PCD TC 2009-03-25 Webex

Patient Care Device Domain

Meeting Purpose

Regularly scheduled meeting of the PCD Technical Committee

WebEx Information

Topic: PCD Weekly Tcons

Date: Wednesday, March 25, 2009

Time: 11:00 am, Eastern Time (New York)

Duration: 60 Minutes

Proposed Agenda

1. Agenda Approval

2. Review Discussion Summaries

• 2009.03.11 WebEx

3. TC Cycle 4 Detailed Propoals and Supplements

- Work Plan Phasing Discussion

- Review QBD & WCM Support Doodle Poll

- Review Detailed Proposals

- Review ITI Editor's Guidelines wiki page & graphic

4. Change Proposals - Review process

5. News / Announcements / Status Updates

- Spring F2F Discussion

- Connectathon / Showcase Update

- IHE & Bar code / RFID Profiling

- IHE-IEEE MoU Update

- HITSP RMON & CDC Use Case Update

- IDC & Cardiology Domain Coordination

- HITSP Coordination

- CMDC Use Case Report

- RMON SDE#2 Report

- ICE-PAC Update

- HL7 v3 Support - Update

6. Action Item Review

7. Additional Business

8. Next Meeting

Discussion Summary or Minutes and Action Items from Previous Meetings

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.

Updated with Mar. 11 TC meeting Significant changes, other than dates, will be in bold.

Number	Action	Owner	Participants	Due Date	Status	Comments
60	Update TF	Todd, Ken	John Rhoads	2009.03.25	OPEN	Meetings have begun. The update will include PIB, SPD. Then it will be released for public comment (September). Todd asked for comments, suggestions. Ken has cleaned up Volume 1 in preparation for updating it. Todd will ask the IHE Cochairs if the format must be changed to the new format or can be left as is. A Google Group has been established. Distribute the updated TF for use in this cycle’s implementation for the Connectathon. John Rhoads will prepare the CP for the TF.
62	Incorporate Bar Coding into ADT implementations; which domain is responsible?	Todd	Co-chairs	2009.03.25	OPEN	Can consistency be achieved for bar coding across vendors, domains? Todd has been in contact with HIBCC. Bar Coding and RFID as point of care identification: Lab and PCC are interested. Ken and Todd will develop a survey for the IHE Cochairs. Steven Dain recommended broadening the scope to include bar coding of drugs as related to medical devices. For example, Canada is looking at medication bar codes that would be used by infusion pumps. Todd, Ken will ask IHE if IHE should get involved.
66	Prepare profiles for registration.	John Garguilo	Al Engelbert, Todd Cooper, Robert Flanders.	2009.03.25	OPEN	PCD likely won’t finalize the application until the TF has been updated and following the public comment period. Todd set up Google Group and Wiki Page to establish a baseline. The PCD will work with NIST for validation. John Garguilo believes two of the three profiles are now complete and correct in the MWB. It is anticipated that the other PCD transactions shall be registered after PCD-01 is complete. John Garguilo has requested that companies post their profiles at: PCD Year 3 Pre-Connectathon Testing FTP Site.
73	Preparing proposal to HL7 for Pharmacy WG for review and appropriate action on PAM (changed)	Todd		2009.04.15	OPEN
75	Review IHE.net TF page for accuracy re PCD entries.	?		2009.03.25	OPEN
77	Change title to preparing proposal to HL7 for Pharmacy WG.	Gary Meyer	Jeff Rinda, Al Engelbert	2009.07.01	OPEN	Jeff noted this is not a critical issue, but the pharmacy group needs to address the issue. Todd will check with Gary Meyer. Change title to preparing proposal to HL7 for Pharmacy WG. They may not be interested in addressing this in this cycle (Atlanta the week of Sept. 21).
79	Change Proposals				OPEN	ACM: clarify coding of multiple aspects of an alarm; PIV: clarify coding. PCD will provide a tutorial on the process in two weeks.

