PCD PC&TC 2013 Oct. 8-11 F2F

PCD Home

Meeting Objectives

Placeholder

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 adopt brief profile proposals; contribute to Connectathon test tools, tests, and procedures.

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).

Hilton Garden Inn

8201 Congress Avenue

Boca Raton, FL 33487

561-988-6110

Reservations On Line Look for Email or Contact Manny

Reserve by Sept. 21 for the special rate.

Dates - October 8 - 11, 2013

Daily Schedule - Placeholder

08:00 - 08:30 Meet at Philips

Meetings will start promptly at 08:30 Eastern on Tues, Wed, & Fri.

Pump Group Meeting will start promptly at 08:15 Eastern on Thurs.

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 close to noon

Agenda Suggestions

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

- MSH-5: Change from RE to R (Monroe)

- Standards Coordination (Paul, 30 min.)

- North American Connectathon

o Update on tests.

o Update on NIST tools.

o Update on registration

- HIMSS14 Interoperability Showcase Early Th pm

- Connectathon Celina

- Certification Update Late Th PM

- AAMI Exhibit Hall Demo

- Brief Profile Proposal Ballot and the Proposals; Detailed Proposal Ballot

- FDA UDI ruling and IHE impacts (UDI in PCD messages? MEM?)

From Fall 2012 F2F:

- NIST Test Tool Tutorial Scheduled (Garguilo)

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

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

- WCM harmonization?

- Does the roadmap need revision? How are we doing on the roadmap?

- Infusion pump specialization

- Physiological monitor specialization

- Ventilator specialization

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

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

From the PC Action Items PCD Planning Committee Action Items:

71. Recruit Clinicians

78. Stakeholder Survey

From the TC Action Items: PCD Technical Committee Action Items:

82. PCD OIDs & URNs (Also see # 153)

93. Managing Document Versions

109. Messages Without Patient Demographics

110. WCM Attributes

117. IDCO Time Stamp WP

118. Implementation Guide

123. IPEC Trigger Event and MDCx terms

126. RTM/RTMMS: Address Missing Descriptions

132. Conformance Profiles (XML)

135. ACM Recruiting

136. WCM Parameter List

137. PIV: User Approval to Initiate Infusion

140. Assemble the Baseline Set of Standards for Easy Reference

141. Create Matrix Matching Profiles to Standards

143. Describe HL7 Version Implications

146. VA Participation in Connectathon, Showcase

147. Edit IPEC

148. Document ACM in an Implementation Guide

150. Seek null flavors in HL7 2.9

151. Supportive Testing

152. Improve FTP Site

153. OID Concept Definition (Also see #82)

155. Propose Automating Connectathon Documentation

157. POI Issues

158. POI CPs

159. POI Rosetta Terms

160. CPs from F2F: Discuss and Ballot

161. Connectathon Loss of Connectivity Test

162. Data Capture Indicator

163. Error Codes

164. Increase Testing Rigor

165. Traceability of NIST test tool and the TF/Profile

166. Enhancing Pre-Connectathon Testing

167. Versioning and Archiving

168. Documentation and Testing of Additional Risks

169. Improving Integration Statements

170. Convert IPEC to EC

Attachments / Materials

Documents related to the meeting when available will be found at ftp://ftp.ihe.net/Patient_Care_Devices/FaceToFaceMeetings/2013-October-Boca_Raton-F2F/ unless otherwise noted. Documents are available without a password.

