PCD PC&TC 2015 October 20-23 F2F Webex

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:

- Philips Healthcare,

951 Yamato Rd, Boca Raton, FL 33431

Suite 175W

- Meeting room

Hotel

- Springhill Suites

130 NW 8th Avenue Boca Raton FL 33487

Book at group room rate at [Hotel link]

Dates

Tuesday October 20 PCD Planning Committee

Wednesday October 21 morning: Joint PCD Planning and Technical Committees

Wednesday October 21 afternoon through Thursday: PCD Technical Committee

Friday October 23 Pump Working Group

Daily Schedule -

08:00 - 08:30 Meet at Philips, Boca Raton, FL

Meeting will start promptly at 08:30 Eastern Time each day.

08:30 - 10:15 Session #1

10:30 - 12:30 Session #2

12:30 - 13:30 Lunch (location to be announced)

13:30 - 15:15 Session #3

15:30 - 17:00 Session #4

The Friday Pump workgroup session will end by 12:30

Agenda Suggestions

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

From the PC Action Items PCD Planning Committee Action Items:

78. Stakeholder Survey

140. AAMI Alarm Safety Committee

157 Update cookbook to include ACM implementation

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

118. Implementation Guide

136. WCM Parameter List

140. Assemble the Baseline Set of Standards for Easy Reference

143. Describe HL7 Version Implications

150. Seek null flavors in HL7 2.9

167. Versioning and Archiving

170. Convert IPEC to EC

175. Develop a PCD UDI whitepaper for IHE

178 MSH-5 and Connectathon

179. IPEC and EC documentation

183 CP for WCM and implementation

186 Review and reformat ftp site

189 Identify unique identifiers before the Connectathon

190 PRT Segment Use

191 Liaise with IDCO on Waveform communication

192 FHIR

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).

The HIMSS Webex page is [here]

Tuesday morning, October 20: PC: Meeting Number: 922 345 610

Tuesday afternoon, October 20: PC: Meeting Number: 927 328 705

Wednesday morning, October 21: Joint PC, TC: Meeting Number: 927 905 271

Wednesday afternoon, October 21: TC: Meeting Number: 921 745 176

Thursday morning October 22: TC: Meeting Number: 921 791 087

Thursday afternoon October 22: TC: Meeting Number: 922 601 518

Friday morning October 23: Pump WG: Meeting Number: 924 383 028

Attachments / Materials

Documents related to the meeting when available will be found at the [F2F ftp site] unless otherwise noted. Documents are available without a password.

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 October 20, 2015

Date	Hours	Committees	Topics
Tuesday Q1	08:30 - 10:15	PCD Planning Committee (PC)	08:30 > IHE IP Management Process 08:35 > Introductions and Agenda Review 0900 > Review current PCD programs (statuses, plans 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 (Chris C) - OMS (Ken F) - RTM (Paul Schluter)
Break	10:15 - 10:30 AM
Tuesday Q2	10:30 AM - 12:30 PM	PCD Planning Committee (PC)(Cont)	10:30 > Continue program review - RDQ (John R) - DPI (John R) - PCIM (John R) - MEM DMC (Monroe P) - MEM LS (Monroe P) - DCM Pulse Oximetry Integration Supplement(Completed) - Pump (Al E, Paul E, Jeff R.) - Physio monitor (John R) - Vent (Paul Schluter) 11:30 > Action item Discussion 78. Stakeholder Survey 140. AAMI Alarm Safety Committee 157 Update cookbook to include ACM implementation
Lunch	12:30 PM - 1:30 PM
Tuesday Q3	1:30 - 3:00 PM	PCD Planning Committee (PC)(Cont)	1:30 > Location, Dates of the PCD 2016 Spring F2F 1:45 > Review IHE Milestones from now until Pre-Connectathon IHE 2016 Publication Schedule [1]
Break	3:00 - 3:15 PM
Tuesday Q4	3:15 - 5:00 PM	PCD Planning Committee (PC)(Cont)	3:15 > Adjourn PCD Planning Committee (PC) Meeting

