Difference between revisions of "PCD PC&TC 2015 April 27 - May 1 F2F"

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=== Wednesday Morning ===
 
=== Wednesday Morning ===
  
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'''Joint PC & TC meeting'''
  
 
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Revision as of 16:31, 29 April 2015

PCD Home


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


Location & General Schedule

Location:

Meeting Location:

West Health Institute
10350 North Torrey Pines Road, La Jolla, California 92037
Park in the lot immediate next to the building which contains the guest parking spots.
Check-in on the 1st floor (parking floor is P).
When checking in get a parking permit to put in your car front window on the driver's side.
Meetings are in the 2nd floor meeting room.
Wi-Fi connection info is on the whiteboard at the front of the meeting room.
Hotel Arrangements
-Hotel Name: Hilton Garden Inn San Diego Del Mar
Reservation Link -
http://hiltongardeninn.hilton.com/en/gi/groups/personalized/S/SANMDGI-IHE-20150427/index.jhtml

Dates - Preliminary committee schedule:

Monday morning, April 27 Pump WG meeting
Tuesday April 28 PCD Planning Committee
Wednesday April 29 morning: Joint PC, TC - Tentative
Wednesday April 29 afternoon through Thursday EOD: PCD Technical Committee
Daily Schedule - Placeholder
- 08:00 - 08:30 Meet at West Health, La Jolla, CA
Meeting will start promptly at 08:30 Pacific Time 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



Dates
Monday April 27 Pump Workgroup
Tuesday April 28 PCD Planning Committee
Wednesday April 29 morning: Joint PC, TC - Tentative
Wednesday April 29 afternoon through Thursday EOD: PCD Technical Committee
Daily Schedule -
08:00 - 08:30 Meet at West Health, La Jolla, CA
Meeting will start promptly at 08:30 Pacific Time 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

Agenda Suggestions

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

Webex

Webex meetings have been set up in anticipation of interest. They will be provided when requested in advance; i.e., the log in information is provided here, and the Webex will be initiated for those portions of the agenda that are of interest. Please let the co-chairs and Paul know of your interest and when you are available. The co-chairs will try to arrange the agenda to permit your remote participation.

Reminders: the IP agreement is in force, and participation counts toward voting rights.

Please note: the log in and phone number for each meeting is the same as for our WG meetings. The password is different, and has been included in the email sent to participants. These are not provided here for security reasons (this is a public Wiki page).

[Webex Meeting Link]

Monday morning, April 27: Pump WG: Meeting Number: 921 471 997

Monday afternoon: April 27: Pump WG: Meeting Number: 922 353 691

Tuesday morning, April 28: PC: Meeting Number: 927 492 961

Tuesday afternoon, April 28: PC: Meeting Number: 928 787 066

Wednesday morning, April 29: Joint PC&TC: Meeting Number: 920 121 215

Wednesday afternoon, April 29: TC: Meeting Number: 921 392 641

Thursday morning April 30: TC: Meeting Number: 929 318 384

Thursday afternoon April 30: TC: Meeting Number: 924 728 700

Friday morning May 1: TC If needed): Meeting Number: 927 935 792

Attachments / Materials

Documents related to the meeting when established will be found at ftp://ftp.ihe.net/Patient_Care_Devices/FaceToFaceMeetings/2015-April-SanDiego/ unless otherwise noted. Documents are available without a password.

PCD Schedule/Deadline Information: 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

Monday

Date Hours Committees Topics


Monday

2015 April 27

08:30 - 17:00 Pump Workgroup Meeting
  • 08:30 > Pump Workgroup (lunch will be catered)
- Introductions
- Review and update agenda
- IHE IP Management Process
- Update from Todd Cooper on current state of model and documentation
- Review Doug Pratt’s document
- Discuss opportunities to improve current pump model
- PIV – support a second (updated) application ACK for nurse cancel/reject at pump
- PIV – optional PID and ORC segments to application acknowledgement
- PIV – new error code for hard limit exceeded
- DEC/IPEC - Specify minimum required containment in pump messages (MDS, VMD, Delivery Channel)
- DEC/IPEC - Discuss use of private codes for unassigned MDC codes
- DEC/IPEC - Usage of pump-mode-set after transition (e.g. once bolus has completed)
- IPEC - Stop vs complete (loading dose, bolus); rate changes
- Action items/next steps


