PCD PC&TC F2F 2018 Oct 16-18 Webex

WORKING DRAFT

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:

- Center for Medical Interoperability

8 City Boulevard, Suite 203 | Nashville, TN 37209

(615) 257-6400

- Meeting rooms Rooms 206-207

- Parking - P2 in the garage

- Contact: Elizabeth Cuccias email: ecuccias@center4mi.org

Hotel: Per Committee decision, there is no group booking. The following are Hotel options provided:

- Courtyard by Marriott Nashville Vanderbilt/West End- 1901 West End Ave, Nashville, TN 37203 Phone: (615) 327-9900

- Holiday Inn Nashville-Vanderbilt (Dwtn)- 2613 West End Ave, Nashville, TN 37203 Phone: (615) 327-4707

- Nashville Marriott at Vanderbilt University- 2555 West End Ave, Nashville, TN 37203 Phone: (615) 321-1300

- Homewood Suites by Hilton Nashville Vanderbilt- 2400 West End Ave, Nashville, TN 37203 Phone: (615) 340-8000

- Hampton Inn & Suites Nashville-Vanderbilt-Elliston Place - 2330 Elliston Place, Nashville, TN 37203 Phone: (615) 320-6060

- Extended StayAmerica Nashville – Vanderbilt – Address: 311 West End Ave, Nashville, TN Phone 866-599-6674 $147/night (grab n go bkfst, advance purchase, studio, queen bed)

- Comfort Inn West – Address: 412 White Bridge Place, Nashville, TN Phone: 855-809-3507 $108/night (hot breakfast, microwave, refrigerator, 2 double beds)

Dates

Tuesday October 16: Pump Working Group

Wednesday October 17 morning: PCD Planning Committee

Wednesday October 17 afternoon: Joint PCD Planning and Technical Committees

Thursday October 18: PCD Technical Committee

Daily Schedule -

08:00 - 08:30 Meet at CMI, Nashville, TN

Meeting will start promptly at 08:30 Central 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:

168 Execute Stakeholder Survey

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

196 Add PCD specific values to HL7 table 78

200 MDS and VMD Requirements

201 Pump utilization - publicizing

Webex

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

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

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

The HIMSS Webex page is [here]

Tuesday morning, October 16: Pump WG: Meeting Number: 920 677 146

Tuesday Afternoon, October 16: Pump WG: Meeting Number: 921 520 451

Wednesday morning, October 17: PC: Meeting Number: 926 807 921

Wednesday afternoon, October 17: Joint PC, TC: Meeting Number: 923 642 752

Thursday morning October 18: TC: Meeting Number: 923 188 645

Thursday afternoon October 18: TC: Meeting Number: 924 625 598

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 16, 2018 (Pump Workgroup)

Date	Hours	Committees	Topics
Tuesday	08:30 - 17:00	Pump workgroup	8:30-8:45 Introductions - Kurt Agenda review IHE IP Management Process Morning (08:45-12:30) 8:45 Drug table for Connectathon 30min 9:15 Common terminology/process for drug library import/export 1 hr Break 10:15-10:30 10:30 Whiteboard session, create simple UML diagram of implementation workflow 1.5 hr Lunch (12:00-12:45) Afternoon (12:45-17:00) 12:45 Review work to date 30 min 13:15 Review new terms in RTMMS 1 hr 14:15 Work on containment tree for terms 1 hr Break 15:15-15:30 15:30 Future idea status check: multistep, child order, bolus from bag 1hr 16:30 Wrapup 17:00 > Meeting Adjournment

