PCD DPI 2008-10-23 to 24 F2F

Meeting Objectives

Immediately following the IHE PCD Planning & Technical F2F meetings in Boston, the Device Point-of-care Integration (DPI) WG will aim to:

• Finalize the core content of the DPI White Paper
• Finalize the DPI profiles to be pursued during the PCD Cycle 4 Development
• Coordinate with the CIMIT/MDPnP & ASTM "ICE" project teams.

Preliminary Schedule

Date	Hours	Committees	Topics
2008.10.23	13:00 - 17:00	PCD DPI WG	<see below>
2008.10.24	08:00 - 17:00	DPI WG & CIMIT/MDPnP + ASTM "ICE" Teams	<see below>

Location Information

• Thursday afternoon (immediately following the IHE PCD TC F2F):

Technology in Medicine, Inc.

325 Hopping Brook Road

Holliston, MA 01746

(508) 893-9500

More detailed location information is available on the TiM web site.

• Friday (all day)

Center for Integration of Medicine & Innovative Technology (CIMIT)

Partners Research Building

65 Landsdowne Street

Cambridge, MA 02139

More detailed directions to CIMIT Landsdowne are on the IHE PCD ftp site.

There is also a document with hotels near CIMIT Landsdowne.

NOTE: The morning commute from Holliston to Cambridge (if you are spending the night in a hotel near Technology in Medicine), can run 75 - 90 minutes ... !!!

Preliminary Agenda Topics

Agenda Suggestions Welcome; please add them here... The following are not in schedule order

Thursday Afternoon

• Review Agenda & Participation
• DEC & DPI (deferred from A.M. sessions)

- Enterprise vs. PoC Architectural Definitions

- Query Bulk Data (a.k.a. Archival...)

• Review minutes from 2008.10.17
• PnP => DPI Profile History

- Review of 2007 PnP Detailed Profile Proposal / Supplement Review

- Review current DPI activities

• Review DPI Scope

- Are all DPI interfaces PnP - with a single mechanism?

- Does this include / exclude WAN connections (such as HITSP RMON)?

• Review DPI Decisions List
• Review Current Use Cases

- From 2007 PnP Supplement

- Infusion Pump Symmetric Comm

- Infusion Pump Wireless

- Additional Proposals

• ASTM "ICE" Review (prep for Friday)

- Use Cases

- Conceptual Model

- Requirements

Friday @ CIMIT

• Introductions & Organizational Representation
• Agenda Review
• IHE PCD Update (current & next cycle activities)
• Coordination with "ICE" use cases & conceptual architecture & requirements

- Overview of current ICE ballot document & related activities (Goldman)

- Use Case Mapping to Conceptual Model Examples (Rausch)

• ICE Use Case Modeling - Wittenber Review (action item from FDA 2008.03.25 meeting)
• Business Value Propositions & Planning

- MD FIRE Update

- Vendor Propositions

• DPI White Paper - Outline & Profile Proposal
• DPI Multi-Cycle Roadmap / Milestones Planning

- Profile Roadmap

- Cycle Proposals

- Related Workproducts (incl. open source, tooling, ...)

• Review profiling proposals for the HIMSS '09 IHE Showcase "New Directions" Section
• State-aware Transaction Profiles Update
• Control Semantics Model (Wittenber)
• Meeting Scheduling (WebEx, F2F, ...)
• Adjourn

Attachments / Materials

• IHE PCD Domain Architecture Model (Fuchs)

• IHE PCD 2008-2010 Work Program Overview

Minutes

Participants

Chair/Host: Todd Cooper (BSF)

Thursday afternoon, 2008.10.23

Jon Blasingame (Philips), Steve Borchers (Spacelabs), Ken Fuchs (Draeger), Julian Goldman (MDPnP), Kai Hassing (Philips), Tracy Rausch (DocBox), John Rhoads (Philips), Jeff Rinda (Hospira), Paul Schluter (GE), Rick Schrenker (Partners), Jan Wittenber (Philips)

Friday, 2008.10.24

Jon Blasingame (Philips), Steve Borchers (Spacelabs), Emily Braunstein (Draper), Ken Fuchs (Draeger), Julian Goldman (MDPnP), Jack Harrington (ACCE), Kai Hassing (Philips), Tracy Rausch (DocBox), John Rhoads (Philips), Rick Schrenker (Partners), Jan Wittenber (Philips)

Discussion

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda reviewed & approved Action(s):
2	Approval of Minutes - Chair	Status/Discussion: Decisions/Issues: Minutes from 2008.10.17 reviewed & approved Action(s):
3	PCD Application vs. Deployment Arch (w/QBD Profile) - Group	Status/Discussion: The discussion of the Query Bulk Data (QBD) profile proposal was deferred from the morning session, and set the stage for a general discussion on PCD profiles & deployment vs. application archictures. Ken Fuchs presented a diagram for the PCD Domain Enterprise vs. Point-of-Care Deployment Architecture. When considering DPI profiles, a key question for the PCD is the definition of point-of-care vs. enterprise level systems ... and systems that are a hybrid of both. General Discussion: - Jan: A different perspective (horizontal) needed to see the actual connections - Jan: What are the end-points; how many "hops" are needed? - Ken: What is a "spot check" monitor? - Todd: Consider the BCMA system & PIV profile, where the clinician enters the data at the PoC, but the processing is handled by a "5 rights" typically running on a remote application server, and then sends the PCD-03 transaction to an infusion pump server that sends the data to the pump ... next to the clinician who just scanned the bar codes and now can verify the - Ken/Jan: Device may have multiple simultaneous conversations Definition of Enterprise? - Not 1:1 device to application - Application 1:n patients / care contexts - Application 1:n devices - Not 1st device link Decisions/Issues: Action(s):
4	... - Group	Status/Discussion: Decisions/Issues: Action(s):
5	... - Group	Status/Discussion: Decisions/Issues: Action(s):
6	... - Group	Status/Discussion: Decisions/Issues: Action(s):
7	... - Group	Status/Discussion: Decisions/Issues: Action(s):
8	Next Meeting - Chair	Status/Discussion: Decisions/Issues: Next meeting is TBD. Action(s):

PCD Home