Difference between revisions of "PCD PC&TC F2F 2019 Oct 15-17 Webex"

From IHE Wiki
Jump to: navigation, search
(Thursday October 17, 2019)
(Thursday TC Meeting Summary)
 
(53 intermediate revisions by 4 users not shown)
Line 97: Line 97:
 
Thursday morning Oct 17: TC: Meeting Number: 928 667 034
 
Thursday morning Oct 17: TC: Meeting Number: 928 667 034
  
Thursday afternoon Oct 17: TC: Meeting Number: 928 667 034
+
Thursday afternoon Oct 17: TC: Meeting Number: 921 967 210
  
 
== Attachments / Materials ==
 
== Attachments / Materials ==
Line 135: Line 135:
 
:::
 
:::
 
::* 8:45
 
::* 8:45
:::CPs for Channel Relay and TCI - 1hr
+
:::CPs for Channel Relay - 1hr
:::MEMDMC terms for pumps - 30 min
+
 
:::
 
:::
 
::* Break (10:15-10:30)
 
::* Break (10:15-10:30)
 
:::
 
:::
 +
:::CP for TCI - 30 min
 +
:::MEMDMC terms for pumps - 30 min
 
:::Status update on Multi-step -  30 min
 
:::Status update on Multi-step -  30 min
 
:::Status update on program specific drug library limits -  30 min
 
:::Status update on program specific drug library limits -  30 min
:::TBD        - 30 min
+
:::
 
+
 
:* Lunch (12:00-1:00)
 
:* Lunch (12:00-1:00)
 
:
 
:
Line 218: Line 218:
 
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)(Kurt)
 
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)(Kurt)
 
::- Review & Approve PC Agenda (Kurt)
 
::- Review & Approve PC Agenda (Kurt)
 
:: '''Service-oriented Device Point-of-care Interoperability (SDPi) White Paper''' (30 minutes)
 
:::- Review PUBLIC COMMENT resolution and "final" draft of white paper
 
:::- Approve SDPi White Paper for publication
 
:::- Review Updated Roadmap (from Planning Committee perspective)
 
  
 
:: '''"Quiet Hospital" Initiative''' (30 minutes)
 
:: '''"Quiet Hospital" Initiative''' (30 minutes)
Line 256: Line 251:
 
::- Vent (Paul Schluter)
 
::- Vent (Paul Schluter)
 
::- PIV (Jeff R)
 
::- PIV (Jeff R)
::- Pump (Al E, Jeff R.)
+
::- Pump (Kurt, Jeff R.)
::- IPEC (Al E)
+
::- IPEC (Kurt)
::- OMS (Ken F)
+
 
::- RDQ (John R) - Suspended per April F2F.
 
::- RDQ (John R) - Suspended per April F2F.
 
::- PCIM (John R)
 
::- PCIM (John R)
Line 285: Line 279:
 
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)(Kurt)
 
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)(Kurt)
 
::- Review & Approve Joint PC&TC Agenda (Kurt)
 
::- Review & Approve Joint PC&TC Agenda (Kurt)
 +
 +
:: '''Service-oriented Device Point-of-care Interoperability (SDPi) White Paper''' (30 minutes)
 +
:::- Review PUBLIC COMMENT resolution and "final" draft of white paper
 +
:::- Approve SDPi White Paper for publication
 +
:::- Review Updated Roadmap (from Planning Committee perspective)
  
 
:* ''' IHE DEV - DPI Subdomain Launch''' (Todd)
 
:* ''' IHE DEV - DPI Subdomain Launch''' (Todd)
Line 295: Line 294:
 
:::- SDPi & HL7 FHIR (DoF) + V2 "grouped" actors
 
:::- SDPi & HL7 FHIR (DoF) + V2 "grouped" actors
  
:* Prepare 2020 IHE Milestones
 
:: Review 2019 Milestones - [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
 
::* Determine 2020 dates
 
 
:* Five year plan review
 
:* Location, Dates of the PCD 2020 Spring F2F
 
  
  
Line 332: Line 325:
  
 
:* Connected Health Conference Keynote and Main Stage Activities  
 
:* Connected Health Conference Keynote and Main Stage Activities  
 +
 +
:* Continue Joint PC&TC Meeting
 +
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)(Kurt)
 +
 +
:* '''IHE International Board - Update & Feedback''' (Todd)
 +
 +
:* ''' IHE DEV - DPI Subdomain Launch''' (Cont. fr. Wed Q4)(Todd)
 +
 +
:* '''TF Organization per Reorganization Plan'''
 +
::- How to address a single TF that incorporates DEV general + DPI / PCD / PCH subdomain-specific content
 +
::- Better use of Word to manage a broader set of developers
 +
::- Process for TF & profile & testing coordination across domain (from proposing to balloting to publishing to testing)
 +
 +
:* '''Prepare 2020 IHE Milestones'''
 +
:: Review 2019 Milestones - [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
 +
::* Determine 2020 dates
 +
 +
:* '''POU Supplement''' - Review & Determination of plan for public comment => TI => CAT testing
 +
 +
:* '''Survey of device condition and operation messaging''' (Manny/Paul)
 +
 +
:* '''Five year plan review'''
 +
:: All Paul could find is:
 +
::- [ftp://ftp.ihe.net/Patient_Care_Devices/Roadmap_and_Calendar/IHE-PCD_Roadmap_F2F_2017-04-04.xls 2017 Roadmap]
 +
::- and [ftp://ftp.ihe.net/Patient_Care_Devices/Roadmap_and_Calendar/IHE_PCD_PlanNotes2011-11-16.doc 2011 Plan Notes]
 +
 +
:* Cochair Action item - 106 - Activities Promoting PCD.
 +
 +
:* '''Location, Dates of the DEV PCD 2020 Spring F2F'''
 +
 +
Adjourn Joint PC&TC meeting.
  
 
|-
 
|-
Line 361: Line 385:
 
:: PIV (Al E)
 
:: PIV (Al E)
 
:: Pump (Al E, Jeff R.)
 
:: Pump (Al E, Jeff R.)
:: OMS (Ken F)
 
 
:: DPI  (John R)
 
:: DPI  (John R)
 
:: Physio monitor (John R)
 
:: Physio monitor (John R)
Line 371: Line 394:
  
 
:- Standards Coordination
 
:- Standards Coordination
 +
:: IEEE 11073 SC & PARs & EMBS SC (mobile, IoT, AI/ML)
 
:: HL7
 
:: HL7
:: FHIR Activities/statement
+
:: Devices on FHIR  
  
 
:* 11:00 >  
 
:* 11:00 >  
Line 381: Line 405:
 
:* 12:00  
 
:* 12:00  
  
:: Test tool issue - MEMDMC message failing NIST validation (Monroe)
 
::- MEMDMC profile to change via CP to use a message template of ORU_R(as allocated by ONO) which affords it the ability to make the usage of the PID and PV1 segments as optional for MEMDMC use cases.  If PID and/or PV1 segments are present they should be populated per the IHE PCD TF.
 
  
 
|-
 
|-
Line 410: Line 432:
 
:* 2:15>  
 
:* 2:15>  
  
: Gazelle and Proxy and NIST Tool improvements (Monroe and Paul Sherman).
+
: ACM profile mapping of PCD-04/PCD-07 content into PCD-05 content (Monroe)
 +
: IHE PCD profile actor keep-alive (Monroe)
  
 
|-
 
|-
Line 423: Line 446:
 
|  
 
|  
  
:* 3:15 >
 
  
:  
+
::> Continued topic discussions
  
 
: F2F Action Review (from this week)
 
: F2F Action Review (from this week)
  
:: PC
+
:: '''PC'''
 
::
 
::
  
:: PC&TC
+
:: '''PC&TC'''
 
::
 
::
  
:: TC
+
:: '''TC'''
 
::
 
::
  
  
:* 4:45 > TC Meeting Wrap up and Adjournment (Kowalczyk)
+
:* > TC Meeting Wrap up and Adjournment (Kowalczyk)
 +
 
 +
 
 +
 
 +
|-
 +
| align="center" | '''Break'''
 +
| align="center" | 5:00 - 5:15 PM
 +
|
 +
|
 +
 
 +
|-
 +
| align="center" | '''Thursday Q5'''
 +
| align="center" | 5:15 - !!! PM (If Needed)
 +
| PCD Technical Committee (TC)
 +
|
 +
 
 +
 
 +
:* > TC Meeting Wrap up and Adjournment (Kowalczyk)
  
 
|}
 
|}
Line 455: Line 494:
  
  
'''Tuesday, April 23'''
+
'''Tuesday, October 15'''
  
On Site: '' Morning: ''   
+
On Site: '' Morning: Al Engelbert (BBraun), Brian Witkowski (BBraun), Christophe Fournier (Fresenius),  Dan Kernan (Epic), Jeff Rinda (ICU Medical), Ray Kan (Baxter), Tom Kowalczyk (BBraun), Todd Cooper ''''   
  
''Afternoon: ''   
+
''Afternoon: Al Engelbert (BBraun), Brian Witkowski (BBraun), Christophe Fournier (Fresenius),  Dan Kernan (Epic), Jeff Rinda (ICU Medical), Paul Schluter (CMI), Ray Kan (Baxter), Tom Kowalczyk (BBraun), Todd Cooper, John Garguilo ''''   
  
  
Remote: " "
+
Remote: "Ali Nakoulima(Cerner), Monroe Pattillo "
  
  
'''Wednesday, April 24'''
+
'''Wednesday, October 16'''
  
On Site:  
+
On Site: ''Brian Witkowski (BBraun), Christophe Fournier (Fresenius),  Dan Kernan (Epic), Jeff Rinda (ICU Medical), Paul Schluter (CMI), Ray Kan (Baxter), Tom Kowalczyk (BBraun), Todd Cooper, John Garguilo, Thom Erickson, Kurt Elliason (Smiths), Rob Wilder (Spok), Paul Sherman, John Rhoads (Philips), John Donnelly, Amit Trivedi, Ken Fuchs (Draeger) ''
  
  
 +
Remote: ''Ali Nakoulima(Cerner), Monroe Pattillo ''
  
Remote:
 
  
  
 
+
'''Thursday, October 17'''
'''Thursday, April 25'''
+
  
 
On Site:  
 
On Site:  
Line 509: Line 547:
 
|-
 
|-
 
| align="center" | 2
 
| align="center" | 2
| '''TCI Discussion''' <br>  
+
| '''CPs for Channel Relay and TCI''' <br>  
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:Light presentation of anesthesia
+
:Reviewed content of CP for channel relay
:Context of TIVA  (Total Intravenous Anesthesia)
+
:: - add diagrams to CP and TF
:Video - How does anesthesia work - Steven Zheng  ed.ted.com
+
:: - changes based on IPEC supplement, will follow up with John R to incorporate into TF
:What is TCI (Target Controlled Infusion)
+
:
:Algorithm that models the concentration of a drug in different compartments of the body.
+
:Reviewed content of CP for TCI
:Reviewed proposed terms for auto documentation.
+
:: - changes based on IPEC supplement, will follow up with John R to incorporate into TF
:PIV will need to be updated to allow for auto programming of TCI due to new terms that are needed by the pump for the algorithm to calculate the rate. Typical pump programming is done by the nurse at the bedside.  That is not usually the case in the OR.
+
 
