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

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: ** reviewed IHE IP Management Process
 
: ** reviewed IHE IP Management Process
 
: Review of On-going work
 
: Review of On-going work
 
: - ACM update (Monroe)- 
 
 
:-  Point-of-Care Identity Management (PCIM) white paper (John R)
 
::  No major change in OBX-4, but could be EMR challenges.
 
::  John provided OBX4 overview.  Discussion of official definitions versus implementation.  As soon as we define the models, it will be useful for implementers, particularly on the receiver end.  Epic explained how they implement OBX-4.  In general, XML is like a tree, you can parse a message to find the info needed.  In TF as a 'should, not a 'shall'.  Epic had to code to the current framework.Enforcing document order won't eliminate OBX-4.  This ensures consistency within channels.  Risk of mixing semantics, but not sure it's a practical concern.  Brian will discuss this with Chris (Epic).  Pump model has a couple of attributes for events and alarms.  Also a companion attribute that defines hierarchy position.  Example – will use different OBX's for primary and secondary pump channels. 
 
 
:- Private Terms (Paul Schluter)
 
 
:- Continue Profile Review:
 
:: DEC (updated PCD TF) (John R)
 
:: IDCO (Paul Schluter)
 
:: PIV (Al E, Paul E)
 
:: DPI  (John R)
 
::-  Semi-quiescent
 
:: MEM DMC (Monroe P)
 
::-  Moving more into the mainstream.  Some 11073 attributes not in RTMMS yet, but can be added when needed by MEMDMC.  May be in the X73 tab; will need to be harmonized.  May be able to use Personal Health Devices as well.  Two Cps, proposals for communication to devices, this may be the best group
 
:: MEM LS (Monroe P)
 
::- Will need to change the document to resolve an editing error.  Al will submit a public comment to correct.
 
:: PCIM (John R)
 
::- Core of the WG (Stan, Chris and Doug) did a lot.  Have a good draft, hope to submit by EOY, then send for balloting.  Pretty specific on format and content.  John and Chris will prototype, then TI in 2017
 
:: Pump (Al E, Paul E, Jeff R.)
 
:: Physio monitor (John R)
 
:: Vent (Paul Schluter)
 
::-  Done a lot of work, a lot of mappings wih positive feedback. Covered basics, breathe by breath annotation, additional parameters.  Will need to take care of private terms.  Advanced topics may be in 10101c. 
 
  
 
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items TC Action item]] review
 
:* [[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
 
:*  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.
 
: 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.
 
:*  Continue TC Action item review.
  
:: 167. Versioning and Archiving
 
::- ::- ACM used OID to perform this.  Can add a how-to to TF next iteration  CLOSE
 
 
:: 170. Convert IPEC to EC
 
::- Do we take it down a notch and put info in framework, and let device specific groups define as needed (IPEC becomes an example of EC)?  IPEC principles can provide a base for others to build on.  Close this and open another to create common EC material to go into TF.  Owner of new AI – IPEC team and John R.  What is the need for this material?  Would be a template for other equipment types to build on. 
 
 
::-  CP-122:  ACM change to containment MDC codes and MSH-21 OID change (Monroe)
 
::: Monroe reviewed CP, found a few edits needed.  Any other profiles have changed their content.  Questions on why this needs a CP.  Because this is in Final Text, most others are in Trial Implementation.  Epic is concerned over keeping track of the changes and versioning.  Doesn't see this as a big enough change to warrant versioning.  This one is, this won't be a habit.  Monroe will retract the CP, edit as needed and resubmit for balloting.
 
 
:*  Medical Device Cybersecurity Discussion (Axel)
 
::  All this work needs to happen quickly, but in a highly regulated environment.  This is a system of systems issue.  Overview of prior work and current activities.  Getting good feedback from Symantec customers.  Limitation – only best practices for current tech, nothing for new technologies; had to update chapters while writing.  September asked 'What's Next?'.  Users provided a list of what they need.  The workgroup needs provider members.  Need a way to make this work at the hospital level.  Examples:  Equipment returned from repair, loaners, demo equipment – how to confirm they aren't a security issue without overloading the hospital?  This typically would go to ITI, but they don't really look at device function.  Life critical vs. mission critical, the variety, number of devices and device age are all more complex than IT systems.
 
 
:*  Continue TC Action item review.
 
:: 175  Develop a PCD UDI Witepaper for IHE
 
::- John R – Unless someone has material changes, close this.
 