Wednesday October 17, 2018

Date	Hours	Committees	Topics
Wednesday Q1	08:30 - 10:15	PCD Planning Committee (PC)	08:30 > IHE IP Management Process 08:35 > Introductions and Agenda Review 09:00 > Review current PCD programs (statuses, plans only, details during TC sessions): - ACM (Rob Wilder, for Monroe P) - MEM DMC ((Rob Wilder, for Monroe P) - MEM LS ((Rob Wilder, for Monroe P) - DEC (updated PCD TF) (John R) - IDCO (Paul Schluter) - PIV (Al E) - IPEC (Al E) - EC (John R) - WCM (Paul Schluter) - OMS (Ken F) - RTM (Paul Schluter)
Break	10:15 - 10:30 AM
Wednesday 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) - Pump (Al E, Jeff R.) - Physio monitor (John R) - Vent (Paul Schluter) 11:30 > Action item Discussion Cochair Item 106 - Activities Promoting PCD 168 Execute Stakeholder Survey Location, Dates of the PCD 2019 Spring F2F Review IHE Milestones from now until Pre-Connectathon IHE 2018 Publication Schedule [1] 12:30 > Adjourn PCD Planning Committee (PC) Meeting
Lunch	12:30 PM - 1:30 PM
Wednesday Q3	1:30 - 3:00 PM	PCD Joint Planning & Technical Committee (PC & TC)	1:30 > Start Joint PC/TC meeting Introduction - IHE IP Management Process (5 minutes) 1:45 > - Review & Approve Joint PC & TC Agenda - Review prior PC & TC Meeting Discussion Summary PCD PC&TC 2018-10-10 Webex 2:00 > Review new Proposals
Break	3:00 - 3:15 PM		IHE 2019 NA Connectathon HIMSS 2019 Interoperability Showcase
Wednesday Q4	3:15 - 5:00 PM	PCD PC&TC Cont)	3:15 > AAMI Interoperability Experience (Wil Vargas) 3:30 > Adjourn TC for the day

Thursday October 18, 2018

Quarter	Time	Lead	Agenda Items
Thursday Q1	08:30 - 9:45 AM	PCD Technical Committee (TC)	08:30 > Open PCD Technical Committee (TC) TC Welcome and Agenda Review (Tom Kowalczyk) Announcement – Decision Making meeting (TC Co-Chairs) - Intellectual Property Requirements - IHE IP Management Process PCD Program review: ACM ((Rob Wilder, for Monroe P) MEM DMC ((Rob Wilder, for Monroe P) MEM LS ((Rob Wilder, for Monroe P) DEC (updated PCD TF) (John R) IPEC (Al E, Jeff R) PIV (Al E) DEC (John R) DPI (John R) Pump (Al E, Jeff R.) Physio monitor (John R) Vent (Paul Schluter) PCIM (John R)
Break	09:45 - 10:00 AM
Thursday Q2	10:00 AM - 12:30 PM	PCD Technical Committee (TC)	- Continue Program review IDCO (Paul Schluter) RTM (Paul Schluter) - New Observations - 10101R - Vents and Alerts - Dialysis EC (John R) - Standards Coordination HL7 Nomenclature (Paul Schluter) PCHA/Continua (Paul Schluter) Tool Review (John G) 11:00 CMI Update and Collaboration discussion IHE Intellectual Property Requirements - IHE IP Management Process 12:00 TC Action item review [TC Action items] 196 Add PCD specific values to HL7 table 78 200 MDS and VMD Requirements 201 Pump utilization - publicizing
Lunch	12:30 - 1:30 PM
Thursday Q3	1:30 - 3:00 PM	PCD Technical Committee (TC)	1:30 > IHE International Update (Todd Cooper, AFC) 2:00 > Events and Alerts Nomenclature (Paul Schluter)
Break	3:00 - 3:15 PM
Thursday Q4	3:15 - 5:00 PM	PCD Technical Committee (TC)	3:15 > Proposal Review 4:00 > F2F Action Review (from this week) 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)

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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 16

On Site: Kurt Elliason(Smiths Medical), Tom Kowalczyk(BBraun), Brian Witkowski(Epic), Dan Kernan(Epic), John Rhoads(Philips), Caroline Cornelius(Baxter), Oliveir Coeffic(Qualcomm Life), Ray Kan (Baxter), Al Englebert (BBraun), Rob Wilder (Spok), Christophe Fournier (Fresenius), Jeff Rinda (ICU Medical), Bill Haralson (Smiths), Paul Schluter (CMI), Trevor Pavey (CMI), Richard Tayrien(CMI), Spencer(CMI)

