PCD PC&TC 2012 Oct. 16-19 F2F

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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 accept brief workitem/profile proposals; develop detailed workitem proposals; develop Supplements, update Profiles and the TF; contribute to Connectathon test tools, tests, and procedures.

Reminder: the Inellectual Property policy is in force, and participation counts toward voting rights.

NOTE: "Suggested Agenda Items/Topics" are developed further down the wiki page.

Location & General Schedule

Location:

Philips IntelliSpace Event Management

8051 Congress Ave

Suite 400 (fourth floor)

Boca Raton, FL 33487

Tel: 561.886.3108

Meeting in the Training Room

Monroe suggests flying into/out of Fort Lauderdale (FLL); the alternative is Palm Beach International (PBI).

Hotel

Hilton Garden Inn, 8201 Congress Avenue

$95 + tax until September 24.

www.bocaraton.stayhgi.com and request group code: PCDC or call the hotel at 561-988-6110 and request the Philips Healthcare – Patient Care Device Group Rate

Dates:

Tuesday, October 16 through TBD Wednesday: PCD Planning Committee

Wednesday, October 17 through Friday October 19 (3:30 pm): PCD Technical Committee

Wednesday, October 17 time TBD: Joint PC/TC meeting with focus on the profile proposals

Daily Schedule

08:00 - 08:30 Meet at Philips

Meeting will start promptly at 08:30 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

Attachments / Materials

PCD Schedule/Deadline Information: Patient Care Device and Domain Milestones

Documents related to the meeting when established will be found at ftp://iheyr2@ftp.ihe.net/Patient_Care_Devices/FaceToFaceMeetings/2012-October-BocaRaton unless otherwise noted. Documents are available without a password.

The Cycle 8 Brief Workitem Proposals are at ftp://ftp.ihe.net/Patient_Care_Devices/IHEPCDyr8-2013-2014/Year8-BriefProposals/.

PCD PC Action Items PCD Planning Committee Action Items. PCD TC Action Items PCD Technical Committee Action Items.

PCD PC Preliminary Agenda spreadsheet - superceded by this wiki page

Attendee list spreadsheet

Rosetta for Events and Alarms files - Schluter

Hypothetical system for PCIM Discussion - Rhoads

Device Specialization Proposal Discussion - Cooper

PCD reference data discussion presentation (esp. GForge)- Rhoads

Point-of-Care Identity Management discussion slides - Rhoads

Webex Sessions

The password for the Webex sessions is the same one used for working group meetings. It is not posted here for security reasons. Members can find the password in the PCD weekly meeting schedule. A separate Webex session will be established for the NIST Test Tool Tutorial.

Morning sessions begin 8:30 EDT, afternoon sessions begin 1:30 EDT. The NIST Tutorial is set for 11 am; when that ends the rest of the morning session will not be recorded.

Tuesday Morning Meeting Number: 929 427 512 https://himss.webex.com/himss/j.php?ED=206540642&UID=0&PW=NYTM3MjAxYjU4&RT=MiMxMQ%3D%3D

Tuesday Afternoon Meeting Number: 921 699 354 https://himss.webex.com/himss/j.php?ED=206540787&UID=0&PW=NZTRhY2E1MmFl&RT=MiMxMQ%3D%3D

Wednesday Morning Meeting Number: 926 650 765 https://himss.webex.com/himss/j.php?ED=206541827&UID=0&PW=NOGU1YjBmZWU4&RT=MiMxMQ%3D%3D

Wednesday Afternoon Meeting Number: 922 460 564 https://himss.webex.com/himss/j.php?ED=206542067&UID=0&PW=NYmM0MGYzMjlj&RT=MiMxMQ%3D%3D

Thursday Morning Meeting Number: 925 400 349 https://himss.webex.com/himss/j.php?ED=206542227&UID=0&PW=NNmYwZTdkNDcy&RT=MiMxMQ%3D%3D

Thursday 11 am EDT NIST Tool Tutorial Meeting Number: 925 660 127 https://himss.webex.com/himss/j.php?ED=206542487&UID=0&PW=NOTRkYWYwYmJi&RT=MiMxMQ%3D%3D

Thursday Afternoon Meeting Number: 926 054 100 https://himss.webex.com/himss/j.php?ED=206542592&UID=0&PW=NNDkwMmZjMDU4&RT=MiMxMQ%3D%3D

Friday Morning Meeting Number: 929 211 348 https://himss.webex.com/himss/j.php?ED=206678277&UID=0&PW=NOTc2OTRkMDJj&RT=MiMxMQ%3D%3D

