PCD PC&TC F2F 2019 Apr 23-25 Webex

PCD Home

Please NOTE: This was created as a very rough draft March 4, 2019. It is not ready for contribution, it is only a placeholder for now

Paul Sherman, PCD TPM

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:

- Tucson Arizona

Sheraton TUCSON HOTEL & SUITES

5151 East Grant Road, Tucson, AZ 85712

520-323-6262

Contact: Dan Conklin

Director of Sales and Marketing

520 323 6262

Dates

Tuesday April 23: Pump Working Group

Wednesday April 24: morning: PCD Planning Committee

Wednesday April 24: afternoon: Joint PCD Planning and Technical Committees

Thursday April 25: PCD Technical Committee

Daily Schedule -

08:00 - 08:30 Meet at Sheraton Hotel, 5151 East Grant Road, Tucson, AZ

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

08:30 - 10:15 Session #1

10:30 - 12:30 Session #2

12:30 - 13:30 Lunch (Catered on site)

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:

168 Execute Stakeholder Survey

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

196 Add PCD specific values to HL7 table 78

200 MDS and VMD Requirements

201 Pump utilization - publicizing

Webex Support

Webex will is available for those who can not attend in person. The links will be provided below.

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 [HIMSS Webex]

Tuesday morning, April 23: Pump WG: Meeting Number:

Tuesday Afternoon, April 23: Pump WG: Meeting Number:

Wednesday morning,April 24: PC: Meeting Number:

Wednesday afternoon, April 24: Joint PC, TC: Meeting Number:

Thursday morning April 25: TC: Meeting Number:

Thursday afternoon April 25: TC: Meeting Number:

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, April 23, 2019 (Pump Workgroup)

Date	Hours	Committees	Topics
Tuesday	08:30 - 16:00	Pump workgroup	Morning (08:30-12:00) Introductions Agenda review IHE IP Management Process Overview presentation of TCI 1 hr Break (10:00-10:15) Overview presentation of Channel Relay 1 hr Investigate possible new terms for TCI Lunch (12:00-13:00) Afternoon (13:00-16:00) Finalize 11073-10101b pump terms -- 1 hr CP for Bolus from existing infusion -- 30 min Break (14:30-14:45) Common library terms - 1hr 16:00 > Meeting Adjournment

Wednesday April 24, 2019

Date	Hours	Committees	Topics
Wednesday Q1	08:30 - 10:15	PCD Planning Committee (PC)	08:30 > IHE IP Management Process (Kurt) 08:35 > Introductions and Agenda Review (Kurt) 09:00 > 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) - EC (John R) - WCM (Paul Schluter) - IDCO (Paul Schluter) - RTM (Paul Schluter) - PIV (Al E) - IPEC (Al E) - OMS (Ken F)
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) - Physio monitor (John R) - DCM Pulse Oximetry Integration Supplement(Completed)?? Who is interested in this going to FT? - Pump (Al E, Jeff R.) - Vent (Paul Schluter) Five year plan review 11:30 > Action item Discussion 168 Execute Stakeholder Survey Location, Dates of the PCD 2020 Spring F2F Review IHE Milestones IHE 2019 Publication Schedule [1] 12:15 > Adjourn PCD Planning Committee (PC) Meeting (PC Co-Chairs)
Lunch	12:15 PM - 1:15 PM
Wednesday Q3	1:15 - 3:00 PM	PCD Joint Planning & Technical Committee (PC & TC)	1:15 > Start Joint PC/TC meeting Introduction - IHE IP Management Process (5 minutes)(Kurt) - Review & Approve Joint PC & TC Agenda (Kurt) - Review prior PC & TC Meeting Discussion Summary PCD PC&TC 2018-04-04 Webex(Kurt) 1:30 >
Break	3:00 - 3:15 PM
Wednesday Q4	3:15 - 5:00 PM	PCD PC&TC Cont)	3:15 > 3:45 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)

Thursday April 25, 2019

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) Announcement – Decision Making meeting (TC Co-Chairs) 08:45 > PCD Program review: ACM (Monroe P) MEM DMC (Monroe P) MEM LS (Monroe P) RDC (Monroe P) DEC (John R) EC (John R) IPEC (Al E, Jeff R) PIV (Al E) Pump (Al E, Jeff R.)
Break	09:45 - 10:00 AM
Thursday Q2	10:00 AM - 12:30 PM	PCD Technical Committee (TC)	- Continue Program review OMS (Ken F) DPI (John R) Physio monitor (John R) PCIM (John R) Vent (Paul Schluter) IDCO (Paul Schluter) RTM (Paul Schluter) - Standards Coordination HL7 FHIR Activities/statement PCHA/Continua (Paul Schluter) 11:00 Events and Alerts Nomenclature (Paul Schluter) 12:00 TC Action item review [TC Action items] 196 Add PCD specific values to HL7 table 78 200 MDS and VMD Requirements 201 Pump utilization - publicizing
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 > F2F Action Review (from this week) PC PC&TC TC 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)

|}

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

Note: Time slot TBD: IDCO

Participants

Tuesday, April 23

On Site:

Remote:

Wednesday, April 24

On Site:

Remote:

Thursday, April 25

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: Reviewed IHE IP Management Process Decisions/Issues: Agenda approved Action(s):
2	General Discussion	Status/Discussion: Afternoon (13:00-16:00) 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: PC Co-Chair Nomination and election. Rob Wilder nominated and voted in as new PC Co-Chair Review current PCD programs (statuses, plans only, details during TC sessions): - ACM (Monroe P) Full presentation on ftp site. Final text, at CN, HIMSS and AAMI demo. Incorporated CPs. Hope to increase LS messages. List work done by Paul Schluter. Hope for more vendors and messages. - MEM DMC (Monroe P) Full presentation on ftp site. Profile updated with CPs. Need more CMMS vendors participating. FT in 2019. Another – use. - MEM LS (Monroe P) Full presentation on ftp site. - DEC (updated PCD TF) (John R) Pretty mature. Future work can focus on working with other profiles and domains. Monroe – some discussion for TC on NIST tools and validation. How can we determine market penetration? Some discussion of challenges – vendor statements and hospital feedback. C4MI may be able to help survey; won’t catch small hospitals, but will catch large systems. Recommend following up, Paul Schluter can help a bit. - IDCO (Paul Schluter) Wrapped up events and notifications, working on device specific items. He hopes they may participate in CN. Still struggling with waveforms; they are happy with pdfs, hope to move them to WCM. - PIV (Al E) Talked about limits in orders, will work on during scheduled calls. Discussed making weight and BSA optional, will create CP. - IPEC (Al E) and EC (John R) Much of the recent work would apply to other PCD profiles. Reviewed DEC reporting vs. IPEC items. Some info on events in general. What do the implementers think? - Al – Unsure what’s in Vol 3. Reviewed (Semantic Content). All will be updated with recent work. Should it go in Vol 3? Discussion with Paul Sc regarding content generation – can direct efforts to machine readable format and then to test tools. Extensive discussion on possible direction. Many different ways to enter with access to RTM. Prefer to enter in computable format. What would be the common values for EC in TF. Are there general EC items not already covered? PCD-10 has start-stop values and volume delivered; start-stop is general, volume is not. Finding those common fields can simplify development. Strong argument for EC becoming a Profile. How do we finalize this? A ‘skinny’ EC TI Profile to describe the base structure. Should PCD-10 belong to IPEC and create a new one for EC? Do then want to think of profile specifics as Vol 3? Need to get consumer feedback - WCM (Paul Schluter) Update last year, no changes planned this year. - OMS (Ken F) – No update this time - RTM (Paul Schluter) Event and Alert continues, about 300 terms. Tech Event and Alert – 800 terms, still working on it; Resp, Anesthesia and ?? more challenging. Limited contributions from Drager, need it. Will stratify Events and Alerts to device specific, then infrastructure. Any additional types waiting? Besides 10101B, working with PHD to update. CMI moving forward with PCD profiles. Next – Prometheus Tools. - RDQ (John R) Still quiescent, available for use. A bit complicated to implement in HL7 V2, query tool could use updating. Argument for using FHIR to access that info. That’s good for people, but not equipment. V2 not ‘trendy’ and IT folks don’t know how to use it. - DPI (John R) Led by Jan for quite a while, has health issues, John running for now. Currently working on Prometheus tool. A way to regenerate 11073-10102 models. - PCIM (John R) Planning on a TI this year, thanks to Megan and Doug Pratt for the heavy lifting. FDA has been helpful. - DCM Pulse Oximetry Integration Supplement (Completed)?? Who is interested in this going to FT? – Needs WG members to finish it, mostly formatting. John R will help when he has resources to do so. Recommend pushing author formatted documents into IHE format, so it can move forward effectively. Motion: Move it to the Parking Lot. Done - Pump (Al E, Jeff R.) Looking to change time and date to accommodate European members. 2nd and 4th Mondays at 11AM Eastern - Physio monitor (John R) Good device organization started by Todd. - Vent (Paul Schluter) Five year plan review Will send to PC for review, rather than review here. Mostly date updates. Action item Discussion 157 Update cookbook to include ACM implementation - Also includes MEMDMC and LS. Discusses how it moves through steps. 168 Execute Stakeholder Survey - Ready to go, awaiting AAMI’s readiness. Location, Dates of the PCD 2018 Fall F2F Nashville, Jacksonville, Minneapolis, Tampa mentioned Later in October, or early/mid September likely best dates. Review IHE Milestones IHE 2018 Publication Schedule [2] - Next milestone 7/27, Pub request date for PCIM. Adjourn PCD Planning Committee (PC) Decisions/Issues: Action(s):

