Difference between revisions of "PCD PC&TC F2F 2016 Oct 10-16 Webex"

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[[Patient Care Device | PCD Home]]
 
[[Patient Care Device | PCD Home]]
−
[[Category:PCD Meeting]]
 
  
 
{{TOCright}}
 
{{TOCright}}
−
 
−
'''PLACEHOLDER'''
 
  
  
Line 35: Line 32:
 
::: Wednesday October 12 morning: Joint PCD Planning and Technical Committees
 
::: Wednesday October 12 morning: Joint PCD Planning and Technical Committees
 
::: Wednesday October 12 afternoon through Thursday: PCD Technical Committee
 
::: Wednesday October 12 afternoon through Thursday: PCD Technical Committee
 +
  
 
: '''Daily Schedule''' -  
 
: '''Daily Schedule''' -  
Line 58: Line 56:
 
From the PC Action Items [[PCD Planning Committee Action Items]]:
 
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
 
:157 Update cookbook to include ACM implementation
 +
:168  Execute Stakeholder Survey
 +
:170 Create Stakeholder Survey
 +
  
 
From the TC Action Items: [[PCD Technical Committee Action Items]]:
 
From the TC Action Items: [[PCD Technical Committee Action Items]]:
 
:118. Implementation Guide  
 
: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
 
:170. Convert IPEC to EC
−
:175. Develop a PCD UDI whitepaper for IHE
+
:196  Add PCD specific values to HL7 table 78
−
:178 MSH-5 and Connectathon
+
:197 Verify tiny URL values on business cards and welcome letter.
−
: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 ==
Line 90: Line 77:
 
The HIMSS Webex page is [[https://himss.webex.com/mw0401lsp13/mywebex/default.do?siteurl=himss here]]
 
The HIMSS Webex page is [[https://himss.webex.com/mw0401lsp13/mywebex/default.do?siteurl=himss here]]
  
−
Monday October 10: Pump WG: Meeting Number:   
+
Monday morning, October 10: Pump WG: Meeting Number:  928 875 189
  
−
Tuesday morning, October 11: PC: Meeting Number:   
+
Monday afternoon, October 10: Pump WG: Meeting Number:  928 748 661
  
−
Tuesday afternoon, October 11: PC: Meeting Number:
+
Tuesday morning, October 11: PC: Meeting Number: 929 278 938
  
−
Wednesday morning, October 12: Joint PC, TC: Meeting Number:
+
Tuesday afternoon, October 11: PC: Meeting Number: 922 063 449
  
−
Wednesday afternoon, October 12: TC: Meeting Number:  
+
Wednesday morning, October 12: Joint PC, TC: Meeting Number: 928 696 483
  
−
Thursday morning October 13: TC: Meeting Number:   
+
Wednesday afternoon, October 12: TC: Meeting Number:  921 883 845
  
−
Thursday afternoon October 13: TC: Meeting Number:
+
Thursday morning October 13: TC: Meeting Number:  921 358 368
 +
 
 +
Thursday afternoon October 13: TC: Meeting Number: 927 389 385
  
 
== Attachments / Materials ==
 
== Attachments / Materials ==
  
−
Documents related to the meeting '''when available '''will be found at the [[ftp://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2015-Oct-Boca-F2F/ F2F ftp site]] unless otherwise noted. Documents are available without a password.
+
Documents related to the meeting '''when available '''will be found at the [[ftp://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2016-October-BocaRaton/ ftp site]] unless otherwise noted. Documents are available without a password.
  
 
Schedule/Deadlines: [[Patient Care Device]] and [[Domain Milestones]]
 
Schedule/Deadlines: [[Patient Care Device]] and [[Domain Milestones]]
Line 117: Line 106:
  
  
−
=== Tuesday October 20, 2015 ===
+
=== Monday October 10, 2016 (Pump Workgroup) ===
 +
 
 +
 
 +
:{|border="2"
 +
|-
 +
! width="10%"  align="center" |Date
 +
! width="10%"  align="center" |Hours
 +
! width="20%"  align="center"  |Committees
 +
!              align="center"  |Topics
 +
 
 +
 
 +
|-
 +
| align="center" | '''Monday'''
 +
| align="center" | 08:30 - 17:00
 +
| align="center" | Pump workgroup
 +
|
 +
::
 +
:* Introductions
 +
:* Agenda review
 +
:* [[Patent_Disclosure_Process | IHE IP Management Process]]
 +
::
 +
:* Morning (08:30-12:30)
 +
::* CP – add optional software (SFT) segment to DEC/IPEC (Jeff Rinda)
 +
::* RDC - Remote Device Control and other options to control a pump (Kurt Eliason)
 +
::* Support for multistep infusions (Jeff Rinda/Brian Witkowski)
 +
:::* PIV
 +
:::* DEC/IPEC
 +
 
 +
:* Lunch (12:30-13:00)
 +
 
 +
:* Afternoon (13:00-17:00)
 +
::* Continue morning discussions if needed
 +
::* Pump-anesthesia machine integration (Mike Krajnak)
 +
::* Improving efficiency of pump integration implementation through use of a common Schema (Brian Witkowski)
 +
 
 +
:* 17:00 > Meeting Adjournment
 +
|-
 +
|-
 +
|}
 +
 
 +
=== Tuesday October 11, 2016 ===
  
 
:{|border="2"  
 
:{|border="2"  
Line 134: Line 163:
 
:* 08:30 > [[Patent_Disclosure_Process | IHE IP Management Process]]
 
:* 08:30 > [[Patent_Disclosure_Process | IHE IP Management Process]]
 
:* 08:35 > Introductions and Agenda Review
 
:* 08:35 > Introductions and Agenda Review
−
:* 0900 > Review current PCD programs (statuses, plans only, details during TC sessions):
+
:* 0900 > Need for new PC CoChair
 +
:* 0915 > Review current PCD programs (statuses, plans only, details during TC sessions):
 
::- ACM (Monroe P)
 
::- ACM (Monroe P)
 +
::- MEM DMC (Monroe P)
 +
::- MEM LS (Monroe P)
 
::- DEC (updated PCD TF) (John R)
 
::- DEC (updated PCD TF) (John R)
 
::- IDCO (Paul Schluter)
 
::- IDCO (Paul Schluter)
Line 141: Line 173:
 
::- IPEC (Al E)
 
::- IPEC (Al E)
 
::- EC (John R)
 
::- EC (John R)
−
::- WCM (Chris C)
+
::- WCM (Paul Schluter)
 
::- OMS (Ken F)
 
::- OMS (Ken F)
 
::- RTM (Paul Schluter)
 
::- RTM (Paul Schluter)
−
 
  
 
|-
 
|-
Line 156: Line 187:
 
| PCD Planning Committee (PC)(Cont)
 
| PCD Planning Committee (PC)(Cont)
 
|  
 
|  
−
:*  10:30 > Continue program review
+
:*  10:30 > Continue reviewing current PCD programs
 
::- RDQ (John R)
 
::- RDQ (John R)
 
::- DPI  (John R)
 
::- DPI  (John R)
 
::- PCIM (John R)
 
::- PCIM (John R)
−
::- MEM DMC (Monroe P)
 
−
::- MEM LS (Monroe P)
 
 
::- DCM Pulse Oximetry Integration Supplement(Completed)
 
::- DCM Pulse Oximetry Integration Supplement(Completed)
 
::- Pump (Al E, Paul E, Jeff R.)
 
::- Pump (Al E, Paul E, Jeff R.)
 
::- Physio monitor (John R)
 
::- Physio monitor (John R)
 
::- Vent (Paul Schluter)
 
::- Vent (Paul Schluter)
 +
 
:* 11:30 > Action item Discussion
 
:* 11:30 > Action item Discussion
−
:: 78. Stakeholder Survey
 
−
:: 140. AAMI Alarm Safety Committee
 
 
:: 157 Update cookbook to include ACM implementation
 
:: 157 Update cookbook to include ACM implementation
 +
:: 168  Execute Stakeholder Survey
 +
:: 170 Create Stakeholder Survey
 +
 +
:* Location, Dates of the PCD 2017 Spring F2F
 +
 +
:* Review IHE Milestones from now until Pre-Connectathon
 +
:: IHE 2017 Publication Schedule [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
 +
 +
:* 12:30 > Adjourn PCD Planning Committee (PC) Meeting
  
 
|-
 
|-
Line 180: Line 217:
 
| align="center" | '''Tuesday Q3'''
 
| align="center" | '''Tuesday Q3'''
 
| align="center" | 1:30 - 3:00 PM
 
| align="center" | 1:30 - 3:00 PM
−
| | PCD Planning Committee (PC)(Cont)
+
| PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)
 
|
 
|
  
−
:* 1:30 > Location, Dates of the PCD 2016 Spring F2F
+
:* 1:30 > Introduction
−
:* 1:45 > Review IHE Milestones from now until Pre-Connectathon
+
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)
−
:: IHE 2016 Publication Schedule [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
+
:* 1:45 >  
−
 
+
::- Review & Approve Joint PC & TC Agenda (10 minutes)
 +
::- Review Discussion Summary Last PC & TC Meeting [[PCD PC&TC 2016-10-05 Webex]]
 +
::: Accepted
 +
:* 2:00 >  HIMSS Showcase Webex
 +
:- PCD Discussion
  
 
|-
 
|-
Line 196: Line 237:
 
| align="center" | '''Tuesday Q4'''  
 
| align="center" | '''Tuesday Q4'''  
 
| align="center" | 3:15 - 5:00 PM
 
| align="center" | 3:15 - 5:00 PM
−
| PCD Planning Committee (PC)(Cont)
+
| PCD PC&TC Cont)
 
|  
 
|  
−
:* 3:15 >  
+
:* 3:15 > AAMI Interoperability Experience
 +
 
 +
:* 3:30 > Review proposed ACM CP (TJ Root)
 +
 
 +
:* 4:15 > Nomenclature update (Paul Schluter)
  
−
:* Adjourn PCD Planning Committee (PC) Meeting
 
 
|}
 
|}
  
−
=== Wednesday October 21, 2015 ===
+
=== Wednesday October 12, 2016 ===
  
  
Line 216: Line 260:
 
|-
 
|-
 
| align="center" | '''Wed Q1'''
 
| align="center" | '''Wed Q1'''
−
| align="center" | 08:30 - 10:15 AM
+
| align="center" | 08:30 - 10:30 AM
 
| PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)
 
| PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)
 
|  
 
|  
 
:* 08:30 > Introduction
 
:* 08:30 > Introduction
 
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)
 
