DEV Domain F2F Oct 2020 Webex

PCD Home

Paul Sherman, PCD TPM

Meeting Objectives

These face-to-face meetings have a number of objectives depending on the committees involved:

• DEV Domain level Discussions
• DEV PCD Program Discussion

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;Adjourn Joint PC&TC meeting. contribute to Connectathon test tools, tests, and procedures.

Location & General Schedule

Location:

- Virtual via Webex (Info below)

Dates

- To assist European participants, all meetings will be morning meetings, with a meeting on Friday.

the times will be 9AM EDT - 1PM EDT

Monday : Pump Working Group

Tuesday : Joint DEV Domain meeting (PCD+DPi+PCH), PCD Planning Committee

Wednesday : PCD Planning and Technical Committees

Thursday, : PCD Technical Committee

Friday, : PCD Technical Committee

The schedule is proposed; actual meeting times may change during the week.

Daily Schedule - All times Eastern Daylight Time (US)

• 09:00 - 11:00 Session #1

• 11:15 - 13:00 Session #2

Agenda Suggestions

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

From the DEV PCD PC Action Items PCD Planning Committee Action Items:

No current open Action Items

From the DEV PCD 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

202 MEMDMC CP to make PID and PV1 segments optional

Webex Support

Because of COVID-19, these meetings will be held via Webex. The links will are provided below.

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 included in the email sent to participants. These are not provided here for security reasons (this is a public Wiki page).

The IHE Webex page is [IHE Webex]

DEV PCD Meetings

- Monday, October 5: DEV PCD Pump WG: Meeting Number: 145 575 8268

- Tuesday, Oct 6: DEV Domain joint, followed by DEV PCD PC: Meeting Number: 145 230 3641

- Wednesday Oct 7: Joint DEV PCD PC&TC and TC: Meeting Number: 145 257 7058

- Thursday Oct 8: DEV PCD TC: Meeting Number: 145 546 3377

- Friday, Oct 9: DEV PCD TC: Meeting Number: 145 767 6035

PCH Meetings:

- Tuesday, Oct 6: DEV Domain joint: Meeting Number: 145 230 3641

DPi Meetings:

- Tuesday, Oct 6: DEV Domain joint: Meeting Number: 145 230 3641

Updated 8/10/2020 PRS

Attachments / Materials

Documents related to the meeting when available will be found at the [Devices Google Drive] 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

Monday, October 5 (PCD Pump Workgroup)

Date	Hours	Committees	Topics
Monday	09:00 - 1:00	PCD Pump workgroup	Morning (09:00-1:00) Introductions - Kurt Agenda review - Kurt IHE IP Management Process - Kurt 9:15 Pump Terms containment model update - 1.5hr Are all terms correct and unambiguous? Identify any missing comments/descriptions for terms. Identify any deprecated/withdrawn terms. Decision on readiness of terms for IEEE 10101b Break (10:45-11:00) PCD-10 question 1:00 > Meeting Adjournment

Tuesday Oct 6, 2020

Date	Hours	Committees	Topics
Tuesday Pt. 1	09:00 - 11:00	Joint IHE Devices (DEV) Meeting	09:00 > IHE IP Management Process (Kurt) 09:05 > Introductions and Agenda Review (Kurt and Thom) 09:20 > Welcome (15 minutes) 09:30 > Program Reports (20 minutes each) 09:30 PCD 09:50 PCH 10:10 DPI IHE International Board - Update & Feedback (Todd) Review 2020/2021 Milestones - [1] Domain Discussions Domain vs. Program decisions (Profiles, CPs, etc.) (Paul Sherman)
Break	11:00 - 11:15 AM
Tuesday Pt. 2	11:15 AM - 1:00 PM	Joint IHE Devices (DEV) Meeting Continued	11:15 > New Proposals - DPI - Medical Device Interoperability Reference Architecture (MDIRA) PCH- PCH D2C Work-item Brief Proposal [2] DEV PC Action Items: DEV PC Action Items - 002 Board Review - 003 Wiki Web Updates - 004 Finalize the DEV Cochair Leadership (PCD vs DEV TC & PC) - Call for Domain Cochairs. Put forth 2 names for the DEV Ballot Ballot currently open - results or finish vote (Michael) Proposed schedule for Spring 2021 F2F - If Virtual Tuesday AM Pump WG Wed AM PC and Joint PC/TC Thurs AM TC Friday AM Joint DEV - If Live Tuesday Pump WG Wed AM PC and Joint PC/TC Wed PM and Thurs AM TC Thurs PM Joint DEV 12:45 > Next steps and wrap up 13:00 > Adjourn Joint DEV Meeting updated 10/02/2020