 
:: 178  MSH-5 and Connectathon
 
::- Retitle to MSH 3 and ACKs.  Look for Jeff's email and use that an update to the TF.  What to do as a gateway?  The gateway is responsible for the ACK.  Change date to Nov 4 and put on the TC agenda.
 
 
:: 179. IPEC and EC documentation - CLOSE
 
 
:: 183  CP for WCM and implementation
 
::- Will update WCM TI rather than create a CP.  Change date to Nov 18.
 
 
:: 186  Review and reformat ftp site
 
::-  Make Cochairs owners.  Change date to Dec 31
 
 
:: 189  Identify unique identifiers before the Connectathon
 
::- Discussion on how to proceed.  Could have the vendors provide, NIST loads the info, then it can tie back during Connectathon registration.  John G will assemble a spreadsheet to go to CN and PC members asking them to load their info.  Will try to have ready for Pre-Connectathon.  Paul Sc suggests including a private company identifier.  Set up for warning if not in the table, error if different than in table.  Stay with OBX-18 for now.  Need extra data and analysis.  John will send a notice on what's needed for this Connectathon.
 
 
:: 190  PRT Segment Use -  CLOSE
 
 
:: 191  Liaise with IDCO on Waveform communication
 
::- Liaised, unsure what IDCO will do.  Change to Dec 31.
 
 
:: 192  FHIR  Change date to Dec 31 
 
 
: IEEE to LOINC mapping (Paul Schluter)
 
:-  IEEE 11073 to LOINC Mapping
 
 
: Very reasonable first draft of mapping exists, due to the work of Dr. Swapna Abhyankar. 
 
: 600+ ‘harmonized’ Rosetta terms, incorporate dimensionality, maps (almost reversibly) to LOINC.
 
: Recommend that mapping information be captured as a single, authenticatable file.
 
: IEEE P11073-10104 as possible future standard, provides ANSI recognized open-consensus review and voting.
 
: MoU between IEEE and Regenstrief ‘almost’ signed (should have been two weeks ago).
 
: IEEE-SA is considering similar relationship with SNOMED-CT, but many things are needed to be done to make this happen.
 
  
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''

Revision as of 11:30, 20 September 2016

PCD Home

PLACEHOLDER


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 October 10: Pump WG: Meeting Number:

Tuesday morning, October 11: PC: Meeting Number:

Tuesday afternoon, October 11: PC: Meeting Number:

Wednesday morning, October 12: Joint PC, TC: Meeting Number:

Wednesday afternoon, October 12: TC: Meeting Number:

Thursday morning October 13: TC: Meeting Number:

Thursday afternoon October 13: TC: Meeting Number:

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

Tuesday October 11, 2015

Date Hours Committees Topics


Tuesday Q1 08:30 - 10:15 PCD Planning Committee (PC)
  • 08:30 > IHE IP Management Process
  • 08:35 > Introductions and Agenda Review
  • 0900 > Need for new PC CoChair
  • 0915 > Review current PCD programs (statuses, plans only, details during TC sessions):
- ACM (Monroe P)
- DEC (updated PCD TF) (John R)
- IDCO (Paul Schluter)
- PIV (Al E, Paul E)
- IPEC (Al E)
- EC (John R)
- WCM (Chris C)
- OMS (Ken F)
- RTM (Paul Schluter)


Break 10:15 - 10:30 AM
Tuesday Q2 10:30 AM - 12:30 PM PCD Planning Committee (PC)(Cont)
  • 10:30 > Continue program review
- RDQ (John R)
- DPI (John R)
- PCIM (John R)
- MEM DMC (Monroe P)
- MEM LS (Monroe P)
- DCM Pulse Oximetry Integration Supplement(Completed)
- Pump (Al E, Paul E, Jeff R.)
- Physio monitor (John R)
- Vent (Paul Schluter)
  • 11:30 > Action item Discussion
157 Update cookbook to include ACM implementation
168 Execute Stakeholder Survey
170 Create Stakeholder Survey


Lunch 12:30 PM - 1:30 PM
Tuesday Q3 1:30 - 3:00 PM PCD Planning Committee (PC)(Cont)
  • 1:30 > Location, Dates of the PCD 2017 Spring F2F
  • 1:45 > Review IHE Milestones from now until Pre-Connectathon
IHE 2017 Publication Schedule [1]


