PCD PC&TC 2013 Oct. 8-11 F2F

PCD Home

Meeting Objectives

Placeholder

These face-to-face meetings have a number of objectives depending on the committees involved:

• Planning Committee: Review, plan and initiate PCD activities; contribute to planning of the HIMSS Interoperability Showcase and other Showcases and events; recruit vendors and users.
• Technical Committee: Review and adopt brief profile proposals; contribute to Connectathon test tools, tests, and procedures.

Location & General Schedule

Location:

Philips IntelliSpace Event Management

8051 Congress Ave

Suite 400 (fourth floor)

Boca Raton, FL 33487

Tel: 561.886.3108

Meeting in the Training Room

Monroe suggests flying into/out of Fort Lauderdale (FLL); the alternative is Palm Beach International (PBI).

Hilton Garden Inn

8201 Congress Avenue

Boca Raton, FL 33487

561-988-6110

Reservations On Line Look for Email or Contact Manny

Reserve by Sept. 21 for the special rate.

Dates - October 8 - 11, 2013

Daily Schedule - Placeholder

08:00 - 08:30 Meet at Philips

Meetings will start promptly at 08:30 Eastern on Tues, Wed, & Fri.

Pump Group Meeting will start promptly at 08:15 Eastern on Thurs.

08:30 - 10:30 Session #1

11:00 - 12:30 Session #2

12:30 - 13:30 Lunch (location to be announced)

13:30 - 15:00 Session #3

15:30 - 17:00 Session #4

Friday the meetings will end close to noon

Agenda Suggestions

Please submit suggestions for agenda topics here or through emails to the committee co-chairs.

- MSH-5: Change from RE to R (Monroe)

- Standards Coordination (Paul, 30 min.)

- North American Connectathon

o Update on tests.

o Update on NIST tools.

o Update on registration

- HIMSS14 Interoperability Showcase Early Th pm

- Connectathon Celina

- Certification Update Late Th PM

- AAMI Exhibit Hall Demo

- Brief Profile Proposal Ballot and the Proposals; Detailed Proposal Ballot

- FDA UDI ruling and IHE impacts (UDI in PCD messages? MEM?)

From Fall 2012 F2F:

- NIST Test Tool Tutorial Scheduled (Garguilo)

- Rosetta for Events and Alarms and which are associated with parameters(Schluter, Rhoads, Pattillo)

- More consistent time for devices (Rhoads, Garguilo, Schluter)

- WCM harmonization?

- Does the roadmap need revision? How are we doing on the roadmap?

- Infusion pump specialization

- Physiological monitor specialization

- Ventilator specialization

- Discussion on "visionary stuff" - what next big things should be on the roadmap?

- MDC Codes: Proposed by Terry Bettis, Others (Paul Schluter)

From the PC Action Items PCD Planning Committee Action Items:

71. Recruit Clinicians

78. Stakeholder Survey

From the TC Action Items: PCD Technical Committee Action Items:

82. PCD OIDs & URNs (Also see # 153)

93. Managing Document Versions

109. Messages Without Patient Demographics

110. WCM Attributes

117. IDCO Time Stamp WP

118. Implementation Guide

123. IPEC Trigger Event and MDCx terms

126. RTM/RTMMS: Address Missing Descriptions

132. Conformance Profiles (XML)

135. ACM Recruiting

136. WCM Parameter List

137. PIV: User Approval to Initiate Infusion

140. Assemble the Baseline Set of Standards for Easy Reference

141. Create Matrix Matching Profiles to Standards

143. Describe HL7 Version Implications

146. VA Participation in Connectathon, Showcase

147. Edit IPEC

148. Document ACM in an Implementation Guide

150. Seek null flavors in HL7 2.9

151. Supportive Testing

152. Improve FTP Site

153. OID Concept Definition (Also see #82)

155. Propose Automating Connectathon Documentation

157. POI Issues

158. POI CPs

159. POI Rosetta Terms

160. CPs from F2F: Discuss and Ballot

161. Connectathon Loss of Connectivity Test

162. Data Capture Indicator

163. Error Codes

164. Increase Testing Rigor

165. Traceability of NIST test tool and the TF/Profile

166. Enhancing Pre-Connectathon Testing

167. Versioning and Archiving

168. Documentation and Testing of Additional Risks

169. Improving Integration Statements

170. Convert IPEC to EC

Attachments / Materials

Documents related to the meeting when available will be found at ftp://ftp.ihe.net/Patient_Care_Devices/FaceToFaceMeetings/2013-October-Boca_Raton-F2F/ unless otherwise noted. Documents are available without a password.

PCD Schedule/Deadline Information: http://tinyurl.com/PCD-Publication-Deadlines, Schedule/Deadlines: Patient Care Device and Domain Milestones

PCD PC Action Items PCD Planning Committee Action Items. Significant changes, other than dates, will be in bold.