Participants

Chair: John Rhoads (Philips)

Jon Blasingame, Walter Dobbins, Al Engelbert, John Garguilo, Jianguo Jiang, Steve Merritt, Gary Meyer, John Rhoads, Jeff Rinda, Paul Schluter, Tom Schultz, Nick Steblay, Khalid Zubaidi, Manny Furst

Discussion

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda modified to devote priority to discussion of Implantable Device Observation Profile and the possibility of PCD taking responsibility. Action(s):
2	Issues with Discussion Summary or Approval of Minutes - Chair	Status/Discussion: Discussion Summary of previous TC meeting yielded no changes Decisions/Issues: Action(s):
3	PCD Profiles Considered for Supplement and White Paper Development - Chair	Status/Discussion: Deferred Decisions/Issues: Action(s):
4	IDCO - Paul, John	Status/Discussion: A summary of the detailed discussion is found below. Decisions/Issues: Action(s): PCD Cochairs to consider in their weekly meeting next Tuesday.
5	Action Items - Chairs	Status/Discussion: 60: Update TF - Deferred 62: Incorporate Bar Coding into ADT implementations - Deferred 66: Prepare profiles for registration - Deferred 73: Take the MSH-7 PAM issue to HL7 - Deferred 75: Review IHE.net TF page for accuracy re PCD entries - Deferred 77: Ask HL7 to address gaps in v3 that affect PCD's ability to develop extensions to PIV - Deferred 79: Change Proposals - Deferred Decisions/Issues: Action(s):
6	Announcements - All	Status/Discussion: None Decisions/Issues: Action(s):
7	PCD F2F Meeting - Todd	Status/Discussion: Deferred Decisions/Issues: Action(s):

IDCO Discussion Summary

Paul introduced Tom Schultz, and credited Tom and other leaders working on the Implantable Device Cardiac Observation (IDCO) profile. Their data, from implantable devices, is generally a snapshot rather than a continuous stream.

There’s a lot of commonality, therefore, the PCD is asked to support their work, at least until the Cardiology Domain’s situation is resolved, and possibly permanently. Paul described their common goals and efforts regarding nomenclature and communication protocols. In fact, with minor changes, their nomenclature is consistent with PCD’s RTM project.

Tom Schultz made a presentation on the Implantable Device Cardiac Observation Profile:

IDCO Profile Overview

- Discrete data elements and report attachments from interrogations, messages

- Begun under Cardiology domain in 2006

- Published as a TF supplement for public comment, but not approved

IDCO Status

- Heart Rhythm Society created physician advisory group and approved the nomenclature. Enumerations will be reviewed shortly.

- Anticipate IEEE approval of nomenclature ballot this Spring.

- Anticipate participating in Connectathon in 2010

Next Steps

- Finalize nomenclature, ballot within IEEE

- PCD sponsor/support IDCO

- Re-evaluate profile for integration into the PCD TF

- Publish for public comment in April/May

- Review, get final version by end of May

John Rhoads asked Tom: to provide links for additional information; which EMR companies have been involved (Tom named several); whether, when Cardiology Domain resumes, how coordination and collaboration would be assured. Tom indicated they would maintain a foot in each camp, with the PCD as their home.

Paul added that in the future PCD will likely address implanted monitoring and the IDCO is a step in that direction. It will provide a common way to communicate with an EMR. Tom indicated that there are other devices he is aware of that could follow this lead. There’s a natural synergy with the PCD.

John Garguilo asked if the ICDO nomenclature would fit into 11073.10101. Tom responded that is the current direction. Paul added that 10102 has been extended and these, along with 10103, are consistent with RTM with only minor changes. This consistency, and machine readability in XML, will be very useful to vendors. John indicated that NIST looks forward to supporting their effort with the ICS Generator and other work.

John Garguilo asked if there are “use cases” like those the IHE uses when it develops profiles. Tom indicated that there is a white paper that includes a few, including the implant and office scenarios.

Paul noted that physicians appreciated the development of a nomenclature they can use to communicate among themselves, contributing to patient safety and patient care.

The next step will include discussion in next week’s PCD co-chairs meeting. Todd is exploring IHE’s requirements for PCD support. Nick said that they have a meeting with the Cardiology domain on Saturday and believes they will support the transition to PCD.

Paul and John Rhoads indicated that it is very likely PCD would support the move from Cardiology to PCD. Paul asked how many companies would participate in the Connectathon and Showcase next year. Manny asked that we consider how the EMR vendors could be recruited to the wider PCD effort, noting that a significant increase in PCD vendors needs to be provided to HIMSS as they develop plans for the 2010 Showcase and their budget. Tom indicated there are four active implantable device vendors (more on the sideline) and there are multiple EMR vendors following this process.

There are details to be learned about the process IHE will use to implement the change from the Cardiology domain.

Next Meeting

The next TC meeting will be a joint PC and TC meeting on April 15, following HIMSS09 PCD_PC&TC_2009-04-15_Webex

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