PCD Schedule/Deadline Information: http://tinyurl.com/PCD-Publication-Deadlines, 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

Tuesday

Date	Hours	Committees	Topics
Tuesday Morning 2013-10-08	08:30 - 12:30	PCD Planning Committee (PC)	08:30 > Introduction - Greeting & Introductions (20 minutes) - Review & Approve PC Agenda (10 minutes) - IHE IP Management Process (5 minutes) - Review Discussion Summary Last PC Meeting - PC&TC Oct. 10, 2013 PCD PC&TC 2013-10-02 Webex 09:00 > Review Current PCD Program (statuses only, details during TC sessions): - ACM (Monroe P) - DEC (updated PCD TF) (John R) - IDCO (Paul Schluter) - PIV (Al E, Paul E) - IPEC (Al E) - EC (John R) - WCM (Ken F) - OMS (Ken F) - RTM (Paul Schluter) - RDQ (John R) - PCIM (John R) - MEM DMC (Monroe P) - MEM LS (Monroe P) 10:30 > Specializations (statuses only, details during TC sessions): - Pulse Oximetry (John R) - Pump (Al E, Paul E) - Physio mon (John R) - Vent (Paul Schluter) 11:00 > Integration Statement (Monroe P) 11:15 > Commercial Products (Manny F) 11:30 > Break (15 minutes) 11:45 > AAMI Exhibit hall demo (Manny F) 12:00 > ACM AC actors (Monroe P) 12:30 LUNCH
Tuesday Afternoon 2013-10-08	13:30 - 17:00	PCD Planning Committee (PC)	13:30 > Cycle 9 Workitems - MEM DMC (Monroe P) - MEM LS (Monroe P) 14:30 > Review PC action items (Monroe P) - Stakeholder survey (Barrett F, Manny F) - Clinicians AMSN Academy of Med-Surge Nurses (Monroe P/Manny F) 15:15 > Fallback for NIST Pre-Connectathon testing (go virtual) 15:40 > VA EMR profile implementation participation in Connectathon, Showcase (opportunity to test with VistA) 15:45 > Break (15 minutes) 16:00 > Adjourn xx:xx > Cybersecurity update (Axel W) [not avail]

Wednesday

Date	Hours	Committees	Topics
Wednesday Morning 2013-10-09	08:30 - 12:30	Joint PCD Planning and Technical Committees (PC/TC)	08:30 > IHE IP Management Process 08:35 > Introductions and Agenda Review 08:45 > Location, Dates of the PCD 2014 Spring F2F, nomination of PCD rep on Mar-comm committee 09:00 > Review IHE Milestones from now until end of HIMSS Showcase PCD Key Dates (Cycle 9) IHE 2014 Publication Schedule [1] 09:15 > Review PCD Calendar - visionary stuff 10:30 > Standards coordination (Paul Schluter) 11:00 > Break (15 minutes) 11:15 > "New Directions" Device Testing @ NA CAT'14 (Todd C) 12:00 > October PC, TC Meeting Schedule (Manny F) ??:?? > Survey (Barrett F) 12:15 > Adjourn Planning Committee 12:30 > LUNCH
Wednesday Afternoon 2013-10-09	13:30 - 17:00	PCD Technical Committee (TC)	13:30 > IHE IP Management Process 13:40 > TC Welcome and Agenda Review (Jeff M)(10 mins) 13:50 > Review Discussion Summary Last TC Meeting - Review Discussion Summary Last PC Meeting - PC&TC Oct. 10, 2013 PCD PC&TC 2013-10-02 Webex 14:00 > Administrative issues (?) 14:15 > CP Practices (?) 14:30 > 2014 NA Connectathon (PCD activities) (Manny F/Paul Sherman) Update on tests Update on NIST tools Update on registration Supportive Testing Pre-Connectathon testing (FYI - no Showcase dress rehearsal) Loss of connectivity test VA participation 15:15 > Break (15 minutes) 15:30 > FDA UDI and how to integrate into PCD messages (Monroe P) 16:00 > Profile revisioning 16:30 > Review of ongoing work ACM next steps - TF CP for values, NIST tool updates, ACM/RTM alerts & events worksheet, - expansion to other domains, advisories (Monroe P) PCIM and EMR DB storage confirmation (Todd C/Chris C) ADQ Pulse Oximetry (Todd C) WCM (Ken F) OMS (Ken F) RTM (Paul Schluter) MEM DMC (Whitepaper, call for sample messages, and Profile) (Monroe P) MEM LS (Whitepaper. call for sample messages, and Profile) (Monroe P) 18:00 > Adjourn (or later as needed)

