PCD PC&TC 2013 April 16 to 19 F2F

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

Meeting Location:

West Health Institute

10350 North Torrey Pines Road, La Jolla, California 92037

The Learning Center is on the second floor -- check in at first floor reception.

Make reservations to attend with Manny

For parking permission make your reservation with Manny

Carpools will be encouraged

Cloud 9 Shuttle or taxi to from/to the airport if not car pooling or driving

Hotel Arrangements

Discounted Group Rate Available Until March 26

Make hotel reservations directly:

Group Name: PCD Conference

Group Code: PCD

Check-in: 14-APR-2013 or later; you may add days in advance at the group rate

Check-out: 19-APR-2013 or earlier; you may add days at the group rate

Hotel Name: Hilton Garden Inn San Diego Del Mar http://hiltongardeninn3.hilton.com/en/hotels/california/hilton-garden-inn-san-diego-del-mar-SANMDGI/index.html

Hotel Address: 3939 Ocean Bluff Ave, San Diego, CA, 92130

Phone Number: 858-720-9500

Online Reservations: http://hiltongardeninn.hilton.com/en/gi/groups/personalized/S/SANMDGI-PCD-20130414/index.jhtml?WT.mc_id=POG

Dates - Preliminary committee schedule:

Monday afternoon, April 15 Pump WG meeting

Tuesday April 16 PCD Planning Committee

Wednesday April 17 morning: Joint PC, TC - Tentative

Wednesday April 17 afternoon through Friday: PCD Technical Committee

Daily Schedule - Placeholder

08:00 - 08:30 Meet at West Health, San Diego, CA

Meeting will start promptly at 08:30 Pacific Time 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

Friday the meetings will end by 15:30

Agenda Suggestions

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

Roadmap Update

Profile Versioning: PC Action Item 107.

Profile Updates, CPs

- ACM (1 hr)

o Rosetta for alarms, events

o Currently Active (outstanding/aware) alarm inventory

o Alarm State (present, start/end, etc.)

o WCM with ACM

- DEC (1 hr)

o POI Option

o WCM Option (Ken)

- IDCO (Brief Update) (30 min)

- IPEC (90 min)

- MEM Cybersecurity (Apr. 17 morning, 30 min)

- PIV - Todd, Jeff (90 min)

o Include: How is piggyback identified when single or second channel or separate device? Monroe and Richard noted that this problem was exhibited in multiple ways at the Connectathon.

- Rosetta (standards update) - 60 minutes

o Overview - Paul 10 minutes

o Migration of hRosetta 11073-10101a - Paul 20 minutes

o IPEC, PIV Terms - 10101a - Todd

- Discussion of the CPs. TC Action Item (1 hr)

o Communication Link Failures, Recovery; should this be part of the PIV profile? (PC 1 hr discuss should applications be in the TF; TC 1 hr discuss specific technical requirements, testing)

Is this more general (other profiles)?

o Indicator for the clinician: device data is being captured by the EHR

- Should profiles include error codes (e.g., leads off)? How to develop?

- Should recovery, reliability become a profile requirement? (moved from below)

- CPs (1 hr)

Updates on WG Progress:

- Deadlines/Calendar; Profile Development

- MEM/Cyber security - Axel (Webex, see above)

- OMS (Optimized Message Syntax) Ken (60-90 minutes)

- Cycle 8 Work Items, Include Parking Lot (90 min)

o Device Point-of-care Integration (DPI) White Paper

o Discovery and Association (DnA)

o DPI-DR Data Reporting

o Event Communication

o Device Specialization - Physiological Monitor

o Device specialization – Ventilator

- Cycle 8 Potentially Activated Work Items

o Location Services

o Device Management Communication

PID Credibility (Showcase Related) (30 min)

- Relationships with administratives systems outside PCD

- PCIM

Other SDOs, Related Work (30 min)

- Update on Continua - Paul

o Potential Collaboration on Alarms, Other

- AAMI

- FDA UDDI

Testing:

- NIST Update (30 min)

- Communication Link Failure, wireless; can this be done with aluminum foil? (15 min)

- Pre-Connectathon/Connectathon/Showcase – Lessons Learned (see TC Feb. 6) (Monroe, 30 min)

o The lack of test partners. Reference implementations or increased incentives? Simulators? Will certification lead to more rigorous Connectathon testing, will peer to peer testing remain the primary approach?

o Implications for the Profiles:

+ Device ID through the EMR or the device or through the RTLS? Device ID mapping.

