Difference between revisions of "PCD PC&TC 2008-09-22 Webex"

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''This meeting replaces individual PC and TC meetings of September 17 and 24''
 
''This meeting replaces individual PC and TC meetings of September 17 and 24''
 
  
 
== Meeting Purpose ==
 
== Meeting Purpose ==
Line 10: Line 9:
 
Date: Monday, September 22, 2008  
 
Date: Monday, September 22, 2008  
  
Time: _______, Eastern Time (New York )  
+
Time: 2 pm, Eastern Time (New York )  
  
 
Duration: 60 Minutes
 
Duration: 60 Minutes
Line 17: Line 16:
  
 
'''Preliminary'''
 
'''Preliminary'''
:1 Summary and discussion of the Vancouver meetings the week of September 15.
+
:1 Summary and discussion of last week's meetings:
 +
::* Vancouver Joint ISO / IEEE / HL7 11073
 +
::* CIMIT/"ICE" Meetings
 
:2 Plan the F2F meeting
 
:2 Plan the F2F meeting
 
:3 Update on Brief Profile Proposals:
 
:3 Update on Brief Profile Proposals:
Line 23: Line 24:
 
::* PIV Open Issues
 
::* PIV Open Issues
 
::* RTM Open Issues
 
::* RTM Open Issues
 +
::* MEM Status
 
::* DPI Profile Update
 
::* DPI Profile Update
 +
::: Review ITI process for white papers - Todd
 
::* WCM Profile Update "[http://wiki.ihe.net/index.php?title=PCD_Brief_Profile_Proposal_2008_WCM Waveform Communication Management]"
 
::* WCM Profile Update "[http://wiki.ihe.net/index.php?title=PCD_Brief_Profile_Proposal_2008_WCM Waveform Communication Management]"
 
::* wiki pages review
 
::* wiki pages review
Line 34: Line 37:
 
== Minutes and Action Items from Previous Meetings ==
 
== Minutes and Action Items from Previous Meetings ==
  
Minutes from previous meetings for review/approval:
+
Minutes from previous meetings for review/approval are postponed until the next meeting of the individual committees. They are available at the past meeting.
: Minutes from August 27, http://wiki.ihe.net/index.php?title=PCD_PC_2008-08-27_Webex
 
 
 
Action Items from the previous meeting:
 
 
 
:{|border="2"
 
|-
 
! width="5%"  align="center" |No.
 
! width="15%"  align="left"  |Action Item
 
! width="5%"  align="left"  |Owner
 
! width="5%  align="left"  |Participants
 
! width="10%  align="left"  |Due
 
! width="5%  align="left"  |Open/Closed
 
!              align="left"  |Description/Update
 
|-
 
| align="center" | 41
 
| Monitor FDA actions on Universal Device ID
 
| Jeff Secunda
 
|
 
| January 1, 2009
 
| Open
 
| Jeff Secunda said that the FDA will be starting a project on the UID concept.  The project will take at least 1 year.
 
 
 
|-
 
| align="center" | 44
 
| Define relationship between IEEE standards and IHE profiles; the role of the PCD in determining this relationship.
 
| Todd Cooper
 
|
 
| October 1, 2008
 
| Open
 
| Elliot arranged for Didi to forward the current HL7 draft to IEEE for review as a template. That one is complete and signatures added. This MOU addresses intellectual property exchanges. Change date to Oct. 1.
 
 
 
|-
 
| align="center" | 66
 
| Analysis of Survey Results
 
| Ray
 
|
 
| September 10, 2008
 
| Open
 
|
 
 
 
|-
 
| align="center" | 69
 
| Recruit Champions for development of Profiles, e.g., document transfer
 
| Ken
 
|
 
| October 1, 2008
 
| Open
 
| Various new profiles (DPI, WCM) as well as extensions to current profiles were discussed during the Webex.  Also the "black box" profile was brought up as a possible effort and Ken said he would look to see if we already had something in our files originally submitted by J. Harrington.
 
 
 
|-
 
| align="center" | 70
 
| Coordinate 12 lead ECG effort with Cardiology domain
 
| Ray
 
|
 
| None
 
| Open
 
| Depends upon Cardiology Domain's success in finding sponsors. Defer until Cardiology Domain has updated its workplan and additional action is required.
 