:https://www.sciencedirect.com/topics/medicine-and-dentistry/target-controlled-infusion
+
:https://www.ncbi.nlm.nih.gov/pubmed/15886597
+
:Add to agenda for May 13th pumps meeting
+
:Presentation on TCI
+
:ftp://ftp.ihe.net//Patient_Care_Devices/Meetings/Face to Face Meetings/2019-April-Tucson/IHE_TCI_presentation.pdf
+
  
 
|-
 
|-
 
| align="center" | 3
 
| align="center" | 3
| '''Relay Discussion''' <br>  
+
| '''MEMDMC terms for pumps''' <br>  
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
:Relay presentation
+
: - Need to CP profile to clarify from specific to generic.
:ftp://ftp.ihe.net//Patient_Care_Devices/Meetings/Face to Face Meetings/2019-April-Tucson/IHE_Two_Infusion_Relay_presentation.pdf
+
: - New event MDCX_EVT_DEVICE_MANAGEMENT replaces other trigger events in existing OBR-4, Trigger events move to an OBX
 
+
:ftp://ftp.ihe.net/Patient_Care_Devices/Devices/InfusionPumps/CommonTerms/New_MEM_terms15OCT19.xlsx
:Context of relay - creates a continuous infusion between 2 syringes with the same drug.  Used for drugs that have a short half life (2 minutes) and a short therapeutic window.  When changing the container the flow should be as stable as possible.
+
:methods of relay - 4 methods described
+
:workflows - patients may come from ED or OR.  First syringe is often an emergency and delivered very fast. Then due to short life of medication may alternate between two pumps as syringes are prepared.  Relay automates the starts and stops and will use as many syringes as needed by the patient.  No VTBI.  Rates and concentrations may change between syringes.  There can also be multiple independent relays running for the same patient.
+
  
 
|-
 
|-
 
| align="center" | 4
 
| align="center" | 4
| '''Common Library terms Discussion''' <br>  
+
| '''Ststus updates''' <br>  
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
: Agreed to limit scope to data elements used in PCD-03.  Will create an xml structure to document how the data elements are shared between pump systems and EMRs.  Schedule for future pump WG meeting to work out details.
+
:Status update on Multi-step
:ftp://ftp.ihe.net/Patient_Care_Devices/Devices/InfusionPumps/CommonTerms/CommonLibraryTerms11MAR19.xlsx
+
:: CPs have been done for TF, waiting for EMR and pump vendors to implement.
 +
 
 +
:Status update on program specific drug library limits
 +
:: tabled for now.
 +
 
  
 
|-
 
|-
 
| align="center" | 5
 
| align="center" | 5
| '''Device Time''' <br>  
+
| '''Pump Terms/RTMMS''' <br>  
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
 +
:Pump Terms containment model update
 +
:: Demonstration of new graphical view
  
:Patient safety escalation
+
:Use of Systematic names
:Time in OBX 14 OBR in the future from pump
+
:: - Will not use for pump terms. Will make sure we have a revised preamble that takes common terms and has good definition up front.
:MSH time is from pump gateway
+
:Data will not display on the nurses screen due to the pump event time being in the future. Next nurse may mistake the missing data for a missed event and do it again.
+
  
  
Line 583: Line 617:
 
| '''Status/Discussion:'''  
 
| '''Status/Discussion:'''  
  
: Minutes approved
+
: N/A
  
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
Line 594: Line 628:
 
| '''Agenda Items''' <br>-
 
| '''Agenda Items''' <br>-
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
 +
 +
 +
:* 08:05 > Introductions and Agenda Review (Kurt and Thom)
 +
:: (Slides will be available on the PCD ftp site)
 +
:: IHE & PCD Overview (10 minutes) (Todd)
 +
::- Todd - 15 years of work.  How to ensure cooperation and clear delineation of responsibilities.  At the time, most devices were regulated, so was clearer.  Went through slides showing PCD process.  Described Domains, Deployment Committees and sponsoring organizations.  Discussed Plug-a-thons vs. Connectathons and Conformity Assessment.
 +
:: PCHA & Continua Overview (10 minutes) (Thom)
 +
::- Explained why we’re here.  Provided PCHA and Continua difference info; Continua is the engineering side.  Provides design Guidelines for manufacturers, etc.  Reviewed Implementation Framework.  Working to minimize field confusion about who does what and the appearance of conflicting standards.  Went over pain points.  Reviewed progress to date, determined PCD best landing spot.  Will integrate Continua Test Tool into Gazelle.  Press release went out yesterday.  Reviewed mapping Continua into IHE, fair amount of work to be done.  Concern:  Many Domains in PCHA could disappear in IHE.  This should be discussed and resolved.  SDO relationships need to stay well defined.  That will be maintained and the relationships emphasized.
 +
::- Reviewed New Devices Domain and three “subdomains”.  Subdomains are new, we may redefine it as needed going forward.  Reviewed their foci.  Sponsorship overview – new sponsors; OR.net and PCHA.
 +
:::  Thom reviewed PCH subdomain.  Slides available.
 +
:: Joint Exploration Committee Overview & Status (20 minutes) (Thom and Todd)
 +
::- Market Opportunity Analysis
 +
::- Domain / Subdomain Scoping & Mapping
 +
::- Test Process & Tooling
 +
::- MARCOM
 +
:: Vote on Proposal for PCD 2.0 Domain Reorganization -
 +
:::- Rename PCD Domain to "Devices (DEV)" domain  (Board endorsed)
 +
:::: How does this affect naming documents and transactions? 
 +
:::- and Create (3) DEV Subdomains: 
 +
::::* Device Point-of-care Interoperability (DPI) - device-to-device Plug-and-play interoperability around bedside
 +
::::* Patient Care Devices (PCD) - enterprise integration
 +
::::* Personal Connected Health (PCH) - PCHAlliance "Continua"
 +
:::: Vote – Approved unanimously with two abstentions.
 +
:::- Create Joint domain-wide coordination committees:  Joint Planning Committee, Joint Technical Committee, Domain Coordination Committee
 +
:: Launch Personal Connected Health Subdomain (60 minutes) (PCD and PCH)
 +
::- Charter
 +
::- Goals & Objectives
 +
::- Organization
 +
::- Work Groups
 +
::- Roadmap (2019-2020)
  
  
Line 601: Line 665:
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
  
 +
: Voted: Rename PCD Domain to "Devices (DEV)and create (3) DEV Subdomains.
 +
 +
:- Unanimous approval with two abstentions.
  
 
'''Action(s):'''
 
'''Action(s):'''
Line 641: Line 708:
 
| '''Agenda Items''' <br>-
 
| '''Agenda Items''' <br>-
 
| '''Status/Discussion:'''
 
| '''Status/Discussion:'''
 +
  
 
Reviewed current PCD programs  
 
Reviewed current PCD programs  
::- ACM (Rob W, Monroe P)
+
::- ACM (Rob W for Monroe P)
::- MEM DMC (Rob W, Monroe P)
+
:::  Slides on ftp site
::- MEM LS (Rob W, Monroe P)
+
::: PCD 06 and 07 tested? Yes, with multiple participants.  05 has not.  Other Domains may need to change how they deliver messages to accommodate these notifications.  Concerns for alert/alarm notifications, not really useful for patient safety issues.  Has mACM been well tested?  Not really, just a couple of data accumulators.  No delivery expertise.  Can’t really tell how they would use it.  Monroe provided mACM background.  ACM can add all the capabilities needed easily to PALM and Radiology; the vendors are about 10 years behind us.
::: Above updates are on ftp site
+
::- MEM DMC (Rob W for Monroe P)
::- DEC (updated PCD TF) (John R)
+
:::  Slides on ftp site
:::  
+
::- MEM LS (Rob W for Monroe P)
::- EC (John R)
+
::: Slides on ftp site
:::   
+
::: Found ways to implement finding external locations.  Teletracking is also involved.  Waiting critical mass to bring others on board.  It’s getting close
 +
::- MEM RDC –
 +
:::  Slides on ftp site
 
::- WCM (Paul Schluter)
 
::- WCM (Paul Schluter)
:::
+
::: Pretty stable, promoting its use.
 
::- IDCO (Paul Schluter)
 
::- IDCO (Paul Schluter)
:::  
+
:- Work continuing on, providing new terms. May be close to CN participation.
 
::- RTM (Paul Schluter)
 
::- RTM (Paul Schluter)
:::  
+
:- Michael Faughn working on it.  Paul’s been working on 10101b.  10101r is in IEEE publication.  Also working on event and alert terms, collaborating with Stefan.  Including about 7000 new terms.  May be able to provide medical and technical alert numeric codes, will do it if there is a clear need to do so for Connectathon and Pre-CN.  Put event codes in a separate ‘bucket’.  Monday discussion at PHD vent meeting.  Post meeting comment by Ken “They should at least include some waveforms”.  Deeply concerned that they can’t use 90% of existing work.
 +
::- Vent (Paul Schluter)
 
::- PIV (Jeff R)
 
::- PIV (Jeff R)
:::  
+
:- Two CPs approved earlier this year, will be in
 +
::- Pump (Al E, Jeff R.)
 +
::: Met yesterday, have two CPs underway, will review them tomorrow
 
::- IPEC (Al E)
 
::- IPEC (Al E)
:::  
+
::: In FT, it can changed in Gazelle as soon as published
::- OMS (Ken F) – Not available. 
+
::- RDQ (John R) - Suspended per April 2019 F2F.
::- RDQ (John R)
+
::: Can we show it’s suspended? No, nor much need to do soMay have new life in FHIR.
:::  Next steps:  Suspend, look at how ITI has done this.
+
::- DPI (John R)
+
:::
+
 
::- PCIM (John R)
 
::- PCIM (John R)
:::  
+
::: Percolating in the background, not much work lately.
 
