PCD PC 2009-03-18 Webex

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Patient Care Device Domain

Meeting Purpose

Regularly scheduled meeting of the PCD Planning Committee

WebEx Information

Topic: PCD Committee Tcons

Date: Wednesday, March 18, 2009

Time: 11:00 am, Eastern Time (New York )

Duration: 60 Minutes

Proposed Agenda

1 Review of Discussion Summaries PCD PC&TC 2009-03-04 Webex
2 Spring F2F Meeting (May 4-7 @NIST)
3 Update on White Papers and Supplements:
  • ACM Open Issues / Extensions
  • PIV Open Issues / Extensions
  • RTM Open Issues / Extensions
  • DPI
  • Medical Device Semantic Architecture
  • Regulatory Considerations
  • Medical Equipment Management
4 Showcase Planning
  • Showcase demo policy
  • Companies and systems participating
  • Scenario
  • Physical layout
  • Network and utility requirements
  • New Directions Wall
5 IHE Australia
6 IHE International
  • IEEE-IHE MoU Update
7 Continua
8 Review Action Items
9 New Business

Discussion Summary and Action Items from Previous Meetings

Updated From Feb. 11 and March 4 PC & TC joint meetings

Discussion Summaries from previous meetings are not reviewed unless a significant issue is raised. Decision meetings will have minutes that require approval. This may be accomplished by email ballot.

Action Items from the previous meetings: PCD PC 2009-02-11 Webex and PCD PC&TC 2009-03-04 Webex

No. Action Item Owner Participants Due Open/Closed Description/Update
41 Monitor FDA actions on Universal Device ID Jeff Secunda -- January 14, 2009 Open Jeff Secunda said that the FDA will be starting a project on the UID concept. The project will take at least 1 year.
44 Define relationship between IEEE standards and IHE profiles; the role of the PCD in determining this relationship. The HL7/IEEE MOU is also in process. Todd Cooper -- March 18, 2009 Open Has been signed by IHE and sent to IEEE for signature
70 Coordinate 12 lead ECG effort with Cardiology domain. Ray -- February 11, 2009 Open Ray will learn who the contact person is for the reactivated Cardiology Domain. The pacemaker group will work within cardiology domain, and RTM will include terms for pacemaker communications. Defer until Cardiology Domain has updated its workplan and additional action is required. Todd reported that ACC/IHE talks continue and Cardiology will likely formally apply to become a domain again in the next month or two. Pacemaker vendors have continued work on IDC terminology and are targeting the Connectathon next year. If Cardiology cannot support this effort in time, the PCD may assist further. Add to March 3 Agenda.

71 Recruit clinicians; develop novel ways, attend to their priorities and schedules Ken, Manny -- Open Open Profile development may be a reasonable initial focus for involvement and perhaps lead to further involvement in PCD. Paul had earlier suggested a booth at at ACC, other meetings. Liase with standards groups such as ASTM, professional societies. Manny will talk with Cristal Anderson, HIMSS. Potential for recruiting at Connectathon. If anyone wants to invite a company to observe at Connectathon let Manny know. Steve is talking with the Mass Health Data Consortium and will make a presentation on IHE PCD. The VA clinical engineers will invite us to present during HIMSS. The Chicago area biomed society presentation is in question.

72 Press releases as recruiting tool, including the Showcase. PCD will invite companies to observe Connectathon and reach out to companies and users to invite them to the PCD demo at the Showcase. Manny -- Open Open Two press releases have been prepared and distributed to various organizations for distribution.
74 Mapping PCD into v3 CDA with relevance to RTM Todd Peter Hendler March 4, 2009 Open Todd: VA was planning to move forward about use of CDA. He will talk with James McCain. Peter: Kaiser and VA working to trade documents as part of NHIN project.
Goal is to assure the appropriate set of medical device semantic components is included in the appropriate location in CDA/CCD documents and HL7 v3 nessages.
Todd will ask the VA as to whether there is still any interest in this project.
Todd will schedule a webex the end of August/early September to discuss the status of the profile proposal and identify what needs to happen to move it forward in this next cycle.
Will be addressed in Vancouver meeting the week of September 15.
The HITSP CMDC/CDC Use Case includes a document communication profile. HL7 Technical Steering Committee, HITSP management, VA and Kaiser are considering how to move this forward. The technical requirements are clear, but there’s a lack of a sufficient number of volunteers to do the work. Will likely come up next week at HITSP meetings.
76 Test Tooling, NIST and MWB John Garguilo Al Engelbert, Todd Cooper, Robert Flanders, John Garguilo, John Rhoads, Peter Rontey, Paul Schluter January 28, 2009 Open Rob Snellick is working on this. Peter Rontey identified two open issues. One suggests that PCD may need to select HL7 v.2.6 as baseline. The other relates to OBX.5 which has an indeterminate data type. Peter believes he has a solution if NIST Message Maker can accommodate his approach. John Garguilo suggested this be changed to two issues, one related to HL7 profiles and the other to develop and validate the profiles. Decision deferred. Rob Snelick will support PIX/PDQ at the Connectathon. In spite of remaining issues with the MWB profiles John will proceed with developing the tools for PCD, hoping that a test may be possible before the Showcase. He will provide a document describing the validation process. Move date to March 18. A goal is to have validation tools available for all PCD profiles available for use in advance of the 2010 Connectathon.