Wednesday October 21, 2015

Quarter	Time	Lead	Agenda Items
Wed Q1	08:30 - 10:15 AM	PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)	08:30 > Introduction - IHE IP Management Process (5 minutes) 08:45 > - Review & Approve Joint PC & TC Agenda (10 minutes) - Review Discussion Summary Last PC & TC Meeting PC & TC October 14, 2015 PCD PC&TC 2015-10-14 Webex 09:00 > HIMSS Showcase MEMLS emphasis at HIMSS 09:30 > AAMI Showcase Nomenclature update (Paul Schluter 09:45 > Adjourn PCD Joint Planning & Technical Committee (PC & TC) Open PCD Technical Committee (TC) - IHE IP Management Process Announcement – Decision Making meeting (TC Co-Chairs) 09:50 > TC Welcome and Agenda Review (Tom Kowalczyk) - Intellectual Property Requirements 09:55 > TC Cochair election 10:00 > Review Current PCD Program: - ACM (Monroe P)
Break	10:45 - 11:00
Wed Q2	11:00 - 12:30	PCD Technical Committee (TC)	11:00 > Test Tool update (John G)
Lunch	12:30 - 1:30
Wed Q3	1:30 - 3:15 PM	PCD Technical Committee (TC)	1:30 > Review Current PCD Program (continued): - RTM (Paul Schluter)
Break	3:15 - 3:30 PM
Wed Q4	3:30 - 5:00 PM	PCD Technical Committee (TC)	3:30 > IPEC (Al E, Jeff R) 4:30 > Whitepaper - MEMDMC communication from systems to devices (EPIC/Matt Rush) [FTP link]

Thursday October 22, 2015

Quarter	Time	Lead	Agenda Items
Thursday Q1	08:30 - 9:45 AM	PCD Technical Committee (TC)	08:30 > IHE IP Management Process 8:35 > Point-of-Care Identity Management (PCIM) white paper (John R)
Break	09:45 - 10:00 AM
Thursday Q2	10:00 AM - 12:30 PM	PCD Technical Committee (TC)	- Private Terms (Paul Schluter) - Continue Profile Review: IDCO (Paul Schluter) DEC (updated PCD TF) (John R) PIV (Al E, Paul E) EC (John R) WCM (Ken F) OMS (Ken F) DPI (John R) MEM DMC (Monroe P) MEM LS (Monroe P) Pump (Al E, Paul E, Jeff R.) Physio monitor (John R) Vent (Paul Schluter) [TC Action item] review 118. Implementation Guide 140. Assemble the Baseline Set of Standards for Easy Reference 143. Describe HL7 Version Implications 150. Seek null flavors in HL7 2.9 167. Versioning and Archiving 170. Convert IPEC to EC 178 MSH-5 and Connectathon 179. IPEC and EC documentation 10:00 > Continue TC Action item review 183 CP for WCM and implementation 186 Review and reformat ftp site 189 Identify unique identifiers before the Connectathon 190 PRT Segment Use 191 Liaise with IDCO on Waveform communication 192 FHIR 11:00 > ACM change to containment MDC codes and MSH-21 OID change (Monroe) 11:30 > Proposal Review Communication Between Devices - DPI Working Group (Angela Merzweiler) Workflow Profile (Angela Merzweiler, Björn Bergh) [FTP link]
Lunch	12:30 - 1:30 PM
Thursday Q3	1:30 - 3:00 PM	PCD Technical Committee (TC)	1:30 > Security Discussion (Axel) 2:30 > Proposal Review (cont.)
Break	3:00 - 3:15 PM
Thursday Q4	3:15 - 5:00 PM	PCD Technical Committee (TC)	3:15 > IEEE to LOINC mapping (Paul Schluter) 4:00 > F2F Action Review (from this week) 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)

Friday October 24, 2015 (Pump Workgroup)

Quarter	Time	Lead	Agenda Items
Friday Q1	08:30 - 12:00	Pump workgroup	Introductions Agenda review and prioritization IHE IP Management Process AGENDA TOPICS Pump model - discuss and determine best option for channels and containment IPEC - determine changes needed based on revised pump model 12:00 > Meeting Adjournment

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

Note: Time slot TBD: IDCO

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

Tuesday, October 20

On Site:

Remote:

Wednesday, October 21

On Site:

Remote:

Thursday, October 22

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.