Thursday

Date	Hours	Committees	Topics
Thursday Morning 2013-10-10	08:15 - 12:30	Pump WG meeting	8:15 > IHE IP Management Process 8:30 > Pump WG meeting (see details from Jeff R) 12:30 > Lunch
Thursday Afternoon 2013-10-10	13:30 - 17:00	PCD Technical Committee (TC)	13:30 > IHE IP Management Process 13:40 > PCD Events HIMSS and Showcase (Sandy V) NA Connnectathon 14&15 (Celina R) IHE-USA/ICSA Labs Certification Testing (Vinny S) 15:15 > FHIR Workitem Ballot/Vote 15:30 > Location, Dates of the PCD 2014 Spring F2F 16:00 > MSH-5 and Connectathon (Monroe P)

Friday

Date	Hours	Committees	Topics
Friday Morning 2013-10-11	08:30 - 12:30	PCD Technical Committee (TC)	08:30 > IHE IP Management Process 08:45 > More consistent time (Paul Schluter) 09:15 > WCM harmoniization (Paul Schluter) 09:45 > MDC Codes: Proposed by Terry Bettis, Others (Paul Schluter) 10:30 > Seek null flavors in HL7 2.9 (John R) 11:00 > Break (15 minutes) 11:15 > Improve IHE sites (WWW, Wiki, FTP) 11:30 > Messages without patient demographics (John R)
Friday Afternoon 2013-10-11	13:30 - 15:00	PCD Technical Committee (TC)

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

Note: Time slot TBD: IDCO

Webex Support

Webex will be available for those who could not attend in person. The links are provided below. Reminder: the IP agreement is in force, and participation counts toward voting rights.

All F2F Webex Meetings

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Call-in toll-free number (US/Canada): 1-866-469-3239

Call-in toll number (US/Canada): 1-650-429-3300

PCD F2F Tuesday Oct 8 Morning

Topic: PCD F2F Oct 8 Morning

Date: Tuesday, October 8, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 923 504 819

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PCD F2F Tuesday Oct 8 Afternoon

Topic: PCD F2F Oct 8 Afternoon

Date: Tuesday, October 8, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 927 332 646

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PCD F2F Wednesday Oct 9 Morning

Topic: PCD F2F Oct 9 Morning

LDate: Wednesday, October 9, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 922 133 394

To join the online meeting (Now from mobile devices!)

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PCD F2F Wednesday Oct 9 Afternoon

Topic: PCD F2F Oct 9 Afternoon

Date: Wednesday, October 9, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 922 359 486

To join the online meeting (Now from mobile devices!)

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PCD F2F Thursday Oct 10 Morning

Topic: PCD F2F Oct 10 Morning

Date: Thursday, October 10, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 926 967 589

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PCD F2F Thursday Oct 10 Afternoon

Topic: PCD F2F Oct 10 Afternoon

Date: Thursday, October 10, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 923 448 154

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PCD F2F Friday Oct 11 Morning

Topic: PCD F2F Oct 11 Morning

Date: Friday, October 11, 2013

Time: 7:15 am, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 926 328 647

To join the online meeting (Now from mobile devices!)

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PCD F2F Friday Oct 11 Afternoon

Topic: PCD F2F Oct 11 Afternoon

Date: Friday, October 11, 2013

Time: 12:00 pm, Central Daylight Time (Chicago, GMT-05:00)

Meeting Number: 920 002 916

To join the online meeting (Now from mobile devices!)

