PCD PC&TC 2010-05-03 to 07 F2F

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Meeting Objectives

These face-to-face meetings have a number of objectives depending on the committees involved:
  • Planning Committe: Review overall PCD activities, identify strategic next steps and update the "roadmap"
  • Technical Committee: Review all materials slated for publication in May / June and resolve any issues so that final editing and publication may proceed.
  • SDOs: There may be meetings Friday, Saturday (TBD).

Schedule & Agenda

Daily Schedule
08:00 - 08:30 Check in
Meeting will start promptly at 08:30 each day.
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


NOTES:
1. Additional evening working sessions may be scheduled as needed
2. Thursday the main PCD TC plenary meetings will end by 15:00
3. Friday the DPI / ICE-PAC WG meetings will end by 15:00
4. Thursday we have an optional tour of the simulation facility after 1500



Date Hours Committees Topics
Monday Q1

2010.05.03

08:30 - 10:30 IHE-PCD
Monday Q2-Q4

2010.05.03

11:00 - 17:00 PCD Planning Committee
- Technical Framework Updates
- Profile Development: Existing & New
- International PCD Activities
- Inter-domain Coordination
- Continua Coordination
- ICE-PAC Coordination
- Topic: Data acquisition modalities between enterprise applications & device data sources (e.g., PCD-02 retrospective queries for CDSS support)
- Topic: ARRA / HITECH & HIMSS MD&PS Meaningful Use Analysis: Valid?
- Topic: HITSP/TN905 Roadmap: Valid? Gaps?
- Topic: Medication Administration / Infusion Pump Integration Requirements
- Topic: Alarm Management: CE-IT Convergence meets Patient Safety
- Topic: Ventilation Requirements
- Open Discussion & Prioritization ("What do we need to do immediately?!")
  • Identify Key Interoperability Issues
  • DPI, ICE-PAC requirements
  • Review & Update PCD Roadmap (incl. per TN905 Roadmap)
Tuesday

2010.05.04

08:30 - 12:30 PCD Planning & Technical Committees
NOTE: Infusion Pump Working Group Breakout Tuesday A.M.
The infusion pump breakout has been canceled due to travel issues that have reduced the number of participants. It is anticipated that the proposed topics will be addressed in a number of subsequent WebEx sessions in May and June.
Tuesday

2010.05.04

13:30 - 17:00 PCD Technical Committee
  • HIMSS '11 Showcase Discussion
- Conceptual Approach
  • AAMI '10 Annual Conference
  • 2011 European Connectathon & PCD
  • PCD-enabled Products
  • PCD Marketing & Funding
- PCD "Success Stories" (Sparnon/IHE Marketing Cmte)
- Webinars, Presentation Slide Sets & Publications
- Web Presence Review
  • PCD Technical Framework Status Update
  • Review - Technical Framework Revision
- Volume 1
- Volume 2
  • Issue: Partitioning of HL7 specifications between TF v2 & v3 (& v4)?
  • Issue: Incorporating HL7 v3 specifications?
  • Issue: Single Specification for Generic HL7 v2 "Common Segments"?
  • Issue: HL7 v2.5 => v2.6 ...
- OBR Field specifications
- RE & "ignore if not specified"?
- National Extensions
Wednesday

2010.05.05

08:30 - 17:00 PCD Technical Committee
  • Technical Framework vol 2 Issue Discussion (continued)
  • DEC Updates
- PCD-02 "One Shot" Proposal
- Additional PCD-02 Change Proposals
- PCD-01 Out-of-Scope Parameter Communication
- Enhanced ACK Handling (e.g., on a different pipe)
- ORU^R40 Alarm Trigger Change Proposal
- PCD-05 Change Proposals
- AM-AC Interface
Thursday

2010.05.06

08:30 - 17:00 PCD Technical Committee
  • Waveform Communication Management (WCM) Final pre-Public Comment Draft Review
ftp://ftp.ihe.net/Patient_Care_Devices/TechnicalFrameworkForPublicComment/SupplementsYr5-2010-11/
  • Rosetta Updates
- Units of Measure
- Infusion Pump Terms (incl. events)
  • IHT SDO Coordination Update
  • LOINC Mapping Update
  • Ventilator Modeling Review
LUNCH
  • HL7 v2 Data Type Questions (color & NA)
  • Updated Diagram for ACK Discussion
  • Event Communication (EC) Profile
  • ISO/IEEE 11073 Standards Status Update
  • KP Perspective & Charge for IHE PCD (George P.)
  • Adjourn Plenary IHE PCD TC Meetings
  • 15:30 - Tour of KP Sim lab (Garfield Center)
  • Post-Tour Dinner Discussion
Friday