Tuesday

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Monroe reviewed the IHE IP Management Process Introductions and Agenda Review Decisions/Issues: Agenda approved Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: Minutes approved Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Review current PCD programs (statuses, plans only, details during TC sessions): - ACM (Monroe P) Updates in PP file on ftp site (Monroe has slides for all 3) - MEMDMC Updates in PP file on ftp site - MEMLS Updates in PP file on ftp site Discussion on encouraging further vendor participation. How to encourage them to join MEMLS? Approach hospitals to pressure them, medical device vendors when deploying, Examined DARPA work as well (Inertial guidance if GPS not available) – useful for home care. - DEC (updated PCD TF) (John R) Very slight evolution, no substantial change. A couple of explanatory pieces in the TF update. - IDCO (Paul Schluter) Extension for 10103a submitted, should be approved. Extensions on items not already addressed. Making progress. Plan on January 2017 Connectathon participation. Concern over costs in attending the Connectathon. - PIV (Al E, Paul E) Not much new. Some TF updates. - IPEC (Al E) Worked on pump model, finalizing with proposed CP. Mostly it's a TI implementation, just need TC review, then send to Mary so she can publish for public review. - EC (John R) IPEC working well. Other possible is MEMDMC. Unsure if this needs a general profile or keep it within specific profiles. Monroe – there is some commonality, may be good to have design goals and guidance for all to use. Jeff R - Question on how all profiles combine. Could use a guide for new participants. - WCM (paul Sc) Know what the updates are, need to write them up. Right now it's adhoc strings. Some Cps are out, just need to write them up. Would be good to have MDC/REFID to outline them. How granular? Stream or Static. Two formats currently. Continuous wasn't originally indicated; hadn't looked at it yet. Discussion of transition between static and dynamic (snippet and continuous). - OMS (Ken F) published a white paper a while back, not much activity. In China – most devices are RS-232 serial. If they start implementing HL7, this will be useful. - RTM (Paul Schluter) Several related items. Standards – ACM code hiccup, delayed approval. Should be approved Dec 5, published Dec 9, to NIST Dec 10. Different Word fonts make it interesting; formatting to make the document clean and open in HTML. Should be ready for downloading. Hope to have ready for Pre-CN for trial work and fully ready for CN.(gone 9:57 – 10:10). - Polysomnography Monroe discussed Polysomnography in IHE Brazil. Challenge – need a mechanism to 'package' individual equipment info into a single report. If we can get a sample report to build from, that would help. - RDQ (John R) Quiescent. Asks for past data dump. Well documented and available, but few want to use it. Not sure when it will be implememted. ACM used to have their own, extracted it and recommend using RDQ. Paul Sh – one company registered for RDQ at Connectathon, CardioPulmonary Corp. This may be superseded by something based on FIHR. - DPI (John R) Work sporadic, sharing with automating device info model. Proposal sent touches on several areas, including DPI. - PCIM (John R) Creating a WP to aid implementation. Any vendors creating material? Yes, Epic, Philips and others are working on that. - Pulse Ox Need resources to take this further - Pump (Al E, Paul E, Jeff R.) Discuss profile enhancements later this week. Work group meets Friday morning - Physio monitor (John R) Basic Vol 3 content specification available. Todd is considering adding to it, but doesn't have resources to do it now. - Vent (Paul Schluter) 10101a has 50 pages in it, will expand in 10101b. Message content good, will add additional terms as vendors request. Will include events in 10101c. - Certification (John G) Just had CASC meeting. They've ID'd some PCD profiles to work on. They're trying to ID what other tasks are needed to comply ISO standard. Charles asked if there are scenarios we would test to around Connectathon time. Quickly developing, a big effort under IHE Intl. The focus is on the end user side. Monroe provided some certification background. Testing rigor is there. This group wants to focus on mature profiles. Discussed certification process. Can we improve Connectathon testing to provide this info to customers? Yes, but it will take a lot of work. Key is to define specializations in Vol 3. Can develop test plans to define scenarios, then add specializations. 11:30 > Action item Discussion - 78. Stakeholder Survey Associated with AAMI representation. Not active yet. Will close and open a new one for ECRI. Juuso will check with ECRI staff to see if they're willing to do a survey with their customers. - 140. AAMI Alarm Safety Committee Close until it resurrects with Joint Commision analysis of Alarm fatigue. Start a new Action Action for this. - 157 Update cookbook to include ACM implementation Resource availability limited ability to update so far. Jeff R willing to look at the pump part and Rob will look into the ACM part. Change date to Nov 11. 12:00 > Use of 11073 terms in HL7. (Epic) – Discussed at IEEE/HL7 meetings. Most of our terms will be used in Rosetta without formal acceptance. Not as solid as we would like it, but it's usable. Numeric codes and REFIDs are freely available. Yes, but it's better too include IEEE terms as well. 1:30 > Location, Dates of the PCD 2016 Spring F2F West Health Institute, in San Diego (AFC) Likely 2nd week of April, paul will confirm and provide to the Committees - Review Connectathon milestone dates - Review IHE Milestones from now until Pre-Connectathon - IHE 2016 Publication Schedule [2] Long term Roadmap [Roadmap ftp link] - Cycle 11 Architecture: We use 2.6, moving to 2.8 and 2.8.2 (UDI, PCM uses it) DEC: - RDQ not at FT, moved out to 2016 PCD02: In TF MEMDMC profile options, WCM option for DEC, Smart Alarms: Move to Cycle 12 RDQ profile specific work: move to Cycle 12 IPEC - Device order Management Multi componnent admixtures: Pump roup will discuss this week, may go away MEM: Final text – not enough vendors yet, moved to 2017 Cybersecurity/Patching Wps – underway Point of Care: - DPI no change. Overlatp with a proposal? Yes, likely - Symmetric Comms: - UML model – fairly complete, add to calendar for 2016. - DIM editor – V1 mostly done, should be ready in 2016 Content Management - 10101b for new terms Q4 2016 - 10101c Q2 2017 - Map IEEE to LOINC WCM – updated TI IPEC: Jeff R will submit updated CPs for IPEC TI. Will be several updated CPs. - PCA Content in IPEC TI – change to pump specialization and move to 2016. Vent Specialization in RTMMS and PCD TF Vol 3 - 2016 Coordination Efforts - Sending PCHA records (PCC) – Can use LOINC mapping, but says SNOMED now (unlikely). - HIMSS ONC MU standards – 11073 distant 2nd to other standards. Quality - IEC 60601 - 60601.1.? specific Alarm info not released yet Adjourn PCD Planning Committee (PC) Decisions/Issues: Action(s):