 
 
|-
 
| align="center" | 71
 
| Recruit clinicians; develop novel ways, attend to their priorities and schedules
 
| Ken, Manny
 
|
 
| None
 
| Open
 
| A few replies were recieved from Ken's email indicating nurses would not be able to participate in PC. Todd indicated that RTM ventilator WG has successfully recruited physicians. Profile development may be a reasonable initial focus for involvement and perhaps lead to further involvement in PCD. Paul had earlier suggested a booth at at ACC, other meetings. Liase with standards groups such as ASTM, professional societies.
 
 
 
|-
 
| align="center" | 72
 
| Press releases as recruiting tool
 
| Manny
 
|
 
| September 10, 2008
 
| Open
 
| Two press releases have been prepared and distributed to various organizations for distribution.
 
 
 
|-
 
| align="center" | 73
 
| How to accommodate participation of non-members
 
| Cochairs
 
|
 
| September 10, 2008
 
| Open
 
| Will address as part of a PCD Governance Document.  Action Item moved to Co-chairs for further resolution.
 
 
 
|-
 
| align="center" | 74
 
| Mapping PCD into v3 CDA with relevance to RTM
 
| Todd
 
| Peter Hendler
 
| September 10, 2008
 
| Open
 
| Todd: VA was planning to move forward about use of CDA. He will talk with James McCain. Peter: Kaiser and VA working to trade documents as part of NHIN project.
 
: Goal is to assure the appropriate set of medical device semantic components is included in the appropriate location in CDA/CCD documents and HL7 v3 nessages.
 
: Todd will Quesry the VA as to whether there is still any interest in this project.
 
: Todd will schedule a webex the end of August/early September to discuss the status of the profile proposal and identify what needs to happen to move it forward in this next cycle.
 
: Will be addressed in Vancouver meeting.
 
 
 
|-
 
| align="center" | 75
 
| Continua/IHE Communication: Learn who the point-of-contact is, what the process is.
 
| Ray
 
|
 
| September 10, 2008
 
| Closed
 
| Joyce Sensmeier is the IHE liason to Continua.
 
 
 
|-
 
| align="center" | 76
 
| Test Tooling, NIST and MWB
 
| John Garguilo
 
| Al Engelbert, Todd Cooper, Robert Flanders, John Garguilo, John Rhoads, Peter Rontey, Paul Schluter
 
| September 10, 2008
 
| Open
 
| Rob Snellick is working on this, will likely work with Pete Rontey to update the MWB and develop a strategy for testing PCD-01 RTM conformance in the 2009 Connectathon. Manny will survey participants, set up conference call with Pete for mid-August.
 
 
 
|-
 
| align="center" | 77
 
| Develop PCD Cycle 4 Profile Proposals
 
| Ray Zambuto, Ken Fuchs
 
| IHE PCD
 
| October 31, 2008
 
| Open
 
| Todd will update PCD_Profiles and related Wiki pages for use in the profile development process.
 
Todd and Ken will determine whether ITI and possibly PCC have any interest in RTLS profiling.
 
 
 
|-
 
| align="center" | 78
 
| 2009 Survey Development
 
| Ray Zambuto
 
|
 
| January 1, 2009
 
 
 
| Open
 
| Ray will add a question or two regarding the need to support web services and other service oriented architectures.
 
 
 
  
|}
+
Action Items from the previous meeting are postponed until the next meeting of the individual committees. Links to these next meetings are found at the bottom of this page.
  