Wednesday Oct 7, 2020

Quarter	Time	Lead	Agenda Items
Wednesday Pt. 1	09:00 - 11:15 AM		09:00 > Joint DEV PCD PC/TC meeting Introduction - IHE IP Management Process (5 minutes)(Kurt) - Review & Approve Joint PC&TC Agenda (Kurt) Five year plan No current plan - 2017 Roadmap - and 2011 Plan Notes Cochair Action item - 106 - Activities Promoting PCD. Location, Dates of the DEV PCD 2021 Spring F2F Continue Joint PC/TC F2f meeting? Adjourn Joint DEV PCD PC&TC meeting.
Break	11:15 - 11:30 AM
Thursday Pt. 2	11:30 AM - 1:00 PM	DEV PCD Technical Committee (TC)	11:30 > Start DEV PCD PC meeting Introduction - IHE IP Management Process (5 minutes)(Kurt) - Review & Approve PC Agenda (Kurt) General PCD Work Program Review (statuses, plans only, details during TC sessions): - ACM (Rob W for Monroe P) - MEM DMC (Rob W for Monroe P) - MEM LS (Rob W for Monroe P) - WCM (Paul Schluter) - IDCO (Paul Schluter) - RTM (Paul Schluter) - Vent (Paul Schluter) - PIV (Kurt) - IPEC (Kurt) - Pump (Kurt) - PCIM (John R) - Physio monitor (John R) - DEC General update PCD TF) (John R) DEC OPTION: FHIR (Todd C) - EC (John R) - DCM Pulse Oximetry Currently waiting for someone to take it to FT. - Review current Action Item: PCD Planning Committee Action Items: None as of 9/30/2020 Adjourn Planning Committee meeting Updated 10/02/2020 PRS

Thursday Oct 8, 2020

Quarter	Time	Lead	Agenda Items
Thursday Pt. 1	09:00 - 11:00 AM		09:00 > COpen DEV PCD Technical Committee (TC) TC Welcome and Agenda Review (Tom Kowalczyk) Announcement – Decision Making meeting (TC Co-Chairs) DEV PCD Program review: ACM (Monroe P) MEM DMC (Monroe P) MEM LS (Monroe P) DEC (John R) EC (John R) PIV (Kurt) IPEC (Kurt) Pump (Kurt) DPI (John R) Physio monitor (John R) PCIM (John R) Vent (Paul Schluter) IDCO (Alexander Kraus) RTM (Paul Schluter) Quiet Hospital
Break	11:00 - 11:15 AM
Thursday, Pt. 2	11:15 AM - 1:00 PM	DEV PCD Technical Committee (TC)	11:15 > Continued topic discussions PCD 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 202 MEMDMC CP to make PID and PV1 segments optional

Friday, Oct 9, 2020

Quarter	Time	Lead	Agenda Items
Friday Pt. 1	09:00 - 11:00 AM		09:00 > Additional Topics
Break	11:00 - 11:15 AM
Friday, Pt. 2	11:15 AM - 1:00 PM	DEV PCD Technical Committee (TC)	11:15 > Continued topic discussions F2F Action Review (from this week) - DEV - PCD Program If approved, schedules for Spring 2021 F2F - If Virtual Tuesday AM Pump WG Wed AM PC Thurs AM TC Friday AM Joint DEV - If Live Tuesday Pump WG Wed AM PC Wed PM and Thurs AM TC Thurs PM Joint DEV PC New Action Item - Incorporate EC work and guidance into TF Volume 2. Owner: John Rhoads Five Year Plan - Do we still need it? Review at next PC meeting. Next F2F - Week of April 26, 2021 Plan on virtual, hope for F2F TC > TC Meeting Wrap up and Adjournment (Fournier)