Tuesday

Date Hours Committees Topics


Tuesday Morning

2015 April 28

08:30 - 12:30 PCD Planning Committee (PC) Placeholder
  • 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 April 1, 2015 PCD PC 2015-04-01 Webex
  • 09:15 > Review Current PCD Program:
- Open Action Items PCD Planning Committee Action Items:
78. Stakeholder Survey (AAMI rep)
140. AAMI Alarm Safety Committee (AAMI rep)
157 Update cookbook to include ACM implementation (Monroe)
161 Medication Administration Clinical Integration White Paper (Todd)
  • 10:30 Break
  • 11:00


  • 12:30 LUNCH
Tuesday Afternoon

2015 April 28

13:30 - 17:00 PCD Planning Committee (PC)
  • 13:30 > IHE Educational Webinars
Topics
Form deadline May 22
  • 14:00 ITI/mACM update (Monroe) (15 mins)
  • 14:15 IEEE P1847 workgroup, Location Svcs for Healthcare (Monroe) (15 mins)

Wednesday

Date Hours Committees Topics


Wednesday Morning

2015-04-29

08:30 - 12:30 Joint PCD Planning and Technical Committees
  • 08:30 > IHE IP Management Process
  • 08:35 > Introductions and Agenda Review
  • 08:45 > IHE International Board Update - (Todd Cooper)
  • 9:45 > Showcase Update (30 Min) (Manny, Sandy)
  • 10:15 > Break
  • 10:30 > Location, Dates of the Fall F2F
  • Elections
TC Cochair > Need one ASAP
  • IHE Membership Changes
  • May PC, TC Meeting Schedule
  • 11:00 Alex Lippett - Update
  • 11:45 PRT segement use
MEMLS and others use the PRT segment, Non PCD may use it as well.
  • 12:15 > Adjourn Joint Planning and Technical Committee
  • 12:30 > LUNCH
Wednesday Afternoon

2015-04-29

13:30 - 17:00 PCD Technical Committee (TC)
  • 14:00 Profile Implementation Guide & DIM Editor (John Garguilo)
  • 15:00 > Break
  • 15:15 Review of ongoing work
  • PCIM
  • RDQ
  • Pulse Oximetry
Merge and/or close POI topics?
157. POI Issues (Ioana)
158. POI CPs (Ioana)
159. POI Rosetta Terms (Ioana)
174. POI code validation (Paul Sh, Ioana)
182. Configure POI document to required format (John R)
  • WCM
  • MEM Whitepaper
  • Device Management Communications

Thursday

Date Hours Committees Topics
Thursday Morning

2015-04-30

08:30 - 12:30 PCD Technical Committee (TC)
  • 8:30 IHE IP Management Process
  • 8:45 C4MI FHIR Project Update (Chi Tran)
  • 9:15 Implantable Device Waveform communication (Ken, Alex)
  • 9:30 TF, CP, and general document versioning (Jeff, John)
GitHub Repository
Action Item Repository
FTP Site Management process
  • 10:00 > Break
  • 10:15 11073 - PCD Mapping (Joe Good)
  • 11:15 OBX-4 Update (John R)
140. Assemble the Baseline Set of Standards for Easy Reference (Ioana)
141. Create Matrix Matching Profiles to Standards (Ioana)
143 Describe HL7 Version Implications (Jeff Mc)
- MEMLS and others use the PRT segment, Non PCD may use it as well.
150. Seek null flavors in HL7 2.9 (Doug, Ioana)
175. Develop a PCD UDI whitepaper for IHE (Doug)
  • 12:30 Lunch
Thursday Afternoon

2015-04-30

13:30 - 17:00 PCD Technical Committee (TC)
  • Archives and ftp
- 167. Versioning and Archiving (Jeff Mc, Paul Sh)
- 186. Review and reformat ftp site (Jeff Mc, Paul Sh)
178. MSH-5 and Connectathon (Jeff)
179. IPEC and EC documentation (Ken)
189 Identify unique identifiers before the Connectathon (John G)
  • 15:00 > Break
  • End TC Meeting (Time tentative)
Note: Additional evening working sessions may be scheduled as needed.