 
== Participants ==
 
== Participants ==
  
'''PLACEHOLDER - These names are only placeholders'''
+
:'''Chair/Host:''' Ken Fuchs & Todd Cooper
:'''Chair/Host:''' Ken Fuchs, Draeger
 
  
: Alex Beechie, Steve Borchers, Todd Cooper, Steve Dain, Bikram Day, Al Engelbert, Robert Flanders, John Garguilo, Colin FX Garstka, John Hotchkiss, Steve Merritt, Monroe Pattillo, John Rhoads, Jeff Rinda, Paul Schluter, Jeff Secunda, Manny Furst
+
: Steve Borchers, Maria Cherkaoui, Steve Dain, Al Engelbert, Robert Flanders, Manny Furst, John Garguilo, Sandra Martinez, John Rhoads, Scott Zaffrin
  
 
== Discussion ==
 
== Discussion ==
Line 192: Line 58:
 
| '''Introductions & Agenda Review''' <br>- Chair
 
| '''Introductions & Agenda Review''' <br>- Chair
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
'''Decisions/Issues:'''
+
'''Decisions/Issues:''' Approved
  
 
'''Action(s):'''
 
'''Action(s):'''
Line 199: Line 65:
 
| '''Approval of Minutes''' <br>- Chair
 
| '''Approval of Minutes''' <br>- Chair
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
'''Decisions/Issues:'''  
+
'''Decisions/Issues:''' Postponed
  
 
'''Action(s):'''
 
'''Action(s):'''
Line 206: Line 72:
 
| '''Action Items Review''' <br>- Chair
 
| '''Action Items Review''' <br>- Chair
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:*
 
  
'''Decisions/Issues:'''
+
'''Decisions/Issues:''' Postponed
:*
 
  
 
'''Action(s):'''
 
'''Action(s):'''
Line 216: Line 80:
 
|-
 
|-
 
| align="center" | 4
 
| align="center" | 4
| '''Announcements''' <br>- Chair
+
| '''Announcements''' <br>- Manny & Todd
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:*  
+
:* F2F
:*
+
:: Thursday afternoon & Friday (2008.10.23 & 24) Added for post-F2F DPI working sessions
 +
:: Manny reminded the group that they need to indicate their intention to attend.
 +
:: Didi will join for a portion of the meeting.
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
  
Line 226: Line 92:
 
|-
 
|-
 
| align="center" | 5
 
| align="center" | 5
| '''xyz''' <br>- <lead>
+
| '''ICE Meeting Report''' <br>- Ken, Chair
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:* ...
+
:* ASTM F29 / "ICE" (Integerated Clinical Environment) Meeting, held at CIMIT 2008.08.15 - 19
 +
:* Ken Fuchs attended the meetings as a member of the ICE team; additional participants included Dr. Goldman, Rick Schrenker, Sandy Weininger (FDA via telecon), Tracy Rausch (DocBox), Dave Arnie (UofPenn), and individuals from Draeger and Draper Labs.
 +
:* Goal of the meeting was to complete a draft of the top level document for ASTM ballot in the October timeframe.
 +
:* This document makes arguments for, defines requirements of this environment, and provides a conceptual model.
 +
:* Changes in this latest draft include...
 +
::- Stronger focus on requirements
 +
::- Inclusion of an annex containing the use cases from which the requirements were derived
 +
::- Addition of a Rationale annex
 +
:* This document provides use cases and requirements that could be used in developing the PCD DPI profiles.
 +
 
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
:*
 
  
 
'''Action(s):'''
 
'''Action(s):'''
:*
 
  
 