Break 3:00 - 3:15 PM
Tuesday Q4 3:15 - 5:00 PM PCD Planning Committee (PC)(Cont)
  • 3:15 >
  • Adjourn PCD Planning Committee (PC) Meeting

Wednesday October 21, 2015

Quarter Time Lead Agenda Items


Wed Q1 08:30 - 10:15 AM PCD Joint Planning & Technical Committee (PC & TC) and Technical Committee (TC)
  • 08:30 > Introduction
- IHE IP Management Process (5 minutes)
  • 08:45 >
- Review & Approve Joint PC & TC Agenda (10 minutes)
- Review Discussion Summary Last PC & TC Meeting PC & TC October 5, 2016 PCD PC&TC 2016-10-05 Webex
  • 09:00 > HIMSS Showcase
  • 09:30 > AAMI Showcase
  • Nomenclature update (Paul Schluter
  • 09:45 >
Break 10:45 - 11:00
Wed Q2 11:00 - 12:30 PCD Technical Committee (TC)
  • 11:00 >
Adjourn PCD Joint Planning & Technical Committee (PC & TC)
Lunch 12:30 - 1:30
Wed Q3 1:30 - 3:15 PM PCD Technical Committee (TC)
  • 1:30 : Open PCD Technical Committee (TC)
- IHE IP Management Process
Announcement – Decision Making meeting (TC Co-Chairs)
  • 1:45 > TC Welcome and Agenda Review (Tom Kowalczyk)
- Intellectual Property Requirements
  • 2:00 > TC Cochair election
  • 2:15 > Review Current PCD Program:
ACM (Monroe P)
RTM (Paul Schluter)
IDCO (Paul Schluter)
DEC (updated PCD TF) (John R)
IPEC (Al E, Jeff R)
PIV (Al E, Paul E)
Break 3:15 - 3:30 PM
Wed Q4 3:30 - 5:00 PM PCD Technical Committee (TC)
  • 3:30 > Resume Program Review
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)


Thursday October 22, 2015

Quarter Time Lead Agenda Items
Thursday Q1 08:30 - 9:45 AM PCD Technical Committee (TC)
Break 09:45 - 10:00 AM
Thursday Q2 10:00 AM - 12:30 PM PCD Technical Committee (TC)
  • 10:00 > 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.
  • 11:00 > A
  • 11:30 > Proposal Review
[FTP link]
Lunch 12:30 - 1:30 PM
Thursday Q3 1:30 - 3:00 PM PCD Technical Committee (TC)
  • 1:30 > Proposal Review (cont.)
  • 2:30 >
Break 3:00 - 3:15 PM
Thursday Q4 3:15 - 5:00 PM PCD Technical Committee (TC)
  • 3:15 >
  • 4:00 > F2F Action Review (from this week)
  • 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)


Friday October 24, 2015 (Pump Workgroup)

Quarter Time Lead Agenda Items
Friday Q1 08:30 - 12:00 Pump workgroup
  • AGENDA TOPICS
  • Pump model - discuss and determine best option for channels and containment
  • IPEC - determine changes needed based on revised pump model
  • 12:00 > Meeting Adjournment
Note: Additional evening working sessions may be scheduled as needed.
Note: Time slot TBD: IDCO

Webex Support

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

Participants

Tuesday, October 20

On Site:


Remote:


Wednesday, October 21

On Site:


Remote:



Thursday, October 22

On Site:


Remote:

Discussion

Discussion Summaries do not require formal approval, while minutes of meetings where votes are taken do. Participants are encouraged to review and bring up significant issues with discussion summaries of previous meetings. Votes will be taken to approve meetings where votes took place; these may be email ballots.

Tuesday

Item Topic Discussion
1 Introductions & Agenda Review
- Chair
Status/Discussion:
Monroe reviewed the IHE IP Management Process
Introductions and Agenda Review

Decisions/Issues:

Agenda approved

Action(s):

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

Decisions/Issues:

Action(s):

3 Agenda Items
-
Status/Discussion:
  • Review current PCD programs (statuses, plans only, details during TC sessions):
  • 11:30 > Action item Discussion
  • 12:00 >
  • 1:30 > Location, Dates of the PCD 2017 Spring F2F
- Review Connectathon milestone dates
- Review IHE Milestones from now until Pre-Connectathon
Long term Roadmap [Roadmap ftp link]
- Cycle 12

Adjourn PCD Planning Committee (PC)


Decisions/Issues:


Action(s):

Wednesday Morning

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

Decisions/Issues:

Introductions
Reviewed the IHE IP Management Process
Reviewed & approve Agenda (10 minutes)
Reviewed and approve PC/TC Meeting discussion summary
Reviewed PCD Calendar and Update "PCD ftp site [[2]]"

Action(s):

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

Decisions/Issues:

Action(s):

Oct 14 PC/TC summary approved
3 Agenda Items
-
Status/Discussion:


Adjourn PCD Joint Planning & Technical Committee (PC & TC)


Decisions/Issues:


Action(s):



Wednesday 1:30 PM

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:
Review Current PCD Program:
  • 1:30 > Review Current PCD Program (continued):


Decisions/Issues:


4 ___ Status/Discussion:



Decisions/Issues:

Action(s):


Thursday

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

Decisions/Issues:

Agenda approved

Action(s):

2 ____________
- Chair
Status/Discussion:
-


Decisions/Issues:

Action(s):

3 Agenda Items
-
Status/Discussion:
** reviewed IHE IP Management Process
Review of On-going work


  • 11:30 > Proposal Review
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.


  • Continue TC Action item review.


Decisions/Issues:


Action(s):


4 ___ Status/Discussion:

http://wiki.ihe.net/index.php?title=PCD_Proposals_Cycle_10#Cycle_10_WorkItem_Candidates


Decisions/Issues:

Action(s):

Friday Pump WG Meeting

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

Decisions/Issues:

Agenda approved

Action(s):

2 General Discussion
'Status/Discussion:
reviewed IHE IP Management Process
Attendees: Al Englebert, Paul Elletson, Brian Witkowski, Tom Kowalczyk, Megan Tetlow, Olivier Coeffic, Jeff Rinda


-Pump specialization will be major focus of pump group in 2016
• LVP, PCA, Syringe


-IPEC - messages should contain information for all channels
• most important for the "start" message after infusion programmed using PIV
• consider updating IPEC profile to explicitly state this


-Extending PIV to other use cases
Multistep and Loading Dose programs
PIV can support when all program parameters are ordered and known by EMR "up front"
Paul E - determine whether there is an MDC term for "continuous" that can be used


-Proposed PIV message structure for multi-segment orders:
• loading dose or bolus followed by continuous infusion
• multi-step infusion
MSH
PID
(PV1)
ORC
{
RXG
(TQ1)
RXR (consider placing this segment before RXG so that it only appears once if HL7 supports)
OBX – indicates dose type (use existing MDC terms for loading dose, clinician dose, may need new term for “continuous or continuous rate”)
OBX – pump ID
OBX – patient height/weight/BSA
}


-Ramp/Taper
In order to support we need to know the specific parameters required by the pump.
Need to define terms for these parameters (some examples might be "target dose rate", ramp time, taper time, enumerations for "ramp" and "taper". Do we :have status elements defined?)
Vendors may handle programming differently or not support at all.


-Bolus
There are many use cases where the word bolus is commonly used
• Initial bolus (= loading dose)
• Bolus administered from bag
• Bolus administered from secondary
• Bolus according to protocol order (as needed according to patient parameter or condition)
• Bolus administered from syringe (heparin, insulin, narcotics often given this way)
Jeff will solicit comments on bolus practice, consistency within an institution, etc
Brian will solicit comments on bolus ordering (if separate order – how to “link” to an infusion in progress, how to know whether given by syringe or as :secondary/piggyback)


-Use of 5th containment level
Jeff will schedule pump group call pending Todd’s availability to review Al's email on use of the 5th containment level


-Use of reference range (OBX-7)
Al will develop a CP to optionally use the reference range (OBX-7) to contain drug library limits.


-Target-controlled infusions (TCI)
Require specialized pumps that deliver a drug to maintain a target blood concentration
More common in Europe
Issue: How to program using PIV
Vendor(s) of those pumps are not currently participating in IHE pump group, and current group members are not familiar with the programming and :operational parameters for the devices.
“Diprifusor” is a TCI device developed specifically for the administration of a single drug - propofol (Diprivan)


Decisions/Issues: See above

Action(s): See above

Action Items - PC

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

Submit updated Milestones to IHE (Mary Junger)
Update PCD's long term visionary roadmap calendar

Action Items - TC and WGs

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

Next Meetings

Joint Planning and Technical Committee: PC and TC __ PCD PC&TC 2015-10-28 Webex

TC PCD TC 2015-11-04 Webex

PC PCD PC 2015-11-11 Webex