2010.05.07

08:30 - 15:00 PCD Technical Committee Device Point-of-care Integration (DPI) WG
  • Review PCD DPI Development Status
  • KP Perspective on DPI
  • Review ICE-PAC Activities
  • Identify DPI-related requirements from preceding F2F Discussions
  • DPI Work Plan for 2010/11 Development Cycle
- Identify target use cases, esp. ICE functions
- Identify potential systems
- Detail standards & profile development requirements & milestones

Adjourn PCD TC Meetings by 15:00

Friday

2010.05.07

15:30 - 17:00 HL7 DEV WG Out-of-Cycle Meeting <this session is TBD>
  • ISO/IEEE 11073 & HL7 v3 Projects

Adjourn PCD TC Meetings by 15:00

Saturday

2010.05.07

08:30 - 15:00 HL7 DEV WG Out-of-Cycle Meeting
NOTE: The Saturday sessions have been canceled.

Location Information

Kaiser Permanente ("KP")
Meetings will be held at Kaiser's Clinical Technology Offices except on Thursday:
1795 Second St., Berkeley, CA 94710
Meetings Thursday May 6 are at the Sheraton Four Points SF Bay Bridge hotel
1603 Powell St., Emeryville, CA 94608, (510) 547-7888
There is an optional tour of the simulation laboratory late Thursday afternoon.
  • IMPORTANT REGISTRATION INFORMATION: Though there are no fees for this meeting, all participants must indicate their intention to attend by sending an advanced notification e-mail to Manny Furst (IHE PCD).
  • General location information:
Hotel:
You can make reservations at the Sheraton Four Points, San Francisco Bay Bridge in Emeryville. The hotel address is 1603 Powell St., Emeryville, 94608. Reference "PCD May Group" to make reservations. Group room rate is $95/night from Sunday through Friday. You can call directly to the hotel and ask for reservations: 510.547.7888 or call Sheraton central reservations at 800-325-3535.
Please stay at this hotel to assure that the minimum number of hotel rooms are used – this is required to obtain this low room rate and a reasonable cost for use of the hotel meeting room for Thursday’s meeting.
There is no charge for parking at the hotel.
Travel:
You can efficiently reach the hotel via public transportation from either Oakland International or San Francisco International. Ask for directions to BART (Bay Area Rapid Transit) at the airport and then take a bus. You may obtain detailed directions from Manny Furst (IHE PCD).
There are multiple ways to commute between the hotel and the Kaiser facility. These are about 3 miles apart. Driving (or taxi) will take about 7 minutes (details below). Amtrack is available about an eight minute walk from the hotel, and about a 7 minute walk from the destination station.
Parking is available on the street near the Kaiser office. There’s a parking lot, but currently construction personnel are arriving and filling the lot by 7:30 am. It will be available earlier, and if construction is complete by May 3.

Attachments / Materials

Reference materials can be downloaded from ftp://ftp.ihe.net/Patient_Care_Devices/IHEPCDyr5-2009-2011/F2F-May2010

Please note: some of the materials are in the recent Microsoft .docx, pptx formats. These have been converted to the earlier .doc and .ppt formats and are provided on the ftp site as well. Note: the conversions may have resulted in the loss of some details.

Decisions Summary

NOTE: These decisions are in addition to the action items listed above.

This section was established to track any items that came up that would require a ballot following the meeting.

No. Decision Date Description
1 xyz 2010.05.03
  • ...
2 xyz ...
  • ...


Action Items Summary

Action Items listed below were developed during the meetings.

PCD_Planning_Committee_Action_Items and

PCD_Technical_Committee_Action_Items

No. Action Item Owner Participants Due Open/Closed Description/Update
1 - - - - Open -


2 - - - - Open -
3 - - - - Open -
4 - - - - Open -


XX - - - - Open -


Meeting Minutes

Monday 2010.05.03

Participants, Monday Afternoon:

Christel Anderson (HIMSS), George Bertos (Baxter), Brian Birch (Kaiser), Jon Blasingame (Philips), Anupriyo Chakravarti (Surgical Information Systems), Todd Cooper (Breakthrough Solutions), Bikram Day (Capsule), Ken Fuchs (Draeger), Manny Furst (Improvement Technologies), Carla Gallegos (Cisco), John Garguilo (NIST), Colin Gartska (Epic), Christof Gessner (MxDx), Chad Hays (Cerner), Sarah Hopkins (Cerner), Paul Jones (Cisco), Paul Kelley (Washington Medical Center, representing AAMI), Allen King (Sutter), Kurt Mah (Cisco), Dennis McIntosh (DocBox), Tapan Mehta (Cisco), George Panagiotopoulos (Kaiser), Monroe Pattillo (Philips), Tracy Rausch (DocBox), John Rhoads (Philips), Jeff Rinda (Hospira), Mike Romig (Patient Solutions), Christian Saucier (Hill-Rom), Paul Schluter (GE), Ioana Singureanu (VHA), Sjon Smith (Sutter), Erin Sparnon (ECRI Institute), Ken Staudenmaier (VHA), Jerry Tonies (Cisco), Axel Wirth (Symantec), Jan Wittenber (Philips), Vaughan Zakian (Nuvon)