- Address concerns about pasting messages into Gazelle.

Integration Statements: PC Action Item 108. (30 min)

AAMI Presentations, Demonstrations (90 min)

- Several Presentations: Axel, Ken

- Demonstrations: Existing Profiles, New Directions (Steve)

o Posters; potentially to include the West Health posters

PC, TC Co-Chairs: Elections (15 min, in early part of each meeting)

PC, TC meeting schedules

- Joint April 24; TC May 1, 22; PC May 15

- Next meetings

- Fall F2F Dates, Location

Existing PC, TC Action Items

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 Manny 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, password and phone number for each meeting is the same as for our WG meetings. These are not provided here for security reasons (this is a public Wiki page).

Monday afternoon: Pump WG: Meeting Number: 927 321 523

Tuesday morning, April 16: PC: Meeting Number: 928 726 346

Tuesday afternoon, April 16: PC: Meeting Number: 926 724 520

Wednesday morning, April 17: Joint PC, TC: Meeting Number: 926 040 631

Wednesday afternoon, April 17: TC: Meeting Number: 928 145 080

Thursday morning April 18: TC: Meeting Number: 926 131 521

Thursday afternoon April 18: TC: Meeting Number: 926 423 580

Friday morning: TC: Meeting Number: 925 025 664

Friday afternoon: TC: Meeting Number: 922 458 427

Attachments / Materials

Documents related to the meeting when established will be found at ftp://ftp.ihe.net/Patient_Care_Devices/FaceToFaceMeetings/2013-April-SanDiego-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.

The latest versions of published documents are at http://www.ihe.net/Technical_Framework/index.cfm#pcd. The list of CPs, which may, at any given time, affect a published document is at http://wiki.ihe.net/index.php?title=PCD_CP_grid

Detailed Schedule & Agenda

Tuesday

Date	Hours	Committees	Topics
Tuesday Morning 2013 April 16	08:30 - 12:15	PCD Planning Committee (PC)	08:30 Introduction - Welcome, Introductions, Agenda Review - IP Management Review IHE IP Management Process - Meeting Logistics - Review & Approve PC Agenda - Review & Approve Joint PC/TC meeting April 10 PCD PC&TC 2013-04-10 Webex 9:00 PCD Calendar Review 9:30 Greeting and Welcome from WHI CEO Nick Valeriani 10:15 Break 10:30 - Co-chair elections (15 minutes) - AAMI Demonstrations/Posters (30 minutes) - Integration Statements (30 minutes) 12:15? LUNCH - Glider Port at 12:30?
Tuesday Afternoon 2013 April 16	13:30? - 17:00?	PCD Planning Committee (PC)	13:00 Roadmap Review and Update - Are we on target for Cycle 8? - Potential Cycle 9 work? 3:00 Break 3:15 General Profile Updates (more to come in TC portions) - ACM - DEC, POI, WCM - IDCO - IPEC/PIV - PCIM - RDQ - Rosetta - DPI - MEM Whitepaper - Device Management Communications 4:30 or 5:00 Profile Versioning (30 minutes)