Wednesday Morning

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Introductions Reviewed the IHE IP Management Process Reviewed & approved Agenda (10 minutes) Reviewed and approved Oct 14 PC/TC Meeting discussion summary Reviewed PCD Calendar and Update "PCD ftp site [[3]]" Action(s):
2	Discussion Summary or Approval of Minutes - Chair	Status/Discussion: Decisions/Issues: Action(s): Oct 14 PC/TC summary approved
3	Agenda Items -	Status/Discussion: - AAMI Showcase In Tampa this time. No HIMSS showcase. Likely back to 10x20 display, should reduce costs a bit. Will piece together a demo. There will be more info coming. - AP/Lab domain merger. How active is lab? Fairly active, not sure what their current specifics are. Paul Sc – what standards are they using? Any MU used? Monroe – good questions, send them to him to ask at next week's DCC call. - HIMSS Showcase Family of four didn't quite work, will have 15 patients independent of each other. Will minimize overlap in vignettes. Fewer devices per vignette – allows more time for each vendor. Docents will work with vendors to discuss devices with visitors. Will help between tours as well. Reduced use cases by two, allowing more frequent tours. Proposed having badge scanners for each vignette. Helps ID walk-ups and tours of specific vignette. Should help with lead creation. Started discussing use cases with vendors. Vendors now can select vignettes, rather than have them assigned. They are listed on the page as well. Prospectus on Showcase web page with levels of participation. Philip provided an overview of what vendors get for different levels. Discussed 'Leadership' level benefits. MEMLS emphasis at HIMSS – No one has signed up yet. One vendor participated last year as location services providor. He hasn't signed up yet. We will ping him to sign up. Is the Showcase in the same place as last time? Unofficially – yes. Will provide signs to connect vendor booths with the Showcase. Hope to provide more directions, etc. to drive traffic to the Showcase. There are event spots available. Rob - Is this being communicated to our marketing people? Yes. Why the issue of location in Vegas? They don't want to give up prime floor space for the Showcase. Much like Chicago Connectathon space. There are space constraints. Monroe's relationship with the Showcase? Wanted someone to manage PCD interfaces with the vignettes. Will start PCD calls in November. - Nomenclature update (Paul Schluter) Likely 10101a approved by IEEE Dec 6. Should be available for use. Most topics for TC call. Will work with Nicholas to upload into RTMMS. Have four groups competing for the same numeric set, need to manage that process. Many codes start with 0, active ones will have non-0 to show they're active. This helps the receiver know it's an active code. Focussing on getting it approved, don't want to add anything, it could delay approval. Won't include pump info yet. 10:30 Adjourn PCD Joint Planning & Technical Committee (PC & TC) Start PCD Technical Committee (TC) Decisions/Issues: Action(s):

