PCD Cochair Closed Action Items

This page contains items closed from November 10, 2009 and later dates.

As Action Items are closed they will be moved to this page.

Action Items 55-79

Number	Action	Owner	Participants	Due Date	Status	Comments
74	Clinical Recruitment	Steve	Cochairs and PC	Open	Closed Nov. 10, 2009	Carolyn McGregor spoke with Elliot and she is interested in participating. Her interest is largely in data warehousing, and this would be a contribution to PCD. See previous meeting for more information. Monroe and Todd presented at the Canadian EMB meeting. Manny to ask Elliot if he has heard from Carolyn McGregor.
77	Monitor HITSP development of RMON and coordinate a demonstration with HITSP.	Todd	Paul	July 7, 2009	Closed Nov. 10, 2009	For earlier discussion summary see meeting of May 12. Todd plans to prepare materials to call attention to medical device communications within the revisions underway. Paul noted that PCC domain may look at sending graphical segments in RMON. Paul responded to PCC by sending information on his concept for sending short segments. The approach they are currently considering won’t work for PCD. Todd summarized yesterday’s meeting: - Device connectivity for acute care devices had been postponed until mid-July. - Todd asked John Halamka and learned that it is not clear if device connectivity is part of “meaningful use”. - CCHIT’s contract runs out in mid-November, so PCD’s interest in certification is up in the air. - Todd reviewed several presentations from the meeting. o Among next steps include determining what, if any of the original 2009 work will remain a priority for ONC. o He recommended PCD provide a position paper showing how the PCD relates to the original 2009 priorities. o Tiger team reports – the architectural team has provided a detailed description. - Todd recommended a 10-15 page paper to describe the need for device connectivity to be part of the roadmap. o There is a real chance that device connectivity won’t be a priority. o Todd will talk with Elliot to learn if the position paper is worthwhile and noted that this is required by the end of the month. He believes this is now straight forward based upon recent HITSP’s work. - ONC’s contract for HITSP is up for bid and it may not be ANSI. June 16: Todd and Paul will provide a draft message for Joyce and Lisa to send to HITSP informing them of WAN progress with Continua. See summary of PCD/Continua update below. Todd will speak with Joyce about whether a letter to HITSP referring to RMON and ARRA "meaningful use" would be helpful. Steve noted that the meainingful use definition projects 2015 for personal health record becoming an element of the definition. Meaningful Use: Todd sent response. He recommended that the timetable restore the date to 2011 rather than 2015, and included the rationale. Todd also sent Joyce a proposal for a new tiger team for medical device connectivity. Todd expressed disappointment in the low priority given to device connectivity, noting that some of the earlier, higher priority items require device profiles.
78	Continua	John	Paul	April 15, 2009	Closed Nov. 10, 2009	See May 12 meeting for earlier discussions. There’s been no opportunity to resolve apparent differences by June for HITSP. Paul said there’s been no movement on RMON in Continua. IBM is promoting web services and ASN1. It’s not likely that Continua and PCD will arrive at a single protocol by June. The positive side is that both will use RTM. One question is whether they can support complex devices such as ventilators, infusion pumps. RMON F2F takes place the week after F2F at NIST. Paul asked if anyone can join him at the Continua F2F June 8 or 9. That will precede a June Continua ballot. Ken and John are unable to attend. Ken was on a call with Continua this morning. On the call Paul provided a half hour recommendation that Continua use PCD-01. Continua is planning to use a hub and they may be open to multiple alternatives. Continua WAN Meeting Update – Paul reported that his presentation was well received and that the Continua TC is giving serious consideration to PCD-01 among several alternatives. One question is frequently raised – can CDA v3 be used? While CDA requires a larger message, this question is raised in the context of web services. Paul suggested that a light weight transport or a separation between web services discovery and communication of the message may provide a compromise. June 16: Paul is working with Continua and Continua is seriously considering PCD-01 along with web services. Todd noted this collaboration can lead to other work within and benefitting IHE (closing gaps). A decision should come out of Continua's Vancouver meeting in July. As noted above (#77) an update will be sent to HITSP. Paul reported things continue to look good. Assuming a positive outcome: Security remains to be addressed. PCD-01 is moving to final text and will need to accommodate the home gateway. Continua and PCD will need to work together, agree to the effort and result for mapping to PCD-01. PCD would likely be responsible for the validation process including RTM and RHM (hierarchy). When the parameter is unique the message will not require OBXs (20601 protocol). Continua continues to evaluate PCD-01 and web services. Assuming a positive outcome, Todd and Paul observed that we will need (1) an official announcement, and then a jointly authored letter (with PCD) to J. Halamka, HITSP, e.g., a one page letter, and (2) a public concept document to share with PCD TC. (3) A joint WG will have many technical details to address to yield an implementable solution. Manny to send Chris Carr an email re Continua/members joining IHE. Would the MOU address this? Aug. 18: Ken noted a meeting tomorrow with Lee Suprenant regarding Randy Carroll’s mapping document that requires addressing hierarchy, cardinality, nomenclature, etc. Paul noted that the issues they have are very close to the issues PCD is facing. He noted that Continua has deeper protocols than PCD at this time. Sept. 1, 2009: Ken suggested that Continua generate proposals be developed for PCD to address in a formal manner. Todd said Paul has referred to CPs that would quickly clarify some of the PCD-01 material, and that there will be an Annex requiring more effort and time. Todd believes Paul will present these requests. He noted that these will have to be transparent. Reaching out to Continua: Todd suggested this be addressed to Lisa, with copies to Elliot, Paul. He noted that Continua will develop work item proposals for adding to RTM with home health data. Sept. 8: Paul indicated that there has been good follow up, with details developed on use of RTM. The issues should be resolved in time for the Atlanta meeting. There may be some PCP issues remaining. Sept. 29: Paul indicated that he believes Continua mapping to HL7 should become publicly available for comment before being finalized. He will take this up with Randy Carroll. Todd indicated the rules need to be public, and Paul agreed and noted that exceptions should also be included.