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Participants

PC Tuesday

On Site:

Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Steve Merritt, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Greg Staudenmaier

Joint PC, TC Wednesday Morning

On-site:

Todd Cooper, Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Steve Merritt, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Sue-fen Cuti, Greg Staudenmaier

TC Wednesday Afternoon

On-site:

Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Chris Courville, Robert Flanders, Steve Prince, Greg Staudenmaier, Stan Wiley, Brian Witkowski

TC Thursday

On-Site:

Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Barrett Franklin, Emanuel Furst, Bob Gold, Jeff McGeath, Monroe Pattillo, Doug Pratt. Paul Schluter, Paul Sherman, Rob Wilder

Remote:

Chris Courville, Kurt Elliason, Robert Flanders, Greg Staudenmaier

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

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: - Accepted: Planning Committee November 14 Placeholder Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Tuesday Morning

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: - Accepted: PC/TC Webex minutes Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: PCD F2F Tuesday October 8 2013 Introductions - Those present introduced themselves - Monroe reviewed the agenda for the PC and Joint PC/TC portion of the meetings. - Monroe led discussion of the IHE IP policy. - Discussion on Hill rom membership issues and explanation of what can be done - Manny explained what needs to be done on IP and non-members during meetings - Jeff recommended further discussion via membership discussion Profile status - ACM – In Final Text, waiting to be posted in framework. Will then file CP and have NIST update and map terminology. - DEC (updated PCD TF) - Discussion regarding NIST tools and updating, how to manage without updates. - IDCO – The pace is slow, the group is working on updates. They are also working on new definintions. There has been a lot of membership turnover. - PIV – Not much new being done. Next year, the group will implement PCA pump support. Originally simple programming, now looking for new dosing options, they will start working on new CP. The CP for PCD-03 and rate changes are still working through acceptance. There is some progress on PCA, updating volume 3, determining what terms will be available for Connectathon. Todd can provide more at the Thursday morning pump WG meeting. - IPEC (Todd C) Need information - EC (John R) need information - WCM - Discussed harmonization. There's been some work on Rosetta, but they haven't had a chance to discuss with Ken yet. Vendors use annotaed ECGs, but am looking at other mechanisms. - OMS - Ken is leading writing a White Paper, it is ready to present at the F2F - RTM - Taking terms used and converting them to balloted 11073. Most are in harmonized Rosetta, 57 more are ready to go. Making progress on other terms. Infusion terms (one goal of the Thurs pump WG meeting) should be ready to put into a draft standard. Personal health terms – try to keep in a partition – not many, should be ready for balloting by the end of this quarter. - ADQ (now RDQ) – Mostly quiescent. John Z is leading. May need to review and decide if this work continues - PCIM – Working on how to associate device data to a patient and also manage incomplete data. This is currently delegated to other systems, they are working to supplement. Many vendors are working on it, moving it along. Should have more information for the TC meeting later this week. - MEM DMC - The White Paper is done and the profile brief is out for ballot. Currently working on managing with the new FDA UDI requirements - MEM LS (Monroe P) Need more information Specializations - Pulse Oximetry – current status unknown - Pump (Jeff R) – Working on specialization terms. - Physio mon (John R) – Todd claiming some info in volume 3, - Ventilators - Containment modeling – guides new term design, hope to nail a good model. - One challenge is getting vendors to cooperate, there is some progress. There are also some disagreements within the clinical community, trying to tie in other devices. It is a challenging set of terms, bringing clinicians and others together. The profile may need multiple terms for similar actions. NIST document may be way to go rather than seperate documents. - Integration Statement – Good as is, still good to use for reference. The WG would like it to be stronger. Some are limited, not always tied to commercially available or tied to IHE. Not all have versions - Commercial Products: Existing document – are there rules for posting to it? There should be a process to manage disagreement/vetting. There are some – can say it will be available in the future. Should come up with rules to define and reconcile. If the integration statement is rigorous, then that could resolve disagreements. Have co-chairs follow up on disagreement and alter status. Discussion of options to confirm. Paul Schluter proposed creating a mechanism to allow customers to confirm interoperability out of the box. Create a working group? Much discussion – worth doing. Action item: PC will start a prelim working group for out of the box conformance testing; focus on proposal and send to PC. Manny – add a column for integration statement and certification. Some discussion on certification. AAMI Exhibit hall demo - - There is a poll out asking if vendors will participate, encourage response. There were 11 systems in 2013 – crowded the 10x20 space. Manny requested more space for 2014 (more participants) from Chris Dinegar. Chris said “Yes, but it'll cost”; he is holding on to a 10x40 space until Oct 31. Joyce is encouraging, but HIMMS won't provide any more money. Sandy has offered some support. The AAMI demonstration is basic comparred to the HIMMS showcase, but consistent with other exhibitors. Manny sent email with 2013 cost, ACCE committed $2000, with other contributions was enough. The expanded 2014 estimate is about $10,000 he'll need to decide this month. If we can't fund the larger booth, we will need to limit participation. Dicussed booth format (posters, handouts, etc.). Also, with the larger size, AAMI won't limit vendor promotion at IHE booth. Set up will be more formal (contract via HIMSS). Please sign up by Oct 31st if you're interested. Description of AAMI vs. HIMSS showcases, easier to set up and tear down. - Suggestions: - Overview of what all is going on, using fewer big monitors vs. 12 small ones. - Step visitors through process. - Step through sample processes for a profile every 3-5 minutes. - Make it more inviting. - Manny will work with Barret to come up with design/layout options. We may discuss it with Sandy this week. Discussion of balancing booth layout for differing audiences – overview/introduction vs. in depth discussion. Manny will draft prelim layout and discuss with AAMI. ACM AC actors (Monroe P) - None at Connectathon, but a vendor offered a solution; text message to a phone. Not as rich as desired, not 2 way, authenticated or encrypted. An AC vendor is needed, please talk to them. - AC vendor ability to participate in Connectathon is limited, many are on thin budgets, or can't justify the costs. (small vendors, big costs) IHE memberships - Clinicians (Monroe P/Manny F) - Stakeholder survey (Manny F) Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Tuesday Afternoon

