PCD PC&TC F2F 2019 Apr 23-25 Webex

PCD Home

Please NOTE: Draft Agenda, still being edited.

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

• Sage Boardroom

520-323-6262

Room Reservation link is here

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 Arizona Time Tuesday and Thursday.

Note: Meeting will start promptly at 07:00AM Arizona Time Wednesday.

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: 921 176 180

Tuesday Afternoon, April 23: Pump WG: Meeting Number: 927 084 823

Wednesday morning,April 24: PC: Meeting Number: 924 936 205

Wednesday afternoon, April 24: Joint PC, TC: Meeting Number: 929 462 137

Thursday morning April 25: TC: Meeting Number: 921 764 239

Thursday afternoon April 25: TC: Meeting Number: 921 973 176

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 - 4:00	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 (12:00-1:00) Afternoon (1:00-4:00) Common library terms - 1hr Finalize 11073-10101b pump terms -- 1 hr 11073 alert inclusion in PCD01 - containment model discussion Break (3:00-3:15) CPs for PIV -- 45 min PIV - Bolus from an existing infusion PIV – Order limits PIV – Multistep Device Time - Dan 4:00 > Meeting Adjournment

Wednesday April 24, 2019

Date	Hours	Committees	Topics
Wednesday Q1	07:00 - 08:45	PCD Planning Committee (PC)	07:00 > IHE IP Management Process (Kurt) 07:05 > Introductions and Agenda Review (Kurt) 07:15 > 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) - RDQ (John R) - DPI (John R) - PCIM (John R) - Physio monitor (John R) - DCM Pulse Oximetry Currently waiting for someone to take it to FT. - Pump (Al E, Jeff R.) - Vent (Paul Schluter)
Break	08:45 - 09:00 AM
Wednesday Q2	09:00-10:00 AM	PCD Planning Committee (PC)(Cont)	09:00 > Action item Discussion Cochair Action item 106: Activities Promoting PCD 168 Execute Stakeholder Survey Review IHE Milestones IHE 2019 Publication Schedule [1] 09:30 > Adjourn PCD Planning Committee (PC) Meeting (PC Co-Chairs) 10:00 >
Wednesday Q3	10:00 AM - 12:00 PM	PCD Joint Planning & Technical Committee (PC & TC)	10:00 > 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 2019-04-17 Webex(Kurt) 10:30 > IHE Int'l Board Listening Session (Todd) "PCD 2.0" - PCD and PCHA working together (Amit, Thom, Michael) Five year plan review
Lunch	12:00 PM - 1:00 PM
Wednesday Q3 (cont)	1:00 - 2:00 PM	PCD PC&TC Cont)	1:00 > Resume Joint PC/TC meeting Location, Dates of the PCD 2019 Fall F2F 2:00 U of A MIrror Facility Tour
Wednesday Q4	5:00 - 6:30 PM (if needed)	PCD PC&TC Cont)	5:00 > Resume Joint PC/TC meeting 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 > Proposal Update - Silent ICU PCD Program review: ACM (Monroe P) MEM DMC (Monroe P)
Break	09:45 - 10:00 AM
Thursday Q2	10:00 AM - 12:30 PM	PCD Technical Committee (TC)	- Continue Program review 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.) 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 > The IHE-PCD Test Tools, IEEE-11073 Nomenclature (-10101), Domain Information Model (-10201), and HL7 message validation – an overview and discussion on NIST’s integration efforts and everything in between. (John Garguilo, Nicolas Crouzier, Michael Faughn) 12:00 Test tool issue - MEMDMC message failing NIST validation (Monroe) - MEMDMC profile to change via CP to use a message template of ORU_R15 which affords it the ability to make the usage of the PID and PV1 segments as optional for MEMDMC use cases. If PID and/or PV1 segments are present they should be populated per the IHE PCD TF.
Lunch	12:30 - 1:30 PM
Thursday Q3	1:30 - 3:00 PM	PCD Technical Committee (TC)	1:30 > 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 2:15> Validation tool error related to CWE-23 (Kurt) Jan 22 emails. Gazelle and Proxy and NIST Tool improvements (Monroe and Paul Sherman) Jan 27 emails.
Break	3:00 - 3:15 PM
Thursday Q4	3:15 - 5:00 PM	PCD Technical Committee (TC)	3:15 > Sterilization Interoperability (Jad Wafeeq) Using HL7 v2.x PL datatype for identifying locations (Dalibor) F2F Action Review (from this week) PC PC&TC TC 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)