Wednesday

Date	Hours	Committees	Topics
Wednesday Morning 2013-04-17	08:00 - 12:30	Joint PCD Planning and Technical Committees	8:00 IHE IP Management Process 8:05 MEM Cybersecurity (Axel Wirth) 8:45 Roadmap Review and Update wrap-upRoadmap Review and Update wrap-up (Pattillo, Merritt) 9:45 Deployment Committees (Pattillo, Merritt) 10:15 Break 11:00 SDO Coordination - UDDI, AAMI - PC Action Items Meeting Dates - April, May PC, TC Meeting Schedule - Location, Dates of the Fall F2F 12:00? Adjourn PC, Lunch
Wednesday Afternoon 2013-04-17	13:00 - 17:00	PCD Technical Committee (TC) Placeholder	IHE IP Management Process 13:00 TC Welcome and Agenda Review (Garguilo/Rhoads) 13:10 Administrative issues - Review Discussion Summary Joint PC/TC Meeting April 10 PCD PC&TC 2013-04-10 Webex - Location, Dates of the Fall F2F - Elections (take office Sept. 2013) CP practices IHE International - General Board Update (TC issuess? - Cooper) Timetable - PCD Key Dates (Cycle 8) - IHE 2013 Publication Schedule [1] 1:45 CPs (new proposed) Misc Topics - Communcation Link Failures, Recovery; should this be part of TF (or Suplementals - e.g.,PIV profile) - Indicator for the clinician: device data being captured by the EHR - Should profiles include error codes (e.g., leads off)? How to develop? - … - ... 3:15 Break 3:30 Cycle 8 Work Items (including Parking lot and items proposed)(Potential) Active Items - Location Services - Device Management Communication Parking Lot - Device Point-of-care Integration (DPI) White Paper - Discovery and Association (DnA) - DPI-DR Data Reporting - Event Communication - Device Specialization - Physiological Monitor - Device specialization – Ventilator - … UCSD Supercomputer Tour

Thursday

Placeholder

Date	Hours	Committees	Topics
Thursday Morning 2013-04-18	08:30 - 12:30	PCD Technical Committee (TC)	8:30 IHE IP Management Process __ Lunch
Thursday Afternoon 2013-04-18	13:30 - 17:00	PCD Technical Committee (TC)	IHE IP Management Process

Friday

Placeholder

Date	Hours	Committees	Topics
Friday Morning 2013-04-19	08:30 - 12:30	PCD Technical Committee (TC)	IHE IP Management Process
Friday Afternoon 2013-04-19	13:30 - 15:00	PCD Technical Committee (TC)	13:30 Etc.: topic overflow time and Issues arising 14:00 Next actions planning 15:00 Adjourn

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

Note: Time slot TBD: IDCO

Participants

Tuesday, April 16

On Site:

Carlene Anteau (AwarePoint); Todd Cooper (Breakthrough Solutions); Sue-fen Cuti (Care Everywhere (Baxter); Bikram Day (Capsule); Paul Elletson (Smiths Medical); Al Engelbert (B Braun); Barrett Franklin (VA, AAMI representative); Ken Fuchs (Mindray); Emanuel Furst (Improvement Technologies); John Garguilo (NIST); Bob Gold(Philips); Jack Hoffman (B Braun); Tom Kowalczyk (Baxter); Richard Lane (West Health); Monroe Pattillo (Practical Health Interoperability); Doug Pratt (Siemens); Amnon Ptashek (West Health); John Rhoads (Philips); Paul Schluter (GE); Paul Sherman (Sherman Engineering); Greg Staudenmaier (VA); Khalid Zubaidi (CareFusion)

Remote:

Chris Courville (Epic); Steve Merritt (Baystate)

Wednesday, April 17

On Site: placeholder

On Site:

Carlene Anteau (AwarePoint); Todd Cooper (Breakthrough Solutions); Sue-fen Cuti (Care Everywhere (Baxter); Bikram Day (Capsule); Paul Elletson (Smiths Medical); Al Engelbert (B Braun); Barrett Franklin (VA, AAMI representative); Ken Fuchs (Mindray); Emanuel Furst (Improvement Technologies); John Garguilo (NIST); Bob Gold(Philips); Jack Hoffman (B Braun); Tom Kowalczyk (Baxter); Richard Lane (West Health); Jeff McGeath (AOI); Monroe Pattillo (Practical Health Interoperability); Doug Pratt (Siemens); Amnon Ptashek (West Health); John Rhoads (Philips); Jeff Rinda (Hospira); Paul Schluter (GE); Paul Sherman (Sherman Engineering); Greg Staudenmaier (VA); Khalid Zubaidi (CareFusion)

placeholder

Remote:

Chris Courville (Epic); Steve Merritt (Baystate)

Remote (morning, PC & TC):

Remote (afternoon, TC):

Thursday, April 18

On Site:

Remote:

Friday, April 19

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.

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

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: - Deferred: Joint Planning and Technical Committee April 10. Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: PCD F2F Tuesday April 16 2013 Introductions - Those present introduced themselves - Monroe reviewed the agenda for the PC and Joint PC/TC portion of the meetings. - Nick Valeriani¸CEO of West Health Institute welcomed the IHE-PCD members. He previously worked in the medical device area at Johnson and Johnson. He indicated the goal of the WHI is to lower the cost of medical care, able to do so because of the generosity of Mary and Gary West. He noted that 75% of health care cost is attributed to chronic disease and described the overall picture. He added that the organization also addresses the wireless effort of West Tech for communication to better provide care at the appropriate time. The third priority is interoperability to improve care, safety and cost. They estimate that interoperability can save $35 B a year. They are working to mobilize stakeholders, including the government, to further this effort. - Monroe led discussion of the IHE IP policy. Monroe reviewed the PCD calendar in detail and emphasized the short time remaining before publication for public comment. ______ add link _______________archive 2012 - Todd indicated that extending the pump profiles to additional pump types may be addressed through CPs rather than as new profiles or containment models. He requested an extended review, inviting external review as well as IHE PCD review. It will be issued as a supplement for trial implementation and after trial implementation will modify volume 3. The first deadline is May 20 for internal review. Co-Chair Elections: - The co-chairs encouraged members to volunteer. - Steve Merritt (PC) and John Rhoads (TC) terms expire this Fall. Jeff McGeath has volunteered for the TC. Elections will take place in August and they will take office September 1. - AAMI Demonstration - Manny summarized the New Directions/Work in Process status, with WG meetings on Fridays¸ and the more general demonstration with WG meetings on Tuesdays. He showed a picture from a past meeting and invited additional participation. He indicated that posters will be updated and new ones added. o The goal of the New Directions portion is to generate momentum for development of device condition and location services messages. - Manny to set up meetings following the AAMI meeting. Integration Statements: - Steve described the need for the IS to be current and accurate. He has two concerns: as a user needing the information and as PCD co-chair. Is the statement up to date (e.g., software version). o He asks that the statement be for a commercially available product. o Todd will seek IHE DCC lS requirements to include mandatory fields; and to address various levels of testing and utilization (e.g., certification). The product registry may lead to a listing of commercially available systems. Manny will update Commercially Available list. Roadmap (IHE-PCD_Roadmap_F2F_2013-04-16), review of 2012, updates, extensions (if no change it may not appear here): - HL7 v2.9: Remains, discussed yesterday in the Pump WG F2F. - HL7 v3 (FHIR): Remains in ITI. - Security/Privacy Guidelines, WP: Remains, with update later. - DOF: there has been no interest in testing; remains in Cycle 8. Chris Courville indicated that Epic is working on DOF. Paul noted that DOF will be essential when WCM is implemented. - RDQ: Was ADQ: Extend to Cycle 9. - Smart Alarms: Combining, prioritizing among multiple alarms vs. Derived Alarms vs. Awareness (what is currently active). Smart Alarms extended to Cycle 9. Prioritize? - IPEC: Add support for PCA, Syringe. EC will generalize IPEC beyond pumps. A CP will be written to change the name and add some examples for PCD-10. Todd will develop the CP. - Event Comm (EC): will address general events including what is now IPEC. - In PCD use Events communicate to a