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: - Accepted: Planning Committee November 14 Placeholder Monroe verified that those present were familiar with IHE policy. Cycle 9 Work Items MEM DMC and MEM LS - Work item proposal is short – Getting non-medical device info into the system. - Location Services - - For demonstrations, use an LS vendor rather than a medical device vendor. Since tags do not provide location information directly, they need middle ware. Internal tags; capable of only providing location 'beacon' only. External tags have additional capabilities (battery, status, utilization). For the 2013 AAMI, Monroe used existing pump info to track utlization Discussion of utilization of information provided in the clinical setting versus as an academic/selling point and different perspective of CMMS vendor and end user. - DMC can provide versioning and equipment tracking. Battery and alarm management are communicated in 11073, but not mapped to HL7. DMC seems to be more immediately valuable, while extended uses of LS are limited. Barrett provided a summary of the current VA RTLS project: They've found passive tags are not very useful. Active tags work far better, especially for temperature monitoring. Also, staff/patient/visitor tracking not very effective, the largest challeng is user issues. There was extended discussion of utilization and market needs/wants. Recommend focussing efforts on devices for now, do not discuss 'people' tracking. DMC can be used by other domains in the future. There was a question on a use case; tying location to observation – useful for ambulatory patients. The PC decided PCIM was currently out of scope. Discussion of difference between embedded vs. external devices. Will it change the model? - Also, Carefusion, Alaris and Sigma may have embedded location tracking – Follow up with them. ACTION ITEM - The VA implementing Maximo CMMS nationwide, it would be very helpful to the DMC project if Maximo could join. Paul Sherman will follow up. – Ken Corba is still VA lead, - Barrett will provide a Biomed contact. ACTION ITEM Device info in medical record will happen – this is the place where it can happen. Use UDI and set into OBX field and put one together before other IHE groups do so (to enable optimum configuration). Can be sent using OBX18, UI 64 is available (but FDA doesn't use it). - This may be similar to early PCD-01; many versions, not all compatible, but it became normalized. - Personal health Devices has some mapping capabilities based on GPS. Review PC Action Items PCD Planning Committee Action Items: - 71. Recruit Clinicians - No response to Manny by Joyce yet – Keep open as a reminder, may bring up wih Alex. May be a relationship in recruiting EMR vendors. Meaningful use 3, Alex may be able to help in long term, his current activities may help indirectly. Archive and close old part, then reopen as new. - 78. Stakeholder Survey - Barrett working on draft, will have something to review Oct 9. Discussion of how/who to distribute the survey, including via HIMSS? PC decided to distribute through all PCD sponsors; HIMSS, AAMI and ACCE. Additional discussion on sending the survey to other clinical societies. Decided to send to med-surg and critical care nurses. (AMSN and ACCN). Barrett will update on Connectathon call next Tuesday - 141 – after connectathon, review list to see who to talk to. - 145 – Friday AM discussion item (ftp site) - Participants decided to return to other PC items when more attendees are available. Fallback for NIST Pre-Connectathon testing (go virtual) - PC discussed options if NIST remains unavailable due to the government shutdown. Virtual CN, internet testing is the most achievable option. Manny will send list of participants to group. Lynn has hard deadlines for registration and test evaluation. Scheduling will be a concern for new companies. This isn't unusual, many companies sign up that aren't familiar, Manny usually provides handholding for those new companies. We need to be sure where the TF and other info is to help new companies know what to do. PC discussed NIST work priorities when they're available; ACM is first, then test updates, Certification is last. Infusion pumps - Extensive discussion of pump variance and how to fit them into the PIV profiles. VA participation in Connectathon and showcase: - Greg discussed bringing VistA to IHE. Looking for a way to work around funding issues. Very difficult prospect, no marketing funds. Some way to attend as a federal participant – provides a way for vendors to test with VistA. Beyond PCD, could go to Celine and Alex, or participate in internet testing. Manny will send Sandy Vance's contact info to Greg, she may be able to help. Decisions/Issues: Action(s):
3	Agenda Items - Standards Coordination	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Wednesday

