PCD F2F PC&TC 2017 Oct 3-5 Webex

PCD Home

Meeting Objectives

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:

- Center for Medical Interoperability

Nashville, TN

Suite 175W

- Meeting room

Hotel: Per Committee decision, there is no group booking. The following are Hotel options provided:

-

Dates

Tuesday October 3: Pump Working Group

Wednesday October 12 morning: PCD Planning Committee

Wednesday October 12 afternoon: Joint PCD Planning and Technical Committees

Thursday: PCD Technical Committee

Daily Schedule -

08:00 - 08:30 Meet at CMI, Nashville, TN

Meeting will start promptly at 08:30 Eastern Time each day.

08:30 - 10:15 Session #1

10:30 - 12:30 Session #2

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

13:30 - 15:15 Session #3

15:30 - 17:00 Session #4

Agenda Suggestions

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

From the PC Action Items PCD Planning Committee Action Items:

157 Update cookbook to include ACM implementation

168 Execute Stakeholder Survey

170 Create Stakeholder Survey

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

118. Implementation Guide

170. Convert IPEC to EC

196 Add PCD specific values to HL7 table 78

197 Verify tiny URL values on business cards and welcome letter.

Webex

Webex meetings have been set up in anticipation of interest. They will be provided when requested in advance; i.e., the log in information is provided here, and the Webex will be initiated for those portions of the agenda that are of interest. Please let the co-chairs and Paul know of your interest and when you are available. The co-chairs will try to arrange the agenda to permit your remote participation.

Reminders: the IP agreement is in force, and participation counts toward voting rights.

Please note: the log in and phone number for each meeting is the same as for our WG meetings. The password is different, and has been included in the email sent to participants. These are not provided here for security reasons (this is a public Wiki page).

The HIMSS Webex page is [here]

Tuesday morning, October 3: Pump WG: Meeting Number:

Tuesday Afternoon, October 3: Pump WG: Meeting Number:

Wednesday morning, October 4: PC: Meeting Number:

Wednesday afternoon, October 4: Joint PC, TC: Meeting Number:

Thursday morning October 5: TC: Meeting Number: 921 358 368

Thursday afternoon October 5: TC: Meeting Number: 927 389 385

Attachments / Materials

Documents related to the meeting when available will be found at the [ftp site] unless otherwise noted. Documents are available without a password.

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, October 3, 2017 (Pump Workgroup)

Date	Hours	Committees	Topics
Tuesday	08:30 - 17:00	Pump workgroup	Introductions Agenda review IHE IP Management Process Morning (08:30-12:30) Lunch (12:30-13:00) Afternoon (13:00-17:00) 17:00 > Meeting Adjournment

Wednesday October 4, 2017

Date	Hours	Committees	Topics
Wednesday Q1	08:30 - 10:15	PCD Planning Committee (PC)	08:30 > IHE IP Management Process 08:35 > Introductions and Agenda Review 0900 > Need for new PC CoChair 0915 > Review current PCD programs (statuses, plans only, details during TC sessions): - ACM (Monroe P) - MEM DMC (Monroe P) - MEM LS (Monroe P) - DEC (updated PCD TF) (John R) - IDCO (Paul Schluter) - PIV (Al E, Paul E) - IPEC (Al E) - EC (John R) - WCM (Paul Schluter) - OMS (Ken F) - RTM (Paul Schluter)
Break	10:15 - 10:30 AM
Wednesday Q2	10:30 AM - 12:30 PM	PCD Planning Committee (PC)(Cont)	10:30 > Continue reviewing current PCD programs - RDQ (John R) - DPI (John R) - PCIM (John R) - DCM Pulse Oximetry Integration Supplement(Completed) - Pump (Al E, Paul E, Jeff R.) - Physio monitor (John R) - Vent (Paul Schluter) 11:30 > Action item Discussion 157 Update cookbook to include ACM implementation 168 Execute Stakeholder Survey Location, Dates of the PCD 2018 Spring F2F Review IHE Milestones from now until Pre-Connectathon IHE 2018 Publication Schedule [1] 12:30 > Adjourn PCD Planning Committee (PC) Meeting
Lunch	12:30 PM - 1:30 PM
Wednesday Q3	1:30 - 3:00 PM	PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)	1:30 > Introduction - IHE IP Management Process (5 minutes) 1:45 > - Review & Approve Joint PC & TC Agenda (10 minutes) - Review Discussion Summary Last PC & TC Meeting PCD PC&TC 2016-10-05 Webex Accepted 2:00 > - PCD Discussion
Break	3:00 - 3:15 PM
Wednesday Q4	3:15 - 5:00 PM	PCD PC&TC Cont)	3:15 > AAMI Interoperability Experience 3:30 > 4:15 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)