Chair: Ken Fuchs

Technical Project Manager: Manny Furst – Improvement Technologies/HIMSS


Item Topic Discussion


1 Item Status/Discussion:
  • User Handbook

Decisions/Issues:

  • Ken described the User Handbook, its utility and implications for the purchaser. He described the information to be found in the Table of Contents. Erin is developing language for RFPs that is meaningful to clinicians. Ioana offered to help. Christof suggested that HIMSS’ Patient Safety publication be integrated with the User Handbook. Christel noted this; she and Erin described the differences with the CE-IT Quick Start Guide. Erin indicated that the Quick Start Guide looks at ARRA, showing devices do contribute to meaningful use.

Action(s):

  • Erin is developing language for RFPs that is meaningful to clinicians. Ioana offered to help.
  • Christof suggested that HIMSS’ Patient Safety publication be integrated with the User Handbook.
2 Clinical System Integration Workshop Status/Discussion:
  • Topic: Data acquisition modalities between enterprise applications and device data sources (e.g., PCD-02 retrospective queries for CDSS support):
  • Topic: Medication Administration/Infusion Pump Integration Requirements:
- Erin raised the issue of workflow – e.g., infusion pump messaging takes too long, hospitals complain. Christian observed that clinicians need an indication when data is not reliable for the purpose (e.g., latency, other). John Rhoads indicated that applications need to specify their own behavior. John Garguilo suggested that the implementation guide needs to address these issues.
  • Topic: Alarm Management:
- Brian raised the questions (a) of the ability of the alarm to work when the distances are on the order of 1000 miles, (b) what is the topology for a network that may fail? While wired systems are more reliable, it is necessary to run many systems wirelessly. Monroe noted that priorities established by different devices differ (may want high level alarms on a pump to be different than the high level alarm on a monitor). Christian noted that the rank of the alarm levels may differ between clinical units. The Emergin system includes oversight and notification when the latency exceeds a certain level. Manny asked how 80001 fits into this. 80001helps proactively assess the design and control of these applications. Vaughan mentioned that their system monitors every element on the network. Christian says Hill-Rom’s has built in QoS monitgoring. He asked what built in alarm messages are needed by the User. Anupriyo noted that this should be addressed in the TF for all systems. Todd summarized: (a) build the ability to identify these issues and (b) implement a response. An alert and/or log should be sent/noted when it is needed. Tracy observed that these are two issues: a QoS and a QoD (quality of data) issues.
  • Topic: Ventilation Requirements
  • Topic: ARRA/HITECH & HIMSS MD&PS Meaningful Use Analysis:
- Ken and Todd presented a table showing how PCD profiles fit into the schedule for a few years. Refer to HITSP_V1.0_2010… For the most part, the PCD will have profiles in place or under development in time to meet HITSP 2011 deadlines. Gaps do exist, and will be addressed in the PCD roadmap and various TC agenda items. While in process, discovery and association issues won't fully be met. The 80000-1 will go to ballot in a few months.
- For 2012 many of the additional devices present an issue in locating interested vendors. This includes perinatal, RTLS, other profiles. Christian and Erin suggested middleware vendors would be more likely to participate. Christian and Barbara Majchrowski will share information and attempt to recruit participants. Bikram indicated that Capsule has a product. Comprehensive data archiving also presents a challenge. Vaughan offered his open source solution, including the service API and persistent data interchange format. Ken volunteered to work with Vaughan and noted that QBD (Query Bulk Data) was an early brief profile proposal that didn’t gain traction and might be a useful. John Rhoads joined the effort. The other challenge relates to the Medical IT-network management where wireless medical device networking and QoS alerting have not been addressed.

