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

Ganesan Srinivasan, ACC

Alex Kraus, Biotronik

Antje Schroeder, Siemens Healthineers

Day 1 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.

IHE Japan Update - Nakano Shinichi

2017 Cardiology Connectathon: 44 vendors 70 systems tested at the September event. CATH, ECHO, ECG, and IVI were tested. IVI was first tested in 2013 and has seen updates and improvements since that time. Open Issues: 1. Hard to catch up to recent technical standards. Last year, some items were required. This year they are optional. Possible collaboration with Radiology Group? 2. No multi modality systems. Possible collaboration with US and/or EU? We may reach out to the larger Cardiology membership about possible solutions.

Standards Update - Takeshi Oozeki

ISO/TR 215 - This is regarding the secondary use of clinical data for cardiology data. Imaging data, as represented by measured values from ECG, and cardiac echo are not standardized. The Japanese Circulation Society [JCS] established guidelines to register the measured value data in 2015. LOINC may be the preferred coding system. Chris will follow up on the question regarding the use of SNOMED codes in IHE profiles that are implemented in Japan. Are further fees associated with use?

Day 2 Minutes

EBIW Workflow - ntje Schroeder

Test