Thursday October 5, 2017

Quarter	Time	Lead	Agenda Items
Thursday Q1	08:30 - 9:45 AM	PCD Technical Committee (TC)	08:30 > Open PCD Technical Committee (TC) TC Welcome and Agenda Review (Tom Kowalczyk) - Intellectual Property Requirements - IHE IP Management Process Announcement – Decision Making meeting (TC Co-Chairs) PCD Program review: ACM (Monroe P) MEM DMC (Monroe P) MEM LS (Monroe P) RDC (Monroe P) RTM (Paul Schluter) Proposal Review
Break	09:45 - 10:00 AM
Thursday Q2	10:00 AM - 12:30 PM	PCD Technical Committee (TC)	IDCO (Paul Schluter) DEC (updated PCD TF) (John R) IPEC (Al E, Jeff R) PIV (Al E, Paul E) EC (John R) WCM (Paul Schluter) OMS (Ken F) DPI (John R) Pump (Al E, Paul E, Jeff R.) Physio monitor (John R) Vent (Paul Schluter) PCIM (John R) - Standards Coordination HL7 Nomenclature (Paul Scluter) PCHA/Continua (Paul Schluter) TC Action item review [TC Action item] review 118. Implementation Guide 170. Convert IPEC to EC 196 Add PCD specific values to HL7 table 78
Lunch	12:30 - 1:30 PM
Thursday Q3	1:30 - 3:00 PM	PCD Technical Committee (TC)	1:30 > 2:30 >
Break	3:00 - 3:15 PM
Thursday Q4	3:15 - 5:00 PM	PCD Technical Committee (TC)	3:15 > 4:00 > F2F Action Review (from this week) 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)

|}

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

Note: Time slot TBD: IDCO

Webex Support

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

Participants

Tuesday, October 3

On Site:

Remote:

Wednesday, October 4

On Site:

Remote:

Thursday, October 5

On Site:

Remote:

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.

Tuesday Pump WG Meeting

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	General Discussion	Status/Discussion: Reviewed IHE IP Management Process Attendees: Decisions/Issues: Terminology PIV workflow Action(s): See above

Wednesday Morning

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Monroe reviewed the IHE IP Management Process Introductions and Agenda Review Decisions/Issues: Agenda approved Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: Minutes approved Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: 11:10 > Action item Discussion - Location, Dates of the PCD 2018 Spring F2F - Review IHE Milestones from now until Pre-Connectathon IHE 2018 Publication Schedule [2] Adjourn PCD Planning Committee (PC) Decisions/Issues: Action(s):

Tuesday Afternoon

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion:	Decisions/Issues: Introductions Reviewed the IHE IP Management Process Reviewed & approve Agenda (10 minutes) Reviewed and approve PC/TC Meeting discussion summary Reviewed PCD Calendar and Update "PCD ftp site [[3]]" Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion:	Decisions/Issues: Action(s): Oct PC/TC summary approved
3	Agenda Items -	Status/Discussion:	1:30 > Introduction - IHE IP Management Process (5 minutes) 1:45 > - Review & Approve Joint PC & TC Agenda (10 minutes) - Review Discussion Summary Last PC & TC Meeting PCD PC&TC 2016-10-05 Webex Accepted 2:00 > HIMSS Showcase Webex - PCD Discussion Use cases not cast in stone. Tell Bronwen and Phil if you need changes. With focus on commercially available, what about recently developed products (successfully tested but not yet sold)? Will demo whoever will pay the money. 3:15 > AAMI Interoperability Experience No info yet, should know soon. AAMI has the booth set aside for it. 3:20 Review proposed ACM CP (TJ) In PCD-06, not much alert info that produces notification. No way to know device, patient info, etc. Add another optional XML element to include this info. AC vendors were concerned about being medical ‘anything’. Have smarter ACs that can use this info. Will need to think about WCTP versions. If AM can send, but AC can't. Much discussion to refine the CP, TJ will make changes and submit. 4:15 > Nomenclature update (Paul Schluter) Presentation on [ftp site] Went over much this morning. Showed example of potential domain info model and containment tree models. People use this as a summary to aid in message design. Have your group put their terms in a table like the sample, then it’s easier to finish the work and publish the new codes. Hard core deadline for the infusion pump terms. Will probably roll new events into -10101b. Has a presentation, will post at ftp site. highlighted to make REFID and code assignment work quickly. Would like numbers in before Connectathon, but we can get the standard done afterwards. How valuable is a hard assigned code? Very valuable to GE. Reviewed Code and Term Assigment slide (last one): Much discussion of middle row (MDCX), consensus to eliminate it. Not much need for it; new codes need to be in RTMMS Decisions/Issues: Action(s):