system, Alarms to a person, with priorities from low to high (rapid response). Discussion addressed these distinctions and in contrast, the more accurate definition of alarms as a subset of events and the optimum wording. John Rhoads cited 11073 for definition. Paul proposed Alert (commonly equivalent to Event) includes all of these: IEC Alarm High, Medium, Low Notification Multiple priorities - Alternatively, Notification could be the fourth priority of high, medium, low, notification. - Decision following extensive discussion: Monroe will write a CP to change the names, etc. of the ACM profile to Alert with the message intended for human response (various priorities) and includes physiological and technical alarms and advisories consistent with 11073. Events (Event Communication, EC) will address messages intended for other systems. Monroe will write the CP following review with clinicians. HL7 2.8: ORU R40 is for unsolicited alerts and observations for timely human or application intervention and may replicate OR1. OBX-8 will provide the distinction between alarm and advisory. - It is an open issue whether ORU 42 in HL7 2.9 will modify the above. ORU R42 is an unsolicited observation message intended to communicate ordinary behavior relevant to clinical workflow and not requiring intervention and does not require response. This will be included in Cycle 8. PCIM: Anticipated implementation and testing in Cycles 8, 9. Pumps: - Auto-programming: Cycle 8. - Pump Multi-component Admixture: Cycle 9. MEM: - Security WP – Axel will provide an update tomorrow. - MEM-DCM, RTLS: Refer to the discussion above related to the AAMI meeting demonstration. Move to Cycle 9. - Joint ITI-PCD WP: Move to parking lot with loss of ITI resources. - Device Configuration Programming: Remove. DPI-Device Point of Care Integration WP: Remains Cycle 8. Device-Device Integration: Removed. DnA, Symmetric Communication: Remains RTM: - RTM-Vent: Cycle 9. Terms moved to 10101a. - RTM-PHD: Cycle 9. Terms moved to 10101a. - RTM-Pump: Cycle 9. Terms moved to 10101a. Device Specializations: - Vent: Cycle 9 or 10. - Pumps: Cycle 8. SNOMED <--> Rosetta Equivalency Mapping: mapping along with indication of accuracy of the mapping. NIST has defined the approach, but there is a lack of resources to conduct the mapping. Continua Coordination: Paul will present update tomorrow. Add unsolicited commands. Cycle 9. Meaningful Use: Cycle 10. Coordination: - Sharp: Cycle 10. - AAMI: Continue to Cycle 9. - VA: POI: Profiled, continuing to Cycle 8. - MDICC: Continues. Quality: - EC 8001: Continue Cycle 8 (Alarm Distribution). - Alarm 60601-1-8: Continue Cycle 8 (Alarm Distribution). Decisions/Issues: Decision following extensive discussion: Monroe will write a CP to change the names, etc. of the ACM profile to Alert with the message intended for human response (various priorities) and includes physiological and technical alarms and advisories consistent with 11073. Events (Event Communication, EC) will address messages intended for other systems. Monroe will write the CP following review with clinicians. HL7 2.8: ORU R40 is for unsolicited alerts and observations for timely human or application intervention and may replicate OR1. OBX-8 will provide the distinction between alarm and advisory. Action(s): Manny to set up RTLS, DMC meetings following the AAMI meeting to capitalize on the marketing accomplished there. Improving Integration Statements: Todd will seek IHE DCC lS requirements to include mandatory fields; and to address various levels of testing and utilization (e.g., certification). The product registry may lead to a listing of commercially available systems. Manny will update Commercially Available list before AAMI. IPEC and EC: Todd will develop a CP to change the name and provide some additional changes to convert IPEC to EC. Monroe will write a CP to change the names, etc. of the ACM profile to Alert Communication Managemenbt with the messages intended for human response (various priorities) to include physiological and technical alarms and advisories (cf alarms) consistent with 11073.
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 __ PCD PC&TC 2013-04-24 Webex

Joint PC, TC ______

TC _____

PC _______