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

Note: Time slot TBD: IDCO

Participants

Tuesday, April 23

On Site: Morning: Al Engelbert (BBraun), Caroline Cornelius (Baxter), Christophe Fournier (Fresenius), Dan Kernan (Epic), Jason Dunkly (Epic), Jeff Rinda (ICU Medical), John Rhodes (Philips) , Kurt Elliason (Smiths Medical),Luis Melendez(MDII), Michael Faughn (Prometheus), Monroe Pattillo (PHI, LLC) , Paul Schluter (CMI), Ray Kan (Baxter), Tom Kowalczyk (BBraun)

Afternoon: Al Engelbert (BBraun), Caroline Cornelius (Baxter), Christophe Fournier (Fresenius), Dan Kernan (Epic), Jason Dunkly (Epic), Jeff Rinda (ICU Medical), John Garguilo (NIST), John Rhodes (Philips) , Kurt Elliason (Smiths Medical),Luis Melendez(MDII), Michael Faughn (Prometheus), Monroe Pattillo (PHI, LLC) , Paul Schluter (CMI), Ray Kan (Baxter), Rob Wilder (Spok), Tom Kowalczyk (BBraun)

Remote: "Shantanu Chawla (BD), Michael Workman (BD), Prabhu Chinnaiah "

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	TCI Discussion	Status/Discussion: Light presentation of anesthesia Context of TIVA (Total Intravenous Anesthesia) Video - How does anesthesia work - Steven Zheng ed.ted.com What is TCI (Target Controlled Infusion) Algorithm that models the concentration of a drug in different compartments of the body. Reviewed proposed terms for auto documentation. PIV will need to be updated to allow for auto programming of TCI due to new terms that are needed by the pump for the algorithm to calculate the rate. Typical pump programming is done by the nurse at the bedside. That is not usually the case in the OR. https://www.sciencedirect.com/topics/medicine-and-dentistry/target-controlled-infusion https://www.ncbi.nlm.nih.gov/pubmed/15886597 Add to agenda for May 13th pumps meeting Presentation on TCI ftp://ftp.ihe.net//Patient_Care_Devices/Meetings/Face to Face Meetings/2019-April-Tucson/IHE_TCI_presentation.pdf
3	Relay Discussion	Status/Discussion: Relay presentation ftp://ftp.ihe.net//Patient_Care_Devices/Meetings/Face to Face Meetings/2019-April-Tucson/IHE_Two_Infusion_Relay_presentation.pdf Context of relay - creates a continuous infusion between 2 syringes with the same drug. Used for drugs that have a short half life (2 minutes) and a short therapeutic window. When changing the container the flow should be as stable as possible. methods of relay - 4 methods described workflows - patients may come from ED or OR. First syringe is often an emergency and delivered very fast. Then due to short life of medication may alternate between two pumps as syringes are prepared. Relay automates the starts and stops and will use as many syringes as needed by the patient. No VTBI. Rates and concentrations may change between syringes. There can also be multiple independent relays running for the same patient.
4	Common Library terms Discussion	Status/Discussion: Agreed to limit scope to data elements used in PCD-03. Will create an xml structure to document how the data elements are shared between pump systems and EMRs. Schedule for future pump WG meeting to work out details. ftp://ftp.ihe.net/Patient_Care_Devices/Devices/InfusionPumps/CommonTerms/CommonLibraryTerms11MAR19.xlsx
5	Device Time	Status/Discussion: Patient safety escalation Time in OBX 14 OBR in the future from pump MSH time is from pump gateway Data will not display on the nurses screen due to the pump event time being in the future. Next nurse may mistake the missing data for a missed event and do it again. Action(s): See above

Wednesday Morning

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: ****** Cochair 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: 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 [[2]]" Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion:	Decisions/Issues: Action(s): April 17 PC/TC summary approved
3	Agenda Items -	Status/Discussion:	1:15 > Commence 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 5:00 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:	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

Technical Committee: PCD TC 2019-05-01 Webex

Planning Committee: PCD PC 2018-05-08 Webex

Joint Planning and Technical Committee: PCD PC&TC 2019-05-15 Webex