Note: Time slot TBD: IDCO

Participants

Monday Oct 5

Chair: Kurt Elliason (Smiths Medical)

Participants: Al Engelbert (BBraun), Ali Nakoulima (Cerner), Brian Witkowski (BBraun), Christophe Fournier (Fresenius), Jeff Rinda (Interoperability Solutions), Marufur Rahmen (ICU), Paul Schluter (CMI), Tom Kowalczyk (BBraun)

Tuesday, Oct 6

Chair: Kurt Elliason (Smiths Medical)

Participants: Jacob Anderson, Todd Cooper, Kurt Elliason, Al Engelbert, Thom Erickson, Javier Espina, Michael Faughn, Christophe Fournier, Ken Fuchs, John Garguilo, Timon Grob, Jorn, Mike Kirwan, Tom Kowalczyk, Koichiro Matsumoto, Eric Moll, Monroe Pattillo, Dalibor Pokrajac, Marufar Rahman, Martin Rosner, Stefan Schlicting, Paul Schluter, Paul Sherman, Rob Wilder, Brian Witkowski

Wednesday, Oct 7

Chair: Kurt Elliason (Smiths Medical)

Participants: Kurt Elliason, Al Engelbert, Javier Espina, Michael Faughn, Christophe Fournier, Mike Kirwan, Tom Kowalczyk, Monroe Pattillo, Dalibor Pokrajac, Marufar Rahman, Stefan Schlicting, Paul Schluter, Paul Sherman, Rob Wilder, Brian Witkowski

Thursday, Oct 8

Chair:

Participants:

Friday, Oct 9

Chair:

Participants:

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 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	Pump Terms containment model update	Status/Discussion: https://docs.google.com/spreadsheets/d/1rN5x8Uhlj6s8qIoExzaS1EyfrpgfvCZt/edit Comments added to Review Comments tab in spreadsheet Identified some missing terms/descriptions. Deprecated/to be withdrawn terms have been removed from Model already, Brian has a list that has been added to spreadsheet as new tab Deprecated terms needs to be reviewed by everyone, need to add replacement terms for each deprecated term. Decision on readiness of terms for IEEE 10101b - getting closer, still need to finish a few updates based on questions/comments.
3	PCD-10 question Flush event	Status/Discussion: PCD-10 question on Flush event, MDC_EVT_STAT_LINE_FLUSH. IPEC has very specific events defined, this could be a PCD-01 event but would not be a PCD-10 event.
5	Next meeting	Status/Discussion: Decided to hold next pump WG meeting on Oct 26th, will cancel Oct 12th. Brian working on FHIR based approach to programming pumps - will add to agenda for discussion on the 26th Christophe will prepare some examples of messages using the Model for review on the 26th. Pump WG F2F meeting adjourned at 10:30 Action(s): See above