Placeholder

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	IP - Chair	Status/Discussion: - Monroe verified that those present were familiar with IHE policy. Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Preliminary discussion of location and dates of the PCD 2014 Spring F2F - West Health – La Jolla or DC possible Nomination of PCD rep on Mar-comm committee - Important, not onerous, please consider, place on agenda for PC/TC mtg. Announcement of support transition (Manny to Paul Sherman) Reviewed IHE Milestones from now until end of HIMSS Showcase - PCD Key Dates (Cycle 9) - Both ballots approved, still can vote (to preserve voting rights) - Survey after for volunteers to work on these items - Manny – make time to work on them, encourage others to help. - Put list of workgroup leaders on PCD wiki. Dicussion of adding link on PCD wiki, spam risk – recommend asking WG chair, Manny or Paul Sherman to join, have ACCE email address on site. (side note – replace @ with 'at' on address) IHE 2014 Publication Schedule - New and in process supplements - Need to get busy soon for submission by 5/26/14 - Discussion of realistic goal dates – need by 5/9/14 (PIV final, IPEC will be a candidate, some others could go into final text as well) - POI not revisited lately, could proceed. The group discussed readiness – still needs quite a bit of work, on schedule for this afternoon, Greg will see if Ioana can join then. - Do we need items in profile proposal now for CN2015? Yes - Discussion of what needs to be on that schedule. Some could proceed unofficially in parallel as long as they meet deadlines. - PCD needs to update Domain CoChair Committee 2014 calendar Review PCD Calendar - visionary stuff - (need to link spring 2013 F2F road map to PCD wiki)also this meeting - Extensive updating of timeline - Discussion of HL7v2.8 delivery and 2.9 updates, moving from 2.6 to 2.8 or 2.9 vs. 2.7. No HL7 pushback, but users may have issues. - Discussed security issues and updates (IHE MOU with MDISS). Timetable unclear. Common Networking ???? - RDQ – not in final text, not tested, no implementers; FIHR will provide an alternative. Dormant, but ready to test. Extended to 2015. Deferred actor in ACM (Alert Archiver), seperate profile developed in RDQ, it's removed to enable ACM final text, if revived, will be in RDQ. - DOF – added SPD, now SPD/DOF, extended through 2014, review again spring 2014 f2f. - ACM – all accomplished and made to final text. PCD-05 and WCM may come back in. Visionary: Expand further inside PCD and other IHE domains (Pharmacy, Lab, Rad, MEM/DMC, Alert, beyond device status, patient advisories), delimit ACM (Machine-machine and machine-person). Discussion of implications and working with other domains, plus acting to enable multi-domain use in design. Work with DCC to help. - RTM for alerts and events – extend to next year. Need terminolgy for multi-source, multi parameter notices, extending to commands based on them. Extensive discussion on how to incorporate events, alerts, alarms, etc. Some discussion of vent participation. - PCIM – not TI yet (2014), then testing 2015 and 2016 Action Item – have someone write white paper for...