With regard to test tools and validation the MWB will be used, and can be used in Pre-Connectathon testing. We need to identify what the vendors will communicate within the profiles and select the parameters that will be used. We then need to know what tables and other data is used and these must also be provided to NIST. Optimally, values and ranges will be defined. We need to define the profiles and parameters that will be used to validate RTM.

This effort is a test of the NIST tools as well, the goal is to provide Cypress as a web tool available anytime desired.

78 2009 Survey Development Ray Zambuto -- March 1, 2009 Open Ray will add a question or two regarding the need to support web services and other service oriented architectures. A dry run is projected for March 1.
81 ISO 215 Requirements for Posting Profile Details - transferred from TC Steve -- January 28, 2009 Open ISO TR283800 Part 2 has been approved. These work items were submitted to ISO TC215 per IHE International's Liaison agreement, and standardize both the IHE process as well as the technical frameworks that have been developed. A document that includes descriptions and pointers to all the different IHE profiles are required. As a result of this, each domain needs to make sure that the referenced material is complete and consistent. The following must be correct and up to date (from Charles Parisot):
  • The overall listing of IHE profiles (TI and TF) at: http://www.ihe.net/Profiles.
  • The overall listing of IHE profiles (TI and TF) at: http://wiki.ihe.net/index.php?title=Profiles. Each detailed Profile Description page referenced must be accurate.
  • The overall listing of profiles included under IHE Domains at: http://www.ihe.net/Domains/index.cfm. Verify that each detailed Profile Description page referenced must be available from the Wiki (see above).
  • Each Domain name must have a link to the decription of the domain and its scope. NOTE: THOSE descriptions are really weak and inconsistent. Todd will produce a one page (max) description of the Domain and more importantly of its scope for the ISO TR28380. This will be the place where the IHE.net web site will be referenced with specific profile decriptions.
82 Users Guide Steve Merritt -- February 1, 2009 Open On track, Steve will create a Wiki page.
84 Vote on Brief Profile Proposals Todd -- January 28, 2009 Open The official vote remains to be validated due to lack of an updated roster. Only one or two votes are in question so most conclusions will hold after the tally is official. Manny will send the current tallies of the votes and preferences. He will seek volunteers to lead development of the Detailed Profile Proposals. Detailed Profile Proposals should be completed by February 16.

Vote on Profile and White Paper Proposals - Updates with Detailed Profile and White Paper Proposals

- ACM won’t need a vote
- PIV no extensions planned, but changes to PIV are in order
- RTM has a meeting today to harmonize with ISO. Work will continue on aECG and implanted devices. An update on ACC planned activities should be discussed at the Feb. IHE Board meeting.
- DPI will be discussed at next week’s TC meeting.
- WCM – Ken will update.
- QBD – Todd mentioned that the subject came up at HITSP meeting Friday, but no champion has come forward, will be postponed. Christof noted that this is important for EHRs and marketing PCD work. He will seek support in Germany. Paul asked if a survey was available to indicate industry’s interest in having this available. Paul noted that ACM would only need snippets. Jan offered an alternative approach. Todd suggested reaching out to EHR vendors for their support in this development effort. There are three options: snippets, discontinuous snippets, full disclosure. It may be useful to consider a query function. Colin indicated that customers are interested in query for past data. Colin will talk to the Epic team to determine if it is a priority for them.

Votes were tabulated and distributed.