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)
−
:* 08:45 >  
+
 
−
::- Review & Approve Joint PC & TC Agenda (10 minutes)
+
:* 08:35 > RTMMS and Test Tool Update (John G)
−
::- Review Discussion Summary Last PC & TC Meeting ''PC & TC October 14, 2015 [[PCD PC&TC 2015-10-14 Webex]] ''
+
:
−
:* 09:00 > HIMSS Showcase
+
:* 09:15 >  
−
::  MEMLS emphasis at HIMSS
+
:
−
:* 09:30 > AAMI Showcase
+
:* 09:30 > Cybersecurity Update (Axel)
−
:* Nomenclature update (Paul Schluter
+
 
−
:* 09:45 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)  
+
:* 10:15 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)
−
:  Open PCD Technical Committee (TC)
+
 
−
:- [[Patent_Disclosure_Process | 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)
 
 
|-
 
|-
 
| align="center" | '''Break'''  
 
| align="center" | '''Break'''  
−
| align="center" | 10:45 - 11:00
+
| align="center" | 10:30 - 10:45
 
|
 
|
 
|  
 
|  
 
|-
 
|-
 
| align="center" | '''Wed Q2'''  
 
| align="center" | '''Wed Q2'''  
−
| align="center" | 11:00 - 12:30
+
| align="center" | 10:30 - 12:30
 
| PCD Technical Committee (TC)   
 
| PCD Technical Committee (TC)   
 
|  
 
|  
−
:* 11:00 > Test Tool update (John G)
+
:* 10:30 > Open PCD Technical Committee (TC)
 +
:- [[Patent_Disclosure_Process | IHE IP Management Process]]
 +
::  Announcement – Decision Making meeting (TC Co-Chairs)
 +
:* 10:35 > TC Welcome and Agenda Review (Tom Kowalczyk)
 +
::- Intellectual Property Requirements
 +
 
 +
:: ACM (Monroe P)
 +
:: MEM DMC (Monroe P)
 +
:: MEM LS (Monroe P)
 +
:: RDC (Monroe P)
 +
 
 +
:* 11:00 > Demo of DIM Editor (Michael Faughn)
 +
 
 +
:* 11:45 > Continue current PCD Program review:
 +
 
 +
:: RTM (Paul Schluter)
  
 
|-
 
|-
Line 260: Line 312:
 
| PCD Technical Committee (TC)
 
| PCD Technical Committee (TC)
 
|
 
|
−
:* 1:30 > Review Current PCD Program (continued):
+
:* 1:30 :  Continue current PCD Program review:
−
::- RTM (Paul Schluter)
+
 
 +
:: IDCO (Paul Schluter)
 +
:: DEC (updated PCD TF) (John R)
 +
:: IPEC (Al E, Jeff R)
 +
:: PIV (Al E, Paul E)
 +
:: EC (John R)
 +
:: WCM (Paul Schluter)
 +
:: OMS (Ken F)
 +
:: DPI  (John R)
 +
:: Pump (Al E, Paul E, Jeff R.)
 +
:: Physio monitor (John R)
 +
:: Vent (Paul Schluter)
 +
:: PCIM (John R)
 +
 
 +
:- Standards Coordination
 +
:: HL7
 +
:: Nomenclature (Paul Scluter)
 +
:: PCHA/Continua (Paul Schluter)
 +
 
 +
TC Action item review
 +
 
 +
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items TC Action item]] review
 +
 
 +
:: 118. Implementation Guide
 +
:: 170. Convert IPEC to EC
 +
:: 196  Add PCD specific values to HL7 table 78
 +
:: 197  Verify tiny URL values on business cards and welcome letter
  
 
|-
 
|-
Line 274: Line 352:
 
|  
 
|  
  
−
:* 3:30 > IPEC (Al E, Jeff R)
+
:* 3:30 > FHIR Update  (Todd and John R)
−
:* 4:30 > Whitepaper - MEMDMC communication from systems to devices (EPIC/Matt Rush)
 
−
:: [[ftp://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2015-Oct-Boca-F2F/ FTP link]]
 
  
  
 
|}
 
|}
  
−
=== Thursday October 22, 2015===
+
=== Thursday October 13, 2016 ===
  
  
Line 297: Line 373:
 
|
 
|
 
:* 08:30 > [[Patent_Disclosure_Process | IHE IP Management Process]]  
 
:* 08:30 > [[Patent_Disclosure_Process | IHE IP Management Process]]  
−
:* 8:35 > Point-of-Care Identity Management (PCIM) white paper (John R)
+
 
 +
:* 8:35 > Drug Library (Epic, Jeff R)
 +
:- Add optional SFT segment to DEC. (Jeff R)  
 +
::
 +
:: [[ftp://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2016-October-BocaRaton/ FTP link]]
 +
 
 +
:* AAMI request for Physician training (Docs on ftp site)
 +
 
 +
:* Proposal Review
 +
 
  
 
|-
 
|-
Line 310: Line 395:
 
|  
 
|  
  
−
:- Private Terms (Paul Schluter)
+
:* 10:00 > F2F Action Review (from this week)
  
−
:- Continue Profile Review:
+
:* 11:00 > TC Meeting Wrap up and Adjournment (Kowalczyk)
−
:: 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)
 
  
−
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items 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://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2015-Oct-Boca-F2F/ FTP link]]
 
 
|-
 
|-
 
| align="center" | '''Lunch'''  
 
| align="center" | '''Lunch'''  
Line 362: Line 410:
 
| PCD Technical Committee (TC)
 
| PCD Technical Committee (TC)
 
|
 
|
−
:* 1:30 > Security Discussion (Axel)
+
:* 1:30 >  
−
:* 2:30 > Proposal Review (cont.)
+
:* 2:30 >  
  
 
|-
 
|-
Line 375: Line 423:
 
| PCD Technical Committee (TC)
 
| PCD Technical Committee (TC)
 
|  
 
|  
−
:* 3:15 > IEEE to LOINC mapping (Paul Schluter)
+
:* 3:15 >  
−
:* 4:00 > F2F Action Review (from this week)
+
:* 4:00 >  
−
:* 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)
+
:* 4:45 >  
  
  
 
|}
 
|}
  
−
=== Friday October 24, 2015 (Pump Workgroup) ===
 
−
 
−
 
−
:{|border="2"
 
−
|-
 
−
! width="10%"  align="center" |Quarter
 
−
! width="10%"  align="center" |Time
 
−
! width="20%"  align="center" |Lead
 
−
!              align="center" |Agenda Items
 
−
 
−
|-
 
−
| align="center" | '''Friday Q1'''
 
−
| align="center" | 08:30 - 12:00
 
−
| Pump workgroup
 
−
|
 
−
::
 
−
:* Introductions
 
−
:* Agenda review and prioritization
 
−
:* [[Patent_Disclosure_Process | 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
 
−
|-
 
−
|-
 
  
  
Line 422: Line 443:
 
== Participants ==
 
== Participants ==
  
−
'''Tuesday, October 20'''
+
'''Monday, October 10'''
  
 
On Site:  
 
On Site:  
  
 +
Monroe Patillo, Jeff Rinda, Zack Jones, Paul Elletson, Kurt Eliason, Raymond Kan, Base Paul, Al Englebert, Tom Kowalczyk, Mike Krajnak, Paul Schluter, Brian Witkowski, TJ Root, Megan Tetlow
 +
 +
Remote:
 +
 +
Ali Nakoulima
 +
 +
 +
'''Tuesday, October 11'''
 +
 +
On Site:
  
 +
Paul Elletson, Kurt Elliason,  Al Engelbert, John Garguilo, Bob Gold, Zack Jones, Tom Kowalczyk, Mike Krajnak, Monroe Pattillo, John Rhoads, TJ Root, Jr, Paul Schluter, Paul Sherman, Megan Tetlow, Rob Wilder, Brian Witkowski
  
 
Remote:  
 
Remote:  
  
 +
Angelique Dawkins, Michael Faughn, J-Uwe Meyer, Ali Nakoulima, Richard Swim
  
  
−
'''Wednesday, October 21'''
+
'''Wednesday, October 12'''
  
 
On Site:  
 
On Site:  
  
−
 
+
Paul Elletson, Kurt Elliason,  Al Engelbert, John Garguilo, Zack Jones, Tom Kowalczyk, Monroe Pattillo, Dalibor Pokrajac, John Rhoads, TJ Root, Jr, Paul Schluter, Paul Sherman, Megan Tetlow, Rob Wilder, Brian Witkowski
  
 
Remote:  
 
Remote:  
  
 +
Todd Cooper, Angelique Dawkins, Michael Faughn, Ken Fuchs, J-Uwe Meyer, Richard Swim, Stan Wiley, Axel Wirth
  
  
  
−
'''Thursday, October 22'''
+
'''Thursday, October 13'''
  
 
On Site:  
 
On Site:  
  
 +
Paul Elletson, Kurt Elliason,  Al Engelbert, John Garguilo, Zack Jones, Tom Kowalczyk, Monroe Pattillo, Dalibor Pokrajac, John Rhoads, TJ Root, Jr, Paul Schluter, Paul Sherman, Megan Tetlow, Rob Wilder, Brian Witkowski
  
 +
Remote:
  
−
Remote:
+
J-Uwe Meyer, Jeff Rinda, Richard Swim, Shawn O'Connell, Chip Stubsen
  
 
== Discussion ==
 
== Discussion ==
Line 455: Line 491:
 
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.
 