Webex Support

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

Participants

Monday, April 27

On Site:


Remote:

Tuesday, April 28

On Site:


Remote:


Wednesday, April 29

On Site:


Remote (morning, PC & TC):

Remote (afternoon, TC):


Thursday, April 30

On Site:


Remote:

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

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: Planning Committee April 28


Decisions/Issues:

Action(s):

3 Agenda Items
- Standards Coordination 		Status/Discussion:
  • Review Current PCD Program:
No new profiles, a couple of white papers underway MEM, Cybersecurity and PCIM
- IHE Milestone Review – We're in good shape, next date July 10 – send items out for public comment.
Would like CPs finished by August
- Open Action Items PCD Planning Committee Action Items:
78. Stakeholder Survey (AAMI rep)
- Paul S will check with Manny for copy of the survey. He also emailed AAMI asking about the status of a new representative.
140. AAMI Alarm Safety Committee (AAMI rep)
157 Update cookbook to include ACM implementation (Monroe)
- Cokbook was drafted, became overlooked when IHE's “Dummies” book was published. The cookbook is still viable, help provide a mechanism for the users/purchasers to effectively choose a system. Darcy reviewed the document. It is very outdated. There is a lot more profiles to be added and she has at least 5 more use cases she would add. She can have document scanned (with notes) and sent. Monroe asked if Darcy would summarize notes and send them to Paul Sh.
161 Medication Administration Clinical Integration White Paper (Todd)
- Clinical perspective – it spans a lot of different technologies. IHE – A lot of technologies across domains. How to track through whole dispensing process? WP is intended to address it. Worked with Pharm domain and others. Demo at HIMSS emphasized the process. An update would be very useful to give out to users who want to implement medi admin. This an IHE top-down way to get the info out to the public, rather than bottom-up struggling to be heard. Could also ID gaps and prioritize actions. If we can assemble a team here to finish it, then send it up, it may go to IHE. Is there an actual WP? Todd is confidant it exists, maybe as a draft. Chris volunteers, Jeff M has a good editor to help, Jeff R may be able to help a bit.


  • > IHE Educational Webinars
Topics
Form deadline May 22
Working with AAMI and ACCE for educational webinars.
- Jeff M will send to Monroe existing presentation to adapt for IHE
  • ITI/mACM update (Monroe) (15 mins)
Will use FHIR Alarm (not Alert) but will need to extend to assign receiver.
When using ACM
Two camps: Use mobile devices to send Alerts, other wants to notify individuals in 3rd world countries of local issues. Suggested using ACM, very strong FHIR desire, though it doesn't seem to have capabilities. Also want to query for Alert status. We have a CP to bring PCD-05 back. May be good for AMs to participate, they will need them. Would medical devices be reporters? Not too likely, fits non-medical reporters better. Monroe pointed out PCD AM expertise, will see how they respond.
  • IEEE P1847 workgroup, Location Svcs for Healthcare (Monroe) (15 mins)
Overlaps MEMLS. In interactions, they seem to focus on tech and its' accuracy. Satisfied that MEMLS processes abstracts from technology. Focused on GPS, we have that. Learned that IEEE and DARPA working on how to get GPS info in a non-GPS area via inertial tracking. Extensive discussion on differing, maybe duplicative processes. Paul Sc emphasized HL7 v2's effectiveness and efficiency over other protocols. Concerned over focus. Have a white paper in our parking lot to map our work to FHIR. May be premature to start it now. Some are looking at resources needed, they meet occaisionally. Query based vs. push based messaging – probably more effective to 'push' rather than query.
  • PRT segment use.
In 2.8, we are in 2.6. We'll need to plan on how to move (pick and choose, planned migration, move all at the same time).
  • Review of ONC standards guidance document
Paul S provided some background.
Discussion of vital signs – emphasize use of 11073 for device based readings. Recommend adding line for device outputs, emphasizing 11073 as only viable standard.
- “Vital signs” Add emphasis that 11073 is an ISO internationally recognized standard for medical device patient vital signs and other clinical information output.
- Approx page 19: “Simple way for” email SMTP Should be secure email protocol to protect PHI
- Approx page 13 “Admission, discharge..” Does not refer to patient/equipment association. IHE PCD has a working group focussing on this process.