(line 22 of timeline) Added to Thursday agenda - Content management – ongoing, alarm attributes added - Line 62, MDICC removed, replaced with AAMI/UL2800 Standards coordination - Three areas: - Rosetta – IEEE11073, migrating for validating, balloting and publishing - ISO/TC121/SC4 – 150 page draft, mostly vent work, harmonizing vendor terms - Continua – Timestamps and time synchro - Sharing local time zone, useful for IDCO - New Cellular Xprt – lightweight protocol being used; can also be used for remote commands/configuarations Health Device Semantics interoperability project. - Alex Lippit running, looking for support from external orgs (West Health, PEW Charitable Trust, ONC, NLB). Goal to map PCD DEC and 11073 to stage 3 meaningful use. - Others define mapping 11073 vitals signs identifiers to SNOMED and/or LOINC. - Much politics, but seems quite achievable. Alex is very motivated. - Todd; Some involvement with other groups, going well. Overview of UL2800 New item – Ken Fuchs, - Received Volume 1, nothing of events/alerts/alarms in there. We need to send something. "New Directions" Device Testing at NA CAT'14 - Todd explained process. Questions of how to participate in both. Intend to physical separate ND from regular CN work. Testing fee is per person, rather than per system. Wednesday Afternoon October PC, TC Meeting Schedule (Manny F) – Manny reviewed Stakeholder Survey – follow-up from PC discussion Tuesday - What are the goals, target audience? - Reviewed questions (15), some background, EMR, connectivity, importance. - Barrett will finalize and send the PC and TC for final review. CRISI Medical Presentation and discussion – Steven Prince - Injection Monitor – Thinks it will be a good candidate for IHEPCD. - Described device, provided reasons that this should be separate from infusion pumps. - Wants to use standards based solution, rather than proprietary for each customer. - Suggesting additions to PCD-01 - Demo'd device and process, showed proposed additions to PCD-01. - Participants discussed off-line. Consensus in PC/TC is that the monitor would fit best as a part of the pump profile, rather than a separate profile. Follow-up on POI - Ioana/Greg discussed testing status: The biggest challenge is that the test doesn't validate terminology. The units of measure, etc. are not those expected. - Iona doesn't see the need for new tests this year, it would be far better to ensure that the proper codes are in the profile. - DMEC is also a higher priority. - Need to ask NIST to assemble code validation into existing tests Updates on 2014 Connectathon and New Directions - Todd -reviewed Lynn's notes on networking for CN, New Directions, etc. - Send network needs to IHE when requested. - There was a question of additional costs for New Directions participation. - Question: Can equipment be moved to other groups (not directly)? This will depend on the physical network at the Connectathon. - Now have informal medical device interoperability tests before standards meetings. Adjourn Joint Planning/Technical Committee 3:15 PM Technical Committee meeting starts Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Thursday

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Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates Decisions/Issues: Action(s):

Friday

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Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Placeholder Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_8#Cycle_8_WorkItem_Candidates 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

Joint Planning and Technical Committee: PC and TC October 16 PCD PC&TC 2013-10-16 Webex

TC October 23, 2013 PCD TC 2013-10-23 Webex , November 6 PCD PC&TC 2013-11-06 Webex and 20PCD PC&TC 2013-11-20 Webex

PC November 13, 2013 PCD PC 2013-11-13 Webex