating the status of published profiles?
    • IHE Cardiology: We started a survey through the ACC CardioSurv in order to get some more details on this. The feedback will be used in order to define our strategic view. However we think that as a domain we need more overall guidance from the IHE International Board what the strategic view of IHE in total is.
    • IHE Cardiology currently has a work item to address promotion, which takes about 25-30% of our current work load.

• To what extent are you actively working with other domains on coordinated activities to address broader issues?
  • How do you go about finding out about what other domains have done or are doing in areas related to your domain's work?
  • Are there specific work items in your domain that you believe other domains might be interested in knowing about?
    • Various members of IHE Cardiology are monitoring other domain committees (for personal interest) and informing the committee about recent developments
    • IHE Cardiology has defined a couple of profiles which are of interest for other imaging domains as well:
      • Image Enabled Office (IEO)
      • Displayable Reports (DRPT)
• Do you feel the need for greater strategic guidance from IHE International?
  • What kinds of strategic guidance do you feel your domain needs most?
    • IHE Cardiology: More guidance is needed. Also more communication from the International Board to domains is needed. Currently it is very dependant on single board representatives if and what information is communicated. Perhaps regular newsletters from the board and deployment committees would be helpful
    • There is a strategic view for IHE stated on the IHE website, however there is no visibility into the tactical action (e.g. what is done to achieve the stated goals)
    • IHE Cardiology would like to see some more support from the board in engaging other international professional societies (e.g. ESC)
    • As a domain with departmental focus, we would like to get some guidance how the board sees these domains fit in the big picture of national/regional level projects in order to get some more traction.

Planning

• Publication Schedule
  • updated version of IVI needs to be sent to Mary Jungers by 5/5/2013
  • updated Technical Framework and Supplements need to be sent to Mary Jungers by 7/1/2013
• CP Ballot:
  • All current CPs 5/17/2013 - 6/19/2013
  • CRC CP (to address cCDA 1.1) will be out for ballot 6/19/2013
• Webinar date: Chris to provide possible dates
• Next face to face meeting 9/30/2013 - 10/2/2013 (potentially in Boston Area)
  • Goal for this meeting is to prepare EPRC for extended period of public comments
• Upcoming meetings