Decisions/Issues:

Action(s):

  • Implementation Guide should address issues raised above under Medication Administration/Infusion Pump Integration Requirements.
  • QoS and a QoD (quality of data) issues need to be addressed within the alarm/alert communications.
  • Christian and Barbara Majchrowski will share information and attempt to recruit participants to develop profiles and participate in subsequent activities.
  • Ken and Vaughan will address an open source solution to archiving persistent data.
3 I{CD Roadmap Status/Discussion:
  • For 2009-10: Ken noted that WCM addresses snippets and continuous data, but doesn’t yet address retrospective data. Other deferred work includes HL7 v3.x wireless.
  • For 2010-11: For MEM Ken suggested that this broad profile is best handled by selecting one or two useful issues. Similarly, POC integration is best handled in segments. Additional work on semantic terminology will be addressed for device specialization and alarm communication, events. It is questionable if pharmacy terminology will be available next year. Several extensions are proposed for PIV, including PCA safety.
  • Jan observed that the roadmap doesn’t include an overarching integration of these various profiles and therefore, have core critical-mass functionality that forms a solid foundation. The solution vendors will provide the additional functionality. The lack of integration with other domains is additional evidence of this need. He recommends that vendors develop this IHE core.

Decisions/Issues:

Action(s):

  • Develop a strong core of functionality.
4 HITSP TN905 Roadmap Status/Discussion:
  • Todd asked if the roadmap is valid and if there are any gaps. Discussion did not raise any significant issues.

Decisions/Issues:

Action(s):

5 Recognition of Paul's Contributions Status/Discussion:
  • Jan presented an award to Paul Schluter in recognition of his work in developing the Rosetta Terminology project

Decisions/Issues:

Action(s):

Tuesday Morning 2010.05.04

Participants:

Name - Member Organization, Name - Member Organization

Chairs: Ken Fuchs, Steve Merritt

Technical Project Manager: Manny Furst – Improvement Technologies/HIMSS


Item Topic Discussion
1 Item Status/Discussion:

Decisions/Issues:

Action(s):

2 Item Status/Discussion:

Decisions/Issues:

Action(s):

3 Item Status/Discussion:

Decisions/Issues:

Action(s):

4 Item Status/Discussion:

Decisions/Issues:

Action(s):

XX Item Status/Discussion:

Decisions/Issues:

Action(s):


Pump Breakout, Tuesday Morning 2010.05.04

Cancelled

|}

Tuesday Afternoon 2010.05.04

Tuesday afternoon was a TC meeting.

Participants:

Name - Member Organization, Name - Member Organization

Chairs: Todd Cooper, John Rhoads

Technical Project Manager: Manny Furst – Improvement Technologies/HIMSS


Item Topic Discussion
1 Item Status/Discussion:

Decisions/Issues:

Action(s):

2 Item Status/Discussion:

Decisions/Issues:

Action(s):

3 Item Status/Discussion:

Decisions/Issues:

Action(s):

4 Item Status/Discussion:

Decisions/Issues:

Action(s):

XX Item Status/Discussion:

Decisions/Issues:

Action(s):

Wednesday 2010.05.05

Participants:

Name - Member Organization, Name - Member Organization

Chairs: Todd Cooper, John Rhoads

Technical Project Manager: Manny Furst – Improvement Technologies/HIMSS


Item Topic Discussion
1 Item Status/Discussion:

Decisions/Issues:

Action(s):

2 Item Status/Discussion:

Decisions/Issues:

Action(s):

3 Item Status/Discussion:

Decisions/Issues:

Action(s):

4 Item Status/Discussion:

Decisions/Issues:

Action(s):

XX Item Status/Discussion:

Decisions/Issues:

Action(s):

Thursday 2010.05.06

Participants:

Name - Member Organization, Name - Member Organization

Chairs: Todd Cooper, John Rhoads

Technical Project Manager: Manny Furst – Improvement Technologies/HIMSS


Item Topic Discussion
1 Item Status/Discussion:

Decisions/Issues:

Action(s):

2 Item Status/Discussion:

Decisions/Issues:

Action(s):

3 Item Status/Discussion:

Decisions/Issues:

Action(s):

4 Item Status/Discussion:

Decisions/Issues:

Action(s):

XX Item Status/Discussion:

Decisions/Issues:

Action(s):

Friday 2010.05.07

Participants:

Name - Member Organization, Name - Member Organization

Chairs: Todd Cooper, John Rhoads

Technical Project Manager: Manny Furst – Improvement Technologies/HIMSS


Item Topic Discussion
1 Item Status/Discussion:

Decisions/Issues:

Action(s):

2 Item Status/Discussion:

Decisions/Issues:

Action(s):

3 Item Status/Discussion:

Decisions/Issues:

Action(s):

4 Item Status/Discussion:

Decisions/Issues:

Action(s):

XX Item Status/Discussion:

Decisions/Issues:

Action(s):

Next Meeting

The next meetings are: The Planning Committee will hold a webinar meeting May 12, 2010 PCD PC 2010-05-12 Webex

The Technical Committee will hold a webinar meeting May 19 PCD TC 2010-05-19 Webex


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