Wednesday 10:00 AM

Action(s):

Item	Topic	Discussion
1	TC Welcome and Agenda Review (Tom Kowalczyk) - Chair	Status/Discussion: Decisions/Issues: Agenda approved IHE IP Management Process Announcements – - Decision Making meeting (TC Co-Chairs) - TC Cochair election Ballot currently open for John Rhoads as new cochair. Action(s):
2	Discussion Summary - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: Review Current PCD Program: - ACM (Monroe P) Presentation available on F2F ftp site Passed a number of CPs. - Resurrected some functions redacted to acheive Final Text. Discussion over PCD-05 resurrection. It is an option at the Connectathon. Can do ad-hoc if needed. Tests are updated for 2016. Rob – they will likely participate in 2017. - Aligned Containment MDCs with IEEE 11073-10101a - Some in process, not balloted yet. - Discussion of upcoming CPs and potential impact. Question of PRT and HL7 versions. Discussion of OBX. -Test tool updates (John G) Presentation on ftp site Scope 'creeps' and become defacto e-version of the standards. HL7 V2 tooling - - Working with IHE int'l to help with their certification. IGAMT and TCAMT – guides constrain the standards to usable levels, reduces ambiguity. Drives user consistency, especially useful for Meaningful Use. Want to get PCD-01 into them. Once done, can work on specializations and other profiles. Hope to have it ready to demo by spring F2F. - DIM Editor and tools Showed updates at IEEE-HL7 meeting earlier this month. Challenge; seperating 11073 terms from others. Model robust and stable, being tested. Once model done, can build containment. Need to know the DIM a bit, but it's very powerful and useful for generating standards. Meetings and activities coming up Addressing Cps as they happen and TF 2, V5. - IHE-Japan Connectathon – Asked them how the tools worked, worked well - As they evolve, will be able to use different tool versions - RTMMS Updated tools. How well is IE working with the tools? It's a bit erratic, they recommend Firefox and Chrome. Working through those challenges. Dr. Swapna provided a great cross reference sheet. 11073 will include LOINC and SNOMED mappings soon. Paul Sc – concerned it may be a bit premature, suggest starting with a lighter touch. It will take a while to implement. Needs more review. - NIST tool framework work - Royalty free agreement with IEEE - Tool updates WCTP in the future? Monroe and John G to discuss. - Discussion CP122 update underway IPEC – Have a lot of 0 MDC codes, How to resolve? Todd working on it. Current mechanism doesn't work, paul Sc will discuss at his session. John demonstrated TCAMT . A process to automate test generation. Example - Paul Sherman can use the test spreadsheets and create the tests. When will Pre-Connectathon start? 1:30 > Review Current PCD Program (continued): - RTM (Paul Schluter) Presentation is on ftp site. 10101a, and lessons learned - Either method can be supported. Paul is looking for feedback and suggestions. Dealing with 'junk' terms. Q – Without ability to see what's submitted to 10101a, how to see what's submitted so we can provide input? A - IEEE instituted public review period; working group must review comments. Q - How to get new pump term numbers? A – On RTMMS now, Todd can approve them. Likely have few junk terms. Q MEMLS has 20+ terms, some from other areas. A – should be no problem, there's space for them. - IPEC (Jeff R) Not a lot going on right now. Found pumps and use cases it didn't accommodate. IPEC is driving the IEEE model. Redefining the model. Will be a CP to approve a new version. The events haven't changed much. The changes reflect pump models and content of those events. Some will end up in Vol 3. Clinical Scenario section; many changes in the Parameters. Eliminated use of 'channel', will use 'info' instead. Come too far to go back, need to know how to get them into RTMMS and the NIST tools. John G – Todd entered some new terms, is committed to get other codes assigned by EOW. Reviewed RTMMS. 92 terms, 22 without codes. This will change the DEC profile as well. Struggles with adding dose units as well. What needs to happen? Al updated Todd about the terms, need them loaded. How long to validate the terms? It depends on the field and requirements. Extensive discussion and review of terms in RTMMS. - Whitepaper proposal - MEMDMC communication from systems to devices (EPIC/Matt Rush) [FTP link] Alert Management – Silence Alerts and setting alert limits. 11073 meeting a couple of years ago – seems there's been work there. Look at 11073 – 10201. prepare for feedback from Jan Wittenber. Some things to be done first. There's a lot of interest in 11073; personal health devices has done some work. Issuing commands in FIHR will create a lot of new terms. Seems a very good time to discuss it. Decisions/Issues:
4	___	Status/Discussion: Decisions/Issues: Action(s):