::- Physio monitor (John R)
 
::- Physio monitor (John R)
:::  
+
::: Not much change.  Good exemplar in Vol 3.  Not much demand yet.
::- Pulse Oximetry
+
::- DEC
:::  
+
::: General update PCD TF) (John R)
::- Pump (Al E, Jeff R.)
+
:::- Well established, very open, easily added to.  Some TF additions – Added semantics, no triggering requirement.  Good add to MDS attributes following DIM.  Have a TC Action Item underway, hope to work on it this year.
::- Vent (Paul Schluter)
+
::: DEC OPTION:  FHIR  (Todd C)
:::  
+
:::- Came from Korea CN.  They plan on including SDPi.  Held the CN at a hospital.  Asked to include this in DEC.  Asked about difference between FOU and this.  Next formal step – PCD Planning Committee approval to go forth.
:* Action item Discussion
+
::::  Motion:  Start a DEC CP to include an option for HL7 FHIR transport.  John Rhoads seconds.  Discussion – Another appendix, make sure they are not interoperable.  10 approve, 5 abstain.  Passes.
:: Cochair Action item 106: [https://wiki.ihe.net/index.php/PCD_Cochair_Action_Items Activities Promoting PCD]
+
::- EC (John R)
:::
+
::: Theoretical except for IPEC. Expresses what it would look at.
 +
:::-Table for future (remove from future agendas.
 +
::- DCM Pulse Oximetry
 +
::: Currently waiting for someone to take it to FT.
 +
:::- Table for future (remove from future agendas.
 +
 
 +
:- Review current Action Item: [[PCD Planning Committee Action Items]]:
 
:: 168  Execute Stakeholder Survey
 
:: 168  Execute Stakeholder Survey
:::  
+
::- Manny’s current survey underway and works.  Can revisit when MARCOM. Close it.
 +
 
 +
:: '''"Quiet Hospital" Initiative''' (30 minutes)
 +
:::- Overview / Update
 +
:::- Approach for QH support in IHE DEV
 +
:::- Roadmap for 2020
 +
::*  Discussion of Showcase deployment.  Likely multiple vignettes, but Phil and Bronwen believe it focusses on one vignette.  Alarms will apply across many vignettes anyway.  This will be getting ‘ahead of the game’.  This work closes the loop, which require work on the device mftcr part.  Some regulatory concerns.  Will depend on company policies and FDA rulings.  The FDA may rule before HIMSS.  Todd: In the process, part of a national movement. Many pieces are moving toward it.  Can discuss during SPDi session this afternoon. 
 +
::* Marketing – Prep a 30 sec or so blurb saying this is on the way.  This is a significant part of it – need a multi-vendor group to take this.  We need help to prepare it, not getting much yet.  Many Showcase vignettes this could apply to.  May just need to change the way we talk to them about it.  Todd will see if Bronwen is on site, maybe we can meet with her and hammer it out.
 +
::*  Since Monroe diagrammed the process, it’s much easier to explain it to others.  The pieces are available and being tied together.  We need to let clinicians know it’s available.  HIMSS is the place to do it.  The message needs to come from outside the vendor community (FDA, HIMSS, others).  Todd has an HIMSS session approved.
 +
 +
:: Dinner tonight at Trillium Brewing – How many and what time?
 +
::* 10 at 6PM
  
:* Review IHE Milestones
+
::  PCD 2.0 (Todd) (45 Minutes)
:: IHE 2019 Publication Schedule [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
+
:* Much detail is in the slides for this session.
 +
::* Reviewed timeline.  Don’t need to solve everything today, but we should get this started.  Bring both global promotion info together.
 +
::: Specific topics
 +
:::* What is a Device? – No regulatory science for Software as a Medical Device (SaMD). Looked at how things changed in the last 15 years, discussed at 11073 meetings. How can we summarize in 1-2 bullet points what we’re trying to achieve?  Trying to make our data more accessible?  The enterprise piece is well integrated. Need to expand beyond the enterprise, which PCH can address. 
 +
:::*  Subdomains and Governance – How to manage decision making.  A lot needs to be addressed.  What are the problems? All votes happen at the Domain level, not sub-domain level.  Concerns over one sub-domain dominating the overall domain, especially with patient safety awareness or knowledge.
 +
::* Meetings?
 +
:::  Meet once a year at least.  Different meeting cadences.  When to meet next.
 +
::* Single TF or multiple
 +
::* Device use case compendium.
 +
::* Transaction labels.
 +
::* Testing and tooling.
  
 
Adjourn PCD Planning Committee (PC)
 
Adjourn PCD Planning Committee (PC)
Line 692: Line 789:
 
'''Action(s):'''
 
'''Action(s):'''
  
 +
:- Close Action Item 168 - Execute Stakeholder Survey
  
 
|}
 
|}
Line 729: Line 827:
  
 
'''Action(s):'''
 
'''Action(s):'''
: April 17 PC/TC summary approved
+
: September 18 PC/TC summary approved
  
 
|-
 
|-
Line 738: Line 836:
  
  
'''Placeholder'''
+
:* 3:40 > Joint PC/TC meeting
  
 +
:* Introduction
 +
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)(Kurt)
 +
::- Review & Approve Joint PC&TC Agenda (Kurt)
 +
:* ''' IHE DEV - DPI Subdomain Launch''' (Todd)
 +
:: Slides are on ftp site.
 +
:: DPI Subdomain Overview
 +
::- Overview today, technical details tomorrow. Most items covered by slides, additional notes are below.
 +
::: Devices prototyped, some in use in Europe.
 +
:::- Action Item – Identify organizations actively using this and the modalities they are using it in.
 +
::: Discussed OpenICE/MedPnP and possible integration into SPDi.  It’s not provided many results yet, the DoD may be interested in our work.  EEG may be a good use case.  Addressed core standards.
 +
::: Good to have an example for tomorrow to discuss and help understand process.
 +
:* FHIR Upload TI (Brian R and Thom)
 +
::  Brian described the transaction model and data flow.  Using FHIR data model instead of PCD-01 per request of some designers.  Does this support a containment tree?  No.  Is there a way to communicate this? No.  Re-used some existing transactions.  Testing – Group actors?  There are some, need to group a consumer and creator.  When registering at a test event, how would they register it?  It passed through Steve Moore, he created the name, so they conform with the testing process.  Extensive message and transaction discussion.detail
  
: 11:00 > Commence Joint PC&TC meeting
+
Adjourn PCD Joint Planning & Technical Committee (PC & TC) for the evening.
 +
:- Resume 8:30 AM Thursday.
  
:* Introduction
+
'''Decisions/Issues:'''
::- [[Patent_Disclosure_Process | IHE IP Management Process]] (5 minutes)
+
:* 11:05 >
+
::- Review & Approve Joint PC & TC Agenda
+
::- Review prior PC & TC Meeting Discussion Summary [[PCD PC&TC 2019-04-17 Webex]]
+
  
Todd’s proposal
 
:* Draft an IHE White Paper that will provide an overview of the SDC standards, the IHE and IHE PCD technical framework architecture and profile specifications, and explore how SDC might be leveraged, including a proposed roadmap for future work.
 
:: Vote 14 for, 0 against, 0 abstention
 
  
:* IHE Int'l Board Listening Session (Todd)
+
'''Action(s):'''
:: Wants to hear what we like and need.
+
:: Have about 200 steady members.  Volunteer recognition program, give Todd feedback.  Certification program started 2 weeks ago.  Conformity assessment is underway.
+
::* Link to Certification program [https://www.ihe.net/education/ihe-certified-professional-program/ IHE Cert]
+
:: Feedback
+
::* Jeff Rinda – devices not listed in Product registry and had no luck getting it resolved.
+
::* Value of conformity assessment questionable – Product level certification following ISO process.
+
::* Customers push for actual implementations, not certification.  How well does these systems talk to this other system?  Workflow testing, not system testing.  Prove to them that you can do it. 
+
::* How is IHE dealing with software changes.
+
::* NIST: We can do a better job of adding tests.  IHE could help by recommending tests.  Need a staged process.  Vendors don’t bring a complete set of tools to the Connectathon.
+
::*  Have to think about the value proposition for members.
+
::*  What tools can help this process, closing the loop? 
+
::* Note that the original DPI focus was on device-to-device connectivity around a patient in an acute care environment.  Integrating device-sourced data at the enterprise level, which is the primary focus of the current IHE TF, is out-of-scope for the SDC standards as illustrated on slide #5 & #8 in the attached presentation "SDC Overview.pdf". 
+
  
:* "PCD 2.0" - PCD and PCHA working together (Amit, Thom, Michael)
 
:: (Slides on ftp site)
 
:: Q – Focus on bringing info in?  Can EMRs implement it now.  Also have a model to migrate/translate.
 
:: Q – What devices will be available to map from 11073 to 104?  Generally, it doesn’t matter completely what the actual device is.  There are some exceptions.  They’ve chosen about 6 devices to start with.
 
:: Want to discuss what profiles fit best in which path. 
 
:: Need to move to a single method that works.  Can leverage PCD skills/experience into home/remote care.  Concerned FHIR can distract from progress.
 
:: Working on cell/cloud possibilities.
 
::  Need to work on regulatory acute care regulations.
 
:: Discussed low hanging fruit possibilities.
 
::*  Test tools – Documents containment tree.
 
  
:* Location, Dates of the PCD 2019 Fall F2F
+
|}
:: Mayo Clinic, Jacksonville, FL
+
:: October 15-17, 2019.
+
  
 +
=== Thursday Joint PC&TC Meeting Summary ===
  
Adjourn PCD Joint Planning & Technical Committee (PC & TC)
 
  
 +
:{|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:'''
 +
|
 +
: [[Patent_Disclosure_Process | IHE IP Management Process]]
 +
 +
'''Action(s):'''
 +
 +
|-
 +
| align="center" | 2
 +
| '''Discussion Summary ''' <br>- Chair
 +
| '''Status/Discussion:'''
 +
|
 +
:-
  
 
'''Decisions/Issues:'''
 
'''Decisions/Issues:'''
 +
:
  