Friday Afternoon Meeting Number: 920 620 935 https://himss.webex.com/himss/j.php?ED=206678342&UID=0&PW=NMjVhNGM3OWI0&RT=MiMxMQ%3D%3D

Suggested Agenda Items/Topics

Please list suggestions here:

- RTM best practice marketing PC Action Item 128

- Stakeholder survey PC Action Item 78

- AAMI Alarm Committee PC Action Item 133

- ACM publication for AAMI PC Action Item 134

- Commercially available test bed PC Action Item 137

- OIDs Update (John Garguilo) TC Action Item 82

- Po98int-of-Care Identity Management update

- Managing Document Versions - GForge and Subversion methods (John Rhoads) TC Action Item 93

- Messages Without Demographics (Jeff Rinda) TC Action Item 109

- Should we provide means for a device to query its patient?

- Managing Document Versions. (John Rhoads, Paul Schluter) TC Action Item 93

- Messages Without Demographics (?) TC Action Item 109

- Implementation Guide - Are TF Vols. II + III enough? (John Garguilo) TC Action Item 118

- NIST Test Tool Tutorial (to be recorded) for Cycle 7 IHE-PCD HL7 Pre-Connectathon tooling (Garguilo)

- Rosetta for Events and Alarms and which are associated with parameers(Schluter, Rhoads)

- More consistent time for devices (Rhoads, Garguilo, Schluter)

- WCM harmonization?

- Does the roadmap need revision?

- Infusion pump specialization

- Physiological monitor specialization

- Ventilator specialization

- How are we doing on the roadmap?

- Discussion on "visionary stuff" - what next big things should be on the roadmap?

- MCD Codes: Proposed by Terry Bettis, Others (Paul Schluter)

Detailed Schedule & Agenda

Tuesday Morning

Date	Hours	Committees	Topics
Tuesday Q1 2012-09-16	08:30 - 10:00	PCD Planning Committee (PC)	08:30 > Meeting Starts Greeting & Introductions (15 minutes) Review & Approve PC Agenda (15 minutes) Intellectual Property Policy 09:00 > Roadmap Review and Update What is next

Date	Hours	Committees	Topics
Tuesday Q2 2012-09-16	10:30 - 12:30	PCD Planning Committee (PC)	Continue Roadmap Review and Update Marketing and Communications - what is missing to educate providers/clinicians?

Tuesday Afternoon

Date	Hours	Committees	Topics
Tuesday Q3 2012-09-16	1:00 - 2:45	PCD Planning Committee (PC)	Connectathon Planning HIMSS 2012 Showcase Planning Recent Summits FDA/AAMI Interoperability FDA/AAMI/ACCE/ECRI/JCAHO Alarms AAMI/FDA Infusion Device

Date	Hours	Committees	Topics
Tuesday Q4 2012-09-16	3:15 - 5:00	PCD Planning Committee (PC)	Review Cycle 8 Brief Proposals Optimized Message Syntax - OMS DPI Device Specialization - Physiological Monitor ** Device specialization - Ventilator **

Wednesday

Date	Hours	Committees	Topics
Wednesday Q1 2012-09-17	08:30 - 10:15	PCD Planning Committee (PC)	IHE IP Management Process (5 minutes) IHE TF templates General Intro - IHE approach content pg 7, real world architecture pg 10, Content profiles relationship to our vol3 Vol 1 - Actor groupings and bindings pg 9, Appendix F Integration Statements, Commercially available?, Connectathon product version? Marketing and Communications Commercially available test bed PC Action Item 137 User Handbook v3 Stakeholder survey PC Action Item 78 RTM and DOD/VA RTM best practices marketing PC Action Item 128 ACM publication PC Action Item 134

Date	Hours	Committees	Topics
Wednesday Q2 2012-09-17	10:30 - 12:00	PCD Planning Committee (PC)	Continued carry-over from Q1 IHE Inventory of Profiles Brief Proposal Final Discussions

Date	Hours	Committees	Topics
Wednesday Q3 2012-09-17	1:30 pm - 3:00 pm	PCD Technical Committee (TC)	Greetings and Introductions (John Garguilo / John Rhoads) Patent Disclosure Process Review and Approve Agenda Federal EHR participation in IHE Connectathon (Greg Staudenmaier) (Lightning) Quick review of profiles to identify topics for deeper dives later in meeting (John Rhoads + Integration Profile Leads) DEC (Rhoads) PIV (Rinda) IPEC (Rinda) ACM (Patillo) WCM (Fuchs) RDQ (Zalinski/Rhoads) POI (Ioanna) DPI (Cooper / Garguilo) PCIM (Rhoads / Flanders) Device Specializations (Cooper)