PCD TC Action Items PCD Technical Committee Action Items. Significant changes, other than dates, will be in bold.

Detailed Schedule & Agenda

Tuesday

Date	Hours	Committees	Topics
Tuesday Morning 2013-10-08	08:30 - 12:30	PCD Planning Committee (PC)	08:30 > Introduction - Greeting & Introductions (20 minutes) - Review & Approve PC Agenda (10 minutes) - IHE IP Management Process (5 minutes) - Review Discussion Summary Last PC Meeting - PC&TC Oct. 10, 2013 PCD PC&TC 2013-10-02 Webex 09:00 > Review Current PCD Program (statuses only, details during TC sessions): - ACM (Monroe P) - DEC (updated PCD TF) (John R) - IDCO (Paul Schluter) - PIV (Al E, Paul E) - IPEC (Al E) - EC (John R) - WCM (Ken F) - OMS (Ken F) - RTM (Paul Schluter) - RDQ (John R) - PCIM (John R) - MEM DMC (Monroe P) - MEM LS (Monroe P) 10:30 > Specializations (statuses only, details during TC sessions): - Pulse Oximetry (John R) - Pump (Al E, Paul E) - Physio mon (John R) - Vent (Paul Schluter) 11:00 > Integration Statement (Monroe P) 11:15 > Commercial Products (Manny F) 11:30 > Break (15 minutes) 11:45 > AAMI Exhibit hall demo (Manny F) 12:00 > ACM AC actors (Monroe P) 12:30 LUNCH
Tuesday Afternoon 2013-10-08	13:30 - 17:00	PCD Planning Committee (PC)	13:30 > Cycle 9 Workitems - MEM DMC (Monroe P) - MEM LS (Monroe P) 14:30 > Review PC action items (Monroe P) - Stakeholder survey (Barrett F, Manny F) - Clinicians AMSN Academy of Med-Surge Nurses (Monroe P/Manny F) 15:15 > Fallback for NIST Pre-Connectathon testing (go virtual) 15:40 > VA EMR profile implementation participation in Connectathon, Showcase (opportunity to test with VistA) 15:45 > Break (15 minutes) 16:00 > Adjourn xx:xx > Cybersecurity update (Axel W) [not avail]

Wednesday

Date	Hours	Committees	Topics
Wednesday Morning 2013-10-09	08:30 - 12:30	Joint PCD Planning and Technical Committees (PC/TC)	08:30 > IHE IP Management Process 08:35 > Introductions and Agenda Review 08:45 > Location, Dates of the PCD 2014 Spring F2F, nomination of PCD rep on Mar-comm committee 09:00 > Review IHE Milestones from now until end of HIMSS Showcase PCD Key Dates (Cycle 9) IHE 2014 Publication Schedule [1] 09:15 > Review PCD Calendar - visionary stuff 10:30 > Standards coordination (Paul Schluter) 11:00 > Break (15 minutes) 11:15 > "New Directions" Device Testing @ NA CAT'14 (Todd C) 12:00 > October PC, TC Meeting Schedule (Manny F) ??:?? > Survey (Barrett F) 12:15 > Adjourn Planning Committee 12:30 > LUNCH
Wednesday Afternoon 2013-10-09	13:30 - 17:00	PCD Technical Committee (TC)	13:30 > IHE IP Management Process 13:40 > TC Welcome and Agenda Review (Jeff M)(10 mins) 13:50 > Review Discussion Summary Last TC Meeting - Review Discussion Summary Last PC Meeting - PC&TC Oct. 10, 2013 PCD PC&TC 2013-10-02 Webex 14:00 > Administrative issues (?) 14:15 > CP Practices (?) 14:30 > 2014 NA Connectathon (PCD activities) (Manny F/Paul Sherman) Update on tests Update on NIST tools Update on registration Supportive Testing Pre-Connectathon testing (FYI - no Showcase dress rehearsal) Loss of connectivity test VA participation 15:15 > Break (15 minutes) 15:30 > FDA UDI and how to integrate into PCD messages (Monroe P) 16:00 > Profile revisioning 16:30 > Review of ongoing work ACM next steps - TF CP for values, NIST tool updates, ACM/RTM alerts & events worksheet, - expansion to other domains, advisories (Monroe P) PCIM and EMR DB storage confirmation (Todd C/Chris C) ADQ Pulse Oximetry (Todd C) WCM (Ken F) OMS (Ken F) RTM (Paul Schluter) MEM DMC (Whitepaper, call for sample messages, and Profile) (Monroe P) MEM LS (Whitepaper. call for sample messages, and Profile) (Monroe P) 18:00 > Adjourn (or later as needed)