  • Discussion of MEMLS and cross profile connections, especially ACM and utilization.
Discussion of MEMDMC and device status. The gates are open, awaiting utilization. Are we awaiting except customer demand? Associating patient and device with locations. Association takes place at the integrator. PCIM could help bind those. MEMDMC – is there enough info to adopt, or do we need more for vendors to implement? Potential use cases: Telemetry monitors, ventilators, defibrillators, especially on crash carts. Discussed device logs. Add device log query from CMMS. Look at getting user community to request these capabilities. Monroe will contact Elliot sloane for town hall session. LS can appeal to hospital admin for utilization, personnel and patient tracking, etc. Any way to show how many patients are on a smart pump? Not yet, PCIM would help resolve this. Will look at utilizing patient-device connection as a mechanism to 'back door' patient locations.
  • FHIR – PCD mapping (Todd)
Looked at it a year ago. Things were in a lot of flux then. Didn't make sense then to work on it. Now have it out to ballot, a lot has been done. Further along, but still may be to premature to map. It may be a good time to look at it again. Can walk through the v2 documents for possible mapping. C4MI may be able to help move it forward. Chi here can help and has a good idea of when to move forward and what work can and should be done. We can schedule her to come in and update this week, just provide a time. A mechanism to transform a FHIR Alert message to PCD-01 would be impressive. How to ID, know variables etc. in FHIR. Winnowing the hundreds of proprietary protocols to five basic protocols would be VERY helpful for all.
  • TC item 170 Todd
Idea to genericize EC. Try to bind EC and AC data sets and transactions. Intent – have a set of profiles, but hospitals can't ask for infoeasily. Would be useful to bind it to device categories. Kept IPEC active. Broader question -do we want to go there, and what would it take. No need to leave Todd to this, it should become a Planning Committee item.
  • 13:30 C4MI update/overview (Ken)
Highlighted WHI interoperability White Paper. Discussed mission, vision and member organizations. Went over their model: Infrastructure, Syntactic, Terminology/semantic, Conversational. Discussed stakeholders and uniting them. Technical projects: Medical Device Interoperability, Protocol Interoperability Manager, PnP-IOP (Plug and Play Interoperability Platform).
Medical Grade Wireless Project – Quality varies immensely. Don't need standards, need a building guide. Added trust to project – robust way of highlighting and resolving robustness issues.
  • 14:30 Roadmap review and update
Some formatting changes for readability
Architecture - Added some HL7 mappings to cycle 10 and 11. Discussion of DPI meetings
DEC - PCD-02 carried forward, not in TF (lack of testing, moved to Cycle 11
RDQ – Carried to cycle 11
ACM – CP to add Alert Inventory, removed ITI-ACM Enterprise (superseded by mACM), cleared new transactions, mMuch discussion of smart alarms, moved to 2016.
RDQ – pushed to 2016
IPEC – Updated timeline.
Specializations (Vol 3), IPEC has LVP and PCA specialization.
Some discussion of WCM location and best fit. Currently in Content Management, could include on profiles as appropriate. Note to add WCM options to profiles as well. Do this for MEMLS as well.
DCM – Explanation of 'crossed off' cells.
DOM – Auto programming of pumps are in FT as of Dec 2014. Multi-component add-mixtures moved to 2016.
:: MEM – Move MEMDMC FT to 2017.  Cybersecurity WPs to be published this year.  MEMLS FT 2016.  MEMDMC FT 2016.
POC – Plug and Play New Directions, absorbed by network services, on hold. DPI – on hiatus, move to 2017, subsets shifted and edited to reflect relationship better.
DCM - 10101a, IEEE ballot started mid-April 2015, will move into RTMMS 2015. Start 10101b for pumps, vents and more in 2016. Developed IEEE-LOINC mapping 2015. Alert basic containment in 2015. WCM demo'd at Connectathon 2014, 2015, will be updated 2015. Vent specs 2016.
Quality – 80001-2-5 released 2014. 60601-1-8 not updated.
Coordination Efforts - Coordinating with PCC on moving PCHA from home. Meaningful Use coordination with WHI, Provided input on ONC standards guide – 2015. POI info to be transformed for Vol 3 inclusion.