Date	Hours	Committees	Topics
Wednesday Q4 2012-09-17	3:25 - 5:00	PCD Technical Committee (TC)	Physiological monitor specialization (Cooper) Ventilator specialization (Cooper) - More consistent time for devices (Rhoads / Schluter)

Joint PC and TC Meeting, __, 2012 PCD PC&TC 2012-09-xx Webex

Thursday

Date	Hours	Committees	Topics
Thursday Q1 2012-09-18	08:30 - 10:00	PCD Technical Committee (TC)	Review IHE International "Emerging" Strategic Plan (Cooper) ACM Topics (Patillo) Managing Document Versions - GForge and Subversion methods (John Rhoads) TC Action Item 93 How are we doing on the roadmap?(John Rhoads - from TC perspective) Discussion on "visionary stuff" - what next big things should be on the Roadmap? (John Rhoads TC perspective) Brief (New/Proposed) Profile Technical Discussions - As needed beyond PC dicussions [Year 8 Brief Profile Proposals]ftp://ftp.ihe.net/Patient_Care_Devices/IHEPCDyr8-2013-2014/Year8-BriefProposals Optimized Transactions (Ken Fuchs) Event Communication (Todd Cooper) Device Specializations (Phys. Monitor + Vent.) (Cooper) DPI - Device Profile Integration (from 2008) (Rhoads / Cooper / Garguilo)

Date	Hours	Committees	Topics
Thursday Q2 2012-09-18	10:30 - 12:00	PCD Technical Committee (TC)	NIST Test Tooling (John Garguilo) RTMMS brief update X73 DIM Work / ICSGenerator Tooling Revised Version of x73 DIM UML Model of DIM Generation of DIM Standard Generation of Device Specializations / Profiles Implementation Guides - Are TF Vol II + III enough? (Action item 118) IHE-PCD Pre-Connectathon/Connectathon Tooling Tutorial (Garguilo) IHE-PCD Tooling Tutorial @ 11 via Webex

Date	Hours	Committees	Topics
Thursday Q3 2012-09-18	1:00 - 2:45	PCD Technical Committee (TC)	Point-of-Care Identity Management update (temp if not talked in Q1)(John Rhoads / Robert Flanders) Messages Without Demographics TC Action Item 109 (Jeff Rinda) Should we provide means for a device to query its patient? (related to PCIM?) (?? / Rhoads)

Date	Hours	Committees	Topics
Thursday Q4 2012-09-18	3:15 - 5:00	PCD Technical Committee (TC)	RTM (Schluter) New Terms requested (e.g., from Terry Bettis) Rosetta for Alarms / Events (and which are associated w/ parameters)

Friday

Date	Hours	Committees	Topics
Friday Q1 2012-09-19	08:30 - 09:00	PCD Technical Committee (TC)	- IHE IP Management Process Infusion Pump Specialization (Todd Cooper / Jeff Rinda) Review Composite Infusion Pump Model (ICS Generator) Review outstanding issues with Pump Rosetta Specifications Joint White Paper w/ Pharmacy on Medication Administration

Date	Hours	Committees	Topics
Friday Q2 2012-09-19	09:10 - 10:00	PCD Technical Committee (TC)	Infusion Pumps, continued (Todd Cooper / Jeff Rinda) 1. PIV Use Case Support ... Bolus from Bag Rate Change / Titration Syringe - VTBI PCA 2. Gary Meyer's HL7 proposal for new RXV segment

Date	Hours	Committees	Topics
Friday Q3 2012-09-19	10:10 - 11:00	PCD Technical Committee (TC)	Action Item Review (Garguilo/Rhoads Meeting Review / Action Item recordation (Garguilo/Rhoads) Close Meeting (Garguilo/Rhoads)