Remote: Afternoon: Michael Faughn, Konstantinos Makrodimitris

Wednesday, October 17

On Site:

Remote:

Thursday, October 18

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 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 Morning (08:45-12:30) 8:45 Drug table for Connectathon 30min Reviewed drug table for Connectathon, Updated drug names for PCA 9:15 Common terminology/process for drug library import/export 1 hr Discussion of common terms, brainstorming of possible terms, identified whether they are provided by or used by the EMR or pump system. Break 10:15-10:30 Continued discussion of common terms. Identified a subset of terms that could be shared. Next step to create definitions of each term. Lunch (12:00-12:45) New Feature: Bolus from bag(existing infusion) Prerequisite: an infusion is currently programmed on the pump; a new order for a bolus of the same medication is ordered to be given from the same bag Possible new error condition: “not enough fluid remaining to deliver bolus” The rate of the bolus is not additive to the underlying infusion.   PIV ORC and OBR can both contain a parent order ID Still need to indicate (primary or secondary) or (IV/IVPB) in transaction 3 types of bolus: · Dose (amount) + rate · Dose (amount) + duration · Rate + duration Order control code = “CH” (change) with child order number Use OBX with MDC_FLOW_FLUID_PUMP to contain the rate when RXG contains a dose   IPEC/DEC Clinician dose info using parent and child IDs in OBR segment · General parent-child order concept exists in HL7 · May not need new terms for parent and child orders, OBR can contain both · May want to add MDCX_INFUSION_PROGRAM_MODE and enums to RTMMS for multi-step but don't need for bolus from bag · Add error code to PIV for not enough medication in container · Add error code that the parent orderID does not match the currently programmed order · Add error code that the drug or concentration do not match the currently programmed order   New Feature: Multistep PIV Med/concentration must be same in all steps Each step contains step number and program mode Dosing units can be same or different in each step   New terms: MDCX_INFUSION_PROGRAM_MODE with enumerations for clinician dose, loading dose, and continuous MDCX_PUMP_ORDER_STEP_NUMBER IPEC/DEC First PCD-10 “start” message contains info for all steps (dose, rate, VTBI are repeated for each step) Ideally, subsequent messages contain info for only the current step Question for discussion: Can pump vendor filter subsequent start messages based on VI > zero? Current step number is required in all messages (delivery channel?) Steps are always numbered (1….n) regardless of whether step 1 is a loading dose Program mode from programmer is useful for reporting purposes. Defer to future discussion Other new topics: TCI Used only in anesthesia. Tries to attain and maintain a certain level of drug in the body. May need new terms. Follow-up in future pump WG meeting Channel relay - two syringe pumps working in cooperation to maintain a consistent rate as one syringe becomes empty Decisions/Issues: Terminology Action(s): See above

Wednesday 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: 11:10 > Action item Discussion Location, Dates of the PCD 2019 Spring F2F Dates – - Review IHE Milestones from now until Pre-Connectathon IHE 2018 Publication Schedule [2] Will review in detail at next PC call. Adjourn PCD Planning Committee (PC) Decisions/Issues: Action(s):

Wednesday 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): Sept 27 PC/TC summary approved
3	Agenda Items -	Status/Discussion:	placeholder 1:30 > Commence Joint PC&TC meeting Introduction IHE IP Management Process (5 minutes) Reviewed & Approved Joint PC & TC Agenda Reviewed and approved prior PC & TC Meeting Discussion Summary PCD PC&TC 2018-10-10 Webex HL7 meeting proceedings (John Rhoads) Devices on FHIR update (John Rhoads) IHE 2019 NA Connectathon HIMSS 2019 Interoperability Showcase Decisions/Issues: Action(s):

Thursday

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: 8:30 > Re-Open PCD Technical Committee (TC) - IHE IP Management Process - Intellectual Property Requirements > TC Meeting Wrap up and Adjournment (Kowalczyk) Decisions/Issues:

Action Items - PC

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

Action Items - TC and WGs

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

Next Meetings

PC and TC: PCD PC&TC 2018-10-20 Webex

TC: PCD TC 2018-11-07 Webex

PC: PCD PC 2018-11-14 Webex