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 ===
+
=== Monday Pump WG Meeting ===
 +
 
 +
 
 +
:{|border="2"
 +
|-
 +
! width="5%"  align="center" |Item
 +
! width="25%"  align="left"  |Topic
 +
!              align="left"  |Discussion
 +
|-
 +
| align="center" | 1
 +
| '''Introductions & Agenda Review''' <br>- Chair
 +
| '''Status/Discussion:'''
 +
'''Decisions/Issues:'''
 +
: Agenda approved
 +
'''Action(s):'''
 +
 
 +
|-
 +
 
 +
 
 +
|-
 +
| align="center" | 2
 +
| '''General Discussion''' <br>
 +
| '''Status/Discussion:'''
 +
: Reviewed IHE IP Management Process
 +
: Attendees:
 +
Monroe Patillo, Jeff Rinda, Zack Jones, Paul Elletson, Kurt Eliason, Raymond Kan, Base Paul, Al Englebert, Tom Kowalczyk, Mike Krajnak, Paul Schluter, Brian Witkowski, TJ Root, Megan Tetlow, Ali Nakoulima
 +
 
 +
'''Decisions/Issues:'''
 +
 
 +
'''Terminology'''
 +
:* need to know terminology set to be used at Connectathon
 +
 
 +
'''CP to include optional SFT segment in DEC'''
 +
:* problem: HL7 description seems to indicate that SFT is not to be used in production systems
 +
:* problem: PCD has defined some terminology for "product specification" already
 +
:* will be discussed with TC later in week
 +
 
 +
'''RDC'''
 +
:* RDC whitepaper is pending
 +
:* device agnostic
 +
:* will use same terms as currently defined
 +
:* feedback needed on how to identify a specific element within the device using dotted notation
 +
:* will use a new transaction ID
 +
:* ACK (accept ACK only, no application ACK) contains old value that was changed
 +
:* ERR segment used for errors
 +
:* the command is to change an object property
 +
:* using dotted notation - 4th containment level is not specific and can be vendor-assigned
 +
:* using MDS/VMD hierarchy is probably better
 +
 
 +
'''PIV workflow'''
 +
:*concern about current workflow where EMR relies on a "start" message in order to compare against the order; would be preferable to know settings prior to start
 +
:* another possible solution - IOC could send a "prestart settings" message when nurse confirms (prior to start)
 +
:* EMR can compare against prestart and notify nurse whether it is ok to start pump
 +
::(in the future the EMR may be able to send an RDC command to start pump)
 +
:* since nurse can modify settings after confirmation and prior to start, EMR needs ability to support receiving multiple prestart messages
 +
:* when nurse starts infusion IOC will send the IPEC "start" message (same as today)
 +
 
 +
'''Multistep discussion'''
 +
:* 2 types of multistep: "sequenced" vs "step pattern"
 +
::Sequenced - dose/rate, volume, duration specified for each step in sequence
 +
::Step pattern - initial and final dose rate specified as well as step interval (duration)
 +
:* IPEC and DEC - need to include the mode of "multistep" and the step number
 +
:* can use OBR-18 (Placer Field 1) to contain the step/sequence number
 +
:* IPEC start message - should contain info about all programmed steps
 +
:: or alternatively use a new prestart settings message to contain information for all steps
 +
:* prestart message can be based on PCD-01, containing all program settings for each step
 +
:* PIV ACK - for errors should contain step number in addition to error
 +
 
 +
'''Action(s):'''
 +
See above
 +
 
 +
|-
 +
 
 +
|}
 +
 
 +
 
 +
 
 +
=== Tuesday Morning===
  
 
:{|border="2"  
 
:{|border="2"  
Line 490: Line 603:
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
  
−
:* Review current PCD programs (statuses, plans only, details during TC sessions):
+
:* 08:30 > [[Patent_Disclosure_Process | IHE IP Management Process]]
−
:- ACM (Monroe P)
+
:* 08:35 > Introductions and Agenda Review
−
:: Updates in PP file on ftp site
+
:* 0900 > Need for new PC CoChair
−
:: (Monroe has slides for all 3)
+
:* 0915 > Review current PCD programs (statuses, plans only, details during TC sessions):
−
:- MEMDMC
+
::- ACM (Monroe P)
−
:: Updates in PP file on ftp site
+
::: Monroe reviewed with presentation.  Presentation will be on ftp site.  In FT, like to have more vendors involved, WCM messages.  Enabled mACM/FHIR discussion.
−
:- MEMLS
+
::- MEM DMC (Monroe P)
−
:: Updates in PP file on ftp site
+
::: Presentation will be on ftp site, combined with ACM and MEMLS
−
:: 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. 
+
:::  TI at 2016 CN, need more vendors,
−
:- DEC (updated PCD TF) (John R)
+
::- MEM LS (Monroe P)
−
::  Very slight evolution, no substantial change. A couple of explanatory pieces in the TF update. 
+
::: Presentation will be on ftp site, combined with ACM and MEM DMC
−
:- IDCO (Paul Schluter)
+
::: TI at 2016 CN, need more vendors, monitor IEEE (via Dalibor)
−
:: 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. 
+
::- DCM Pulse Oximetry Integration Supplement(Completed)
−
:- PIV (Al E, Paul E)
+
::- DEC (updated PCD TF) (John R)
−
:: Not much new.  Some TF updates.   
+
:::  Evolving, adding parameters and implementation details.
−
:- IPEC (Al E)
+
::- IDCO (Paul Schluter)
−
:: 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.
+
:::  Recent endorsement by cardiology community, huge win.  Make progress, but using different approaches.
−
:- EC (John R)
+
::- PIV (Al E, Paul E)
−
:: 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.
+
:::  Pump meeting Monday, ½ on PIV, discussed multi-step infusion,  Discussed how message could represent all stages in single message.  Discussed anesthesia integration.  Extending PIV’s reach for programming
−
:- WCM (paul Sc)
+
::- IPEC (Al E)
−
::  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).  
+
::: Discussed reporting multi-step and new transaction describing pump programming and EMR confirming that info.
−
:- OMS (Ken F)
+
::- EC (John R)
−
::  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.
+
::: Discussed profile – Reporting episodic events, rather than asking (‘pushing’ the info).  Much covered by DEC and IPEC already, syntax straightforward.  Moving from specific to general, but no requests for that info.  Discussion of device specific vs. general grouping under EC.  Some discussion of events, alerts and alarms.  General framework; should be in TF eventually, start with descriptive guide and proceed from there.  Paul Sc – starting to build a way to do this. He will show it later.  Every event should start the same with a containment tree model.  EC won’t be a standalone profile.
−
:- RTM (Paul Schluter)
+
::- WCM (Paul Sc)
−
:: 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). 
+
:::  Two years of demo and testing, Rosetta terms approved.  Should have numeric codes soon.  Have a way for this info to be handled by end users.  More annotation comments,  
−
:- Polysomnography
+
::- OMS (Ken F)
−
:: 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.
+
::: Nothing really done on it lately.   
−
:- RDQ (John R)
+
::- RTM (Paul Schluter)
−
:: 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.
+
:::  Presentation – updated with 10101a nomenclature with units, enums, etc.  880 terms with needed details.  Can be generated on demand? Almost.  How to synch?  Can export it and lock it down.  Added four PCHA device info.  Reviewed IEEE P11073-10101b progress.  Self announcing would be helpful, but more long term.  RTLS - In TI, can we combine and.  Will work on RTLS immediately.  Unsure where pump folks are, much work going on in a lot of areas.  Necessary to have some control that responds quicker than the ballot process.   
−
:- DPI  (John R)
+
:::  Presentation will be on ftp site.
−
::  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
+
::- RDQ (John R)
−
:- 78. Stakeholder Survey
+
::: Overview of profile.  Not used much.  One party wanted to test, but had no partner.  Not very active, but will be useful to many cases. Easily modified to work with other profiles.  Not a deprecation candidate yet.
−
::  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.
+
::- DPI  (John R)
−
:- 140. AAMI Alarm Safety Committee
+
:::  Came in early.  Reliable Device-Device comms, useful in OR-Net applications.  Goal – use existing standards to fill in the gaps.  Vendors spend a lot of money creating proprietary interfaces; slow and expensive process.  Resources limited, adopters limited, C4MI going another way.  Another look at some 11073 nomenclature.  Working on revisions of IEEE 11073-101201 domain information model.
−
::  Close until it resurrects with Joint Commision analysis of Alarm fatigue.  Start a new Action Action for this.   
+
::- PCIM (John R)
−
:- 157 Update cookbook to include ACM implementation
+
::: WP in publication queue, preparing TI supplement.  VA working on related project using FHIR, we will consider adapting to include this; will discuss at TC. 
−
:: 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.
+
::: RDC – Whitepaper in PCD review.  Focus on safety/security
 +
::- Pump (Al E, Paul E, Jeff R.)
 +
::: Mike at GE – Interested in integrating anesth data with pumps.
 +
::- Physio monitor (John R)
 +
::: No activity, bare bones profile in Vol. 3.  Unsure of resources and requirements to take it forward.
 +
::- Vent (Paul Schluter)
 +
::: DPI completed some models, Carl and Paul have submitted them. Exposed vulnerabilities in models.  Looking at mapping trees.   
 +
:* 11:10 > Action item Discussion
 +
:: 157 Update cookbook to include ACM implementation
 +
::: Interoperability for Dummies gone, only treatise on how to buy conformant equipment.   Should add PIV and ACM.  A few more weeks.  Set to Nov 9 meeting.
 +
:: 168  Execute Stakeholder Survey
 +
:: 170 Create Stakeholder Survey
 +
::- Reviewed healthcare survey – use checkboxes to select IHE PCD profile rather than free text.
 +
::- Reviewed vendor survey – replace open text boxes with check boxes.
  
−
:* 12:00 > Use of 11073 terms in HL7.  (Epic) – 
+
:- Location, Dates of the PCD 2017 Spring F2F
−
:: 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.
+
:: Qualcomm, San Diego.  Paul will contact Olivier for logistics.
  
−
:* 1:30 > Location, Dates of the PCD 2016 Spring F2F
+
:- Review IHE Milestones from now until Pre-Connectathon
−
:: West Health Institute, in San Diego (AFC)
+
:: IHE 2017 Publication Schedule [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
−
:: Likely 2nd week of  April, paul will confirm and provide to the Committees
+
::- TF is almost ready.  Next cycle – can start completing dates.
−
 
+
::- Final profile selection Dec 9, 2016
−
:-  Review Connectathon milestone dates
+
::- Likely not many profiles this year, PCD Domain is hitting maturity.
−
:- Review IHE Milestones from now until Pre-Connectathon
 
−
:- IHE 2016 Publication Schedule [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]  
 
−
 
 
−
:: Long term Roadmap [[ftp://ftp.ihe.net/Patient_Care_Devices/Roadmap_and_Calendar/  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)
 
Adjourn PCD Planning Committee (PC)
Line 597: Line 674:
 
|}
 
|}
  
−
=== Wednesday Morning ===
+
=== Tuesday Afternoon ===
  
 
:{|border="2"  
 
:{|border="2"  
Line 604: Line 681:
 
! width="25%"  align="left"  |Topic
 
! width="25%"  align="left"  |Topic
 
!              align="left"  |Discussion
 
!              align="left"  |Discussion
 +
|
 +
 
|-
 
|-
 
| align="center" | 1
 
| align="center" | 1
 
| '''Introductions & Agenda Review''' <br>- Chair
 
| '''Introductions & Agenda Review''' <br>- Chair
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
 +
|
 +
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
 
: Introductions
 
: Introductions
 
: Reviewed the IHE IP Management Process
 
: Reviewed the IHE IP Management Process
−
: Reviewed & approved Agenda (10 minutes)
+
: Reviewed & approve Agenda (10 minutes)
−
: Reviewed and approved Oct 14 PC/TC Meeting discussion summary
+
: Reviewed and approve PC/TC Meeting discussion summary
 