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

Discussion Summaries

Tuesday, October 16

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Participants introduced themselves. Attendance: - Dominick Anggara, Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Ken Fuchs, Manny Furst, John Garguilo, Jeff McGeath, Steve Merritt, Monroe Pattillo, Doug Pratt, John Rhoads, Jeff Rinda, Craig Robinson, Paul Schluter, Ioana Singureanu - Co-chairs: Monroe Pattillo, Steve Merritt - Quorum: This meeting was promoted as a decision meeting. Quorum requirement (on site and via Webex (if participating) is 8; 10 are on site. Quorum requirement was met. Steve Merritt reviewed the agenda, providing details and context for each item. He noted the IHE deadlines and indicated the hope that the PCD ballot can be closed tomorrow, meeting quorum requirements. IP Patent and Disclosure Steve summarized the IP policy and remined those present of their obligations. All present represented IHE member organizations. Discussion followed about the obligations of participants who are required to notify IHE if the work in process may be impacted by a patent. Decisions/Issues: Agenda approved Action(s):
2	Agenda Items - As Noted	Status/Discussion: Tuesday Morning and Afternoon Roadmap: Monroe led discussion of the roadmap. - Discussion of the “cycles” led to acceptance of the overlap of two cycles (cycle 8 will start with the brief proposals, cycle 7 will end at the HIMSS showcase). John Garguilo noted that PCD should attempt to follow the pattern of the other domains. John Rhoads noted that PCD was in sync with the IHE milestones in this last cycle. - HL7 2.8: Monroe noted that ACM and IPEC are affected by 2.8. Todd noted that IPEC has an interest in 2.9. Todd suggested that there be a section in the TF that identifies version change impacts. ACTION ITEM: Develop a separate PCD section to identify and document the impact of HL7 version changes. - ACM PCD-05 removal in order to permit ACM going to Final Text (FT). While there are recognized values in implementing this, the issues for vendors include having to redo risk management for the device. A CP will remove it, and it will be rewritten as a supplement so that it is available when vendors want to implement it. - RDQ (Replaces ADQ): There is one RDR, one RDQ registered for the Connectathon. If tested it won’t be promoted as ready for the FT TF; it is likely to continue to evolve as well as not be sufficiently tested. - ECM (General Event Communication): The nomenclature is being developed. IPEC will remain separate. A proposal will be added – and there is a quorum on site. - DPI WP is actively in process, with re-affirmation likely. - Device Device Integration (ICE, an ASTM standard): There are numerous dependencies that indicate this should be in cycle 9. If DPI is successful in cycle 8 then this may become feasible in cycle 9. - Discovery and Association and other DPI: moved to cycle 8 from cycle 9. Device Control and Symmetric Communication remain. - RTM: The constrained value set will be incorporated in volume 3 of the FT TF. Vent terms will continue under development into cycle 9. Coordination with ISO on ventilator terminology is one desired precursor. Continua has not been enthusiastic of NIST’s participation in the PHD terms. John Garguilo noted that terms approved by standards organizations (e.g., IDCO terms) are added to the tools. Additions: Events and Alarms, RTM migration to RTMMS added to cycle 8. - Semantic Architecture (TF vol. 3) became available in cycle 7. - Device Document Template¸vol.3: removed in favor of new item addressing coordination with other IHE domains for the TF document (Technical Framework Alignment. - The new proposal Optimized Message Syntax is addressed in Cycle 9¸architecture. - Coordination: Continua is working on RESTFUL architecture and other communications (pre-hospital transport, wellness and fitness) and interested in PCD ACM. - Add message security and safety. Decisions/Issues: Action(s):