Tuesday DEV Domain Meeting Summary

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Kurt Elliason 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:
3	Agenda Items -	Status/Discussion: 09:05 > Introductions and Agenda Review (Kurt and Thom) Program Reports PCD - Quiet Hospital (Rob) Constant progress, discussing some changes, esp with ACM. Some changes underway. Lot of Definition progress. Word is getting out very well via a HIMSS video. Pla to have presentations witrh SDPi and ACM included at the HIMSS Showcase. - Pumps (Brian) Terminology updating underway. Formalizing new termss and cleaning up existing terms. New spreadsheet with containment model hierarchy. Michael Faughn asking a lot of good questions. Hope to get it out for review and then inclusion in 10101b. PCH (Thom) - Slide deck on Google Drive. - Promotional Activities – Blog series came out. Participated in FHIR Dev Days, will join the November session as well. IHE Webinar, video on Youtube. Participated in HIMSS Europe 2020. - Preparing Program Value proposition for customers. - Working with IEEE-PHD to simplify the information model. Working on 2nd draft – will have BT info to develop a generic sensor profile. Close to BARB (Bluetooth Architecture Review Board) review. - D2C constrained Implementation (Brief Proposal prepared to vote on today) - Mobile Health Apps – styill in queue - Test and Tools – Gazelles, POU Profiles and Remote Testing capabilities. - Project Gemini Participation – Info in slides. - PCHA Code report – Goal to connect any medical devices to any EMR. - Surveyed builders – Got to 300-400 people, will wrap up in a couple of weeks. 10:10 DPI (Ken) - Had about 2-3 meetings focused on Brief Profile Proposal. Still getting organized and moving forward. Review 2020/2021 Milestones - [3] 2020 – TF in final stages, will be published soon 2021 – Looking format similar to ITI, rather than hard dates, would make us more nimble. Monroe – need to check with Mary on how it will affect her workload. DEV Cochairs will take this forward as an ‘’’Action Item’’’ Domain Discussions Domain vs. Program decisions (Profiles, CPs, etc.) (Paul Sherman) - Thom – Do things at the program level as much as possible. Rob – CPs at program level, but communicate at Domain level. Quiet Hospital is a good example PCD work that affects DPi is a good example. Unless it’s at the governance level, we may not need Domain action. Rob will assemble some notes for review at DEV Cochairs ’’’Action Item’’’ New Proposals - DPI - Medical Device Interoperability Reference Architecture (MDIRA) (Todd) Been circulated within Dpi and DEV for review. A 10 year journey to get here. How to leverage existing standards to create a DEV Porofile (Add transactions and Actors). MDIRA leverages existing ICE work. Talk about data logger – how will we get the data out of the logger? No guidance on that yet. Dialysis is using the HL7 v2 ‘Batch’ function – it works very well. There is a lot of work available that can help. Are there actual devices that are using or planning on using this? Yes, it’s a DoD funded project; there is a pump and couple of monitors that are using it. 2-3 pump companies are preparing to implement it. The plan is to have it open source. Big question – is this addressing problems already solved? It is focused on solutions that provide value. Todd displayed MDIRA website and link. Discussed process, monetization and open source nature of the product. Motion proposed (Christophe), Second (Rob) – approved. - PCH D2C Work-item Brief Proposal [4] (Thom and Michael) Figure out to have a small device send info in a low coverage area without the battery running down fast. Touches on a number of standards for leverage. Proposal voted on and approved. Discussion of process for detailed proposal. Can be close to TI or just a bit more detailed. Other members will help with that work. - Motions