 +
'''Action(s):'''
 +
 +
|-
 +
| align="center" | 3
 +
| '''Agenda Items''' <br>-
 +
| '''Status/Discussion:'''
 +
|
 +
 +
: 08:30 > Resumed Joint PC&TC Meeting
 +
 +
:* '''IHE International Board - Update & Feedback''' (Todd)
 +
:: Continue to add members, Scott Care.  Steady membership, ~ 150.  OR.net will join and sponsor SPDi.  Some discussion on PCHA on business logistics.  Challenges between IHE and HL7.  Should have a formal HL7, IHE and HIMSS agreement soon.  Our impact?  Get a better Int’l platform to share our work.  CASC moving along, taking over Gazelle.  Concert is mothballed.  Further certification discussion, unsure what its value is to us and our customers.  Next F2F and CASC at RSNA
 +
:* ''' IHE DEV - DPI Subdomain Launch''' (Cont. from Wed Q4)(Todd) 
 +
::Published WP in mid-August.  Completed public comments in Sep.  FDA had a lot of them. Will change title of on chapter.  Some other comments, mostly international.  Next – finalize and publish.  Then execute roadmap.  Will have five basic profiles.  Have a three year plan, Stefan, Todd and Ken will work on Vol 1, hope to have it done by the end of the year.  Will propose plug/Connectathons.  Could have three CNS by next year – could go to FT.  Where will the Compendium document live?  Discussed the 3 year roadmap.  Dev days are next activity.  Hope for a 2020 plug-a-thon.  Displayed timeline.
 +
::- Motion – Publish White Paper:  9 in favor, 2 abstain, passed
 +
::- Motion – Approve developing SDPi supplement as proposed in white paper:  9 in favor, 2 abstain, passed
 +
 +
:* '''TF Organization per Reorganization Plan'''
 +
:: How to address a single TF that incorporates DEV general + DPI / PCD / PCH subdomain-specific content
 +
:: Better use of Word to manage a broader set of developers
 +
:: Process for TF & profile & testing coordination across domain (from proposing to balloting to publishing to testing)
 +
::  Can use ITI doc as a model.  IHE is familiar with this.  How do we label our transactions?  Answering this will address the ‘carved in stone’ contingent.  Will smooth Vol2.  Questions – Transaction labels and Transaction numbers?  How to address this.  Have transactions that are domain wide and used in all sub-domains.  Will also have sub-domain specific transactions. 
 +
 +
:* '''Prepare 2020 IHE Milestones'''
 +
:: Review 2019 Milestones - [http://wiki.ihe.net/index.php?title=Domain_Milestone_Dates]
 +
::* Determine 2020 Milestone dates
 +
:: Table for DEV Joint Planning Committee
 +
 +
:* '''POU Supplement''' - Review & Determination of plan for public comment => TI => CAT testing
 +
::  Motion to accept the POU Supplement for Public Comment ) in favor, 7 against 5 abstain.
 +
::* Motion fails
 +
::* Comments –
 +
::: Profile is not sufficiently mature for public comment. 
 +
::: Our intent is to work to achieve a viable document in the coming weeks. 
 +
::: Our recommendation is to target a NA Plug-a-thon in January and Connectathon in June. 
 +
::: Need to take the same approach for SPDi and PHD, as a full Domain method.  This should be pursued in DEV Domain wide context, especially harmonizing PHD and POCD devices.
 +
 +
:* '''Survey of device condition and operation messaging''' (Manny/Paul)
 +
::  Paul will send to TC members next week.
 +
 +
:* '''Five year plan review'''
 +
:: All Paul could find is:
 +
::- [ftp://ftp.ihe.net/Patient_Care_Devices/Roadmap_and_Calendar/IHE-PCD_Roadmap_F2F_2017-04-04.xls 2017 Roadmap]
 +
::- and [ftp://ftp.ihe.net/Patient_Care_Devices/Roadmap_and_Calendar/IHE_PCD_PlanNotes2011-11-16.doc 2011 Plan Notes]
 +
:: Table for Joint PC
 +
 +
:* Cochair Action item - 106 - Activities Promoting PCD.
 +
:: Tabled for next Cochair meeting.
 +
 +
:* '''Location, Dates of the DEV PCD 2020 Spring F2F'''
 +
::  Mayo looks good for POCD, Rob will check for combined.
 +
:: Schedule discussion – Use 4 days.  Tuesday AM for Pump, PC 2nd half of Tues, Joint PC/TC and part of TC on Wed.  Finish TC Thurs.  Full DEV Friday AM
 +
:: Dates – Either week of April 13th or 20th.  Rob will check.
 +
 +
 +
Joint PC&TC Meeting Adjourned
 +
 +
 +
'''Decisions/Issues:'''
 +
 +
 +
|-
  
 
'''Action(s):'''
 
'''Action(s):'''
  
: Draft an IHE White Paper that will provide an overview of the SDC standards, the IHE and IHE PCD technical framework architecture and profile specifications, and explore how SDC might be leveraged, including a proposed roadmap for future work.
 
  
: Continue collaboration between PCD and PCHA, primarily the Task Force meetings.
 
  
  
Line 843: Line 1,006:
  
  
'''Placeholder'''
+
: 10:45 > Open PCD Technical Committee (TC)
 +
:: TC Welcome and Agenda Review (Tom Kowalczyk)
 +
:: Announcement – Decision Making meeting (TC Co-Chairs)
  
 
+
:: Proposal Updates -  
:* Proposal Update - Silent ICU (John R)
+
::- Sterilizer (Paul)
:: Presentation will be on ftp site
+
::: a bit more interest, some slow progress.
:: Reviewed logic and proposal.
+
:: Discussion –
+
::*  Significant and different effort.  Can have a real clinical impact – Joint Commission, etc.  SPOK is 100% behind it.  We need buy-in.  Will take time to implement, but worth it.  Our ability to market this is limited.  Involving ECRI would help a lot.  We have enough vendors to discuss it with the FDA.  Explained the difference between silencing and pausing bedside alarming.  It’s torture for the patient and their family.  Will reduce alarm fatigue.  Would need delivery traceabiity.  ACM has steered clear of smart alarming.  RDC can handle it.  Monroe – remote pausing time should match source device.  We should focus on ‘pause’, rather than ‘silence’.  Need clinical input for this.  Develop a working group to focus on it and develop a white paper.  Shawn O’Connell (B Braun) – need to review 60601-1-8 (alarms) standard update as well.  As a nurse, marketing is not a problem, use nursing organizations to help.  Need to fall back on alarming if connectivity is lost.  Luis Melendez – Logic and triggering alarm.  Ensure alarm/alert is acknowledged (close the loop).  This has to address the infrastructure.  Paul Schluter – Keep records of all activities and triaging to properly develop.  Many permutations deployed, many places won’t have consolidated systems.  We should tackle this, but can we?  Establish a working group, including clinicians. 
+
::* Next steps? Start the working group, have them identify additional stakeholder. Build a library of existing documents.
+
:::  Members – Rob Wilder (Planning lead), John Rhoads (Tech lead), Monroe,
+
  
 
:* PCD Program review:
 
:* PCD Program review:
  
:: ACM (Rob W)
+
:: ACM (Rob W for Monroe P)
::* Presentation on ftp site, includes MEMDMC, MEM LS and MEMRDC
+
::- Slides will be on ftp site
::* MEMLS supports most types of location info, including different types of data and labels.
+
::- CP to allow AR to provide supporting/alternate info. Quiet hospital work going well, no comment on this work, CP went to ballot.  ACM been on fatigue work sideline, recent work is addressing that.  Will add to glossary.  Some work on ‘keep-alive’, needs more.  Deprecating PCD-07 polling – not used, not really viable.  Worked with PALM for lab alerts.  Working on a message to pass LS info to other devices.  Reiterated need to auto test AC actors.  John will talk to Nicholas, also Michael Faughn may be able to put something together.
::* Emphasized need for virtual AC actor (WCTP) for test validationNIST – should have some resources this year to work on it.
+
::- Extensive discussion of the ‘keep-alive’ option. Source of the message will be adjustable to fit the situationNeed ability to ID and map equipment requirements to implementation and testing across whole domain.  What is train to ensure the whole path works and the message stays viable.  They’re still working on that, will likely involve ACM actor to focus message delivery.  Idea is that concept needs to be consistent, but may not need a new transaction.  Should not be ACM specific.  Could benefit as a HL7 wide message.  Will warrant further discussion.  This covers all discussion of ‘keep alive’ scheduled for later.  Tabled for now.
:: MEM DMC (Rob W)
+
:: MEM DMC (Rob W for Monroe P)
:: MEM LS (Rob W)
+
::- Slides will be on ftp site
:: MEM RDC (Rob W)
+
::- John G will send Hans a message in HL7 O&O to provide a unique trigger for PCD-16. 
:: DEC (John R)
+
:: MEM LS (Rob W for Monroe P)
::* Working well, and getting a lot of use.  Ongoing challenging becoming one with OBX-4. Need to discuss at a TC meeting.
+
::- Slides will be on ftp site
 +
:: MEM RDC (Rob and Monroe)
 +
::- Slides will be on ftp site
 +
:: DEC (John R)
 +
::-  Opportunity to provide new requests.
 
:: EC (John R)
 
:: EC (John R)
::*  No crying need for a general Profile yet, IPEC is the exemplar.  If others develop, they can follow that example.
+
::- Tabled, remove from list
:: IPEC (Al E)
+
:: IPEC (Al E, Jeff R)
::* Moving it into Final Text this year
+
::- No additional info.
 
:: PIV (Al E)
 
:: PIV (Al E)
::* Covered Tuesday and Wednesday
+
::- Two CPs underway.  Christophe;  What is required to get them ready to vote?  Complete them and send to Paul Sherman.  Won’t be ready for a vote today.
:: Pump (Al E)
+
:: Pump (Al E, Jeff R.)
::* Covered Tuesday and Wednesday
+
::- Remove from list.
:: OMS (Ken F) – No update
+
 
:: DPI  (John R)
 
:: DPI  (John R)
::* Number of long term topics; FHIR, support/tooling,
+
::-  Have a live example up as a subdomain.
 
:: Physio monitor (John R)
 
:: Physio monitor (John R)
::* Further content spec info useful, but not a high priority.
+
::- No update
 
:: PCIM (John R)
 
:: PCIM (John R)
::*  Need an implementation, fits in with ‘silent hospital’ project.  Validated way to ID patient/device relationship.
+
:- Needs an update
:: IDCO (Paul Schluter)
+
:: Vent, IDCO, RTM (Paul Schluter)  
::*  Looking for 2020 Connectathon testing.
+
::- Slides will be on ftp site
:: RTM (Paul Schluter)  
+
::- Work on these topics handles terminology10101 work is going wellCaptured many devices and terms, vendors continue to contribute termsCleaning up some synonymsWorking on clinical procedure driven alert suppressionNext steps cleanup at RTM T-consHave about 1100 event terms. Able to set up method to access terms as neededAdding Several new parameters.
::* Presentation on ftp site.
+
::  Quiet Hospital
::*  Several groups using terms, sometimes conflictingAdded some new termsREFID and numeric code are irrevocable; now adding ‘accepted term’, which will go to ballotNurse call is possible, but no official participation yetDiscussion that nurse call and beds will escalateWhen is 10101b available?  Goal end of September.   
+
::- What else to discuss?  Nothing.
::* Pump group needs to work with Michael to come up with terms by September – Can they do thatHe will address it during his session.
+
  
:: IHE-PCD Test Tools, IEEE-11073 Nomenclature (-10101), Domain Information Model (-10201), and HL7 message validation – an overview and discussion on NIST’s integration efforts and everything in between.  (John Garguilo, Nicolas Crouzier, Michael Faughn)
+
:- Standards Coordination
::* Michael – 11073 and…  Redesigning RTMMS, looking for input, the earlier the better.  Adding a reference site.  FHIR – points to a vocabulary service; they need a source and have approached NIST to host/manage it.  Showed model in slides. 
+
:: IEEE 11073 SC & PARs & EMBS SC (mobile, IoT, AI/ML)
::: Profile Editor – Almost there, Michael will finish it in 4-5 weeks.
+
::: Spreadsheets – useful, but not friendly for him.  Like a rotary Dial phone.  He plans to come up with an API to replace it.
+
:: Vent (Paul Schluter)
+
::* Very complete, will be in 10101b.  Group not ready to share yet.
+
 