: Reviewed PCD Calendar and Update  "PCD ftp site [[ftp://ftp.ihe.net/Patient_Care_Devices/]]"
 
: Reviewed PCD Calendar and Update  "PCD ftp site [[ftp://ftp.ihe.net/Patient_Care_Devices/]]"
  
Line 621: Line 702:
 
| '''Discussion Summary or Approval of Minutes''' <br>- Chair
 
| '''Discussion Summary or Approval of Minutes''' <br>- Chair
 
| '''Status/Discussion:'''  
 
| '''Status/Discussion:'''  
 +
|
 
   
 
   
 
'''Decisions/Issues:'''  
 
'''Decisions/Issues:'''  
  
 
'''Action(s):'''
 
'''Action(s):'''
−
: Oct 14 PC/TC summary approved
+
: Oct PC/TC summary approved
  
 
|-
 
|-
Line 631: Line 713:
 
| '''Agenda Items''' <br>-  
 
| '''Agenda Items''' <br>-  
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
 +
|
  
−
:- AAMI Showcase
+
:* 1:30 > Introduction
−
:: 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.
+
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)
 +
:* 1:45 >
 +
::- Review & Approve Joint PC & TC Agenda (10 minutes)
 +
::- Review Discussion Summary Last PC & TC Meeting [[PCD PC&TC 2016-10-05 Webex]]
 +
::: Accepted
 +
:* 2:00 >  HIMSS Showcase Webex
 +
:- PCD Discussion
 +
:: Use cases not cast in stone.  Tell Bronwen and Phil if you need changes.
 +
:: With focus on commercially available, what about recently developed products (successfully tested but not yet sold)? Will demo whoever will pay the money.
  
−
:-  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
+
:* 3:15 > AAMI Interoperability Experience
−
::  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. 
+
::  No info yet, should know soon.  AAMI has the booth set aside for it.  
−
:: Proposed having badge scanners for each vignette.  Helps ID walk-ups and tours of specific vignette.  Should help with lead creation.
+
:* 3:20 Review proposed ACM CP (TJ)
−
::  Started discussing use cases with vendors.  Vendors now can select vignettes, rather than have them assigned.  They are listed on the page as well.
+
::  In PCD-06, not much alert info that produces notification.  No way to know device, patient info, etc. Add another optional XML element to include this info.  AC vendors were concerned about being medical ‘anything’.  Have smarter ACs that can use this info.  Will need to think about WCTP versions.  If AM can send, but AC can't.  Much discussion to refine the CP, TJ will make changes and submit.
−
:: 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)
 
  
 +
:* 4:15 > Nomenclature update (Paul Schluter)
 +
:: Presentation on [[ftp://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2016-October-BocaRaton/ ftp site]]
 +
::  Went over much this morning.  Showed example of potential domain info model and containment tree models.  People use this as a summary to aid in message design.  Have your group put their terms in a table like the sample, then it’s easier to finish the work and publish the new codes.  Hard core deadline for the infusion pump terms.  Will probably roll new events into -10101b.  Has a presentation, will post at ftp site.  highlighted to make REFID and code assignment work quickly.    Would like numbers in before Connectathon, but we can get the standard done afterwards.  How valuable is a hard assigned code?  Very valuable to GE.  Reviewed Code and Term Assigment slide (last one):  Much discussion of middle row (MDCX), consensus to eliminate it.  Not much need for it; new codes need to be in RTMMS 
  
  
Line 666: Line 748:
 
|}
 
|}
  
−
=== Wednesday 10:00 AM ===
+
=== Wednesday ===
  
  
Line 685: Line 767:
 
:  Announcements –  
 
:  Announcements –  
 
:- Decision Making meeting (TC Co-Chairs)
 
:- Decision Making meeting (TC Co-Chairs)
−
:- TC Cochair election
+
−
:: Ballot currently open for John Rhoads as new cochair.
 
  
 
'''Action(s):'''
 
'''Action(s):'''
Line 706: Line 787:
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
  
−
: Review Current PCD Program:
+
:* 08:35 > RTMMS and Test Tool Update (John G)
−
:- ACM (Monroe P)
+
:- Presentation from HL7 meeting.  Michael Faughn will present more at 11AM (?).  Pre-CN tool review; can access prior tests.  Tool allows you to build constraints – can build tables usable in Vol 3.  Able to build validation with constraints, needed to support several efforts with limited resources.  Sets up consistent formatting/sections, like a template.  Would like to present more on IGAMT and TCAMT later.  Supported Japan, Korea and Europe Connectathons.  One challenge – needed to support older versions of HL7.  DIM editor going through the tool, giving community way to build compliant models.  CaSC – chose PCD01 and PCD03 to create a virtual machine for certification.  Reviewed meetings and activities.  Reviewed list of test tools.  RTMMS has 134 contributors, 1733 terms.  Updated on EUI-64/DNS, conformance profiles, RTMMS.  Presentations on HL7 website/resources.  Would like to go forward on WCTP.  Q – changing tools, is everything in there via CPs?  Generally, but reflects consensus as well.
−
:: Presentation available on F2F ftp site
+
:* 09:15 >  Follow-up on zombie terms in RTMMS.  (Code and Term Assignment slide from Paul Sc’s session).  Consensus to remove MDC’X’ stage from process.  Some want it, but some don’t, useful for human viewing.
−
:: Passed a number of CPs.
+
:* 09:30 > Cybersecurity Update (Axel)
−
::- Resurrected some functions redacted to acheive Final Text.   
+
:: Slide presentation (on ftp site) – Highlighted mission, members, relationships and completed projects. Concerned about little representation from healthcare organizations.  Created two WPs, patching and best practices.  Reviewed Ecosystem map; security, regulations/standards/frameworks, certification/assurance, integration/maintenance, manufacturer, HDO.  Proposal – update WPs with FDA guidance info, complete Ecosystem map, ID stakeholders, spot gaps and how to address them.  Obstacles; small group, only manufacturers, US focus, official mission & tasks.  
−
:::  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.
+
:: Comments – Valuable activity, PC concern.  Uwe; can we propose a higher level committee?  Paul Sh – assemble a short article for ACCE news, will help facilitate.
−
::- Aligned Containment MDCs with IEEE 11073-10101a
+
:*  PCC proposal – tying implant UDI info to patient. Seems to be largely part of PCIM.  May need some CPs to address this, but it should be quite manageable.  We will continue discussing with PCC.  Suggest PCC discuss with Craig Reister and IDCO to work together.  Also tightly related to PCIM.
−
::- Some in process, not balloted yet.
+
:* 10:15 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)
−
:- 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)
+
:* 10:30 > Open PCD Technical Committee (TC)
−
:: 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. 
+
:- [[Patent_Disclosure_Process | IHE IP Management Process]]
 +
::  Announcement – Decision Making meeting (TC Co-Chairs)
 +
:* 10:35 > TC Welcome and Agenda Review (Tom Kowalczyk)
 +
::- Intellectual Property Requirements
 +
:- Review Current PCD Program:
 +
:: ACM (Monroe P) – CPs 125, 126 and 127 as well PCD-04 CN tools.  What hasn’t been done? Some msgs were missing basic attributes at 2016 CN.   
 +
:: MEM DMC (Monroe P) – Not enough changes to warrant a TI update, can do CPs when MDCs/RefIDs are updated
 +
:: MEM LS (Monroe P) - Not enough changes to warrant a TI update, can do CPs when MDCs/RefIDs are updated
 +
:: RDC (Monroe P) – started with a long name.  Have initial use cases.  Need to change message to include multiple changes.  Can discuss in more detail later.  No method to show no audio created.
 +
::- Detailed info available in file on ftp site
  
−
:- Whitepaper proposal - MEMDMC communication from systems to devices (EPIC/Matt Rush)
+
:* 11:00 > Demo of DIM Editor (Michael Faughn)
−
:: [[ftp://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2015-Oct-Boca-F2F/ FTP link]]
+
:: Over time will build library for user to build specializations and constraints. Mostly discussed in IEEE groups.
−
:: Alert Management – Silence Alerts and setting alert limits.   
+
:- Has presentation, will be on ftp site.  Derived from 11073-10201.  Model is the standard, driven by UML, but there are challenges.  Construct issues, new plug ins are a lot of work, standard vs. function.  Showed workflow.  Went to editor to demo live.  Near term goals – profile functionality and freeze features.  Next steps: Generate IEEE std in Word, redesign app, resolve critical issues.  Long term; Update permissions, improve RTMMS integration, audit DIM model, ease metadata and info access.
−
:: 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.   
+
:- Questions:
 +
:: Will changes automatically propagate through all five channels? No, but he will do it.
 +
:* 12:00 >  Resume review of current PCD Program:
 +
:: RTM (Paul Schluter)
 +
::- More batches to be processed.  Containment model tool very helpful.  Pump group – send terms.  Hard IEEE deadline.  Need to make up tables.  Can use SS for term definitions, will upload well.  Finish term list with units, enumerated values.  Can help with systematic name.  Michael Faughn will help with tool.
  