will be posted on the meeting folder and the current cycle folder. DEV PC Action Items: DEV PC Action Items - 002 Board Review - 003 Wiki Web Updates Todd has some more to do yet, re-open and set to Oct 27 - 004 Finalize the DEV Cochair Leadership (PCD vs DEV TC & PC) - Call for Domain Cochairs. Put forth 2 names for the DEV Ballot. Closed, slate approved Paul and Michael will formalize IHE notification. Proposed schedule for Spring 2021 F2F - Propose April for meeting month. Not week of - Discussion regarding virtual vs. F2F, a lot depends on HIMSS support commitment. Concerns about HIMSS support coordination. - Will - If Virtual Monday Pump WG Tues PCD PC Wed Joint PC/TC and TC Thurs TC Friday Joint DEV - If Live Tuesday Pump WG Wed AM PC and Joint PC/TC Wed PM and Thurs AM TC Thurs PM Joint DEV Discussion of HIMSS conference and Use Case presentations. - Rob discussed their recent experience with the virtual showcase. Discussion on process and plans for the August HIMSS conference Showcase. IHE International Board - Update & Feedback (Todd) - January – update on Global Consortium at ONC conference. HL7, HIMSS, PCH Alliance and IHE pledge to cooperate. Consortium formed and will start to leverage strength. May hear some noise about IHE and FHIR ‘taking over the world’; not the case, taking advantage our work and support it. Work and coordination, specs, testing happens in IHE (Gemini Project), Consortium is interested in promoting and encouraging work forward and creating publicity and awareness. Is it all about FHIR? There was a lot of discussion. HL7 is highly focused on FHIR, though most work is in V2. - Membership is strong, a lot due to DEV. - IHE Europe Connectathon is virtualized (early November) Cost is about the same due to platform work. Plugathon coming up as well. Plan to leverage this work for the NA Connectathon. NA Connectathon is rescheduled for March now. Showcase will be part of August HIMSS conference. Any details on when we’ll get info on the NA Connectathon? Likely nothing until after the European Connectathon. - Discussion of Showcase presentations and virtual vs. live. Cost estimates? Tom: Took 5 months to prep, physical device expenses, software costs were minimal. May be an advantage to prep for virtual; live conversion costs wouldn’t be overwhelming. Getinge sponsored a lot of the work, so those expenses were minimized. More support from HIMSS would help this a lot. It’s easier to pivot from virtual to F2F vs. the other direction. Do we, or can we assemble a ‘lesson learned’ document to take back to IHE and HIMSS – Tom and Todd will work on it. ‘’’DEV Action Item’’’ Review at DEV Leadership call Oct 27. - Role of IHE with other orgs – Making slow but consistent progress. Seems to be at a good pace. Project Gemini components are easier to understand than prior efforts. Confluence helps, Rob recommends we adopt it. ONC funded project to get IHE published same level as HL7, making progress, though still heavily FHIR focused. Github discussion: Make sure which CPs need integrated to Github. John R – Cps Draft 2020 TF prep. Make a DEV Committee ‘’’Action Item’’’, due Oct 28. Next steps and wrap up Milestone process review Proposals distributed as needed to proceed, plus confirm Milestones dates. Spring meeting – assume virtual, select April dates after week of 5th. Send final list of Cochairs to IHE. DEV Cochairs – virtual vs. live Showcase Github update > Adjourn Joint DEV Meeting Decisions/Issues: New Proposals DPI - Medical Device Interoperability Reference Architecture (MDIRA) Approved PCH D2C Work-item Brief Proposal [5] Approved Action(s): Milestone process review Proposals distributed as needed to proceed, plus confirm Milestones dates. Spring meeting – assume virtual, select April dates after week of 5th. Send final list of Cochairs to IHE. DEV Cochairs – virtual vs. live Showcase Github update