Thursday

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	____________ - Chair	Status/Discussion: - Decisions/Issues: Action(s):
3	Agenda Items -	Status/Discussion: ** reviewed IHE IP Management Process Review of On-going work - ACM update (Monroe)- - Point-of-Care Identity Management (PCIM) white paper (John R) No major change in OBX-4, but could be EMR challenges. John provided OBX4 overview. Discussion of official definitions versus implementation. As soon as we define the models, it will be useful for implementers, particularly on the receiver end. Epic explained how they implement OBX-4. In general, XML is like a tree, you can parse a message to find the info needed. In TF as a 'should, not a 'shall'. Epic had to code to the current framework.Enforcing document order won't eliminate OBX-4. This ensures consistency within channels. Risk of mixing semantics, but not sure it's a practical concern. Brian will discuss this with Chris (Epic). Pump model has a couple of attributes for events and alarms. Also a companion attribute that defines hierarchy position. Example – will use different OBX's for primary and secondary pump channels. - Private Terms (Paul Schluter) - Continue Profile Review: DEC (updated PCD TF) (John R) IDCO (Paul Schluter) PIV (Al E, Paul E) DPI (John R) - Semi-quiescent MEM DMC (Monroe P) - Moving more into the mainstream. Some 11073 attributes not in RTMMS yet, but can be added when needed by MEMDMC. May be in the X73 tab; will need to be harmonized. May be able to use Personal Health Devices as well. Two Cps, proposals for communication to devices, this may be the best group MEM LS (Monroe P) - Will need to change the document to resolve an editing error. Al will submit a public comment to correct. PCIM (John R) - Core of the WG (Stan, Chris and Doug) did a lot. Have a good draft, hope to submit by EOY, then send for balloting. Pretty specific on format and content. John and Chris will prototype, then TI in 2017 Pump (Al E, Paul E, Jeff R.) Physio monitor (John R) Vent (Paul Schluter) - Done a lot of work, a lot of mappings wih positive feedback. Covered basics, breathe by breath annotation, additional parameters. Will need to take care of private terms. Advanced topics may be in 10101c. [TC Action item] review 118. Implementation Guide - Ties to Igamt and tcamt work. Trying to implement PCD-01. Will mirror TF Vol 2, provide more focused device speciliazation guides. 136 WCM Attribute List - Can use numeric Ids or annotated ECG. Not a compelling need to include them.Have a good way to show filters. Change to Nov 18. 143. Describe HL7 Version Implications::- :: 143. Describe HL7 Version Implications - CLOSE 150. Seek null flavors in HL7 2.9 - HL7 V3 item to explain why a field is empty. In TF Vol 2, line 3380. Tweaked it to make a tutorial. CLOSE 11:30 > Proposal Review Communication Between Devices - DPI Working Group (Angela Merzweiler) - Don't have ability to communicate between devices, described five use cases. - Discussion – John R; DPI goals for some time, looks like a good project. Monroe; some profiles and TIs started on it, may need to spraed out over multiple Wgs. Some experience and expertise to help achieve. What does a device need to support? Use this approach to configure devicxes and record alerts and observations. There are a lot of pieces that exist. DPI can build on that work. Need to prioritize the tasks, then fill in the rest as time allows. Need to find resources to implement it. Part of 11073, but not main part, part of Open SDC. Stephan: Described transport specs, web services derived from HL7 specs. Glues together how the sections work. Needs implemented by devices (not HL7). Are there libraries available? Yes, two. Open SDC and OC-lib. Workflow Profile for ordering Device Monitoring (Angela Merzweiler, Björn Bergh) - Closes loop from order to results. (I want this device to do this thing) - Discussion – Similar to original DEC profile, takes existing HL7 V2 infrastructure. Tailors this to a specific use case. Similar to RGB in PIV. Want to order, then take results and update the order. RAD has done similar work, can use this to build this profile. Next steps – Evaluate proposals. Determine work needed and resources available. PC will review and determine if we'll take I forward. Will need to submit to HIMSS to determine if this is appropriate for PCD or another domain. [FTP link] Continue TC Action item review. 