Wednesday, October 17

Wednesday Morning

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Participants introduced themselves. Attendance was the same as yesterday with the addition of Khalid Zubaidi - Dominick Anggara, Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Ken Fuchs, Manny Furst, John Garguilo, Jeff McGeath, Steve Merritt, Monroe Pattillo, Doug Pratt, John Rhoads, Jeff Rinda, Craig Robinson, Paul Schluter, Ioana Singureanu, Khalid Zubaidi - Inhel Rekik joined the morning meeting via Webex. - Co-chairs: Steve Merritt, Monroe Pattillo Decisions/Issues: Agenda approved Action(s):
2	Agenda Items - As Noted	Status/Discussion: IP Patent and Disclosure Only one person had not been present yesterday and he was familiar with the IP policy. The portion of the meeting when Inhel was present did not include IP related items. Technical Framework: Proposed Revisions provide link to draft Todd led discussion noting that the major changes are in volume 3. Volume 1: Among the items discussed: The introduction attempts to bring much of what is common that existed in all volumes. There was a suggestion that volume 1, section paragraph 1 include a reference to devices as well as information systems. Later in the document there is a reference to content profiles; the suggestion is to use “content module” as used in CDA instead. Todd described the “data binding” concept also appearing in section 10. In section 2.4 there’s a suggestion that the product implementation section be moved to the introduction. Steve noted that binding (e.g., CT) will be described in volume 1 in the section referring to groupings. Volume 2: John Rhoads noted that the security considerations have been beefed up. Ioana noted that there needs to be a distinction between systems that have patient demographics, location or those that don’t have either. This will vary by profile. The location for raising the issue is likely most appropriate in section 2, volume 1. The specific security aspects (from no risk to high risk) would be addressed in each profile. Ioana suggested that the various levels be described in one place so that there would be references to one of these in a consistent approach in each profile. Todd suggested that this be located in section 2.2 and X.5 (for each profile) and potentially in the profile level (3.Y.n). Ken noted that there are broader security issues not related to IHE. Steve raised the question of making safety a visible element in the TF. PCD will recommend a separate section. Volume 3: Todd led discussion of the PCD volume 3. Volume 3 will contain Rosetta, non-device and device content modules. Most of the existing PCD volume 3 will move to section 4 in the revised volume 3. Appendices: Todd described these, now all in one place. This includes a consolidated glossary. Appendix E addresses Standards Profiling and Documentation Conventions. Appendix F addresses Integration Statements. Steve questioned whether there has to be a commercially available product and a reference to the product version to have an IS. He noted that even if there is a version the delivered product may be a different version. PCD recommends a commercially available product be a mandatory requirement. Similarly, the document does not require final text (the profile may be a supplement). PCD recommends that the wording change to requiring that the IS identify the profile version. Test Bed for Company Testing: Steve led discussion. He noted that PCD has not provided detail of what it wants to accomplish with the availability of such a test bed. This is required for the discussion with the potential provider. Costs and logistics argue against the original idea, but there are alternative approaches to explore. User Handbook: This should be continued. Barrett suggested including an acronym spreadsheet or that they appear in the glossary. These can also serve as a reference as people go further. Ken suggested that the handbook could lead to other materials. Stakeholder Survey: Discussion addressed the questions of whether a survey is worthwhile; would PCD learn from it, would those receiving it find value and possibly it would serve a marketing benefit as well. The quality of the survey is an essential element. ACTION ITEM: Manny will locate the earlier survey or draft, contact Ray. Barrett offered to help. RTM and DOD: A Webex will take place to orient DOD to the RTM. Promote RTM Including As Best Practice: This is to identify and promote value sets to developers. Ioana suggested these be organized by data specialization (e.g., those associated with a pulse oximeter and these would have an OID). Marketing: Manny asked if there is a way to market RTM which in the process markets PCD. Paul suggested this is part of a larger set of tools, including the NIST tools. He compared this with the consumer devices that are readily available in the pharmacy. Paul described various benefits of use of PCD work to companies. Manny asked if it is a question of venue. Ioana suggested that the issue is the type of communication – too technical. Barrett suggested ECRI and MDBuyline would be useful channels – providing simple documents – general IHE PCD – that they can use and send to their subscribers. This would quickly be used in procurement documents. IHE has obtained help from RSNA’s web marketing staff. Monroe suggested asking purchasing agents where they would go for the information and then provide it there. Ioana suggested that the message can be simplified. Close this item, open one focused on those who are purchasing the devices. ACM Publication (Action Item 134): This will become part of Barrett’s AAMI efforts. ACTION ITEM: Update the IHE.net Profile list and the Google Doc index. Ask Steve Merritt if he’ll do this. Add RDQ, content modules as ITI does. Decisions/Issues: Action(s):

Wednesday Afternoon

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Participants introduced themselves. Attendance was the same as this morning except that Steve Merritt was not present. - Dominick Anggara, Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Ken Fuchs, Manny Furst, John Garguilo, Jeff McGeath, Monroe Pattillo, Doug Pratt, John Rhoads, Jeff Rinda, Craig Robinson, Paul Schluter, Ioana Singureanu, Khalid Zubaidi - Co-chairs: Steve Merritt, Monroe Pattillo Decisions/Issues: Agenda approved Action(s):
2	Agenda Items - As Noted	Status/Discussion: IP Patent and Disclosure Only one person had not been present yesterday and he was familiar with the IP policy. The portion of the meeting when Inhel was present did not include IP related items.

Thursday, October 18

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Participants introduced themselves. Decisions/Issues: Agenda approved Action(s):
2	Agenda Items - As Noted	Status/Discussion: IP Patent and Disclosure Only one person had not been present yesterday and he was familiar with the IP policy. Decisions/Issues: Action(s):

Friday, October 19

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Participants introduced themselves. Decisions/Issues: Agenda approved Action(s):
2	Agenda Items - As Noted	Status/Discussion: IP Patent and Disclosure Only one person had not been present yesterday and he was familiar with the IP policy. 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

PLACEHOLDER

Joint Planning and Technical Committee: PC and TC October 24, 2012 PCD PC&TC 2012-10-24 Webex

TC __, 2012 PCD TC 2012-__ Webex

PC __, 2012 PCD PC 2012-__ Webex