|-
 
|-
 
| align="center" | 6
 
| align="center" | 6
| '''xyz''' <br>- <lead>
+
| '''Vancouver Meetings''' <br>- Todd
| '''Status/Discussion:'''
+
| '''Status/Discussion:''' HL7
:* ...
+
:* Joint HL7 / IEEE 11073 / ISO TC215 WG7 meetings were held in Vancouver 2008.08.14 - 19
 +
:* Joint Initiative Council ("JIC") / ISO TC215 WG9 - Forming a terminology Subcommittee. Effort will be made to ensure that medical device semantics (both 11073-1010x/11073-10201 & RTM mappings/constraints) will be factored into their activities.
 +
:* UCUM - Currently the specification is not standardized; however, it was agreed by Gunther Schadow (Regenstrief Institute; author / maintainer of UCUM), to submit it to ISO TC215 for formal standardization.
 +
:* Reviewed several potential HL7 v3 projects are being considered and should be aligned with PCD profiling activities as well:
 +
:: Mapping from 11073 Semantics => HL7 v3 RIM (esp. Clinical Statement templates)
 +
:: v3 General Observation Request/Event (joint with OO & others)
 +
:: Anesthesia Record - Joint with Anesthesia WG (GAS)
 +
:: Infusion Order Use Case - addresses verification of order - in v.3 for Point of Care. Will be discussed further at F2F.
 +
:* John, Sandra, Maria provided update on NIST Tooling:
 +
:: Terminology tooling includes checkinig of RTM constraints; a term tool would allow users to add update. NIST will develop web based application.
 +
:: Provided a tooling strategy update - from device content generated in ICS, to HL7 v.2, to Rob Snellick's tools.
 +
:: Building context (RTM criteria) files.
 +
:: Sandra provided update on ICS generator enhancements for PHR.
 +
:: An ICS Generator feedback session was held; the plan is to schedule
 +
:* Peter Hendler's work using CDA to save/store HL7 v3 information in a database (Kaiser-Permanente Project):
 +
:: They have a large number of pulmonary function tests in the database.
 +
:: This work is now being factored into the HITSP NHIN development efforts
 +
:: A new working group has also been formed based on this and other work:  RIM Based Application Architecture (RIMBAA)
 +
:* Discussions with Continua intended to lead to proposal on HITSP RMON/Interface #2.
 +
 
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
:*
 
  
 
'''Action(s):'''
 
'''Action(s):'''
:*  
+
:* (Garguilo) Provide an update at the Boston F2F
 +
:* (Garguilo) Schedule a weekly session to focus on developing & reviewing test tooling
  
 
|-
 
|-
 
| align="center" | 7
 
| align="center" | 7
| '''xyz''' <br>- <lead>
+
| '''PCD White Papers''' <br>- Todd
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:* ...
+
:* Todd suggested several possible white papers that would indicate future directions for profile development:
 +
::- Device Point-of-Care Integration Architecture
 +
::- Medical Device Semantic Architecture
 +
::- IHE PCD Regulatory Considerations
 +
:* Outlines will be presented at the F2F.
 +
:: Todd is researching the IHE process for white papers
 +
 
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
:*
 
  
 
'''Action(s):'''
 
'''Action(s):'''
:*  
+
:* (Todd) Create a wiki section for PCD white papers
 +
:* (Todd) Add Boston F2F agenda item for white paper discussion (as well as other items from the ITI TF webpages wiki page)
  
 
|-
 
|-
 
| align="center" | 8
 
| align="center" | 8
| '''xyz''' <br>- <lead>
+
| '''Connectathon / Showcase Planning''' <br>- Manny
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:* ...
+
:* Manny has sent out various e-mails to the group
 +
:* Will flesh out scenarios at the workshop end of October
 +
:* This year, PCD should be able to have most details solidified by the end of October
 +
:* This year, it will be a PCD scenario ... not the overall scenarios from previous years
 +
:* if you have been to 2 workshops in the past - you can attend "remotely" ... new wrinkle!
 +
:::- Not attending is NOT an option
 +
:* Registration?  currently have registration from B.Braun, Cardinal, Epic, Draeger, Hospira, Livedata, Philips .... (expect. GE)
 +
:* Spacelabs & Welch Allyn will not be participating this year.
 +
 
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
:*
 
  
 
'''Action(s):'''
 
'''Action(s):'''
:*
 
  
 
|-
 
|-
 
| align="center" | 9
 
| align="center" | 9
| '''xyz''' <br>- <lead>
+
| '''AHIC CDC Use Case Update''' <br>- Todd
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:* ...
+
:* Todd submitted comments from the PCD (based on a WebEx session) to the AHIC for the Common Device Connectivity (CDC) "map/gap" extension document.
 +
:* The submitted comments included a general summary from the WebEx sesison + the formal comments submitted by Respironics (Chip Furniss & Richard Roa).
 +
 
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
:*
 
  
 
'''Action(s):'''
 
'''Action(s):'''
:*
 
  
|-
 
| align="center" | n
 
| '''Next Meeting''' <br>- Chair
 
| '''Status/Discussion:'''
 
'''Decisions/Issues:'''
 
 
'''Action(s):'''
 
 
|}
 
|}
  
  
 
