PCD PC&TC F2F 2016 Oct 10-16 Webex

PCD Home

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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	Introductions Agenda review 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

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.)
Break	3:15 - 3:30 PM
Wed Q4	3:30 - 5:00 PM	PCD Technical Committee (TC)	3:30 > FHIR Update (John R and Todd) - Resume Program Review Physio monitor (John R) Vent (Paul Schluter) PCIM (John R)

Thursday October 13, 2016

Quarter	Time	Lead	Agenda Items
Thursday Q1	08:30 - 9:45 AM	PCD Technical Committee (TC)	08:30 > IHE IP Management Process 8:35 > Drug Library (Epic, Jeff R) - SFT (Jeff R) - Standards Coordination HL7 Nomenclature (Paul Scluter) PCHA/Continua (Paul Schluter)
Break	09:45 - 10:00 AM
Thursday Q2	10:00 AM - 12:30 PM	PCD Technical Committee (TC)	10:00 > TC Action item review [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 11:30 > Add optional SFT segment to DEC. (Jeff R) [FTP link]
Lunch	12:30 - 1:30 PM
Thursday Q3	1:30 - 3:00 PM	PCD Technical Committee (TC)	1:30 > ACM CP (TJ) 2:30 > Proposal Review
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)

|}

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:

Remote:

Tuesday, October 11

On Site:

Remote:

Wednesday, October 12

On Site:

Remote:

Thursday, October 13

On Site:

Remote:

Discussion

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

Monday 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: Decisions/Issues: See above 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 - 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. - 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 roll new events into PAR. 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. 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. 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: ** reviewed IHE IP Management Process Review of On-going work [TC Action item] review 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):

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