Wednesday DEV PCD PC Meeting Summary

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Kurt Elliason 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: General PCD Work Program Review (statuses, plans only, details during TC sessions): - ACM (Rob W and Monroe P) Rather quiet, most work associated with Quiet Hospital. Reviewing a couple of Cps, another may be created. One is addressing some PCD-05 updates. Likely 3 Cps before CN, focus on PCD-05 content; CN testing showed some enhancements were needed. Found some HL7 non-compliance. NIST tool looks for some content and format, but not specific content. Market penetration is increasing, some Non IHE vendors asked Rob if SPOK was compliant. - MEM DMC (Monroe P) No new major activities, mostly nomenclature, which didn’t affect TI. Getting some interest in this profile. - MEM LS (Monroe P) No new major activities, mostly nomenclature, which didn’t affect TI. IEEE still planning to use HL7 for upper communication layer. IEEE wants to know who to contact for agreeing to them using it. Todd may be a good source to check. Dalibor will check with him. John R. - There may be a copyright acknowledgement needed, check with Todd or Mary Jungers. - WCM (Paul Schluter) Nothing major. - IDCO (Paul Schluter) Very good progress. Close to drafting text. Many hope to attend NA Connectathon. - RTM (Paul Schluter) Very good pump term progress, due to Brians updates. Once finalized can add codes to them and MEMDMC terms. Dialysis is in very good shape, a full profile. Includes TF and master spreadsheet with all needed terms, trees, models, etc. Includes six major vendors. Once pumps and dialysis done, can have a balloit. - Vent (Paul Schluter) Working with Getinge on their products. Also working on vent modes, can include ISO 223 mode strings. - PIV (Kurt) No major changes this cycle. CP to clean up some terms - IPEC (Kurt) FT, no changes - Pump (Kurt) Finalizing terms, pretty stable otherwise. - PCIM (John R) Dormant for a while, but coming back to life. A couple of vendors are interested. Some of the original members have moved on, hope some new staff there may be interested. Unlike other work, very like FHIR work, so may be a better fit. V2 query handling is ugly, FHIR handles them much better. - Physio monitor (John R) VERY stable – solid foundation laid 2004-006. Very good fit, haven’t needed to modify it much. Could work on V3 for data management. Some FHIR work; won’t replace V2, but once data is in the ecosystem, FHIR can help enable distribution. - DEC General update PCD TF) (John R) - Some DEC OPTION: FHIR (Todd C) - Bridging HL7 to IHE. Lot of work by Moerkhe and others to provide FHIR equivalence. - EC (John R) Event Communication – Generalized framework for dealing with events. Much of it is addressed in other Profiles, especially ACM. Generalized for none Alert info, can use ACM infrastructure. IPEC is specialized EC, prototype for EC. MEMDMC provides device focused events. We are good at consistent implementation in those Profiles, this is available for other use. Tom – Is there a need for generic EC? Can John’s comments be put in V2 to address it? A White Paper would have limited exposure. Paul Sc - 10101B nails it an intermediate level. John will draft it as an addition to the TF and send out for review and input. new Action Item - DCM Pulse Oximetry Currently waiting for someone to take it to FT. PCD determined that originator prepares FT. It’s tested, so ready, but the creators haven’t been interested doing the work so far. John will help as bandwidth allows, which it hasn’t. Others are welcome to help as well. Remains on the To Do list. Michael Faughn has made great containment tool progress. Smaller step to get the semantics readable. - Review current Action Item: PCD Planning Committee Action Items: None as of 9/30/2020 10:30 - Adjourn Planning Committee meeting Decisions/Issues: Action(s): New Action Item - Incorporate EC work and guidance into TF Volume 2. Owner: John Rhoads