167. Versioning and Archiving - ::- ACM used OID to perform this. Can add a how-to to TF next iteration CLOSE 170. Convert IPEC to EC - Do we take it down a notch and put info in framework, and let device specific groups define as needed (IPEC becomes an example of EC)? IPEC principles can provide a base for others to build on. Close this and open another to create common EC material to go into TF. Owner of new AI – IPEC team and John R. What is the need for this material? Would be a template for other equipment types to build on. - CP-122: ACM change to containment MDC codes and MSH-21 OID change (Monroe) Monroe reviewed CP, found a few edits needed. Any other profiles have changed their content. Questions on why this needs a CP. Because this is in Final Text, most others are in Trial Implementation. Epic is concerned over keeping track of the changes and versioning. Doesn't see this as a big enough change to warrant versioning. This one is, this won't be a habit. Monroe will retract the CP, edit as needed and resubmit for balloting. Medical Device Cybersecurity Discussion (Axel) All this work needs to happen quickly, but in a highly regulated environment. This is a system of systems issue. Overview of prior work and current activities. Getting good feedback from Symantec customers. Limitation – only best practices for current tech, nothing for new technologies; had to update chapters while writing. September asked 'What's Next?'. Users provided a list of what they need. The workgroup needs provider members. Need a way to make this work at the hospital level. Examples: Equipment returned from repair, loaners, demo equipment – how to confirm they aren't a security issue without overloading the hospital? This typically would go to ITI, but they don't really look at device function. Life critical vs. mission critical, the variety, number of devices and device age are all more complex than IT systems. Continue TC Action item review. 175 Develop a PCD UDI Witepaper for IHE - John R – Unless someone has material changes, close this. 178 MSH-5 and Connectathon - Retitle to MSH 3 and ACKs. Look for Jeff's email and use that an update to the TF. What to do as a gateway? The gateway is responsible for the ACK. Change date to Nov 4 and put on the TC agenda. 179. IPEC and EC documentation - CLOSE 183 CP for WCM and implementation - Will update WCM TI rather than create a CP. Change date to Nov 18. 186 Review and reformat ftp site - Make Cochairs owners. Change date to Dec 31 189 Identify unique identifiers before the Connectathon - Discussion on how to proceed. Could have the vendors provide, NIST loads the info, then it can tie back during Connectathon registration. John G will assemble a spreadsheet to go to CN and PC members asking them to load their info. Will try to have ready for Pre-Connectathon. Paul Sc suggests including a private company identifier. Set up for warning if not in the table, error if different than in table. Stay with OBX-18 for now. Need extra data and analysis. John will send a notice on what's needed for this Connectathon. 190 PRT Segment Use - CLOSE 191 Liaise with IDCO on Waveform communication - Liaised, unsure what IDCO will do. Change to Dec 31. 192 FHIR Change date to Dec 31 IEEE to LOINC mapping (Paul Schluter) - IEEE 11073 to LOINC Mapping Very reasonable first draft of mapping exists, due to the work of Dr. Swapna Abhyankar. 600+ ‘harmonized’ Rosetta terms, incorporate dimensionality, maps (almost reversibly) to LOINC. Recommend that mapping information be captured as a single, authenticatable file. IEEE P11073-10104 as possible future standard, provides ANSI recognized open-consensus review and voting. MoU between IEEE and Regenstrief ‘almost’ signed (should have been two weeks ago). IEEE-SA is considering similar relationship with SNOMED-CT, but many things are needed to be done to make this happen. Decisions/Issues: Action(s):
4	___	Status/Discussion: http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_10#Cycle_10_WorkItem_Candidates Decisions/Issues: Action(s):