Wednesday 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): Sept 27 PC/TC summary approved
3	Agenda Items -	Status/Discussion:	1:15 > Commence Joint PC&TC meeting tart Joint PC/TC meeting Introduction - IHE IP Management Process (5 minutes) 1:45 > - Review & Approve Joint PC & TC Agenda - Review prior PC & TC Meeting Discussion Summary PCD PC&TC 2018-04-04 Webex AAMI Interoperability Experience (Wil Vargas) - Extensive post call discussion on the process and how to ‘jump start’ the demo to get it ready in time for AAMI. They really could use a TPM. Updated time/date of Pump WG meeting (Kurt) Pump WG proposes changing meeting time to second and fourth Monday of the month at 11am Eastern Review and discuss IHE Profile Deprecation Policy - Reviewed ITI’s policy and their approach. We likely aren’t close to needing this, as we are a bit more open in versions. We work to make our profiles backwards compatible. Members will review the ITI document and determine its relevance. - Epic would like to create some transactions that would build on some Pharm work. Wanted guidance on how best to proceed. Suggested reaching out to their Co-Chairs for how Pharm would like PCD to proceed. We can refer the Pharm-specific items to Pharm and Pharm refer back to PCD. 3:00 Adjourn PCD Joint Planning & Technical Committee (PC & TC) Decisions/Issues: Action(s):

Thursday

Action(s):