 +
:* 1:30 :  Continue current PCD Program review:
  
−
'''Decisions/Issues:'''
+
:: IDCO (Paul Schluter)  Covered in PC
 +
:: DEC (updated PCD TF) (John R)  Covered in PC
 +
:: IPEC (Al E, Jeff R)  Covered in PC
 +
:: PIV (Al E, Paul E)  Covered in PC
 +
:: EC (John R)  Mostly covered in PC    Those that need this most (mostly pumps) are addressing it in their work.  If another level, combining would be OK.  Pump folks – seems to be handled so far.  General rules, with reference to IPEC items.  Need to add PCD-10 to TF.  Which volume?  Unclear, discussed, maybe Vol 2.  This would add a chunk to it.  That’s OK, ITI has several volumes.  Any part of IPEC not exercised at CN?  Is PCA part of IPEC?  Probably. Can go to commercial distribution with TI, just may need to change a few things. 
 +
:: WCM (Paul Schluter)  Supplements passed ballots, needs some minor edits before entry.  Some kind of column index number – what to do with that?  John R – not required.  They will discuss in detail later.  Pretty locked down.
 +
:: OMS (Ken F)  - No changes, no implementation
 +
:: DPI  (John R) – Pretty well covered already
 +
:: Pump (Al E, Paul E, Jeff R.) – Pretty well covered already
 +
:: Physio monitor (John R)
 +
:: Vent (Paul Schluter) – Some minor work, containment models
 +
:: PCIM (John R) – White paper out, please review.
 +
:- Standards Coordination
 +
:: HL7 – Nothing much new
 +
:: Nomenclature (Paul Scluter) – Not much to add, adding terms to LOINC
 +
:: PCHA/Continua (Paul Schluter) – Working some FHIR items, moving toward
  
  
−
|-
+
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items TC Action item]] review
  
−
'''Action(s):'''
+
:: 118. Implementation Guide – IGAMT tool, John extensively demonstrated the tool.  Any plain English ‘how to’ info?  Can hone in on device classes and even be model specific.  Will keep updating.  Helps with tool automation, including documentation and quick test development.  More consistent formatting guide.  Should be ready to test it out.  Hopefully will be able to automatically create the tests, rather than hand enter.  DIM editor output is much finer level than this – could be encoded, but at content level.  Close it and add as next F2F agenda item – IG and Test Case Development. 
 +
:: 170. Convert IPEC to EC – Need to come up with TF text.  Close this and create new item:  Draft EC overview for Tech Framework;  Owner, John R.  Have a small note in V1, more detail in V2;  Due date after HIMSS.   
 +
:: 196  Add PCD specific values to HL7 table 78 – pp61 discusses it, we have values not in HL7.    HL7:  write up proposal for them to approve or not.  These are generic enough for other to use them, it is also a way to get some null values in there.  Can we create a local table to address it – Yes.  We will need to do that for the Connectathon.  But was only checked against HL7 table for DEC; need to add a local DEC table.  May want to define a write operation as well.  Targeting HL7 Jan 2017 to have values added to Table 3.9.4.1.2.5-3.    Set due date to Feb TC meeting.
 +
:: 197  Verify tiny URL values on business cards and welcome letter – Reviewed new card, it works.  Letter has been updated as well.  Close.
  
 +
:* 3:30 >    FHIR Update (Todd):: Presentation on ftp site. Overview of why it was created; V2 limited, V3 too complicated, CDA saved V3, but limited to documents. What is used in other industries?  FHIR intended to focus on implementation – solve real-world problems much cheaper, faster, and using industry standard tooling and technologies. HL7 FHIR uses XML and JSON formats; many use HL7 HAPI FHIR to support implementation sandboxes. Use simple HTTP operations. Similar to CDA. Documents are bundles, resources define content. Messages are also bundles and are similar to HL7 V2 in terms of content, and can be event driven. Extensive enthusiastic community, resources listed on slide. Devices on FHIR overview – list of activities, not a lot of devices progress. Want to make sure FHIR is semantically consistent with other device-sourced information exchange (e.g., PCD DEC or Continua PHD Guidelines). Some info from ISO/IEC working group – how to be relevant to new standard? Where headed and who is engaged? DOF @ NIST – fits their two tools. Still working on translator, need a more solid approach at NIST. Very active community, agile and open source; HL7 HAPI FHIR, etc. Had a Connectathon during the recent Baltimore HL7 WGM. Was challenging – APIs were changed. There was progress. Are ‘paper’ standards obsolete? Have DoF website, developer days Amsterdam in November. Working on some vignettes. Overview of HIMSS 2016 Demo. 2nd wave – cloud; 3rd - data driven, personalized. Interested? Contact Todd. Presentation available? Yes, Paul Sherman will post to the website.
  
−
|-
 
−
| align="center" | 4
 
−
| ''' ___ '''
 
−
| '''Status/Discussion:'''
 
  
 +
:* Discussion of additional pump terms (Todd and Jeff R) – came up with a couple of new terms, OBX-18 issue not quite resolved yet, but minor.  Todd - some issues bringing up RTMMS.  10101 deadline close, less than ½ year to lock it down.  Terms need to be completed ASAP with containment model.  Discuss with Michael Faughn, he can help with containment tree.  Todd and Jeff don’t have time themselves, need another to help; Mike F willing to lead them through it.  Todd will discuss with Michael.
  
 +
:* AAMI sent info out regarding Physician training.  Tom will send to Paul Sh to share with the group for discussion Thursday.
  
  
  
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
 +
 +
 +
|-
  
 
'''Action(s):'''
 
'''Action(s):'''
 +
  
  
Line 817: Line 900:
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
  
−
: ** reviewed IHE IP Management Process
+
:*Drug Library (Epic, Jeff R) – Presentation on ftp site.  Common library to speed development process.  For Epic, 6-9 months.  Simplify change control.  For rigor, test at Connectathon.  Common schema for all vendors.  Easy import/export.  Some samples shown.  Want to find interested pump vendors.  Have a last edited flag for change management.  Epic has some concerns (on presentation)
−
: Review of On-going work
+
:: Discussion – Start with PIV supported elements.  Presentation meant to get the idea started.   Agreement on what needs known and consensus helps all.   Not necessarily a transaction, but may still fit best in PCD.  Should involve other Domains.
−
 
+
:: Questions
−
: - ACM update (Monroe)- 
+
::- Anything out there now? Not specifically, but some can provide help.   
−
 
+
::- Any pump vendor doing something like this now? Unknown.   
−
:-  Point-of-Care Identity Management (PCIM) white paper (John R)
+
::- Why not UCUM units? Not opposed, some customers will want local units.
−
::  No major change in OBX-4, but could be EMR challenges.
+
::- What would an EMR do with this?  Take export and blindly import them map from XML to db for later use.  Would need fully replace then fix from there.  Can pick needed info instead.  Will need to address this in the proposal.
−
::  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. 
+
::- Process?  Need a Proposal, allows other Domains to give input.
−
 
 
−
:- 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.   
 
−
 
 
−
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items 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://ftp.ihe.net/Patient_Care_Devices/Meetings/Face%20to%20Face%20Meetings/2015-Oct-Boca-F2F/ 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)
+
:- Add optional SFT segment to DEC. (Jeff R)  - CP to add SFT (software segment) to PCD-01.  There’s a reference that it shouldn’t be used in production in TF.  11073 defined some terms for same info.  Needs to be repeatable.  Messages are pump specific.  Gateway, comm engine and pump firmware are fields.  Each item/subsystem needs a field.  Topology would be nice.
−
:: 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.
+
:: Why limit to DEC? Put it in general use.
 +
:: John R – showed where it came from.  Source easily adaptable for this use.  What does it look like in an HL7 message.  Can have an OBX4 for each one.  Challenge – keeping that all straight, not done yet.  Continua has done that.  Will need a mechanism to parse it.
 +
:: Can you prepare an example? Would for Hospira.  It’s a start.
 +
:: Can I put these at the MDS level?  Yes.
 +
:: Example in TF3
 +
::  Paul Schluter – Showed Continua example.  Have firmware, can add more.  It’s in RTMMS and 10101a
 +
:: Resolution - AL source needs a definition in RTMMS. Paul will send RTMMS file to Paul Sh for the ftp site.  Use existing MDCs, implement multiple MDS’s, find a way to describe the MDS. 
 +
::'''Will not use SFT segment.'''
  
−
:* Continue TC Action item review.
+
:* AAMI request for Clinician training on complex technologies (Docs on ftp site)
−
:: 175 Develop a PCD UDI Witepaper for IHE
+
:: Tom provided overview. AAMI be neutral convener to enable the training.  Would companies be interested?  Do you know who’s involved?  Interest?  AAMI can drive this.
−
::- John R – Unless someone has material changes, close this.
 
  
−
:: 178 MSH-5 and Connectathon
+
:* Proposal Review – three proposals
−
::- 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.
+
::  ACM CP (TJ – Epic) – Will send latest version to Paul Sh when ready for balloting.
 +
::  Software Version ID CP – (Jeff R)
 +
::  Drug Library export CP (Brian W) – Will draft CP and send to Paul Sh for balloting.
 +
:: WP on anesthesia/pump/EMR integration. – Paul Sc will supply a placeholder document and send to Paul Sh.
 +
:*  2017 ONC standards Advisory – (John G)  Contains IHE profiles.  John G and John R worked on comments to IHE PCD profiles and submitted them.  Increase adoption level, test tool availability to yes, add a bullet to include FHIR support info.    Also 11073 standard – suggested upgrading from pilot to in production; adoption level up a level and test tool to yes.  Vetted with several members.  Send on behalf of IHE PCD also?  Yes.  He will work on it with John R and Monroe, then submit for us.
  
−
:: 179. IPEC and EC documentation - CLOSE
+
:* F2F Action Review (from this week)
 +
:: IDCO – add IDCO/ACM group attribute
 +
:: MEMLS – FHIR location resource add pitch and theta, then send.
  
−
:: 183 CP for WCM and implementation
+
:*> 12:00 TC Meeting Wrap up and Adjournment (Kowalczyk)
−
::- 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:'''
 
'''Decisions/Issues:'''
Line 931: Line 949:
 
| ''' ___ '''
 
| ''' ___ '''
 
| '''Status/Discussion:'''
 
| '''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 ===
 
−
 
−
 
−
:{|border="2"
 
−
|-
 
−
! width="5%"  align="center" |Item
 
−
! width="25%"  align="left"  |Topic
 
−
!              align="left"  |Discussion
 
−
|-
 
−
| align="center" | 1
 
−
| '''Introductions & Agenda Review''' <br>- Chair
 
−
| '''Status/Discussion:'''
 
−
'''Decisions/Issues:'''
 
−
: Agenda approved
 
−
'''Action(s):'''
 
−
 
−
|-
 
−
 
−
 
−
|-
 
−
| align="center" | 2
 
−
| '''General Discussion''' <br>
 
−
| '''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:'''
 
'''Decisions/Issues:'''
−
See above
 
  
 
'''Action(s):'''
 
'''Action(s):'''
−
See above
 
−
 
−
|-
 
−
 
−
 
−
 
  
 
|}
 
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Line 1,052: Line 961:
 
The Action Items that follow and approved in subsequent committee meetings will be added to the committee Action Item page.
 
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)
+
: 157 Update cookbook to include ACM implementation
−
: Update PCD's long term visionary roadmap calendar
+
:-  Interoperability for Dummies gone, only treatise on how to buy conformant equipment.  Should add PIV and ACM.  A few more weeks.  Set to Nov 9 meeting.
 +
: 168  Execute Stakeholder Survey and 170 Create Stakeholder Survey
 +
:- Reviewed healthcare survey – use checkboxes to select IHE PCD profiles rather than free text.
 +
:- Reviewed vendor survey – replace open text boxes with check boxes.
  
 
== Action Items - TC and WGs ==
 
== 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.
 
The Action Items that follow and approved in subsequent committee meetings will be added to the committee Action Item page.
 +
 +
: 118. Implementation Guide – IGAMT tool.  Close this and create new item:  Draft EC overview for Tech Framework;  Owner, John R.  Have a small note in V1, more detail in V2;  Due date after HIMSS.   
 +
:: 196  Add PCD specific values to HL7 table 78 – Targeting HL7 Jan 2017 to have values added to Table 3.9.4.1.2.5-3.    Set due date to Feb TC meeting.
  