Friday Pump WG Meeting

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda approved Action(s):
2	General Discussion	'Status/Discussion: reviewed IHE IP Management Process Attendees: Al Englebert, Paul Elletson, Brian Witkowski, Tom Kowalczyk, Megan Tetlow, Olivier Coeffic, Jeff Rinda -Pump specialization will be major focus of pump group in 2016 • LVP, PCA, Syringe -IPEC - messages should contain information for all channels • most important for the "start" message after infusion programmed using PIV • consider updating IPEC profile to explicitly state this -Extending PIV to other use cases Multistep and Loading Dose programs PIV can support when all program parameters are ordered and known by EMR "up front" Paul E - determine whether there is an MDC term for "continuous" that can be used -Proposed PIV message structure for multi-segment orders: • loading dose or bolus followed by continuous infusion • multi-step infusion MSH PID (PV1) ORC { RXG (TQ1) RXR (consider placing this segment before RXG so that it only appears once if HL7 supports) OBX – indicates dose type (use existing MDC terms for loading dose, clinician dose, may need new term for “continuous or continuous rate”) OBX – pump ID OBX – patient height/weight/BSA } -Ramp/Taper In order to support we need to know the specific parameters required by the pump. Need to define terms for these parameters (some examples might be "target dose rate", ramp time, taper time, enumerations for "ramp" and "taper". Do we :have status elements defined?) Vendors may handle programming differently or not support at all. -Bolus There are many use cases where the word bolus is commonly used • Initial bolus (= loading dose) • Bolus administered from bag • Bolus administered from secondary • Bolus according to protocol order (as needed according to patient parameter or condition) • Bolus administered from syringe (heparin, insulin, narcotics often given this way) Jeff will solicit comments on bolus practice, consistency within an institution, etc Brian will solicit comments on bolus ordering (if separate order – how to “link” to an infusion in progress, how to know whether given by syringe or as :secondary/piggyback) -Use of 5th containment level Jeff will schedule pump group call pending Todd’s availability to review Al's email on use of the 5th containment level -Use of reference range (OBX-7) Al will develop a CP to optionally use the reference range (OBX-7) to contain drug library limits. -Target-controlled infusions (TCI) Require specialized pumps that deliver a drug to maintain a target blood concentration More common in Europe Issue: How to program using PIV Vendor(s) of those pumps are not currently participating in IHE pump group, and current group members are not familiar with the programming and :operational parameters for the devices. “Diprifusor” is a TCI device developed specifically for the administration of a single drug - propofol (Diprivan) Decisions/Issues: See above Action(s): See above

Action Items - PC

The Action Items that follow and approved in subsequent committee meetings will be added to the committee Action Item page.

Submit updated Milestones to IHE (Mary Junger)

Update PCD's long term visionary roadmap calendar

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 2015-10-28 Webex

TC PCD TC 2015-11-04 Webex

PC PCD PC 2015-11-11 Webex