+
:- Standards Coordination (John R)
+
 
:: HL7
 
:: HL7
:: FHIR Activities/statement
+
:: Devices on FHIR  
::* Brian Rheinhold does a LOT of work for us on Devices on FHIR.
+
::- Is there any more to say on this?  Project to create next iteration with guidance info and SDC. Related to collaborative HIH and FHIR grant.   May help pay for tooling upgrades.
::* Point of care devices relies heavily on PCD-01.  Good path to add capabilities.  Working on others to automate the process more.
+
::* SMART on FHIR – enables portable devices to access data.
+
::* What is an alert in FHIR?  Have something called ‘Flag’. Had ‘alarm’, but was clinically useless.    Working on DEC now, alerts are next.  Useless to SPOK right now.
+
  
:: PCHA/Continua (Paul Schluter) – addressed already
+
:: The IHE-PCD Test Tools, IEEE-11073 Nomenclature (-10101), Domain Information Model (-10201), and HL7 message validation an overview and discussion on NIST’s integration efforts and everything in between.  (John Garguilo, Michael Faughn)
 
+
::- Status update, slides are on ftp site. 
:: Test tool issue - MEMDMC message failing NIST validation (Monroe)
+
::- Extensive review ‘’(Check recording from 15-35 mins)’’
::- MEMDMC profile to change via CP to use a message template of ORU_R(TBD) which affords it the ability to make the usage of the PID and PV1 segments as optional for MEMDMC use cases.  If PID and/or PV1 segments are present they should be populated per the IHE PCD TF.   We did this with ACM, so should be able to do so in MEM. Make a TC Action Item.
+
::- Michael Faughn updated on tooling.  If we have any questions, contact John, Michael or Nich.
 +
:: - This link contains most info you’d want to look at for this topic:
 +
::: https://confluence.hl7.org/display/HCD/Health+Care+Devices
  
 
: TC Action item review
 
: TC Action item review
 
 
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items TC Action items]]  
 
:* [[http://wiki.ihe.net/index.php?title=PCD_Technical_Committee_Action_Items TC Action items]]  
 
 
:: 196  Add PCD specific values to HL7 table 78
 
:: 196  Add PCD specific values to HL7 table 78
::John will get it in as soon as he canReview in June
+
::- John needs to formally request this, a rigid processSet to February 2020.
 
:: 200  MDS and VMD Requirements  
 
:: 200  MDS and VMD Requirements  
::*  Related to the OBX-4 question, need to figure out what to do.  It is a ‘should’, do we make it a ‘shall’?  If so, we need to let implementer know well before ConnectathonInclude Lexicographic order. Move out to June meeting.
+
::- Mostly done, Michael talked about a lot of it todayIn process.   Review next F2F.
 
:: 201  Pump utilization – publicizing
 
:: 201  Pump utilization – publicizing
::*  Tom has some info.  Create a white paper for HIMSS and IHE.  Move to June meeting.
+
::- No new info, move to joint PC/TC in January
 +
:: 202  MEMDMC CP to make PID and PV1 segments optional
 +
::- Covered earlier, in process, awaiting reply from O&OReview in December.
 +
:: 204  Gazelle and Proxy and NIST Tool improvements
 +
::- How do we get Eric’s attention? If no luck by December, close and repeat.  Move to December.
  
: Sterilization Interoperability (Jad Wafeeq)
+
: ACM profile mapping of PCD-04/PCD-07 content into PCD-05 content (Monroe)
:* Instrument Tracking System communication with sterilizer systems is proprietary.  Provided a process overview.  Many don’t have electronic tracking yet, but it’s getting adoptedDifferent companies are creating them.  Much pressure to develop custom processes.  Many players in this, may become more consolidatedIndividual or groups of devices?  Both, some by RFID or barcode, type usually, but larger systems (endoscopes) are individualizesWill the UDI effort help this?  Not for a while; plus a lot of legacy devices. 
+
:* 05 in for a long time, removed for FTMember wanted it back in, CP re-inserted itProduced a gap document, ACM will be working addressing those gapsA couple of AMs are implementing it, need three to validate it at CNWant to get a minimal version for CN/Showcase.  Not in NIST tool, work with notes for this cycle, then look at getting it into the tools.  With 2 AMs and no tools, will be a hodgepodge, will it get past Phil and Bronwen for the Showcase.
:*  What do they need to do next?
+
:: Need use cases and workflowsWe know the process to create the messages and profile, the sterilizer group needs to outline the actors and info to communicate.  We will use Connectathon/Showcase calls to start the processSomeone in the group will need to Join IHE.
+
  
: Validation tool error related to CWE-23 (Kurt) Jan 22 emails.
+
: '''F2F Action Review (from this week)'''
::*  Per TF, should be in HL7.  But it’s not there.  Removed during balloting for 2.8 without explanation.  Alternate text exists, but were told not to use it.  Need to let us use an existing one, or give us a new one.  Or edit TF to remove the CWE-23 reference.  Foreign languages – need to provide space for a local language.  Would need to submit a petition to change V2.8.  Alternate Text has definitions that don’t fit our use.  Where do we put the other human language text.  If we agree that CWE-10 is appropriate then we could use it; it would be IHE compliant, but not HL7.  Can we have a 2nd alt text without an Identifier?
+
::* Create a TC Action Item to work on this
+
  
: Gazelle and Proxy and NIST Tool improvements (Monroe and Paul Sherman) Jan 27 emails.
+
:: ''' Joint POCD/ PHD '''
:* Needs to go to the tooling group, Make it an Action Item.
+
::- Create Joint domain-wide coordination committees: Joint Planning Committee, Joint Technical Committee, Domain Coordination Committee
 +
::- PHC and SDPi appoint joint PC and TC representatives
  
Items not yet addressed:
+
:: '''PC'''
 +
::- Quiet Hospital
 +
::: Marketing – Prep marketing documentation and Showcase speaking points.
 +
::: HIMSS session approved (Todd), AAMI session proposed (Paul Sherman)
 +
::- Motion:  Start a DEC CP to include an option for HL7 FHIR transport.  John Rhoads seconds.  Discussion – Another appendix, make sure they are not interoperable.  10 approve, 5 abstain.  Passes.
 +
::- Determine 2020 Milestone dates -  DEV Joint Planning Committee
 +
::- Five year plan review and update - -  DEV Joint Planning Committee
  
: Using HL7 v2.x PL datatype for identifying locations (Dalibor)
 
  
: F2F Action Review (from this week)
+
:: '''PC&TC'''
 +
::  IHE DEV - DPI Subdomain Launch
 +
::- Motion – Publish White Paper:  9 in favor, 2 abstain, passed
 +
::-  Motion – Approve developing SDPi supplement as proposed in white paper:  9 in favor, 2 abstain, passed
 +
:::  SPDi Sub-Domain will work on these.
 +
::  Confirm availability of Mayo Jacksonville for DEV F2F meetings in April – Rob
 +
::- Check with PCH on their availability the week of April 13 or April 20.
 +
:: POU Supplement
 +
::- Need to take the same approach for SPDi and PHD, as a full Domain method.  This should be pursued in DEV Domain wide context, especially harmonizing PHD and POCD devices.  POCD volunteers will work with PHD group to finalize this.
 +
::- Officially add OR.net as an IHE Devices domain co-sponsor (Todd)
 +
::- SDPi profile development (Todd / Ken / Stefan to lead)
 +
 
  
:: PC
+
:: '''TC'''
::* Activities Promoting PCD]
+
::  Pump CPs from Chistophe to Paul to prep for vote.
::: Let PCD and AmIt know if you have any ideas on how to promote PCD.  
+
  
::* Execute Stakeholder Survey
+
:: '''POCD Cochairs'''
::: Send to Amit. Send a link to Thom. Review at May PC meeting.
+
::- Cochair Action item - 106 - Activities Promoting PCD.
  
:: PC&TC
 
::* Draft an IHE White Paper that will provide an overview of the SDC standards, the IHE and IHE PCD technical framework architecture and profile specifications, and explore how SDC might be leveraged, including a proposed roadmap for future work.
 
  
::* Continue collaboration between PCD and PCHA, primarily the Task Force meetings.
+
:* Joint POCD/PCH wrap up.
 +
:: Thom Erickson will arrange a meeting to review this week's discussions.
  
  
:: TC
+
:* > TC Meeting Wrap up and Adjournment (Kowalczyk)
::* MEMDMC profile to change via CP to use a message template of ORU_R(as allocated by ONO) which affords it the ability to make the usage of the PID and PV1 segments as optional for MEMDMC use cases.  If PID and/or PV1 segments are present they should be populated per the IHE PCD TF.  We did this with ACM, so should be able to do so in MEM.  Make a TC Action Item
+
::* Sterilizer messaging – set up time during CN calls to move this forward.
+
::*  Validation tool error related to CWE-23.  Make a TC Action Item
+
::*  Gazelle and Proxy and NIST Tool improvements.  Make it a TC Action Item.
+
  
  
Line 987: Line 1,151:
 
== Next Meetings ==
 
== Next Meetings ==
  
Technical Committee: [[PCD TC 2019-05-01 Webex]]
+
Technical Committee: [[PCD TC 2019-11-06 Webex]]
  
Planning Committee: [[PCD PC 2019-05-08 Webex]]
+
Planning Committee: [[PCD PC 2019-11-13 Webex]]
  
Joint Planning and Technical Committee: [[PCD PC&TC 2019-05-15 Webex]]  
+
Joint Planning and Technical Committee: [[PCD PC&TC 2019-10-23 Webex]], [[PCD PC&TC 2019-11-20 Webex]]  
  
 
<!--
 
<!--

Latest revision as of 13:29, 23 October 2019

PCD Home

Please NOTE: Agenda still being edited.

Paul Sherman, PCD TPM

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:
- Boston, MA
Seaport World Trade Center
- One Seaport Lane, Boston, Massachusetts 02210
- Meeting Room: Back Bay 1 (Mezzanine Level)
Rooms available via the Connected Health Conference website [Hotel link]
- Deadline Sept 25.
For those wishing to attend the conference -
- Thom Erickson has arranged registration for on site meeting attendees.
If you haven't signed up for the F2F and want to attend the conference, please do so on our form by COB Oct 11.
Otherwise, you can purchase discounted admission here:
https://www.connectedhealthconf.org/boston/2019/register
Use code 19CHC50 for 50% off.
Dates
Tuesday October 15: Pump Working Group
Wednesday October 16: morning: Joint PCD/PCHA meeting, 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 Seaport Trade Center, Back Bay 1
Meeting will start promptly at 08:30AM EDT Tuesday and Thursday.
Note: Meeting will start promptly at 08:00AM EDT Wednesday.
08:30 - 10:15 Session #1
10:30 - 12:30 Session #2
12:30 - 13:30 Lunch (Catered on site)
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
202 MEMDMC CP to make PID and PV1 segments optional
204 Gazelle and Proxy and NIST Tool improvements

Webex Support

Webex will is available for those who can not attend in person. The links will be provided below.