Wednesday Joint PCD PC&TC Meeting Summary

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion:	IHE IP Management Process Action(s):
2	Discussion Summary - Chair	Status/Discussion:	- Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion:	Five year plan No current plan - 2017 Roadmap - and 2011 Plan Notes - Need to move links to Google Drive - Nothing past 2020/2021 cycle. Does it serve a purpose? Is this an IHE requirement? Check the IHE for Domain requirements. If not, we could eliminate it. Also check with other programs to see if they want to continue with it. It did serve a good purpose originally. Can this be merged into other resources. We have an updated document. It is useful for showing plans to member organizations and sponsors. - Add for ACM – Rationalize 60601 rules, address nomenclature - Discuss at next PC meetings - Paul will share the document with everyone. Cochair Action item - 106 - Activities Promoting PCD. The Showcase video and This is ‘IHE webinar’. Todd may have a couple of DPI activities. Location, Dates of the DEV PCD 2021 Spring F2F Probably virtual, not the week of April 5. Shoot for week of 26th. May be able to adjust dates and length after this session. Do we continue this meeting? Stop for next F2F meeting and review. 9:40 - Adjourn Joint DEV PCD PC&TC meeting. Decisions/Issues: Action(s):

Thursday/Friday PCD TC Meeting Summary

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion:	Decisions/Issues: Agenda approved Meeting concluded on Thursday Action(s):
2	Discussion Summary - Chair	Status/Discussion:	Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion:	DEV PCD Program review: ACM (Monroe P) - Getting PCD-05 into HL7 2.8.2 conformance. Need an MSA statement, will have a CP. Next is a transaction resolution from the last CN. Third CP address OBRs 3 and 29. Want value into 29, except for 1st component. Makes alert onset doesn’t need what’s in 29 or 3 – will resolve the conflict. May also change some TF semantic change due to feedback. Will discuss in workgroup – mostly to clarify for new participants. Could add descriptions in the test case. John G – context based can have a pre-existing data. That can be built into NIST Tool let him or Nicholas know when they will discuss it in the ACM meeting. They can adjust the tool to provide context. If it feeds into OBR 3 and 29, they can check the content. TCAMPT can let them constrain the test to comply. Rob has samples to review at next meeting. 4PM Eastern next week. MEM DMC and MEM LS (Monroe P) - Next release of 10101b includes some MEM nomenclature. Both at TI status; until we get more participants to test, they aren’t comfortable sending to FT. Been tested for more than three years, but will be at least 2022 to submit. MEMDMC – do we have enough actors? We need more consumers, have enough reporters; one more would be good, a CMMS would help a lot. MEMLS has enough consumers, but not enough reporters, including different technologies. DEC, Physio monitor, PCIM and EC (John R) - Mostly covered at Planning meeting. Fundamentally stable. Have an action item to revisit DEC hierarchy and amplify it for new implementers, not very major PIV (Kurt) - Not much new. Some tweaking to get everything to match. It’s pretty stable. Working on PCA programming. Will TF have changes – mostly to clarify values and intent, no process changes. IPEC and Pump (Kurt) - Lot of term work. Kurt displayed the spreadsheet they’ve worked on this cycle and highlighted the changes. Brian added examples to the document. Plan to wrap it up in the next two meetings and get it to Paul Schluter. Paul Sc – lets him release the MEM terms as well. Are the REFIDs finalized? Pretty much, some are ‘temporary’, but once set to provisional and sent to Michael Faughn they will be permanent and inviolable. Pump (Kurt)+ DPI (Todd, Stefan) - A lot going on and a lot still to be done. Strategy of Germini has proven very helpful, helps keep both leaderships informed, Confluence enables that, plus IHE Webex and other tools help. Key focus areas: Getting supplement done, plugathon/connectathon work. SDPi will be part of European Plugathon - will test remote testing. Have SASMDI technical report underway, was slow because of time, should speed up soon. Will be discussed in Europe nexr month. Will work on Detailed Profile Proposal. Is there a time limit? Not really. Vent, IDCO, RTM, Dialysis (Paul Schluter) - Presentation provided. - A lot of work is done. Getinge has new terms for vents but a lot of provisional codes assigned. It’s the last step before becoming a standard. Other device categories not solid enough yet for provisional terms. Pumps almost ready. Dialysis is pretty much done, has a call at 10AM to work on that. Nurse call and Bed management – waiting for increased vendor participation. Their participation will also help the MEM Profiles. Monroe – don’t wait for Nurse call and Bed management slow the existing terms down. ISO 19223 is standardizing vent mode, this can help standardize the user facing display. - Dialysis – they’ve struggled in the past using HL7. Lately, they’ve revisited it in the last couple of years and have made great progress using IHE messaging. Have a solid ‘’TF’’ assembled, which will be sent out for review by about 30 vendors and user companies. It’s very solid. Showed some examples and highlighted messages and strings. Want to get the ISO 19223 string well defined. Brings up some questions – some want 1-1 mapping both directions. SNOMED is working on terms as well. John G – Have settings with these settings – would it always defined in RTMMS, or in implementation guides? Generally in implementation guides. Can be different validation levels, which will be testable by NIST. Will each mde have specific rules stored