Item	Topic	Discussion
1	Introductions & Agenda Review - 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:	Tom K nominated and elected unanimously. PCD Program review: ACM (Monroe P) – Detailed information posted to the ftp site. - NIST request to verify PCD-04 data. Also requested WCTP test. - Maintain mapping with 60601-1-8 - Plan to add several advisories in Lab and Radiology Can save enough time for another CT/day. MEM DMC (Monroe P) - A slow grow. C4MI installed the new NIST tools, works very well. - Being used for software version info by C4MI. How is the ACK conveyed? Abusing the ERR segment. Innovision is the vendor, Paul Sc will approach them to discuss. MEM LS (Monroe P) - New RTLS member – Stanley, with a couple more interested. Working well with IEEE group, they designate us as the source for implementation. RDC (Monroe P) - WP released, waiting for demo implementations. When stable, can start TI. Will use HL7 as software update mechanism. If we can use existing standards, we will. Monroe will look at 10201 for prior art. Cookbook should be published today. DEC (updated PCD TF) (John R) - Main doc changes in the works – adding material that cross references other vent based reports. IPEC and PIV (Al E, Jeff R) - Concern about possible message overlap with R42. ACM had some new messages needed. Both ACM and IPEC use R42, we need to resolve the overlap. Need a CP to address the conflict and contact HL7 to resolve at their end. Monroe will write up explanation for John R; he’ll take it back to HL7. DPI (John R) - Ongoing domain info model and tooling work, with simplified examples for Vol 3. Thursday meetings very interesting. Pump (Al E, Jeff R.)- fully covered. Physio monitor (John R) - Linked with DPI, good basic model. Can become huge. Vent (Paul Schluter) - 10101a has identifiers, need to add 12-15 more. No major additions, only major one is Vent mode, not ready for 10101b. If adopt some existing work, could be largely complete. PCIM (John R) - HL7v2 details well defined in WP. Focusing on re-arranging info into profile supplement format. IDCO (Paul Schluter) - Working on more identifiers, finished notifications. RTM (Paul Schluter) - Presentation on ftp site - Discussed before – it’s now working. Need to be well curated, can be hard to remove when accepted. Question – What parts are zombie? Some specific codes, need to be careful with the numeric codes. If deleted, they’ll be zombie. REFID’s not as much, can be some changes; if too many, it’ll need zombied and a new one created. Paul demo’d the RTM pages. EC (John R) - Follow-up on yesterday’s discussion. Want an Event Content Profile, can be based on IPEC model. Could be used for ‘one-shot’ or event sequence. Reviewed requirements. One Goal – document it in a machine readable format. Design goals: should be compatible with other Profiles, link an event with evidence, additional data as needed, decision and handling rules and languages. Sufficient statistics – what would this imply? This is up to the designers, it requires event knowledge. John showed some examples and went over the Design Goals. Will this be a Profile, or TF statements/guidelines? Use existing triggers or create generic ones (different PCD messages)? Create new messages. Will need at least one transaction number, will we need more? Likely just one – start there and review new ones as needed. Recast the rules as steps to evaluate and clarify semantics. Discussion of IPEC and EC moving forward. - Standards Coordination HL7 PCHA/Continua (Paul Schluter) - Not with them much, they’re getting bogged down, focusing on FHIR. Want to use existing. IEEE 11073 nomenclature and recent support for “provisional” IEEE 11073 terms. (Paul Schluter) - Presentation on ftp site - Main topics: New Observation IDs, Events, Alerts and par-src-evt, Terminology Coordination, Additional. - Obs IDs – Graph of status, WCM and LS finished, Vent mode and Surg/OR need quite a bit. Dialysis and Vent E/I doing well. - Events and Alerts – List extended to support Events and Alerts (ACM). Looking at a way to simplify looking at terms (800+). - par-src-evt 3-tuples – generalized IDs, ensuring descriptions included, described how it works. TC Action item review [TC Action items] 196 Add PCD specific values to HL7 table 78 198 Draft EC overview for Tech Framework - Discussed at F2F, will proceed as per that discussion - closed 199 SFT Segment - No one pursuing at this point, no prospect to pursue it. Put in Parking lot and close. Events and Alerts Nomenclature (Paul Schluter) Detailed presentation on ftp site Went through a number of examples and provided progress. - Example – Gas Monitors: There a lot of different devices, there are many variables, such as parameters, devices and events. Grouping and focusing are essential, there can be several hundred choices. Finding a way to send the implementer to the best terms is vital. Paul is working on Events and Alerts partitioning. ACM - Include lab results and RAD in ACM? (Rob and Monroe) Pretty well addressed earlier. Just need to review prior art to ID triggers and let them know to use ACM. Lab and Radiology are first – Discussed which one to start with. FHIR Activities/statement A bit of an update and Devices on FHIR. HL7 and IHE are agreeing on how to proceed. Influenced by restful web interface. There are a couple of automated build sites if you want to explore it. It’s kind of a Rube Goldberg assembly garage. Not really suited for real time implementation. A bit of a replacement for HL7 v3, which didn’t work well at all. None of FHIR is normative. Some may be in a future release. Two device implementation guides submitted for balloting; one for Personal Health Devices, the other was led by Todd focused on hospital equipment. Our guiding principle – this will happen; we may not want to use it, but it will contain device data. We DO want PCD type elements in it. Discussion – FHIR has been adopted for infrastructure and clinical data. Smart on FHIR is to FHIR as IHE is to HL7v2, a constraint of FHIR for implementation. That has some significant limitations. MEMLS tried to suggest some fields that would help their implementation – they weren’t deemed important enough, this requires adding extensions. The FHIR implementers seem to have no medical background. What will cause device and EMR vendors to move to this? No good answer. Why does John stay on this? Self-preservation; wants a smooth transition to keep traceability and patient safety. Java is the underlying code. XML definitions aren’t quite legal XML. Who are the primary companies wanting to implement FHIR? Cerner supports it some. F2F Action Review (from this week) PC Determine market penetration via C4MI Paul Schluter will check via C4MI Poll user community for EC profile desire. (Removed) Move POI to the Parking Lot Paul Sherman will move. Pumps - Change time and date to accommodate European members. 2nd and 4th Mondays at 11AM Eastern Paul Sherman will change meeting Send five year plan to PC for review. Monroe will update and send to Paul Sh for distribution PC&TC Review the ITI Deprecation Policy and determine its relevance. Reviewed, put in April 18 PC&TC agenda TC Resolve R42 overlap in IPEC and ACM - Monroe Monroe put something together and sent it to Al, Al reviewed it and sent back. It will go out as a CP. Decide to add/not add Order ID on Pump alarms Pump working group will follow-up. TC Meeting Adjourned Decisions/Issues:

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: PCD PC&TC 2018-04-18 Webex

Technical Committee: PCD TC 2018-05-02 Webex

Planning Committee: PCD PC 2018-05-07 Webex