 
== Next Meetings ==
 
== Next Meetings ==
−
Joint Planning and Technical Committee: ''PC and TC __ [[PCD PC&TC 2015-10-28 Webex]] ''
+
Joint Planning and Technical Committee: ''PC and TC __ [[PCD PC&TC 2016-10-19 Webex]] ''
  
−
''TC [[PCD TC 2015-11-04 Webex]]''
+
''TC [[PCD TC 2016-11-02 Webex]]''
  
−
''PC [[PCD PC 2015-11-11 Webex]]''
+
''PC [[PCD PC 2016-11-09 Webex]]''
  
 
<!--
 
<!--
 
[[Patient Care Device | PCD Home]]
 
[[Patient Care Device | PCD Home]]
  
−
[[Category:PCD Meeting]]
+
[[Category:PCD Meeting Archive 2016]]

Latest revision as of 17:38, 5 October 2017

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
Boca Raton FL 33487
Book at group room rate at Reservation Link


Dates
Monday October 10: Pump Working Group
Tuesday October 11: PCD Planning Committee
Wednesday October 12 morning: Joint PCD Planning and Technical Committees
Wednesday October 12 afternoon through Thursday: PCD Technical Committee


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

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:

157 Update cookbook to include ACM implementation
168 Execute Stakeholder Survey
170 Create Stakeholder Survey


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

118. Implementation Guide
170. Convert IPEC to EC
196 Add PCD specific values to HL7 table 78
197 Verify tiny URL values on business cards and welcome letter.

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]

Monday morning, October 10: Pump WG: Meeting Number: 928 875 189

Monday afternoon, October 10: Pump WG: Meeting Number: 928 748 661

Tuesday morning, October 11: PC: Meeting Number: 929 278 938

Tuesday afternoon, October 11: PC: Meeting Number: 922 063 449

Wednesday morning, October 12: Joint PC, TC: Meeting Number: 928 696 483

Wednesday afternoon, October 12: TC: Meeting Number: 921 883 845

Thursday morning October 13: TC: Meeting Number: 921 358 368

Thursday afternoon October 13: TC: Meeting Number: 927 389 385

Attachments / Materials

Documents related to the meeting when available will be found at the [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

Monday October 10, 2016 (Pump Workgroup)

Date Hours Committees Topics


Monday 08:30 - 17:00 Pump workgroup
  • Morning (08:30-12:30)
  • CP – add optional software (SFT) segment to DEC/IPEC (Jeff Rinda)
  • RDC - Remote Device Control and other options to control a pump (Kurt Eliason)
  • Support for multistep infusions (Jeff Rinda/Brian Witkowski)
  • PIV
  • DEC/IPEC
  • Lunch (12:30-13:00)
  • Afternoon (13:00-17:00)
  • Continue morning discussions if needed
  • Pump-anesthesia machine integration (Mike Krajnak)
  • Improving efficiency of pump integration implementation through use of a common Schema (Brian Witkowski)
  • 17:00 > Meeting Adjournment

Tuesday October 11, 2016

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 > Need for new PC CoChair
  • 0915 > Review current PCD programs (statuses, plans only, details during TC sessions):
- ACM (Monroe P)
- MEM DMC (Monroe P)
- MEM LS (Monroe P)
- DEC (updated PCD TF) (John R)
- IDCO (Paul Schluter)
- PIV (Al E, Paul E)
- IPEC (Al E)
- EC (John R)
- WCM (Paul Schluter)
- 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 reviewing current PCD programs
- RDQ (John R)
- DPI (John R)
- PCIM (John R)
- 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
157 Update cookbook to include ACM implementation
168 Execute Stakeholder Survey
170 Create Stakeholder Survey
  • Location, Dates of the PCD 2017 Spring F2F
  • Review IHE Milestones from now until Pre-Connectathon
IHE 2017 Publication Schedule [1]
  • 12:30 > Adjourn PCD Planning Committee (PC) Meeting
Lunch 12:30 PM - 1:30 PM
Tuesday Q3 1:30 - 3:00 PM PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)
  • 1:30 > Introduction
- IHE IP Management Process (5 minutes)
  • 1:45 >
- Review & Approve Joint PC & TC Agenda (10 minutes)
- Review Discussion Summary Last PC & TC Meeting PCD PC&TC 2016-10-05 Webex
Accepted
  • 2:00 > HIMSS Showcase Webex
- PCD Discussion
Break 3:00 - 3:15 PM
Tuesday Q4 3:15 - 5:00 PM PCD PC&TC Cont)
  • 3:15 > AAMI Interoperability Experience
  • 3:30 > Review proposed ACM CP (TJ Root)
  • 4:15 > Nomenclature update (Paul Schluter)

Wednesday October 12, 2016

Quarter Time Lead Agenda Items


Wed Q1 08:30 - 10:30 AM PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)
  • 08:30 > Introduction
- IHE IP Management Process (5 minutes)
  • 08:35 > RTMMS and Test Tool Update (John G)
  • 09:15 >
  • 09:30 > Cybersecurity Update (Axel)
  • 10:15 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)
Break 10:30 - 10:45
Wed Q2 10:30 - 12:30 PCD Technical Committee (TC)
  • 10:30 > Open PCD Technical Committee (TC)
- IHE IP Management Process
Announcement – Decision Making meeting (TC Co-Chairs)
  • 10:35 > TC Welcome and Agenda Review (Tom Kowalczyk)
- Intellectual Property Requirements
ACM (Monroe P)
MEM DMC (Monroe P)
MEM LS (Monroe P)
RDC (Monroe P)
  • 11:00 > Demo of DIM Editor (Michael Faughn)
  • 11:45 > Continue current PCD Program review:
RTM (Paul Schluter)
Lunch 12:30 - 1:30
Wed Q3 1:30 - 3:15 PM PCD Technical Committee (TC)
  • 1:30 : Continue current PCD Program review:
IDCO (Paul Schluter)
DEC (updated PCD TF) (John R)
IPEC (Al E, Jeff R)
PIV (Al E, Paul E)
EC (John R)
WCM (Paul Schluter)
OMS (Ken F)
DPI (John R)
Pump (Al E, Paul E, Jeff R.)
Physio monitor (John R)
Vent (Paul Schluter)
PCIM (John R)
- Standards Coordination
HL7
Nomenclature (Paul Scluter)
PCHA/Continua (Paul Schluter)

TC Action item review

118. Implementation Guide
170. Convert IPEC to EC
196 Add PCD specific values to HL7 table 78
197 Verify tiny URL values on business cards and welcome letter
Break 3:15 - 3:30 PM
Wed Q4 3:30 - 5:00 PM PCD Technical Committee (TC)
  • 3:30 > FHIR Update (Todd and John R)


Thursday October 13, 2016

Quarter Time Lead Agenda Items
Thursday Q1 08:30 - 9:45 AM PCD Technical Committee (TC)
  • 8:35 > Drug Library (Epic, Jeff R)
- Add optional SFT segment to DEC. (Jeff R)
[FTP link]
  • AAMI request for Physician training (Docs on ftp site)
  • Proposal Review


Break 09:45 - 10:00 AM
Thursday Q2 10:00 AM - 12:30 PM PCD Technical Committee (TC)
  • 10:00 > F2F Action Review (from this week)
  • 11:00 > TC Meeting Wrap up and Adjournment (Kowalczyk)
Lunch 12:30 - 1:30 PM
Thursday Q3 1:30 - 3:00 PM PCD Technical Committee (TC)
  • 1:30 >
  • 2:30 >
Break 3:00 - 3:15 PM
Thursday Q4 3:15 - 5:00 PM PCD Technical Committee (TC)
  • 3:15 >
  • 4:00 >
  • 4:45 >



|}

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

Monday, October 10

On Site:

Monroe Patillo, Jeff Rinda, Zack Jones, Paul Elletson, Kurt Eliason, Raymond Kan, Base Paul, Al Englebert, Tom Kowalczyk, Mike Krajnak, Paul Schluter, Brian Witkowski, TJ Root, Megan Tetlow

Remote:

Ali Nakoulima


Tuesday, October 11

On Site:

Paul Elletson, Kurt Elliason, Al Engelbert, John Garguilo, Bob Gold, Zack Jones, Tom Kowalczyk, Mike Krajnak, Monroe Pattillo, John Rhoads, TJ Root, Jr, Paul Schluter, Paul Sherman, Megan Tetlow, Rob Wilder, Brian Witkowski

Remote:

Angelique Dawkins, Michael Faughn, J-Uwe Meyer, Ali Nakoulima, Richard Swim


Wednesday, October 12

On Site:

Paul Elletson, Kurt Elliason, Al Engelbert, John Garguilo, Zack Jones, Tom Kowalczyk, Monroe Pattillo, Dalibor Pokrajac, John Rhoads, TJ Root, Jr, Paul Schluter, Paul Sherman, Megan Tetlow, Rob Wilder, Brian Witkowski

Remote:

Todd Cooper, Angelique Dawkins, Michael Faughn, Ken Fuchs, J-Uwe Meyer, Richard Swim, Stan Wiley, Axel Wirth


Thursday, October 13

On Site:

Paul Elletson, Kurt Elliason, Al Engelbert, John Garguilo, Zack Jones, Tom Kowalczyk, Monroe Pattillo, Dalibor Pokrajac, John Rhoads, TJ Root, Jr, Paul Schluter, Paul Sherman, Megan Tetlow, Rob Wilder, Brian Witkowski

Remote:

J-Uwe Meyer, Jeff Rinda, Richard Swim, Shawn O'Connell, Chip Stubsen

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 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:

Monroe Patillo, Jeff Rinda, Zack Jones, Paul Elletson, Kurt Eliason, Raymond Kan, Base Paul, Al Englebert, Tom Kowalczyk, Mike Krajnak, Paul Schluter, Brian Witkowski, TJ Root, Megan Tetlow, Ali Nakoulima

Decisions/Issues:

Terminology

  • need to know terminology set to be used at Connectathon

CP to include optional SFT segment in DEC

  • problem: HL7 description seems to indicate that SFT is not to be used in production systems
  • problem: PCD has defined some terminology for "product specification" already
  • will be discussed with TC later in week

RDC

  • RDC whitepaper is pending
  • device agnostic
  • will use same terms as currently defined
  • feedback needed on how to identify a specific element within the device using dotted notation
  • will use a new transaction ID
  • ACK (accept ACK only, no application ACK) contains old value that was changed
  • ERR segment used for errors
  • the command is to change an object property
  • using dotted notation - 4th containment level is not specific and can be vendor-assigned
  • using MDS/VMD hierarchy is probably better

