PCD TC 2011-11-30 Webex

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Patient Care Device Domain

Meeting Purpose

PC Regularly Scheduled Meeting

WebEx Information

Topic: PCD Technical Committee

Regularly Scheduled Meeting Time (Rescheduled from November 23)

Date: Wednesday, November 30, 2011

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

Duration: 60 Minutes

Proposed Agenda

1. Agenda Approval
2. Review Discussion Summaries: Technical Committee November 9 PCD TC 2011-11-09 Webex
3. Work Items and Detailed Proposals for the TC:
- Device Specializations - General Content Profile (Todd)
- Pump WG: Device Specialization - Infusion Pump (Todd)
- Pharmacy Domain: Medication Administration Clinical Integration White Paper (Todd)
- Pulse Oximetry Integration with Clinical Applications (Greg and Ioana)
- MEM WG: Recruit CMMS Vendors (Steve and Richard Swim)
- MEM WG: Device Cybersecurity (Axel and ITI)
- PCC Domain: Cross Enterprise TeleHomeMonitoring Workflow Definition (XTHM-WD)(Ken)
o Follow up with John Donnelly regarding invitation to work with PCC.
- ITI Domain: Enterprise ACM (Monroe)
- RTM WG: Really Consistent Time White Paper (Paul)
4. OID Management (Proposed) PCD_OID_Management(Garguilo)
5. Connectathon
6. HIMSS12
7. Supplement and Profile Status Updates
o Event Comm
8. Action Item Review
9. Next and Recent Meetings
10. Additional Business

Action Items from Previous Meetings

See PCD Technical Committee Action Items.

Significant changes, other than dates, will be in bold.


PCD CPs are found at PCD_CP_grid


Chair: John Garguilo
Bikram Day, Al Engelbert, Ken Fuchs, John Garguilo, Steve Merritt, Janine Purcell, John Rhoads, Paul Schluter, Ioana Singureanu, Erin Sparnon, Richard Swim, Khalid Zubaidi, Manny Furst


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.

Item Topic Discussion
1 Introductions & Agenda Review
- Chair


Agenda approved


2 Discussion Summary or Approval of Minutes
- Chair
Discussion Summary of previous meeting was accepted with request that Manny obtain the information needed to fill in the blanks.



3 Agenda Items
- As Noted

Detailed Proposals: MEM Device Management Content: Steve Merritt reviewed the draft and has scheduled a meeting to finalize the document. He noted that the message will be modeled on PCD-01 but may need a new transaction. It may be a content specification. Paul asked if there would be a use for sending messages to the device. Configuration management, for example, is more complex and deferred. Paul noted that the message could be an Event or Alarm, but the PCD-01 model will work very well and it is similar to work underway at Continua building on PCD-01. Paul suggested developing a list of the top ten useful data elements and extension to location. John Garguilo suggested including a scoping statement to define the initial scope after discussion revealed there are many avenues to pursue. Steve invited people to join the Google Group.

Cross Enterprise TeleHome Monitoring: Ken reported that PCC has adopted this item.

Enterprise ACM: Ken reported this may get rolled into the cybersecurity / device management ITI work. It needs to be renamed as Device Management and scope and step by step program plan is developed. This will be presented to ITI TC in December.

Really Consistent Time: Will not move to next stage this cycle. Paul suggested that a stratum zero clock be demonstrated at the Connectathon 2013 to help determine feasibility.

Pulse Oximetry Integration: Ioana led discussion of the proposal. The approach provides LOINC and SNOMED additions to MDC codes so that the IT systems won’t need an intermediary. John Garguilo recommended the document should reference X73. John also noted that Meaningful Use hasn’t addressed devices and that PCD’s efforts will keep devices in the discussion. Ioana indicated that PCD-01 may be further constrained for this effort. John referred to the PHD pulse oximeter may be a useful reference. Paul suggested that there may be some data elements that are not in there (e.g., proprietary parameters developed by Masimo or Nellcor) and these can be added to Rosetta. Ioana described the three approaches to communication. Paul suggested that PCD-01 may benefit from a “reason statement” to indicate why a non-periodic message was sent (e.g., triggered by clinician). Ioana added that having this information can help identify the significance of the data.



Next Meetings

The next meetings are:

Joint PC and TC December 7, 2011 PCD PC&TC 2011-12-07 Webex

Joint PC and TC December 14, 2011 PCD PC&TC 2011-12-14 Webex

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