Thursday

Date	Hours	Committees	Topics
Thursday Morning 2013-10-10	08:15 - 12:30	Pump WG meeting	8:15 > IHE IP Management Process 8:30 > Pump WG meeting (see details from Jeff R) 12:30 > Lunch
Thursday Afternoon 2013-10-10	13:30 - 17:00	PCD Technical Committee (TC)	13:30 > IHE IP Management Process 13:40 > PCD Events HIMSS and Showcase (Sandy V) NA Connnectathon 14&15 (Celina R) IHE-USA/ICSA Labs Certification Testing (Vinny S) 15:15 > FHIR Workitem Ballot/Vote 15:30 > Location, Dates of the PCD 2014 Spring F2F 16:00 > MSH-5 and Connectathon (Monroe P)

Friday

Date	Hours	Committees	Topics
Friday Morning 2013-10-11	08:30 - 12:30	PCD Technical Committee (TC)	08:30 > IHE IP Management Process 08:45 > More consistent time (Paul Schluter) 09:15 > WCM harmoniization (Paul Schluter) 09:45 > MDC Codes: Proposed by Terry Bettis, Others (Paul Schluter) 10:30 > Seek null flavors in HL7 2.9 (John R) 11:00 > Break (15 minutes) 11:15 > Improve IHE sites (WWW, Wiki, FTP) 11:30 > Messages without patient demographics (John R)
Friday Afternoon 2013-10-11	13:30 - 15:00	PCD Technical Committee (TC)

Note: Additional evening working sessions may be scheduled as needed.

Note: Time slot TBD: IDCO

Webex Support

Webex will be available for those who could not attend in person. The links are provided below. Reminder: the IP agreement is in force, and participation counts toward voting rights.

All F2F Webex Meetings

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Call-in toll-free number (US/Canada): 1-866-469-3239

Call-in toll number (US/Canada): 1-650-429-3300

PCD F2F Tuesday Oct 8 Morning

Topic: PCD F2F Oct 8 Morning

Date: Tuesday, October 8, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 923 504 819

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PCD F2F Tuesday Oct 8 Afternoon

Topic: PCD F2F Oct 8 Afternoon

Date: Tuesday, October 8, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 927 332 646

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PCD F2F Wednesday Oct 9 Morning

Topic: PCD F2F Oct 9 Morning

LDate: Wednesday, October 9, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 922 133 394

To join the online meeting (Now from mobile devices!)

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PCD F2F Wednesday Oct 9 Afternoon

Topic: PCD F2F Oct 9 Afternoon

Date: Wednesday, October 9, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 922 359 486

To join the online meeting (Now from mobile devices!)

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PCD F2F Thursday Oct 10 Morning

Topic: PCD F2F Oct 10 Morning

Date: Thursday, October 10, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 926 967 589

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PCD F2F Thursday Oct 10 Afternoon

Topic: PCD F2F Oct 10 Afternoon

Date: Thursday, October 10, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 923 448 154

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PCD F2F Friday Oct 11 Morning

Topic: PCD F2F Oct 11 Morning

Date: Friday, October 11, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 926 328 647

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PCD F2F Friday Oct 11 Afternoon

Topic: PCD F2F Oct 11 Afternoon

Date: Friday, October 11, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 920 002 916

To join the online meeting (Now from mobile devices!)

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Participants

PC Tuesday

On Site:

Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Steve Merritt, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Greg Staudenmaier

Joint PC, TC Wednesday Morning

On-site:

Todd Cooper, Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Steve Merritt, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Sue-fen Cuti, Greg Staudenmaier

TC Wednesday Afternoon

On-site:

Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Chris Courville, Robert Flanders, Steve Prince, Greg Staudenmaier, Stan Wiley, Brian Witkowski

TC Thursday

On-Site:

Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Chris Courville, Kurt Elliason, Robert Flanders, Greg Staudenmaier

Discussion

Discussion Summaries do not require formal approval, while minutes of meetings where votes are taken do. Participants are encouraged to review and bring up significant issues with discussion summaries of previous meetings. Votes will be taken to approve meetings where votes took place; these may be email ballots.

Monday

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: - Accepted: Planning Committee November 14 Placeholder Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Tuesday Morning