Wednesday

Action(s):

Item	Topic	Discussion
1	TC Welcome and Agenda Review (Tom Kowalczyk) - Chair	Status/Discussion: Decisions/Issues: Agenda approved IHE IP Management Process Announcements – - Decision Making meeting (TC Co-Chairs) Action(s):
2	Discussion Summary - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: 08:35 > RTMMS and Test Tool Update (John G) - Presentation from HL7 meeting. Michael Faughn will present more at 11AM (?). Pre-CN tool review; can access prior tests. Tool allows you to build constraints – can build tables usable in Vol 3. Able to build validation with constraints, needed to support several efforts with limited resources. Sets up consistent formatting/sections, like a template. Would like to present more on IGAMT and TCAMT later. Supported Japan, Korea and Europe Connectathons. One challenge – needed to support older versions of HL7. DIM editor going through the tool, giving community way to build compliant models. CaSC – chose PCD01 and PCD03 to create a virtual machine for certification. Reviewed meetings and activities. Reviewed list of test tools. RTMMS has 134 contributors, 1733 terms. Updated on EUI-64/DNS, conformance profiles, RTMMS. Presentations on HL7 website/resources. Would like to go forward on WCTP. Q – changing tools, is everything in there via CPs? Generally, but reflects consensus as well. 09:15 > Follow-up on zombie terms in RTMMS. (Code and Term Assignment slide from Paul Sc’s session). Consensus to remove MDC’X’ stage from process. Some want it, but some don’t, useful for human viewing. 09:30 > Cybersecurity Update (Axel) Slide presentation (on ftp site) – Highlighted mission, members, relationships and completed projects. Concerned about little representation from healthcare organizations. Created two WPs, patching and best practices. Reviewed Ecosystem map; security, regulations/standards/frameworks, certification/assurance, integration/maintenance, manufacturer, HDO. Proposal – update WPs with FDA guidance info, complete Ecosystem map, ID stakeholders, spot gaps and how to address them. Obstacles; small group, only manufacturers, US focus, official mission & tasks. Comments – Valuable activity, PC concern. Uwe; can we propose a higher level committee? Paul Sh – assemble a short article for ACCE news, will help facilitate. PCC proposal – tying implant UDI info to patient. Seems to be largely part of PCIM. May need some CPs to address this, but it should be quite manageable. We will continue discussing with PCC. Suggest PCC discuss with Craig Reister and IDCO to work together. Also tightly related to PCIM. 10:15 > Adjourn PCD Joint Planning & Technical Committee (PC & TC) 10:30 > Open PCD Technical Committee (TC) - IHE IP Management Process Announcement – Decision Making meeting (TC Co-Chairs) 10:35 > TC Welcome and Agenda Review (Tom Kowalczyk) - Intellectual Property Requirements - Review Current PCD Program: ACM (Monroe P) – CPs 125, 126 and 127 as well PCD-04 CN tools. What hasn’t been done? Some msgs were missing basic attributes at 2016 CN. MEM DMC (Monroe P) – Not enough changes to warrant a TI update, can do CPs when MDCs/RefIDs are updated MEM LS (Monroe P) - Not enough changes to warrant a TI update, can do CPs when MDCs/RefIDs are updated RDC (Monroe P) – started with a long name. Have initial use cases. Need to change message to include multiple changes. Can discuss in more detail later. No method to show no audio created. - Detailed info available in file on ftp site 11:00 > Demo of DIM Editor (Michael Faughn) Over time will build library for user to build specializations and constraints. Mostly discussed in IEEE groups. - Has presentation, will be on ftp site. Derived from 11073-10201. Model is the standard, driven by UML, but there are challenges. Construct issues, new plug ins are a lot of work, standard vs. function. Showed workflow. Went to editor to demo live. Near term goals – profile functionality and freeze features. Next steps: Generate IEEE std in Word, redesign app, resolve critical issues. Long term; Update permissions, improve RTMMS integration, audit DIM model, ease metadata and info access. - Questions: Will changes automatically propagate through all five channels? No, but he will do it. 12:00 > Resume review of current PCD Program: RTM (Paul Schluter) - More batches to be processed. Containment model tool very helpful. Pump group – send terms. Hard IEEE deadline. Need to make up tables. Can use SS for term definitions, will upload well. Finish term list with units, enumerated values. Can help with systematic name. Michael Faughn will help with tool. 1:30 : Continue current PCD Program review: IDCO (Paul Schluter) Covered in PC DEC (updated PCD TF) (John R) Covered in PC IPEC (Al E, Jeff R) Covered in PC PIV (Al E, Paul E) Covered in PC EC (John R) Mostly covered in PC Those that need this most (mostly pumps) are addressing it in their work. If another level, combining would be OK. Pump folks – seems to be handled so far. General rules, with reference to IPEC items. Need to add PCD-10 to TF. Which volume? Unclear, discussed, maybe Vol 2. This would add a chunk to it. That’s OK, ITI has several volumes. Any part of IPEC not exercised at CN? Is PCA part of IPEC? Probably. Can go to commercial distribution with TI, just may need to change a few things. WCM (Paul Schluter) Supplements passed ballots, needs some minor edits before entry. Some kind of column index number – what to do with that? John R – not required. They will discuss in detail later. Pretty locked down. OMS (Ken F) - No changes, no implementation DPI (John R) – Pretty well covered already Pump (Al E, Paul E, Jeff R.) – Pretty well covered already Physio monitor (John R) Vent (Paul Schluter) – Some minor work, containment models PCIM (John R) – White paper out, please review. - Standards Coordination HL7 – Nothing much new Nomenclature (Paul Scluter) – Not much to add, adding terms to LOINC PCHA/Continua (Paul Schluter) – Working some FHIR items, moving toward [TC Action item] review 118. Implementation Guide – IGAMT tool, John extensively demonstrated the tool. Any plain English ‘how to’ info? Can hone in on device classes and even be model specific. Will keep updating. Helps with tool automation, including documentation and quick test development. More consistent formatting guide. Should be ready to test it out. Hopefully will be able to automatically create the tests, rather than hand enter. DIM editor output is much finer level than this – could be encoded, but at content level. Close it and add as next F2F agenda item – IG and Test Case Development. 170. Convert IPEC to EC – Need to come up with TF text. Close this and create new item: Draft EC overview for Tech Framework; Owner, John R. Have a small note in V1, more detail in V2; Due date after HIMSS. 196 Add PCD specific values to HL7 table 78 – pp61 discusses it, we have values not in HL7. HL7: write up proposal for them to approve or not. These are generic enough for other to use them, it is also a way to get some null values in there. Can we create a local table to address it – Yes. We will need to do that for the Connectathon. But was only checked against HL7 table for DEC; need to add a local DEC table. May want to define a write operation as well. Targeting HL7 Jan 2017 to have values added to Table 3.9.4.1.2.5-3. Set due date to Feb TC meeting. 197 Verify tiny URL values on business cards and welcome letter – Reviewed new card, it works. Letter has been updated as well. Close. 3:30 > FHIR Update (Todd):: Presentation on ftp site. Overview of why it was created; V2 limited, V3 too complicated, CDA saved V3, but limited to documents. What is used in other industries? FHIR intended to focus on implementation – solve real-world problems much cheaper, faster, and using industry standard tooling and technologies. HL7 FHIR uses XML and JSON formats; many use HL7 HAPI FHIR to support implementation sandboxes. Use simple HTTP operations. Similar to CDA. Documents are bundles, resources define content. Messages are also bundles and are similar to HL7 V2 in terms of content, and can be event driven. Extensive enthusiastic community, resources listed on slide. Devices on FHIR overview – list of activities, not a lot of devices progress. Want to make sure FHIR is semantically consistent with other device-sourced information exchange (e.g., PCD DEC or Continua PHD Guidelines). Some info from ISO/IEC working group – how to be relevant to new standard? Where headed and who is engaged? DOF @ NIST – fits their two tools. Still working on translator, need a more solid approach at NIST. Very active community, agile and open source; HL7 HAPI FHIR, etc. Had a Connectathon during the recent Baltimore HL7 WGM. Was challenging – APIs were changed. There was progress. Are ‘paper’ standards obsolete? Have DoF website, developer days Amsterdam in November. Working on some vignettes. Overview of HIMSS 2016 Demo. 2nd wave – cloud; 3rd - data driven, personalized. Interested? Contact Todd. Presentation available? Yes, Paul Sherman will post to the website. Discussion of additional pump terms (Todd and Jeff R) – came up with a couple of new terms, OBX-18 issue not quite resolved yet, but minor. Todd - some issues bringing up RTMMS. 10101 deadline close, less than ½ year to lock it down. Terms need to be completed ASAP with containment model. Discuss with Michael Faughn, he can help with containment tree. Todd and Jeff don’t have time themselves, need another to help; Mike F willing to lead them through it. Todd will discuss with Michael. AAMI sent info out regarding Physician training. Tom will send to Paul Sh to share with the group for discussion Thursday. Decisions/Issues:

Thursday

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Drug Library (Epic, Jeff R) – Presentation on ftp site. Common library to speed development process. For Epic, 6-9 months. Simplify change control. For rigor, test at Connectathon. Common schema for all vendors. Easy import/export. Some samples shown. Want to find interested pump vendors. Have a last edited flag for change management. Epic has some concerns (on presentation) Discussion – Start with PIV supported elements. Presentation meant to get the idea started. Agreement on what needs known and consensus helps all. Not necessarily a transaction, but may still fit best in PCD. Should involve other Domains. Questions - Anything out there now? Not specifically, but some can provide help. - Any pump vendor doing something like this now? Unknown. - Why not UCUM units? Not opposed, some customers will want local units. - What would an EMR do with this? Take export and blindly import them map from XML to db for later use. Would need fully replace then fix from there. Can pick needed info instead. Will need to address this in the proposal. - Process? Need a Proposal, allows other Domains to give input. - Add optional SFT segment to DEC. (Jeff R) - CP to add SFT (software segment) to PCD-01. There’s a reference that it shouldn’t be used in production in TF. 11073 defined some terms for same info. Needs to be repeatable. Messages are pump specific. Gateway, comm engine and pump firmware are fields. Each item/subsystem needs a field. Topology would be nice. Why limit to DEC? Put it in general use. John R – showed where it came from. Source easily adaptable for this use. What does it look like in an HL7 message. Can have an OBX4 for each one. Challenge – keeping that all straight, not done yet. Continua has done that. Will need a mechanism to parse it. Can you prepare an example? Would for Hospira. It’s a start. Can I put these at the MDS level? Yes. Example in TF3 Paul Schluter – Showed Continua example. Have firmware, can add more. It’s in RTMMS and 10101a Resolution - AL source needs a definition in RTMMS. Paul will send RTMMS file to Paul Sh for the ftp site. Use existing MDCs, implement multiple MDS’s, find a way to describe the MDS. Will not use SFT segment. AAMI request for Clinician training on complex technologies (Docs on ftp site) Tom provided overview. AAMI be neutral convener to enable the training. Would companies be interested? Do you know who’s involved? Interest? AAMI can drive this. Proposal Review – three proposals ACM CP (TJ – Epic) – Will send latest version to Paul Sh when ready for balloting. Software Version ID CP – (Jeff R) Drug Library export CP (Brian W) – Will draft CP and send to Paul Sh for balloting. WP on anesthesia/pump/EMR integration. – Paul Sc will supply a placeholder document and send to Paul Sh. 2017 ONC standards Advisory – (John G) Contains IHE profiles. John G and John R worked on comments to IHE PCD profiles and submitted them. Increase adoption level, test tool availability to yes, add a bullet to include FHIR support info. Also 11073 standard – suggested upgrading from pilot to in production; adoption level up a level and test tool to yes. Vetted with several members. Send on behalf of IHE PCD also? Yes. He will work on it with John R and Monroe, then submit for us. F2F Action Review (from this week) IDCO – add IDCO/ACM group attribute MEMLS – FHIR location resource add pitch and theta, then send. > 12:00 TC Meeting Wrap up and Adjournment (Kowalczyk) Decisions/Issues: Action(s):
4	___	Status/Discussion: 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.

157 Update cookbook to include ACM implementation

- Interoperability for Dummies gone, only treatise on how to buy conformant equipment. Should add PIV and ACM. A few more weeks. Set to Nov 9 meeting.

168 Execute Stakeholder Survey and 170 Create Stakeholder Survey

- Reviewed healthcare survey – use checkboxes to select IHE PCD profiles rather than free text.

- Reviewed vendor survey – replace open text boxes with check boxes.

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.

118. Implementation Guide – IGAMT tool. Close this and create new item: Draft EC overview for Tech Framework; Owner, John R. Have a small note in V1, more detail in V2; Due date after HIMSS.

196 Add PCD specific values to HL7 table 78 – Targeting HL7 Jan 2017 to have values added to Table 3.9.4.1.2.5-3. Set due date to Feb TC meeting.

Next Meetings

Joint Planning and Technical Committee: PC and TC __ PCD PC&TC 2016-10-19 Webex

TC PCD TC 2016-11-02 Webex

PC PCD PC 2016-11-09 Webex