as a Profile or device specialization. Could be stored as a containment tree. The standard will publish the the supported strings. All IEEE values will be listed. Paul displayed vent mode listand discussed it’s use. Do these need to be translated into REFIDS? Yes and it’s been done. This could be useful for MEM as well, very useful for off-line analysis. Wanted to gather many readings and send together, rather than sending each as a seperate message. Monroe pointed out a solution a few months ago, the BATCH message. They are using it for Dialysis, could be used for many Profiles. No need for any new actors. Some discussion of solicited vs. unsolicited messages. Dialysis really wants to use it. It won’t be used in a CN soon. John G – If this is important add ‘should’ to the submission, it helps NIST justify the inclusion. IDCO (Paul Schluter for Alexander Kraus) - Been doing a lot of work. Ready for major publication. They want to participate in the next NA CN. They’re ready to start testing. Working on use cases. Dialysis (Paul Schluter) - Have two CPs underway for new events. One can be in ACM. Some of their work is very similar to WCM annotation. Have examples of the types of relevant events. Includes a ‘continue’ function, some wouldn’t arise to the level of an ACM event. Tooling (Michael F) - Presentation on Google drive. RTMMS update - Why? Looks good but messy underneath. Showed how it will be. Will map terms and improve user interface, with a mechanism to introduce new terms. Rosetta term profiles will be able to drive NIST test tooling. Should help create conformant profiles. Finished migrating and merging RTMMS V1 and 10101-2019 into V3. Profiling tools have started working. Described the reference site and demonstrated it. Looking for feedback on how useful it is and how to make it more useful. The public version has some issues, they will migrate it to a newer server with a newer Ubuntu version. If you want to test V2, let him know and he'll give you access. Containment Profiles: Brian Witkowski has done a lot of pump work. Reviewed what they are. It will be computable. Using the term boosts inclusion in 10101. provides high level/abstract device description and can drive the test tools. Will ordering be in a published schema? Generally, no - for example a monitor will send 200 readings, order isn't needed. If order is needed, can use the Facet level, which resolves order-related issues. Some discussion of how needed ordering is for different Domains and types of systems and that feasibility, especially regarding differing standards. May need mapping to transform this into other Domains. Versioning - How we version things is a bit tricky. V2 Roadmap - Improve RTM tool and ref site interface, extensions for source/event pairs, RTMMMS web services and term management for SDO users. John G Working on integrating the two profiling tools. With these tools, it would help for each workgroup to have a super-user to go into IGAMPT and TGAMPT and review them for their use. John: Metric hanging off an MDS? If omitted, we have a mechanism to insert them, very rigorous. Need to get on workgroup calls to work this out. What do we call a 'metric' when it's not really a metric? Things aren't always clear, choose something and go ahead. Quiet Hospital (Rob) - Pretty well covered. If you’re an AR vendor and interested, watch the PCD-05 work being done PCD TC Action item review [TC Action items] 196 Add PCD specific values to HL7 table 78 - No update. Move to February. 200 MDS and VMD Requirements - Should be resolved with Pump group and work with Michael Faughn. Move out to January call. 201 Pump utilization - publicizing. Pretty stagnant, close. 202 MEMDMC CP to make PID and PV1 segments optional - In HL7 queue, move to February, after HL7 meeting. IHE Board meeting summary (Todd) - Pretty stable financially, had a recent boost in revenue. A lot of national/international engagement on testing with WHO, etc. A lot of discussion on adding value to IHE IP and assets. How to make that info solid and add value; went well until money came up. One idea - a "Connectathon Seal" which seems to help in Japan. Discussed Product Registry issues, it's a challenge to add to it. They discussed IHE certified Professional - Monroe looked at it, shallow knowledge of all domains, not much use to any customers. F2F Action Review (from this week) - DEV - PCD Program If approved, schedules for Spring 2021 F2F - If Virtual Tuesday AM Pump WG Wed AM PC Thurs AM TC Friday AM Joint DEV - If Live Tuesday Pump WG Wed AM PC Wed PM and Thurs AM TC Thurs PM Joint DEV PC New Action Item - Incorporate EC work and guidance into TF Volume 2. Owner: John Rhoads Five Year Plan - Do we still need it? Review at next PC meeting. Review live vs video demo for HIMSS Showcase. - Plan for video/virtual vs. plan for live or vice versa. Tom will gather info from his team and send to Todd to take to board. Next F2F - Week of April 26, 2021 Plan on virtual, hope for F2F TC Monroe moved to close meeting, Christophe second Closed at 1300 Thursday Decisions/Issues: Action(s):

Action Items - PCD PC

The Action Items that follow and approved in subsequent committee meetings will be added to the committee Action Item page.

New Action Item - Incorporate EC work and guidance into TF Volume 2. Owner: John Rhoads

Five Year Plan - Do we still need it? Review at next PC meeting.

Next F2F -

• Week of April 26, 2021
• Plan on virtual, hope for F2F

Action Items - PCD 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

DEV Domain Meeting: Oct 28, 2020 DEV Joint 2020-10-28 Webex

Technical Committee: Nov 4, 2020 PCD TC 2020-11-04 Webex

Planning Committee: Oct 13, 2020, PCD PC 2020-10-13 Webex

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