17:00 PC ended

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 Morning

Joint PC & TC meeting

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

Decisions/Issues: Action(s):

2 Discussion Summary or Approval of Minutes
- Chair 		Status/Discussion:
- N/A


Decisions/Issues:

Action(s):

3 Agenda Items
- Standards Coordination 		Status/Discussion:
  • IHE International Board Update - (Todd Cooper)
Background on Board meetings and process.
Topics they've addressed:
- Conformity assessment, business model, funding activities;
- Engaging national deployment committees, how to share experience, global summit;
- Financial sustainability. How to get to financial independence? Polled members on what may work. Time to move forward. Goals – Set CN/testing guidelines, coordinate tools/testing, education, promote standards, testing activities use, relationships with other orgs.
Evolve business model to membership fees. Fee structure shown.
Discussed in committee a lot. How many will they lose?
How will fee affect international work – shouldn't be a major issue
Will increase domain validation work.
- How many deployed PCD? Korea, Japan, Europe. Different purposes, Japan improving their healthcare; Korea focused on economic development, have corporate hospitals.
- Where does ConCert fit? US specific, not PCD yet. ICSA existing certs may be included.
Concern that existing results/guides may not be compatible with ConCert
Scope seems different from Connectathon; cert is to domain, CN is to profile.
  • 9:45 > Showcase Update (30 Min) (Manny, Sandy)
Overview of changes
- Vignette and theater
- Elliot Sloane to spearhead promotion and introductions
- Org meetings Monday afternoons
- Schedule – Set up Friday, demo during exhibit hall hours.
- Other vendors available? (vital sign monitor) They hope
- Set up time a bit flexible? Not yet, but Sandy will check for Sat AM
- Tuesday calls - Cancel or continue? Continue, especially May 26.
  • 10:15 > Break
  • 10:30 > Location, Dates of the Fall F2F
Philips Healthtech, Boca Raton, FL
Week of October 19. Mon – Workgroup, Tues-Thurs PCD
  • Elections
TC Cochair > Need one ASAP
John Rhoads helping for now
Tom K will consider
Elections in June
  • IHE Membership Changes
Discussed fees and membership enforcement
  • PRT segement use
MEMLS and others use the PRT segment, Non PCD may use it as well.
Move to OBX-10,
Used PRT for ACM and MEM. Will need something firmer for others to use in newer HL7 versions.
John R - v2.7 introduces PRT, expanded in 2.8 to include UDI. Deprecating OBX-18. UDI is part of PRT. Can maintain some backward compatibility. There is a versioniing Action item. John will write some info for the wiki, including links to good presentations.
PCD needs to decide to all move to 2.8, or allow profiles to move as needed.
How will TF change? We need to decide that. TC needs to discuss staying at 2.6 or moving to 2.7. Moving would be fairly minor, field length is longer in 2.7. We've set the precedent to this this by profile. Biggest gain is to refer to normative description.
Jeff Mc will add to Thursday discussion.
  • May PC, TC Meeting Schedule
  • 11:00 Alex Lippett - Update (Didn't happen)
  • 11:15 > Adjourn Joint Planning and Technical Committee


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 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):



Thursday

Placeholder

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 __ PCD PC&TC 2015-05-20 Webex

Joint PC, TC ______

TC _____

PC _______


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