=== Next Meeting ===
 
=== Next Meeting ===
''Technical Committee - October 1, 2008: http://wiki.ihe.net/index.php?title=PCD_TC_2008-10-01_Webex''
+
''[[PCD_TC_2008-10-01_Webex | Technical Committee - October 1, 2008]]''
  
''Planning Committee - October 8, 2008: http://wiki.ihe.net/index.php?title=PCD_PC_2008-10-08_Webex''
+
''[[PCD_PC_2008-10-08_Webex | Planning Committee - October 8, 2008]]''
  
''<Add review line here when minutes are approved; e.g., "(Reviewed & approved by PCD RTM Vent TG 2008-04-16)">''
+
''Minutes approved by the PC on Octobler 8: [[PCD_PC_2008-10-08_Webex | Planning Committee - October 8, 2008]]''
  
 +
''Minutes approved by the TC on _______________''
  
 
[[Patient Care Device | PCD Home]]
 
[[Patient Care Device | PCD Home]]
[[Category:PCD Meeting]]
+
[[Category:PCD Meeting Archive]]

Latest revision as of 12:45, 24 January 2009

This meeting replaces individual PC and TC meetings of September 17 and 24

Meeting Purpose

Joint Meeting of the PCD Planning and Technical Committees

WebEx Information

Topic: PCD Committee Tcons

Date: Monday, September 22, 2008

Time: 2 pm, Eastern Time (New York )

Duration: 60 Minutes

Proposed Agenda

Preliminary

1 Summary and discussion of last week's meetings:
  • Vancouver Joint ISO / IEEE / HL7 11073
  • CIMIT/"ICE" Meetings
2 Plan the F2F meeting
3 Update on Brief Profile Proposals:
  • ACM Open Issues
  • PIV Open Issues
  • RTM Open Issues
  • MEM Status
  • DPI Profile Update
Review ITI process for white papers - Todd
4 Connectathon and Showcase Planning
5 AHIC "Common Device Connectivity" Public Feedback discussion
6 HITSP RMON Update
7 IHE International
8 New Business

Minutes and Action Items from Previous Meetings

Minutes from previous meetings for review/approval are postponed until the next meeting of the individual committees. They are available at the past meeting.

Action Items from the previous meeting are postponed until the next meeting of the individual committees. Links to these next meetings are found at the bottom of this page.

Participants

Chair/Host: Ken Fuchs & Todd Cooper
Steve Borchers, Maria Cherkaoui, Steve Dain, Al Engelbert, Robert Flanders, Manny Furst, John Garguilo, Sandra Martinez, John Rhoads, Scott Zaffrin

Discussion

Item Topic Discussion
1 Introductions & Agenda Review
- Chair
Status/Discussion:

Decisions/Issues: Approved

Action(s):

2 Approval of Minutes
- Chair
Status/Discussion:

Decisions/Issues: Postponed

Action(s):

3 Action Items Review
- Chair
Status/Discussion:

Decisions/Issues: Postponed

Action(s):

4 Announcements
- Manny & Todd
Status/Discussion:
  • F2F
Thursday afternoon & Friday (2008.10.23 & 24) Added for post-F2F DPI working sessions
Manny reminded the group that they need to indicate their intention to attend.
Didi will join for a portion of the meeting.

Decisions/Issues:

Action(s):

5 ICE Meeting Report
- Ken, Chair
Status/Discussion:
  • ASTM F29 / "ICE" (Integerated Clinical Environment) Meeting, held at CIMIT 2008.08.15 - 19
  • Ken Fuchs attended the meetings as a member of the ICE team; additional participants included Dr. Goldman, Rick Schrenker, Sandy Weininger (FDA via telecon), Tracy Rausch (DocBox), Dave Arnie (UofPenn), and individuals from Draeger and Draper Labs.
  • Goal of the meeting was to complete a draft of the top level document for ASTM ballot in the October timeframe.
  • This document makes arguments for, defines requirements of this environment, and provides a conceptual model.
  • Changes in this latest draft include...
- Stronger focus on requirements
- Inclusion of an annex containing the use cases from which the requirements were derived
- Addition of a Rationale annex
  • This document provides use cases and requirements that could be used in developing the PCD DPI profiles.