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 [HIMSS Webex]

Tuesday morning, Oct 15: Pump WG: Meeting Number: 928 584 535

Tuesday Afternoon, Oct 15: Pump WG: Meeting Number: 923 979 649

Wednesday morning, Oct 16: PC: Meeting Number: 922 817 660

Wednesday afternoon, Oct 16: PC, Joint PC&TC: Meeting Number: 923 832 577

Thursday morning Oct 17: TC: Meeting Number: 928 667 034

Thursday afternoon Oct 17: TC: Meeting Number: 921 967 210

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 15 (Pump Workgroup)

Date Hours Committees Topics


Tuesday 08:30 - 4:15 Pump workgroup
  • Morning (08:30-12:00)
  • 8:45
CPs for Channel Relay - 1hr
  • Break (10:15-10:30)
CP for TCI - 30 min
MEMDMC terms for pumps - 30 min
Status update on Multi-step - 30 min
Status update on program specific drug library limits - 30 min
  • Lunch (12:00-1:00)
  • Afternoon (1:00-4:00)
Pump Terms containment model update - 1hr
Use of Systematic names - 1hr
  • Break (3:00-3:15)
TBD - 1 hr
  • 4:15 > Meeting Adjournment

Wednesday October 16, 2019

Date Hours Committees Topics


Wednesday Q1 08:00 - 10:00 Joint PCD/PCHA Meeting
IHE & PCD Overview (10 minutes)
PCHA & Continua Overview (10 minutes)
Joint Exploration Committee Overview & Status (20 minutes) (Thom and Todd)
- Market Opportunity Analysis
- Domain / Subdomain Scoping & Mapping
- Test Process & Tooling
- MARCOM
Vote on Proposal for PCD 2.0 Domain Reorganization -
- Rename PCD Domain to "Devices (DEV)" domain
- Create (3) DEV Subdomains:
  • Device Point-of-care Interoperability (DPI) - device-to-device Plug-and-play interoperability around bedside
  • Patient Care Devices (PCD) - enterprise integration
  • Personal Connected Health (PCH) - PCHAlliance "Continua"
- Create Joint domain-wide coordination committees: Joint Planning Committee, Joint Technical Committee, Domain Coordination Committee
Launch Personal Connected Health Subdomain (60 minutes) (PCD and PCH)
- Charter
- Goals & Objectives
- Organization
- Work Groups
- Roadmap (2019-2020)
  • 10:00 > Adjourn Joint PCD/PCHA Meeting
Break 10:00 - 10:15 AM
Wednesday Q2 10:15 AM - 12:15 PM PCD Planning Committee (PC)
  • 10:15 > Start PC meeting
  • Introduction
- IHE IP Management Process (5 minutes)(Kurt)
- Review & Approve PC Agenda (Kurt)
"Quiet Hospital" Initiative (30 minutes)
- Overview / Update
- Approach for QH support in IHE DEV
- Roadmap for 2020


Lunch and Exhibit Hall 12:30 PM - 2:00 PM
Wednesday Q3 2:00 - 3:00 PM PCD Planning Committee (PC)
  • 2:00 > Continue Planning Committee
General PCD Work Program Review (statuses, plans only, details during TC sessions):
- ACM (Rob W for Monroe P)
- MEM DMC (Rob W for Monroe P)
- MEM LS (Rob W for Monroe P)
- WCM (Paul Schluter)
- IDCO (Paul Schluter)
- RTM (Paul Schluter)
- Vent (Paul Schluter)
- PIV (Jeff R)
- Pump (Kurt, Jeff R.)
- IPEC (Kurt)
- RDQ (John R) - Suspended per April F2F.
- PCIM (John R)
- Physio monitor (John R)
- DEC
  • General update PCD TF) (John R)
  • DEC OPTION: FHIR (Todd C)
- EC (John R)
- DCM Pulse Oximetry
Currently waiting for someone to take it to FT.
- Review current Action Item: PCD Planning Committee Action Items:
168 Execute Stakeholder Survey
3:00 > Adjourn Planning Committee meeting
Wednesday Q4 3:15 - 5:00 PM PCD Joint PC/TC
  • 3:15 > Joint PC/TC meeting
  • Introduction
- IHE IP Management Process (5 minutes)(Kurt)
- Review & Approve Joint PC&TC Agenda (Kurt)
Service-oriented Device Point-of-care Interoperability (SDPi) White Paper (30 minutes)
- Review PUBLIC COMMENT resolution and "final" draft of white paper
- Approve SDPi White Paper for publication
- Review Updated Roadmap (from Planning Committee perspective)
  • IHE DEV - DPI Subdomain Launch (Todd)
DPI Subdomain Overview
SDPi Profile Development (45 minutes)
- 2019/2020 Roadmap - Supplement to CAT
- TF-1 Supplement
- TF-2 Supplement
- SDPi & HL7 FHIR (DoF) + V2 "grouped" actors


Wednesday Q5 5:15 - 6:30 PM (if needed) PCD Joint PC/TC (Continued)
  • 5:15 > Resume Joint PC/TC meeting
6:30 > Adjourn PCD Joint Planning & Technical Committee (PC & TC)


Thursday October 17, 2019

Quarter Time Lead Agenda Items
Thursday Q1 08:30 - 9:45 AM
  • Connected Health Conference Keynote and Main Stage Activities
  • Continue Joint PC&TC Meeting
- IHE IP Management Process (5 minutes)(Kurt)
  • IHE International Board - Update & Feedback (Todd)
  • IHE DEV - DPI Subdomain Launch (Cont. fr. Wed Q4)(Todd)
  • TF Organization per Reorganization Plan
- How to address a single TF that incorporates DEV general + DPI / PCD / PCH subdomain-specific content
- Better use of Word to manage a broader set of developers
- Process for TF & profile & testing coordination across domain (from proposing to balloting to publishing to testing)
  • Prepare 2020 IHE Milestones
Review 2019 Milestones - [1]
  • Determine 2020 dates
  • POU Supplement - Review & Determination of plan for public comment => TI => CAT testing
  • Survey of device condition and operation messaging (Manny/Paul)
  • Five year plan review
All Paul could find is:
- 2017 Roadmap
- and 2011 Plan Notes
  • Cochair Action item - 106 - Activities Promoting PCD.
  • Location, Dates of the DEV PCD 2020 Spring F2F

Adjourn Joint PC&TC meeting.

Break 09:45 - 10:00 AM
Thursday Q2 10:00 AM - 12:30 PM PCD Technical Committee (TC)
10:00 > Open PCD Technical Committee (TC)
TC Welcome and Agenda Review (Tom Kowalczyk)
Announcement – Decision Making meeting (TC Co-Chairs)
Proposal Updates -
- Sterilizer (Paul)
  • PCD Program review:
ACM (Rob W for Monroe P)
MEM DMC (Rob W for Monroe P)
MEM LS (Rob W for Monroe P)
DEC (John R)
EC (John R)
IPEC (Al E, Jeff R)
PIV (Al E)
Pump (Al E, Jeff R.)
DPI (John R)
Physio monitor (John R)
PCIM (John R)
Vent (Paul Schluter)
IDCO (Paul Schluter)
RTM (Paul Schluter)
Quiet Hospital
- Standards Coordination
IEEE 11073 SC & PARs & EMBS SC (mobile, IoT, AI/ML)
HL7
Devices on FHIR
  • 11:00 >
The IHE-PCD Test Tools, IEEE-11073 Nomenclature (-10101), Domain Information Model (-10201), and HL7 message validation – an overview and discussion on NIST’s integration efforts and everything in between. (John Garguilo, Nicolas Crouzier, Michael Faughn)


  • 12:00


Lunch 12:30 - 1:30 PM
Thursday Q3 1:30 - 3:00 PM PCD Technical Committee (TC)
  • 1:30 >
TC Action item review
196 Add PCD specific values to HL7 table 78
200 MDS and VMD Requirements
201 Pump utilization - publicizing
202 MEMDMC CP to make PID and PV1 segments optional
204 Gazelle and Proxy and NIST Tool improvements


  • 2:15>
ACM profile mapping of PCD-04/PCD-07 content into PCD-05 content (Monroe)
IHE PCD profile actor keep-alive (Monroe)
Break 3:00 - 3:15 PM
Thursday Q4 3:15 - 5:00 PM PCD Technical Committee (TC)


> Continued topic discussions
F2F Action Review (from this week)
PC
PC&TC
TC


  • > TC Meeting Wrap up and Adjournment (Kowalczyk)


Break 5:00 - 5:15 PM
Thursday Q5 5:15 - !!! PM (If Needed) PCD Technical Committee (TC)


  • > TC Meeting Wrap up and Adjournment (Kowalczyk)


|}

Note: Additional evening working sessions may be scheduled as needed.
Note: Time slot TBD: IDCO

Participants

Tuesday, October 15

On Site: Morning: Al Engelbert (BBraun), Brian Witkowski (BBraun), Christophe Fournier (Fresenius), Dan Kernan (Epic), Jeff Rinda (ICU Medical), Ray Kan (Baxter), Tom Kowalczyk (BBraun), Todd Cooper ''

Afternoon: Al Engelbert (BBraun), Brian Witkowski (BBraun), Christophe Fournier (Fresenius), Dan Kernan (Epic), Jeff Rinda (ICU Medical), Paul Schluter (CMI), Ray Kan (Baxter), Tom Kowalczyk (BBraun), Todd Cooper, John Garguilo ''


Remote: "Ali Nakoulima(Cerner), Monroe Pattillo "


Wednesday, October 16

On Site: Brian Witkowski (BBraun), Christophe Fournier (Fresenius), Dan Kernan (Epic), Jeff Rinda (ICU Medical), Paul Schluter (CMI), Ray Kan (Baxter), Tom Kowalczyk (BBraun), Todd Cooper, John Garguilo, Thom Erickson, Kurt Elliason (Smiths), Rob Wilder (Spok), Paul Sherman, John Rhoads (Philips), John Donnelly, Amit Trivedi, Ken Fuchs (Draeger)


Remote: Ali Nakoulima(Cerner), Monroe Pattillo


Thursday, October 17

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:
Reviewed IHE IP Management Process

Decisions/Issues:

Agenda approved

Action(s):

2 CPs for Channel Relay and TCI
Status/Discussion:
Reviewed content of CP for channel relay
- add diagrams to CP and TF
- changes based on IPEC supplement, will follow up with John R to incorporate into TF
Reviewed content of CP for TCI
- changes based on IPEC supplement, will follow up with John R to incorporate into TF


3 MEMDMC terms for pumps
Status/Discussion:
- Need to CP profile to clarify from specific to generic.
- New event MDCX_EVT_DEVICE_MANAGEMENT replaces other trigger events in existing OBR-4, Trigger events move to an OBX
ftp://ftp.ihe.net/Patient_Care_Devices/Devices/InfusionPumps/CommonTerms/New_MEM_terms15OCT19.xlsx
4 Ststus updates
Status/Discussion:
Status update on Multi-step
CPs have been done for TF, waiting for EMR and pump vendors to implement.
Status update on program specific drug library limits
tabled for now.


