Card Tech Minutes 2017.10.11-13

Attendees

Chris Melo, Co-Chair, Philips Healthcare

Nick Gawrit, Co-Chair, heartbase

Paul Dow, Secretary, ACC

Rebecca Baker, ACC

Nakano Shinichi, Toshiba, IHE Japan

Takeshi Oozeki, Toshiba, IHE Japan

Ann Pollard, HCA

Sophia Chaidez, HCA

Dan Murphy, Epic

Charles Thomas, University of Washington

Birgit Roy, ACC

Andrea Price, Indiana University

Minutes

Planning Committee Discussion

General discussion regarding the IHE process.

What do we want to achieve with

CPN Extensions - Charles Thomas

Review of possible additions to the CPN including: indications, disease states, and clinical per-procedure evaluation, e.g. CHADS-2 Vasc score. The challenge is how do you code a process? We may create a checkbox, along the lines of was this process completed? There may be difficulties with documenting how an Acceptable Use Criteria or Clinical Decision Support tool was used.

There are gaps in the underlying specifications for the LAAO Registry regarding data dictionaries, for aborting a procedure, as well other items for deploying devices. There are some issues that need to be resolved and include normative vs. extensible value sets. The methodology recommendations are complex and beyond the scope of the IHE Tech Committee. THe coding challenges will be addressed by Charles off line. By Wednesday, we hope to have the milestones for public comment and trial implementation publication.

CPN Companion Guide - Rebecca Baker

The goal is create a bridge from the technical documents to the implementer at a clinical facility. This will help communicate value and return on investment to the implementation team. There can be confusion from sites who say they already have a structured report. There are many poorly written structured reports around the country. This is an opportunity to allow data to flow downstream to other uses. The clinical guide could provide structure through a common set of discrete data points as a recommendation.