Decisions/Issues:

Action(s):

6 Vancouver Meetings
- Todd
Status/Discussion: HL7
  • Joint HL7 / IEEE 11073 / ISO TC215 WG7 meetings were held in Vancouver 2008.08.14 - 19
  • Joint Initiative Council ("JIC") / ISO TC215 WG9 - Forming a terminology Subcommittee. Effort will be made to ensure that medical device semantics (both 11073-1010x/11073-10201 & RTM mappings/constraints) will be factored into their activities.
  • UCUM - Currently the specification is not standardized; however, it was agreed by Gunther Schadow (Regenstrief Institute; author / maintainer of UCUM), to submit it to ISO TC215 for formal standardization.
  • Reviewed several potential HL7 v3 projects are being considered and should be aligned with PCD profiling activities as well:
Mapping from 11073 Semantics => HL7 v3 RIM (esp. Clinical Statement templates)
v3 General Observation Request/Event (joint with OO & others)
Anesthesia Record - Joint with Anesthesia WG (GAS)
Infusion Order Use Case - addresses verification of order - in v.3 for Point of Care. Will be discussed further at F2F.
  • John, Sandra, Maria provided update on NIST Tooling:
Terminology tooling includes checkinig of RTM constraints; a term tool would allow users to add update. NIST will develop web based application.
Provided a tooling strategy update - from device content generated in ICS, to HL7 v.2, to Rob Snellick's tools.
Building context (RTM criteria) files.
Sandra provided update on ICS generator enhancements for PHR.
An ICS Generator feedback session was held; the plan is to schedule
  • Peter Hendler's work using CDA to save/store HL7 v3 information in a database (Kaiser-Permanente Project):
They have a large number of pulmonary function tests in the database.
This work is now being factored into the HITSP NHIN development efforts
A new working group has also been formed based on this and other work: RIM Based Application Architecture (RIMBAA)
  • Discussions with Continua intended to lead to proposal on HITSP RMON/Interface #2.

Decisions/Issues:

Action(s):

  • (Garguilo) Provide an update at the Boston F2F
  • (Garguilo) Schedule a weekly session to focus on developing & reviewing test tooling
7 PCD White Papers
- Todd
Status/Discussion:
  • Todd suggested several possible white papers that would indicate future directions for profile development:
- Device Point-of-Care Integration Architecture
- Medical Device Semantic Architecture
- IHE PCD Regulatory Considerations
  • Outlines will be presented at the F2F.
Todd is researching the IHE process for white papers

Decisions/Issues:

Action(s):

  • (Todd) Create a wiki section for PCD white papers
  • (Todd) Add Boston F2F agenda item for white paper discussion (as well as other items from the ITI TF webpages wiki page)
8 Connectathon / Showcase Planning
- Manny
Status/Discussion:
  • Manny has sent out various e-mails to the group
  • Will flesh out scenarios at the workshop end of October
  • This year, PCD should be able to have most details solidified by the end of October
  • This year, it will be a PCD scenario ... not the overall scenarios from previous years
  • if you have been to 2 workshops in the past - you can attend "remotely" ... new wrinkle!
- Not attending is NOT an option
  • Registration? currently have registration from B.Braun, Cardinal, Epic, Draeger, Hospira, Livedata, Philips .... (expect. GE)
  • Spacelabs & Welch Allyn will not be participating this year.

Decisions/Issues:

Action(s):

9 AHIC CDC Use Case Update
- Todd
Status/Discussion:
  • Todd submitted comments from the PCD (based on a WebEx session) to the AHIC for the Common Device Connectivity (CDC) "map/gap" extension document.
  • The submitted comments included a general summary from the WebEx sesison + the formal comments submitted by Respironics (Chip Furniss & Richard Roa).

Decisions/Issues:

Action(s):


Next Meeting

Technical Committee - October 1, 2008

Planning Committee - October 8, 2008

Minutes approved by the PC on Octobler 8: Planning Committee - October 8, 2008

Minutes approved by the TC on _______________

PCD Home