Action Items 80-89

Number	Action	Owner	Participants	Due Date	Status	Comments
87	Recruit Vendors for Cycle 4 and HIMSS10	Manny, ACM and MEM leaders (John, Monroe, Steve)		July 7, 2009	Closed Nov. 10, 2009	Manny to call a few vendors and then follow up with cochairs to set up webinars if appropriate. Masimo and Spacelabs have confirmed their commitments. Tom Schultz and Nick Steblay indicated that as many as four companies have expressed interest in receiving the IDCO messages. Manny spoke with a number of vendors in the AAMI exhibit hall and has coordinated recruiting with Steve for MEM and will do so with Monroe and John for ACM. He suggested PCD provide webinars to recruit, orient new participants, and one for Verizon. Manny to seek an orientation / orientations for this cycle: one for newcomers, one for all (review existing work, profiles, dates). Establish one for Verizon. Manny to seek an orientation / orientations for this cycle: one for newcomers, one for all (review existing work, profiles, dates). Establish one for Verizon. Todd has spoken with Stryker about becoming directly involved and with Roche (insulin pump). Manny will talk with Ascom. Manny to follow up with Verizon and Masimo. Ken will present at Tim Gee’s connectivity meeting. Manny to follow up with Nick on EMR and other vendors he volunteered to reach out to. Aug. 18: Todd noted that the cochairs are on the hook for the AAMI article. Sept. 15: Manny to ask Cerner about their participation this year, and specifically for PIV IOP.
89	Stakeholder Survey	Ray, Manny		June 2, 2009	Closed Nov. 10, 2009; Continued in the PC	Ray and Manny updated the survey questions and sent it for PCD review. Ken reminded the group that one response was received. Manny will discuss with Ray when he returns from vacation. Following the review Ray will submit to HIMSS Analytics. Close the old (#61)and open new item with date of early June to send to HIMSS. Manny to ask Ray to submit the survey to HIMSS.Ray submitted the survey to HIMSS.

Action Items 90-99

Number	Action	Owner	Participants	Due Date	Status	Comments
94	Cycle 5				Closed November 10, 2009	Aug. 18: Domain Coordinating Committee asked which profiles would be addressed in 2010-11; the Brief Profile Proposals will be reviewed at the F2F. PCD needs to determine what the calendar should be for the Detailed and Brief Proposals. Ken will take this question to Lisa. Manny to solicit Brief Profile Proposals and refer to existing proposals that haven't been addressed. Manny to check F2F commitments – for example ID binding at point of care – Khalid offered to provide this proposal.

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