5 Pump Terms/RTMMS
Status/Discussion:
Pump Terms containment model update
Demonstration of new graphical view
Use of Systematic names
- Will not use for pump terms. Will make sure we have a revised preamble that takes common terms and has good definition up front.


Action(s): See above

Wednesday Joint PCD/PCHA Meeting Summary

Item Topic Discussion
1 Introductions & Agenda Review
- Chair
Status/Discussion:
Kurt Elliason 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:
N/A

Decisions/Issues:

Action(s):

3 Agenda Items
-
Status/Discussion:


  • 08:05 > Introductions and Agenda Review (Kurt and Thom)
(Slides will be available on the PCD ftp site)
IHE & PCD Overview (10 minutes) (Todd)
- Todd - 15 years of work. How to ensure cooperation and clear delineation of responsibilities. At the time, most devices were regulated, so was clearer. Went through slides showing PCD process. Described Domains, Deployment Committees and sponsoring organizations. Discussed Plug-a-thons vs. Connectathons and Conformity Assessment.
PCHA & Continua Overview (10 minutes) (Thom)
- Explained why we’re here. Provided PCHA and Continua difference info; Continua is the engineering side. Provides design Guidelines for manufacturers, etc. Reviewed Implementation Framework. Working to minimize field confusion about who does what and the appearance of conflicting standards. Went over pain points. Reviewed progress to date, determined PCD best landing spot. Will integrate Continua Test Tool into Gazelle. Press release went out yesterday. Reviewed mapping Continua into IHE, fair amount of work to be done. Concern: Many Domains in PCHA could disappear in IHE. This should be discussed and resolved. SDO relationships need to stay well defined. That will be maintained and the relationships emphasized.
- Reviewed New Devices Domain and three “subdomains”. Subdomains are new, we may redefine it as needed going forward. Reviewed their foci. Sponsorship overview – new sponsors; OR.net and PCHA.
Thom reviewed PCH subdomain. Slides available.
Joint Exploration Committee Overview & Status (20 minutes) (Thom and Todd)
- Market Opportunity Analysis
- Domain / Subdomain Scoping & Mapping
- Test Process & Tooling
- MARCOM
Vote on Proposal for PCD 2.0 Domain Reorganization -
- Rename PCD Domain to "Devices (DEV)" domain (Board endorsed)
How does this affect naming documents and transactions?
- and Create (3) DEV Subdomains:
  • Device Point-of-care Interoperability (DPI) - device-to-device Plug-and-play interoperability around bedside
  • Patient Care Devices (PCD) - enterprise integration
  • Personal Connected Health (PCH) - PCHAlliance "Continua"
Vote – Approved unanimously with two abstentions.
- Create Joint domain-wide coordination committees: Joint Planning Committee, Joint Technical Committee, Domain Coordination Committee
Launch Personal Connected Health Subdomain (60 minutes) (PCD and PCH)
- Charter
- Goals & Objectives
- Organization
- Work Groups
- Roadmap (2019-2020)


Adjourn Joint PCD/PCHA Committee (PC)


Decisions/Issues:

Voted: Rename PCD Domain to "Devices (DEV)and create (3) DEV Subdomains.
- Unanimous approval with two abstentions.

Action(s):


Wednesday PC Meeting Summary

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


Reviewed current PCD programs

- ACM (Rob W for Monroe P)
Slides on ftp site
PCD 06 and 07 tested? Yes, with multiple participants. 05 has not. Other Domains may need to change how they deliver messages to accommodate these notifications. Concerns for alert/alarm notifications, not really useful for patient safety issues. Has mACM been well tested? Not really, just a couple of data accumulators. No delivery expertise. Can’t really tell how they would use it. Monroe provided mACM background. ACM can add all the capabilities needed easily to PALM and Radiology; the vendors are about 10 years behind us.
- MEM DMC (Rob W for Monroe P)
Slides on ftp site
- MEM LS (Rob W for Monroe P)
Slides on ftp site
Found ways to implement finding external locations. Teletracking is also involved. Waiting critical mass to bring others on board. It’s getting close
- MEM RDC –
Slides on ftp site
- WCM (Paul Schluter)
Pretty stable, promoting its use.
- IDCO (Paul Schluter)
- Work continuing on, providing new terms. May be close to CN participation.
- RTM (Paul Schluter)
- Michael Faughn working on it. Paul’s been working on 10101b. 10101r is in IEEE publication. Also working on event and alert terms, collaborating with Stefan. Including about 7000 new terms. May be able to provide medical and technical alert numeric codes, will do it if there is a clear need to do so for Connectathon and Pre-CN. Put event codes in a separate ‘bucket’. Monday discussion at PHD vent meeting. Post meeting comment by Ken “They should at least include some waveforms”. Deeply concerned that they can’t use 90% of existing work.
- Vent (Paul Schluter)
- PIV (Jeff R)
- Two CPs approved earlier this year, will be in
- Pump (Al E, Jeff R.)
Met yesterday, have two CPs underway, will review them tomorrow
- IPEC (Al E)
In FT, it can changed in Gazelle as soon as published
- RDQ (John R) - Suspended per April 2019 F2F.
Can we show it’s suspended? No, nor much need to do so. May have new life in FHIR.
- PCIM (John R)
Percolating in the background, not much work lately.
- Physio monitor (John R)
Not much change. Good exemplar in Vol 3. Not much demand yet.
- DEC
General update PCD TF) (John R)
- Well established, very open, easily added to. Some TF additions – Added semantics, no triggering requirement. Good add to MDS attributes following DIM. Have a TC Action Item underway, hope to work on it this year.
DEC OPTION: FHIR (Todd C)
- Came from Korea CN. They plan on including SDPi. Held the CN at a hospital. Asked to include this in DEC. Asked about difference between FOU and this. Next formal step – PCD Planning Committee approval to go forth.
Motion: Start a DEC CP to include an option for HL7 FHIR transport. John Rhoads seconds. Discussion – Another appendix, make sure they are not interoperable. 10 approve, 5 abstain. Passes.
- EC (John R)
Theoretical except for IPEC. Expresses what it would look at.
-Table for future (remove from future agendas.
- DCM Pulse Oximetry
Currently waiting for someone to take it to FT.
- Table for future (remove from future agendas.
- Review current Action Item: PCD Planning Committee Action Items:
168 Execute Stakeholder Survey
- Manny’s current survey underway and works. Can revisit when MARCOM. Close it.
"Quiet Hospital" Initiative (30 minutes)
- Overview / Update
- Approach for QH support in IHE DEV
- Roadmap for 2020
  • Discussion of Showcase deployment. Likely multiple vignettes, but Phil and Bronwen believe it focusses on one vignette. Alarms will apply across many vignettes anyway. This will be getting ‘ahead of the game’. This work closes the loop, which require work on the device mftcr part. Some regulatory concerns. Will depend on company policies and FDA rulings. The FDA may rule before HIMSS. Todd: In the process, part of a national movement. Many pieces are moving toward it. Can discuss during SPDi session this afternoon.
  • Marketing – Prep a 30 sec or so blurb saying this is on the way. This is a significant part of it – need a multi-vendor group to take this. We need help to prepare it, not getting much yet. Many Showcase vignettes this could apply to. May just need to change the way we talk to them about it. Todd will see if Bronwen is on site, maybe we can meet with her and hammer it out.
  • Since Monroe diagrammed the process, it’s much easier to explain it to others. The pieces are available and being tied together. We need to let clinicians know it’s available. HIMSS is the place to do it. The message needs to come from outside the vendor community (FDA, HIMSS, others). Todd has an HIMSS session approved.
Dinner tonight at Trillium Brewing – How many and what time?
  • 10 at 6PM
PCD 2.0 (Todd) (45 Minutes)
  • Much detail is in the slides for this session.
  • Reviewed timeline. Don’t need to solve everything today, but we should get this started. Bring both global promotion info together.
Specific topics
  • What is a Device? – No regulatory science for Software as a Medical Device (SaMD). Looked at how things changed in the last 15 years, discussed at 11073 meetings. How can we summarize in 1-2 bullet points what we’re trying to achieve? Trying to make our data more accessible? The enterprise piece is well integrated. Need to expand beyond the enterprise, which PCH can address.
  • Subdomains and Governance – How to manage decision making. A lot needs to be addressed. What are the problems? All votes happen at the Domain level, not sub-domain level. Concerns over one sub-domain dominating the overall domain, especially with patient safety awareness or knowledge.
  • Meetings?
Meet once a year at least. Different meeting cadences. When to meet next.
  • Single TF or multiple
  • Device use case compendium.
  • Transaction labels.
  • Testing and tooling.

Adjourn PCD Planning Committee (PC)


Decisions/Issues:


Action(s):

- Close Action Item 168 - Execute Stakeholder Survey

Wednesday Joint PC&TC Summary

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):

September 18 PC/TC summary approved
3 Agenda Items
-
Status/Discussion:


  • 3:40 > Joint PC/TC meeting
  • Introduction
- IHE IP Management Process (5 minutes)(Kurt)
- Review & Approve Joint PC&TC Agenda (Kurt)
  • IHE DEV - DPI Subdomain Launch (Todd)
Slides are on ftp site.
DPI Subdomain Overview
- Overview today, technical details tomorrow. Most items covered by slides, additional notes are below.
Devices prototyped, some in use in Europe.
- Action Item – Identify organizations actively using this and the modalities they are using it in.
Discussed OpenICE/MedPnP and possible integration into SPDi. It’s not provided many results yet, the DoD may be interested in our work. EEG may be a good use case. Addressed core standards.
Good to have an example for tomorrow to discuss and help understand process.
  • FHIR Upload TI (Brian R and Thom)
Brian described the transaction model and data flow. Using FHIR data model instead of PCD-01 per request of some designers. Does this support a containment tree? No. Is there a way to communicate this? No. Re-used some existing transactions. Testing – Group actors? There are some, need to group a consumer and creator. When registering at a test event, how would they register it? It passed through Steve Moore, he created the name, so they conform with the testing process. Extensive message and transaction discussion.detail

Adjourn PCD Joint Planning & Technical Committee (PC & TC) for the evening.

- Resume 8:30 AM Thursday.