PIV workflow

  • concern about current workflow where EMR relies on a "start" message in order to compare against the order; would be preferable to know settings prior to start
  • another possible solution - IOC could send a "prestart settings" message when nurse confirms (prior to start)
  • EMR can compare against prestart and notify nurse whether it is ok to start pump
(in the future the EMR may be able to send an RDC command to start pump)
  • since nurse can modify settings after confirmation and prior to start, EMR needs ability to support receiving multiple prestart messages
  • when nurse starts infusion IOC will send the IPEC "start" message (same as today)

Multistep discussion

  • 2 types of multistep: "sequenced" vs "step pattern"
Sequenced - dose/rate, volume, duration specified for each step in sequence
Step pattern - initial and final dose rate specified as well as step interval (duration)
  • IPEC and DEC - need to include the mode of "multistep" and the step number
  • can use OBR-18 (Placer Field 1) to contain the step/sequence number
  • IPEC start message - should contain info about all programmed steps
or alternatively use a new prestart settings message to contain information for all steps
  • prestart message can be based on PCD-01, containing all program settings for each step
  • PIV ACK - for errors should contain step number in addition to error

Action(s): See above


Tuesday Morning

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:
  • 08:30 > IHE IP Management Process
  • 08:35 > Introductions and Agenda Review
  • 0900 > Need for new PC CoChair
  • 0915 > Review current PCD programs (statuses, plans only, details during TC sessions):
- ACM (Monroe P)
Monroe reviewed with presentation. Presentation will be on ftp site. In FT, like to have more vendors involved, WCM messages. Enabled mACM/FHIR discussion.
- MEM DMC (Monroe P)
Presentation will be on ftp site, combined with ACM and MEMLS
TI at 2016 CN, need more vendors,
- MEM LS (Monroe P)
Presentation will be on ftp site, combined with ACM and MEM DMC
TI at 2016 CN, need more vendors, monitor IEEE (via Dalibor)
- DCM Pulse Oximetry Integration Supplement(Completed)
- DEC (updated PCD TF) (John R)
Evolving, adding parameters and implementation details.
- IDCO (Paul Schluter)
Recent endorsement by cardiology community, huge win. Make progress, but using different approaches.
- PIV (Al E, Paul E)
Pump meeting Monday, ½ on PIV, discussed multi-step infusion, Discussed how message could represent all stages in single message. Discussed anesthesia integration. Extending PIV’s reach for programming
- IPEC (Al E)
Discussed reporting multi-step and new transaction describing pump programming and EMR confirming that info.
- EC (John R)
Discussed profile – Reporting episodic events, rather than asking (‘pushing’ the info). Much covered by DEC and IPEC already, syntax straightforward. Moving from specific to general, but no requests for that info. Discussion of device specific vs. general grouping under EC. Some discussion of events, alerts and alarms. General framework; should be in TF eventually, start with descriptive guide and proceed from there. Paul Sc – starting to build a way to do this. He will show it later. Every event should start the same with a containment tree model. EC won’t be a standalone profile.
- WCM (Paul Sc)
Two years of demo and testing, Rosetta terms approved. Should have numeric codes soon. Have a way for this info to be handled by end users. More annotation comments,
- OMS (Ken F)
Nothing really done on it lately.
- RTM (Paul Schluter)
Presentation – updated with 10101a nomenclature with units, enums, etc. 880 terms with needed details. Can be generated on demand? Almost. How to synch? Can export it and lock it down. Added four PCHA device info. Reviewed IEEE P11073-10101b progress. Self announcing would be helpful, but more long term. RTLS - In TI, can we combine and. Will work on RTLS immediately. Unsure where pump folks are, much work going on in a lot of areas. Necessary to have some control that responds quicker than the ballot process.
Presentation will be on ftp site.
- RDQ (John R)
Overview of profile. Not used much. One party wanted to test, but had no partner. Not very active, but will be useful to many cases. Easily modified to work with other profiles. Not a deprecation candidate yet.
- DPI (John R)
Came in early. Reliable Device-Device comms, useful in OR-Net applications. Goal – use existing standards to fill in the gaps. Vendors spend a lot of money creating proprietary interfaces; slow and expensive process. Resources limited, adopters limited, C4MI going another way. Another look at some 11073 nomenclature. Working on revisions of IEEE 11073-101201 domain information model.
- PCIM (John R)
WP in publication queue, preparing TI supplement. VA working on related project using FHIR, we will consider adapting to include this; will discuss at TC.
RDC – Whitepaper in PCD review. Focus on safety/security
- Pump (Al E, Paul E, Jeff R.)
Mike at GE – Interested in integrating anesth data with pumps.
- Physio monitor (John R)
No activity, bare bones profile in Vol. 3. Unsure of resources and requirements to take it forward.
- Vent (Paul Schluter)
DPI completed some models, Carl and Paul have submitted them. Exposed vulnerabilities in models. Looking at mapping trees.
  • 11:10 > Action item Discussion
157 Update cookbook to include ACM implementation
Interoperability for Dummies gone, only treatise on how to buy conformant equipment. Should add PIV and ACM. A few more weeks. Set to Nov 9 meeting.
168 Execute Stakeholder Survey
170 Create Stakeholder Survey
- Reviewed healthcare survey – use checkboxes to select IHE PCD profile rather than free text.
- Reviewed vendor survey – replace open text boxes with check boxes.
- Location, Dates of the PCD 2017 Spring F2F
Qualcomm, San Diego. Paul will contact Olivier for logistics.
- Review IHE Milestones from now until Pre-Connectathon
IHE 2017 Publication Schedule [2]
- TF is almost ready. Next cycle – can start completing dates.
- Final profile selection Dec 9, 2016
- Likely not many profiles this year, PCD Domain is hitting maturity.

Adjourn PCD Planning Committee (PC)


Decisions/Issues:


Action(s):

Tuesday Afternoon

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

Decisions/Issues:

Introductions
Reviewed the IHE IP Management Process
Reviewed & approve Agenda (10 minutes)
Reviewed and approve 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 PC/TC summary approved
3 Agenda Items
- 		Status/Discussion:
  • 1:30 > Introduction
- IHE IP Management Process (5 minutes)
  • 1:45 >
- Review & Approve Joint PC & TC Agenda (10 minutes)
- Review Discussion Summary Last PC & TC Meeting PCD PC&TC 2016-10-05 Webex
Accepted
  • 2:00 > HIMSS Showcase Webex
- PCD Discussion
Use cases not cast in stone. Tell Bronwen and Phil if you need changes.
With focus on commercially available, what about recently developed products (successfully tested but not yet sold)? Will demo whoever will pay the money.


  • 3:15 > AAMI Interoperability Experience
No info yet, should know soon. AAMI has the booth set aside for it.
  • 3:20 Review proposed ACM CP (TJ)
In PCD-06, not much alert info that produces notification. No way to know device, patient info, etc. Add another optional XML element to include this info. AC vendors were concerned about being medical ‘anything’. Have smarter ACs that can use this info. Will need to think about WCTP versions. If AM can send, but AC can't. Much discussion to refine the CP, TJ will make changes and submit.
  • 4:15 > Nomenclature update (Paul Schluter)
Presentation on [ftp site]
Went over much this morning. Showed example of potential domain info model and containment tree models. People use this as a summary to aid in message design. Have your group put their terms in a table like the sample, then it’s easier to finish the work and publish the new codes. Hard core deadline for the infusion pump terms. Will probably roll new events into -10101b. Has a presentation, will post at ftp site. highlighted to make REFID and code assignment work quickly. Would like numbers in before Connectathon, but we can get the standard done afterwards. How valuable is a hard assigned code? Very valuable to GE. Reviewed Code and Term Assigment slide (last one): Much discussion of middle row (MDCX), consensus to eliminate it. Not much need for it; new codes need to be in RTMMS


Decisions/Issues:


Action(s):



Wednesday

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)


Action(s):

2 Discussion Summary
- Chair 		Status/Discussion:
-

Decisions/Issues:

Action(s):

3 Agenda Items
- 		Status/Discussion:
  • 08:35 > RTMMS and Test Tool Update (John G)
- Presentation from HL7 meeting. Michael Faughn will present more at 11AM (?). Pre-CN tool review; can access prior tests. Tool allows you to build constraints – can build tables usable in Vol 3. Able to build validation with constraints, needed to support several efforts with limited resources. Sets up consistent formatting/sections, like a template. Would like to present more on IGAMT and TCAMT later. Supported Japan, Korea and Europe Connectathons. One challenge – needed to support older versions of HL7. DIM editor going through the tool, giving community way to build compliant models. CaSC – chose PCD01 and PCD03 to create a virtual machine for certification. Reviewed meetings and activities. Reviewed list of test tools. RTMMS has 134 contributors, 1733 terms. Updated on EUI-64/DNS, conformance profiles, RTMMS. Presentations on HL7 website/resources. Would like to go forward on WCTP. Q – changing tools, is everything in there via CPs? Generally, but reflects consensus as well.
  • 09:15 > Follow-up on zombie terms in RTMMS. (Code and Term Assignment slide from Paul Sc’s session). Consensus to remove MDC’X’ stage from process. Some want it, but some don’t, useful for human viewing.
  • 09:30 > Cybersecurity Update (Axel)
Slide presentation (on ftp site) – Highlighted mission, members, relationships and completed projects. Concerned about little representation from healthcare organizations. Created two WPs, patching and best practices. Reviewed Ecosystem map; security, regulations/standards/frameworks, certification/assurance, integration/maintenance, manufacturer, HDO. Proposal – update WPs with FDA guidance info, complete Ecosystem map, ID stakeholders, spot gaps and how to address them. Obstacles; small group, only manufacturers, US focus, official mission & tasks.
Comments – Valuable activity, PC concern. Uwe; can we propose a higher level committee? Paul Sh – assemble a short article for ACCE news, will help facilitate.
  • PCC proposal – tying implant UDI info to patient. Seems to be largely part of PCIM. May need some CPs to address this, but it should be quite manageable. We will continue discussing with PCC. Suggest PCC discuss with Craig Reister and IDCO to work together. Also tightly related to PCIM.
  • 10:15 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)