86 Contribute to, or develop a glossary. Steve -- March 18, 2009 Open Ray will contact Patrick Bernat to arrange collaboration. Ray’s discussion with Patrick at AAMI revealed that Yadin is working on a glossary for a related area, but the CE-IT group has nothing on the agenda. PCD will take the lead. Steve Merritt will fold this into the User Handbook. DPI will include a specialized glossary and coordinate with Steve. This work should lead to a harmonized glossary. Steve will take responsibility.
87 Review the IHE.net/pcd page Todd John Rhoads March 4, 2009 Open Todd will address with this with John Rhoads.
88 Consider how to move non-IHE members to membership Manny John Rhoads January 28, 2009 Open Manny to review memberships against PC and TC participating people and non-member participants. For non-members extend invitations. Place on Mar 4 agenda.

90 OPEN
91 Open
92 Open
93 Open


Participants

Jon Blasingame, Micha Coleman, Todd Cooper, Bikram Day, Al Engelbert, Robert Flanders, Ken Fuchs, John Garguilo, Jianguo Jiang, Roy Kerns, Steve Merritt, Gary Meyer, Mary Moewe, John Rhoads, Jeff Rinda, Khalid Zubaidi, Manny Furst
Chair: ken Fuchs, Draeger


Discussion

Item Topic Discussion
1 Introductions & Agenda Review
- Chair
Status/Discussion:

Decisions/Issues:

  • Accepted

Action(s):

2 Discussion Summary
- Chair
Status/Discussion:
  • Accepted as posted

Action(s):

3 Action Items Review
- Chair
Status/Discussion:
  • 41: Monitor FDA actions on Universal Device ID - Ken will contact Jeff to learn if there is anything new. The FDA had a meeting in February and the transcript is on the web. Change date to April 22.
  • 44: IEEE MOU - Change to April 22.
  • 70: Coordinate 12 lead ECG with Cardiology domain - Change date to May 13, after ACC meeting where they are expected to announce sponsorship again.
  • 71: Recruit clinicians - The Chicago Area Biomeds' invitation may come alive; the VA's may be affected by the economy.
  • 72: Press releases as recruiting tool - No change
  • 74: Mapping PCD into v3 CDA - PCD and HL7 will meet at HIMSS. HITSP is pushing for more robust document communications. Change date to April 15.
  • 76: Test Tooling, NIST and MWB - Close – will be on TC only.
  • 78: 2009 Survey Development - Ken to remind Ray.
  • 81: ISO 215 Requirements for Posting Profile Details - Todd will update IHE.net with materials already developed.
  • 82: Users Guide - Steve indicated a Wiki page is available. Change date to end of May for kickoff.
  • 83: Recruiting in Chicago area in advance of Showcase - Close
  • 84: Vote on Brief Profile Proposals - Close
  • 86: Glossary - Ken will ask Ray about this one.
  • 87: Review the IHE.net/pcd page - ?
  • 88: Encourage non-IHE members to membership - Steve reviewed recent PC, TC attendance and found only a couple of names where company affiliation or IHE membership is in question
  • 89: Review IHE.net TF page for accuracy re PCD entries - No change

Decisions/Issues:

Action(s):

4 Announcements
- Chair
Status/Discussion:

Announcements:

  • Updates on White Papers
– DPI – DPI meeting weekly on Thursdays
- User Handbook – No update
- Semantic Architecture – Semantic architecture to start this summer; remove from list
- MEM – MEM progressing, will meet today; one issue is how to move from white paper to technical work.
  • Update on Connectathon and Showcase - Script should be finalized today. The handout requires more discussion.
  • Australia - PCD will have discussions with them at HIMSS and at the Edinburgh meeting.
  • HIMSS Asia_Pac -
  • MOU with IEEE - One signature remains.
  • MOU with ICE/CIMIT and ASTM – Drafts sent to Julian Goldman, MD. Ken may meet with him at HIMSS.
  • RMON at HITSP – Several PCD members will review Continua’s documents to research commonality.
  • HITSP holds an F2F.
  • F2F: First day PC, Joint the morning of the second day, then TC. Todd will post a more detailed agenda.

Decisions/Issues:

Action(s):


Next Meeting

The next meeting will be April 1, 2009: PCD PC 2009-04-01 Webex

<For Decision Meetings add review line here when minutes are approved; e.g., "(Reviewed & approved by PCD RTM Vent TG 2008-04-16)">

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