Decisions/Issues:


Action(s):


Thursday Joint PC&TC Meeting Summary

Action(s):
Item Topic Discussion
1 Introductions & Agenda Review
- Chair
Status/Discussion:
IHE IP Management Process

Action(s):

2 Discussion Summary
- Chair
Status/Discussion:
-

Decisions/Issues:

Action(s):

3 Agenda Items
-
Status/Discussion:
08:30 > Resumed Joint PC&TC Meeting
  • IHE International Board - Update & Feedback (Todd)
Continue to add members, Scott Care. Steady membership, ~ 150. OR.net will join and sponsor SPDi. Some discussion on PCHA on business logistics. Challenges between IHE and HL7. Should have a formal HL7, IHE and HIMSS agreement soon. Our impact? Get a better Int’l platform to share our work. CASC moving along, taking over Gazelle. Concert is mothballed. Further certification discussion, unsure what its value is to us and our customers. Next F2F and CASC at RSNA
  • IHE DEV - DPI Subdomain Launch (Cont. from Wed Q4)(Todd)
Published WP in mid-August. Completed public comments in Sep. FDA had a lot of them. Will change title of on chapter. Some other comments, mostly international. Next – finalize and publish. Then execute roadmap. Will have five basic profiles. Have a three year plan, Stefan, Todd and Ken will work on Vol 1, hope to have it done by the end of the year. Will propose plug/Connectathons. Could have three CNS by next year – could go to FT. Where will the Compendium document live? Discussed the 3 year roadmap. Dev days are next activity. Hope for a 2020 plug-a-thon. Displayed timeline.
- Motion – Publish White Paper: 9 in favor, 2 abstain, passed
- Motion – Approve developing SDPi supplement as proposed in white paper: 9 in favor, 2 abstain, passed
  • TF Organization per Reorganization Plan
How to address a single TF that incorporates DEV general + DPI / PCD / PCH subdomain-specific content
Better use of Word to manage a broader set of developers
Process for TF & profile & testing coordination across domain (from proposing to balloting to publishing to testing)
Can use ITI doc as a model. IHE is familiar with this. How do we label our transactions? Answering this will address the ‘carved in stone’ contingent. Will smooth Vol2. Questions – Transaction labels and Transaction numbers? How to address this. Have transactions that are domain wide and used in all sub-domains. Will also have sub-domain specific transactions.
  • Prepare 2020 IHE Milestones
Review 2019 Milestones - [3]
  • Determine 2020 Milestone dates
Table for DEV Joint Planning Committee
  • POU Supplement - Review & Determination of plan for public comment => TI => CAT testing
Motion to accept the POU Supplement for Public Comment ) in favor, 7 against 5 abstain.
  • Motion fails
  • Comments –
Profile is not sufficiently mature for public comment.
Our intent is to work to achieve a viable document in the coming weeks.
Our recommendation is to target a NA Plug-a-thon in January and Connectathon in June.
Need to take the same approach for SPDi and PHD, as a full Domain method. This should be pursued in DEV Domain wide context, especially harmonizing PHD and POCD devices.
  • Survey of device condition and operation messaging (Manny/Paul)
Paul will send to TC members next week.
  • Five year plan review
All Paul could find is:
- 2017 Roadmap
- and 2011 Plan Notes
Table for Joint PC
  • Cochair Action item - 106 - Activities Promoting PCD.
Tabled for next Cochair meeting.
  • Location, Dates of the DEV PCD 2020 Spring F2F
Mayo looks good for POCD, Rob will check for combined.
Schedule discussion – Use 4 days. Tuesday AM for Pump, PC 2nd half of Tues, Joint PC/TC and part of TC on Wed. Finish TC Thurs. Full DEV Friday AM
Dates – Either week of April 13th or 20th. Rob will check.


Joint PC&TC Meeting Adjourned


Decisions/Issues:


Thursday TC Meeting Summary

Action(s):
Item Topic Discussion
1 Introductions & Agenda Review
- 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:


10:45 > Open PCD Technical Committee (TC)
TC Welcome and Agenda Review (Tom Kowalczyk)
Announcement – Decision Making meeting (TC Co-Chairs)
Proposal Updates -
- Sterilizer (Paul)
a bit more interest, some slow progress.
  • PCD Program review:
ACM (Rob W for Monroe P)
- Slides will be on ftp site
- CP to allow AR to provide supporting/alternate info. Quiet hospital work going well, no comment on this work, CP went to ballot. ACM been on fatigue work sideline, recent work is addressing that. Will add to glossary. Some work on ‘keep-alive’, needs more. Deprecating PCD-07 polling – not used, not really viable. Worked with PALM for lab alerts. Working on a message to pass LS info to other devices. Reiterated need to auto test AC actors. John will talk to Nicholas, also Michael Faughn may be able to put something together.
- Extensive discussion of the ‘keep-alive’ option. Source of the message will be adjustable to fit the situation. Need ability to ID and map equipment requirements to implementation and testing across whole domain. What is train to ensure the whole path works and the message stays viable. They’re still working on that, will likely involve ACM actor to focus message delivery. Idea is that concept needs to be consistent, but may not need a new transaction. Should not be ACM specific. Could benefit as a HL7 wide message. Will warrant further discussion. This covers all discussion of ‘keep alive’ scheduled for later. Tabled for now.
MEM DMC (Rob W for Monroe P)
- Slides will be on ftp site
- John G will send Hans a message in HL7 O&O to provide a unique trigger for PCD-16.
MEM LS (Rob W for Monroe P)
- Slides will be on ftp site
MEM RDC (Rob and Monroe)
- Slides will be on ftp site
DEC (John R)
- Opportunity to provide new requests.
EC (John R)
- Tabled, remove from list
IPEC (Al E, Jeff R)
- No additional info.
PIV (Al E)
- Two CPs underway. Christophe; What is required to get them ready to vote? Complete them and send to Paul Sherman. Won’t be ready for a vote today.
Pump (Al E, Jeff R.)
- Remove from list.
DPI (John R)
- Have a live example up as a subdomain.
Physio monitor (John R)
- No update
PCIM (John R)
- Needs an update
Vent, IDCO, RTM (Paul Schluter)
- Slides will be on ftp site
- Work on these topics handles terminology. 10101 work is going well. Captured many devices and terms, vendors continue to contribute terms. Cleaning up some synonyms. Working on clinical procedure driven alert suppression. Next steps – cleanup at RTM T-cons. Have about 1100 event terms. Able to set up method to access terms as needed. Adding Several new parameters.
Quiet Hospital
- What else to discuss? Nothing.
- Standards Coordination
IEEE 11073 SC & PARs & EMBS SC (mobile, IoT, AI/ML)
HL7
Devices on FHIR
- Is there any more to say on this? Project to create next iteration with guidance info and SDC. Related to collaborative HIH and FHIR grant. May help pay for tooling upgrades.
The IHE-PCD Test Tools, IEEE-11073 Nomenclature (-10101), Domain Information Model (-10201), and HL7 message validation – an overview and discussion on NIST’s integration efforts and everything in between. (John Garguilo, Michael Faughn)
- Status update, slides are on ftp site.
- Extensive review ‘’(Check recording from 15-35 mins)’’
- Michael Faughn updated on tooling. If we have any questions, contact John, Michael or Nich.
- This link contains most info you’d want to look at for this topic:
https://confluence.hl7.org/display/HCD/Health+Care+Devices
TC Action item review
196 Add PCD specific values to HL7 table 78
- John needs to formally request this, a rigid process. Set to February 2020.
200 MDS and VMD Requirements
- Mostly done, Michael talked about a lot of it today. In process. Review next F2F.
201 Pump utilization – publicizing
- No new info, move to joint PC/TC in January
202 MEMDMC CP to make PID and PV1 segments optional
- Covered earlier, in process, awaiting reply from O&O. Review in December.
204 Gazelle and Proxy and NIST Tool improvements
- How do we get Eric’s attention? If no luck by December, close and repeat. Move to December.
ACM profile mapping of PCD-04/PCD-07 content into PCD-05 content (Monroe)
  • 05 in for a long time, removed for FT. Member wanted it back in, CP re-inserted it. Produced a gap document, ACM will be working addressing those gaps. A couple of AMs are implementing it, need three to validate it at CN. Want to get a minimal version for CN/Showcase. Not in NIST tool, work with notes for this cycle, then look at getting it into the tools. With 2 AMs and no tools, will be a hodgepodge, will it get past Phil and Bronwen for the Showcase.
F2F Action Review (from this week)
Joint POCD/ PHD
- Create Joint domain-wide coordination committees: Joint Planning Committee, Joint Technical Committee, Domain Coordination Committee
- PHC and SDPi appoint joint PC and TC representatives
PC
- Quiet Hospital
Marketing – Prep marketing documentation and Showcase speaking points.
HIMSS session approved (Todd), AAMI session proposed (Paul Sherman)
- Motion: Start a DEC CP to include an option for HL7 FHIR transport. John Rhoads seconds. Discussion – Another appendix, make sure they are not interoperable. 10 approve, 5 abstain. Passes.
- Determine 2020 Milestone dates - DEV Joint Planning Committee
- Five year plan review and update - - DEV Joint Planning Committee


PC&TC
IHE DEV - DPI Subdomain Launch
- Motion – Publish White Paper: 9 in favor, 2 abstain, passed
- Motion – Approve developing SDPi supplement as proposed in white paper: 9 in favor, 2 abstain, passed
SPDi Sub-Domain will work on these.
Confirm availability of Mayo Jacksonville for DEV F2F meetings in April – Rob
- Check with PCH on their availability the week of April 13 or April 20.
POU Supplement
- Need to take the same approach for SPDi and PHD, as a full Domain method. This should be pursued in DEV Domain wide context, especially harmonizing PHD and POCD devices. POCD volunteers will work with PHD group to finalize this.
- Officially add OR.net as an IHE Devices domain co-sponsor (Todd)
- SDPi profile development (Todd / Ken / Stefan to lead)


TC
Pump CPs from Chistophe to Paul to prep for vote.
POCD Cochairs
- Cochair Action item - 106 - Activities Promoting PCD.


  • Joint POCD/PCH wrap up.
Thom Erickson will arrange a meeting to review this week's discussions.


  • > TC Meeting Wrap up and Adjournment (Kowalczyk)


TC Meeting Adjourned


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.

No new Action Items

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.

MEMDMC profile to change via CP to use a message template of ORU_R(as allocated by ONO) which affords it the ability to make the usage of the PID and PV1 segments as optional for MEMDMC use cases. If PID and/or PV1 segments are present they should be populated per the IHE PCD TF. We did this with ACM, so should be able to do so in MEM.
Validation tool error related to CWE-23.
Gazelle and Proxy and NIST Tool improvements.

Next Meetings

Technical Committee: PCD TC 2019-11-06 Webex

Planning Committee: PCD PC 2019-11-13 Webex

Joint Planning and Technical Committee: PCD PC&TC 2019-10-23 Webex, PCD PC&TC 2019-11-20 Webex