  • 10:30 > Open PCD Technical Committee (TC)
- IHE IP Management Process
Announcement – Decision Making meeting (TC Co-Chairs)
  • 10:35 > TC Welcome and Agenda Review (Tom Kowalczyk)
- Intellectual Property Requirements
- Review Current PCD Program:
ACM (Monroe P) – CPs 125, 126 and 127 as well PCD-04 CN tools. What hasn’t been done? Some msgs were missing basic attributes at 2016 CN.
MEM DMC (Monroe P) – Not enough changes to warrant a TI update, can do CPs when MDCs/RefIDs are updated
MEM LS (Monroe P) - Not enough changes to warrant a TI update, can do CPs when MDCs/RefIDs are updated
RDC (Monroe P) – started with a long name. Have initial use cases. Need to change message to include multiple changes. Can discuss in more detail later. No method to show no audio created.
- Detailed info available in file on ftp site
  • 11:00 > Demo of DIM Editor (Michael Faughn)
Over time will build library for user to build specializations and constraints. Mostly discussed in IEEE groups.
- Has presentation, will be on ftp site. Derived from 11073-10201. Model is the standard, driven by UML, but there are challenges. Construct issues, new plug ins are a lot of work, standard vs. function. Showed workflow. Went to editor to demo live. Near term goals – profile functionality and freeze features. Next steps: Generate IEEE std in Word, redesign app, resolve critical issues. Long term; Update permissions, improve RTMMS integration, audit DIM model, ease metadata and info access.
- Questions:
Will changes automatically propagate through all five channels? No, but he will do it.
  • 12:00 > Resume review of current PCD Program:
RTM (Paul Schluter)
- More batches to be processed. Containment model tool very helpful. Pump group – send terms. Hard IEEE deadline. Need to make up tables. Can use SS for term definitions, will upload well. Finish term list with units, enumerated values. Can help with systematic name. Michael Faughn will help with tool.
  • 1:30 : Continue current PCD Program review:
IDCO (Paul Schluter) Covered in PC
DEC (updated PCD TF) (John R) Covered in PC
IPEC (Al E, Jeff R) Covered in PC
PIV (Al E, Paul E) Covered in PC
EC (John R) Mostly covered in PC Those that need this most (mostly pumps) are addressing it in their work. If another level, combining would be OK. Pump folks – seems to be handled so far. General rules, with reference to IPEC items. Need to add PCD-10 to TF. Which volume? Unclear, discussed, maybe Vol 2. This would add a chunk to it. That’s OK, ITI has several volumes. Any part of IPEC not exercised at CN? Is PCA part of IPEC? Probably. Can go to commercial distribution with TI, just may need to change a few things.
WCM (Paul Schluter) Supplements passed ballots, needs some minor edits before entry. Some kind of column index number – what to do with that? John R – not required. They will discuss in detail later. Pretty locked down.
OMS (Ken F) - No changes, no implementation
DPI (John R) – Pretty well covered already
Pump (Al E, Paul E, Jeff R.) – Pretty well covered already
Physio monitor (John R)
Vent (Paul Schluter) – Some minor work, containment models
PCIM (John R) – White paper out, please review.
- Standards Coordination
HL7 – Nothing much new
Nomenclature (Paul Scluter) – Not much to add, adding terms to LOINC
PCHA/Continua (Paul Schluter) – Working some FHIR items, moving toward


118. Implementation Guide – IGAMT tool, John extensively demonstrated the tool. Any plain English ‘how to’ info? Can hone in on device classes and even be model specific. Will keep updating. Helps with tool automation, including documentation and quick test development. More consistent formatting guide. Should be ready to test it out. Hopefully will be able to automatically create the tests, rather than hand enter. DIM editor output is much finer level than this – could be encoded, but at content level. Close it and add as next F2F agenda item – IG and Test Case Development.
170. Convert IPEC to EC – Need to come up with TF text. Close this and create new item: Draft EC overview for Tech Framework; Owner, John R. Have a small note in V1, more detail in V2; Due date after HIMSS.
196 Add PCD specific values to HL7 table 78 – pp61 discusses it, we have values not in HL7. HL7: write up proposal for them to approve or not. These are generic enough for other to use them, it is also a way to get some null values in there. Can we create a local table to address it – Yes. We will need to do that for the Connectathon. But was only checked against HL7 table for DEC; need to add a local DEC table. May want to define a write operation as well. Targeting HL7 Jan 2017 to have values added to Table 3.9.4.1.2.5-3. Set due date to Feb TC meeting.
197 Verify tiny URL values on business cards and welcome letter – Reviewed new card, it works. Letter has been updated as well. Close.
  • 3:30 > FHIR Update (Todd):: Presentation on ftp site. Overview of why it was created; V2 limited, V3 too complicated, CDA saved V3, but limited to documents. What is used in other industries? FHIR intended to focus on implementation – solve real-world problems much cheaper, faster, and using industry standard tooling and technologies. HL7 FHIR uses XML and JSON formats; many use HL7 HAPI FHIR to support implementation sandboxes. Use simple HTTP operations. Similar to CDA. Documents are bundles, resources define content. Messages are also bundles and are similar to HL7 V2 in terms of content, and can be event driven. Extensive enthusiastic community, resources listed on slide. Devices on FHIR overview – list of activities, not a lot of devices progress. Want to make sure FHIR is semantically consistent with other device-sourced information exchange (e.g., PCD DEC or Continua PHD Guidelines). Some info from ISO/IEC working group – how to be relevant to new standard? Where headed and who is engaged? DOF @ NIST – fits their two tools. Still working on translator, need a more solid approach at NIST. Very active community, agile and open source; HL7 HAPI FHIR, etc. Had a Connectathon during the recent Baltimore HL7 WGM. Was challenging – APIs were changed. There was progress. Are ‘paper’ standards obsolete? Have DoF website, developer days Amsterdam in November. Working on some vignettes. Overview of HIMSS 2016 Demo. 2nd wave – cloud; 3rd - data driven, personalized. Interested? Contact Todd. Presentation available? Yes, Paul Sherman will post to the website.


  • Discussion of additional pump terms (Todd and Jeff R) – came up with a couple of new terms, OBX-18 issue not quite resolved yet, but minor. Todd - some issues bringing up RTMMS. 10101 deadline close, less than ½ year to lock it down. Terms need to be completed ASAP with containment model. Discuss with Michael Faughn, he can help with containment tree. Todd and Jeff don’t have time themselves, need another to help; Mike F willing to lead them through it. Todd will discuss with Michael.
  • AAMI sent info out regarding Physician training. Tom will send to Paul Sh to share with the group for discussion Thursday.


Decisions/Issues:


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:
  • Drug Library (Epic, Jeff R) – Presentation on ftp site. Common library to speed development process. For Epic, 6-9 months. Simplify change control. For rigor, test at Connectathon. Common schema for all vendors. Easy import/export. Some samples shown. Want to find interested pump vendors. Have a last edited flag for change management. Epic has some concerns (on presentation)
Discussion – Start with PIV supported elements. Presentation meant to get the idea started. Agreement on what needs known and consensus helps all. Not necessarily a transaction, but may still fit best in PCD. Should involve other Domains.
Questions
- Anything out there now? Not specifically, but some can provide help.
- Any pump vendor doing something like this now? Unknown.
- Why not UCUM units? Not opposed, some customers will want local units.
- What would an EMR do with this? Take export and blindly import them map from XML to db for later use. Would need fully replace then fix from there. Can pick needed info instead. Will need to address this in the proposal.
- Process? Need a Proposal, allows other Domains to give input.
- Add optional SFT segment to DEC. (Jeff R) - CP to add SFT (software segment) to PCD-01. There’s a reference that it shouldn’t be used in production in TF. 11073 defined some terms for same info. Needs to be repeatable. Messages are pump specific. Gateway, comm engine and pump firmware are fields. Each item/subsystem needs a field. Topology would be nice.
Why limit to DEC? Put it in general use.
John R – showed where it came from. Source easily adaptable for this use. What does it look like in an HL7 message. Can have an OBX4 for each one. Challenge – keeping that all straight, not done yet. Continua has done that. Will need a mechanism to parse it.
Can you prepare an example? Would for Hospira. It’s a start.
Can I put these at the MDS level? Yes.
Example in TF3
Paul Schluter – Showed Continua example. Have firmware, can add more. It’s in RTMMS and 10101a
Resolution - AL source needs a definition in RTMMS. Paul will send RTMMS file to Paul Sh for the ftp site. Use existing MDCs, implement multiple MDS’s, find a way to describe the MDS.
Will not use SFT segment.
  • AAMI request for Clinician training on complex technologies (Docs on ftp site)
Tom provided overview. AAMI be neutral convener to enable the training. Would companies be interested? Do you know who’s involved? Interest? AAMI can drive this.
  • Proposal Review – three proposals
ACM CP (TJ – Epic) – Will send latest version to Paul Sh when ready for balloting.
Software Version ID CP – (Jeff R)
Drug Library export CP (Brian W) – Will draft CP and send to Paul Sh for balloting.
WP on anesthesia/pump/EMR integration. – Paul Sc will supply a placeholder document and send to Paul Sh.
  • 2017 ONC standards Advisory – (John G) Contains IHE profiles. John G and John R worked on comments to IHE PCD profiles and submitted them. Increase adoption level, test tool availability to yes, add a bullet to include FHIR support info. Also 11073 standard – suggested upgrading from pilot to in production; adoption level up a level and test tool to yes. Vetted with several members. Send on behalf of IHE PCD also? Yes. He will work on it with John R and Monroe, then submit for us.
  • F2F Action Review (from this week)
IDCO – add IDCO/ACM group attribute
MEMLS – FHIR location resource add pitch and theta, then send.
  • > 12:00 TC Meeting Wrap up and Adjournment (Kowalczyk)



Decisions/Issues:


Action(s):


4 ___ Status/Discussion:


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.

157 Update cookbook to include ACM implementation
- Interoperability for Dummies gone, only treatise on how to buy conformant equipment. Should add PIV and ACM. A few more weeks. Set to Nov 9 meeting.
168 Execute Stakeholder Survey and 170 Create Stakeholder Survey
- Reviewed healthcare survey – use checkboxes to select IHE PCD profiles rather than free text.
- Reviewed vendor survey – replace open text boxes with check boxes.

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.

118. Implementation Guide – IGAMT tool. Close this and create new item: Draft EC overview for Tech Framework; Owner, John R. Have a small note in V1, more detail in V2; Due date after HIMSS.
196 Add PCD specific values to HL7 table 78 – Targeting HL7 Jan 2017 to have values added to Table 3.9.4.1.2.5-3. Set due date to Feb TC meeting.

Next Meetings

Joint Planning and Technical Committee: PC and TC __ PCD PC&TC 2016-10-19 Webex

TC PCD TC 2016-11-02 Webex

PC PCD PC 2016-11-09 Webex


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