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: - Accepted: PC/TC Webex minutes Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: PCD F2F Tuesday October 8 2013 Introductions - Those present introduced themselves - Monroe reviewed the agenda for the PC and Joint PC/TC portion of the meetings. - Monroe led discussion of the IHE IP policy. - Discussion on Hill rom membership issues and explanation of what can be done - Manny explained what needs to be done on IP and non-members during meetings - Jeff recommended further discussion via membership discussion Profile status - ACM – In Final Text, waiting to be posted in framework. Will then file CP and have NIST update and map terminology. - DEC (updated PCD TF) - Discussion regarding NIST tools and updating, how to manage without updates. - IDCO – The pace is slow, the group is working on updates. They are also working on new definintions. There has been a lot of membership turnover. - PIV – Not much new being done. Next year, the group will implement PCA pump support. Originally simple programming, now looking for new dosing options, they will start working on new CP. The CP for PCD-03 and rate changes are still working through acceptance. There is some progress on PCA, updating volume 3, determining what terms will be available for Connectathon. Todd can provide more at the Thursday morning pump WG meeting. - IPEC (Todd C) Need information - EC (John R) need information - WCM - Discussed harmonization. There's been some work on Rosetta, but they haven't had a chance to discuss with Ken yet. Vendors use annotaed ECGs, but am looking at other mechanisms. - OMS - Ken is leading writing a White Paper, it is ready to present at the F2F - RTM - Taking terms used and converting them to balloted 11073. Most are in harmonized Rosetta, 57 more are ready to go. Making progress on other terms. Infusion terms (one goal of the Thurs pump WG meeting) should be ready to put into a draft standard. Personal health terms – try to keep in a partition – not many, should be ready for balloting by the end of this quarter. - ADQ (now RDQ) – Mostly quiescent. John Z is leading. May need to review and decide if this work continues - PCIM – Working on how to associate device data to a patient and also manage incomplete data. This is currently delegated to other systems, they are working to supplement. Many vendors are working on it, moving it along. Should have more information for the TC meeting later this week. - MEM DMC - The White Paper is done and the profile brief is out for ballot. Currently working on managing with the new FDA UDI requirements - MEM LS (Monroe P) Need more information Specializations - Pulse Oximetry – current status unknown - Pump (Jeff R) – Working on specialization terms. - Physio mon (John R) – Todd claiming some info in volume 3, - Ventilators - Containment modeling – guides new term design, hope to nail a good model. - One challenge is getting vendors to cooperate, there is some progress. There are also some disagreements within the clinical community, trying to tie in other devices. It is a challenging set of terms, bringing clinicians and others together. The profile may need multiple terms for similar actions. NIST document may be way to go rather than seperate documents. - Integration Statement – Good as is, still good to use for reference. The WG would like it to be stronger. Some are limited, not always tied to commercially available or tied to IHE. Not all have versions - Commercial Products: Existing document – are there rules for posting to it? There should be a process to manage disagreement/vetting. There are some – can say it will be available in the future. Should come up with rules to define and reconcile. If the integration statement is rigorous, then that could resolve disagreements. Have co-chairs follow up on disagreement and alter status. Discussion of options to confirm. Paul Schluter proposed creating a mechanism to allow customers to confirm interoperability out of the box. Create a working group? Much discussion – worth doing. Action item: PC will start a prelim working group for out of the box conformance testing; focus on proposal and send to PC. Manny – add a column for integration statement and certification. Some discussion on certification. AAMI Exhibit hall demo - - There is a poll out asking if vendors will participate, encourage response. There were 11 systems in 2013 – crowded the 10x20 space. Manny requested more space for 2014 (more participants) from Chris Dinegar. Chris said “Yes, but it'll cost”; he is holding on to a 10x40 space until Oct 31. Joyce is encouraging, but HIMMS won't provide any more money. Sandy has offered some support. The AAMI demonstration is basic comparred to the HIMMS showcase, but consistent with other exhibitors. Manny sent email with 2013 cost, ACCE committed $2000, with other contributions was enough. The expanded 2014 estimate is about $10,000 he'll need to decide this month. If we can't fund the larger booth, we will need to limit participation. Dicussed booth format (posters, handouts, etc.). Also, with the larger size, AAMI won't limit vendor promotion at IHE booth. Set up will be more formal (contract via HIMSS). Please sign up by Oct 31st if you're interested. Description of AAMI vs. HIMSS showcases, easier to set up and tear down. - Suggestions: - Overview of what all is going on, using fewer big monitors vs. 12 small ones. - Step visitors through process. - Step through sample processes for a profile every 3-5 minutes. - Make it more inviting. - Manny will work with Barret to come up with design/layout options. We may discuss it with Sandy this week. Discussion of balancing booth layout for differing audiences – overview/introduction vs. in depth discussion. Manny will draft prelim layout and discuss with AAMI. Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Tuesday Afternoon

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: - Accepted: Planning Committee November 14 Placeholder Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Wednesday

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Thursday

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Friday

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Action Items - PC

The Action Items that follow and approved in subsequent committee meetings will be added to the committee Action Item page.

Action Items - TC and WGs

The Action Items that follow and approved in subsequent committee meetings will be added to the committee Action Item page.

Next Meetings

Joint Planning and Technical Committee: PC and TC October 16 PCD PC&TC 2013-10-16 Webex

TC October 23, 2013 PCD TC 2013-10-23 Webex , November 6 PCD PC&TC 2013-11-06 Webex and 20PCD PC&TC 2013-11-20 Webex

PC November 13, 2013 PCD PC 2013-11-13 Webex