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HL7 Healthcare Devices/IEEE 11073 Working Group Meetings2016.01.11 – 2016.01.14 – Orlando, FLSee meeting documents posted @ posted on Titan Pad: Titan Pad: Sessions for 2016.01.11 – 2016.01.14Welcome & IntroductionsLocal and remote participants are introduced.Agenda for the day is presented. Review of IP / Patent Policy ReviewParticipants are informed by the presiding WG Chair of the IEEE/HL7 code of conduct, Patent Policy, and IP Disclosure Policy.Monday – Q1 Jan. 11, 2016Recurring Participants (9)Stan Wiley (Dr?ger)Ken Fuchs (Center for Medical Interoperability)Jan Wittenber (Center for Medical Interoperability)Koichiro Matsumoto (Nihon Khoden)Masato Tanaka (Nichol Khoden)Satoshi Kobyashi (Fukuda Denshi)John Rhoads (Philips)John Garguilo (NIST)Bj?rn Andersen (University of Lübeck)Paul Schluter (GE)Q1-Specific Participants (16)Stefan Schlichting (Dr?ger)Beth Pumo (Kaiser Permanente)Todd Cooper (Center for Medical Interoperability)Trish Williams (Edith Cowan University)Amlar Dasgupta (Epic)Kathryn Bennett (IEEE-SA)Alexander Mense (HL7 Australia)Recurring participantsOther Participants Pool (note – use for future Qs if present) (34)Stephan P?hlsen (Dr?ger)Joerg-Uwe Meyer (MT2IT) Ewout Kramer (Furore) Ron Shapiro (Quera)Michael Faughn (Prometheus Computing) Clem McDonald (NLM) Matthew Graham (Mayo Clinic) Harry Rhodes (AHIMA)Gora Datta (Cal2Cal)Martin Rosner (Philips)Brian Reinhold (LNI/PCHA)Martin Kasparick (University of Rostock)Mohd Anwar (NC A&T University)Bruce Bray (University of Utah)David Hay (HL7 FMG)Vadim Peretokin (NEHTA)Swampna Ahbyankar (Regenstrief Institute)Daniel Vreeman (Regenstrief Institute)Martin Hurrell (Geneva Care)John Walsh (Partners Healthcare)Dominick Brammen (University of Magobourg)Andrew Norton (ITHSDO Anesthesia SIG)Jan Schlamelcher (OFFIS Health)Malcom Clarke (Brunell University)Sungkee Lee (Kyungprok University)Charles Parisot (GE Healthcare)Dan Morford (US Dept. of Veteran Affairs)Masoud Hosseini (Roche Diagnostics)Muhhamed Asim (Philips)Anwar Mowd (North Carolina A&T University)Ioana Singureanu (US Dept. of Veteran Affairs)Anoop Sheth (Duke University)Sheryl Taylor (NIST)Rachel Davis (American College of Cardiology)Minutes for Q1Session SummaryAgenda revision 0.4 was reviewed, and amended (saved as revision 0.5).Minutes summary from October 2015 WG meeting was reviewed and amended to include results from discussions with IEEE P2413 Committee; and to correct open action items from IEEE - SA.IEEE 11073 PoCD WG Membership Affirmation (Wittenber)Roster (70 names; 22 voting members) names were re-affirmed via web-solicitations.Update on PHD P&P was approved by AudCom; will now review PoCD WG P&P. A main difference is that PoCD does not have a co-chair, but may need to add a co-chair position to PoCD WG. Sub-Groups – SDC (3 PARs); no other sub-groups, but PHD Cybersecurity Tiger Team (not yet a sub-group) is similar to a "co-existence" or "harmonization sub-group, although no action is being proposed for such a 11073 SC WG or PHD or PoCD SG for this purpose, in particular (i.e. Cybersecurity) or general at this time.General Interest AnnouncementFYI — the FDA is holding a public workshop relevant to cybersecurity: "Moving Forward: Collaborative Approaches to Medical Device Cybersecurity, January 20-21, 2016”Details and Agenda purpose of this workshop is to highlight past collaborative efforts, increase awareness of existing maturity models (i.e. frameworks leveraged for benchmarking an organization’s processes) which are used to evaluate cybersecurity status, standards, and tools in development, and to engage the multi-stakeholder community in focused discussions on unresolved gaps and challenges that have hampered progress in advancing medical device cybersecurity.IEEE 11073 PHD WG UpdateSee posted presentation - Current topics, Membership (> 300), meetings, standards (~25) and projects in process.IEEE P2413 Committee UpdateOverview presentation was given to this group by J. Wittenber to cover information modeling, relevant standards and technology, and tooling. An affinity analysis was performed on P2413 PAR features and 11073 assets.MotionsApproval of meeting agenda revision 0.5 – Passed: motion by Wiley, seconded by Rhoads.Approval of meeting minutes summary from October 2015 – Passed: motion by Rhoads seconded by Garguilo.Action ItemsNoneMonday – Q2 Jan. 11, 2016Q2-Specific Participants (17)Recurring Participants from Q1 on MondayStefan SchlichtingBeth Pumd Trish WilliamsAmlar DasguptaKathryn BennettAlexander MenseMartin KasparickMasato TanakaMinutes for Q2Session SummaryIEEE UpdateIEEE SA Update (see posted presentation by K. Bennett)Overview statistics for IEEE 11073 Standards Committee (PoCD WG and PHD WG)In-Ballot HighlightsSASB Actions and Status10101a approved and published on 12/9/201510101b and 10103a PARs approved on 12/5/2015Next NesCom meeting 1/26/2016Next RevCom meeting 1/19/2016ISO Adoption Status (TC215)Working Group P&PsCollaborative RelationshipseHealth StrategyPro-Co Ad-Hoc for Continuous Maintenance Standards (f/k/a Database Standards)2016 Meetings and ConferencesSchluter Acceptance Speech at 2015 IEEE Awards CeremonyIEEE 11073 PoCD WG P&P Update (J. Wittenber)Overview of proposed changes to current draftOverlapping topics between PoCD WG and PHD (e.g. UDI, cybersecurity, time synchronization, et. al.) – governance model to support harmonizationAAMI/UL JC2800 Update (J. Wittenber/J. Rhoads/S. Wiley)Overview of overlap content opportunities between 2800 and 11073. Opportunities to leverage 11073 standards content to describe architectural communications methodologies used in interoperable medical systems.Note: IEEE-SA supports the opportunity to share documents for the sake of standard development and will evaluate zero cost document sharing requests on a case-by-case basis. Requests should be submitted to Kathryn Bennett and contain the nature of the sharing opportunity, and the documents requested to be shared. Documents shared under this allowance are not for public consumption and will require storage on a password protected medium. Recent decision to complete ICE -2761 standards in the AAMI Interoperability Work GroupPosted approved AAMI UL 2800 Executive Summary documentMotionsInclusion in the minutes of deep appreciation by IEEE 11073 PoCD WG for successful efforts by Schluter and Wittenber in the development and ballot approval of IEEE 11073-10101a – Passed: motion by Wiley, seconded by Fuchs.Action ItemsReview proposed edits from on revised IEEE 11073 PoCD WG P&P (modeled from the IEEE-SA approved PHD WG P&P) and inform J. Wittenber of results – K. Bennett/K. Fuchs.Monday – Q3 Jan. 11, 2016Q3-Specific Participants (16)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenKathryn BennettAlexander MenseMartin Kasparick Martin RosnerMasato TanakaMinutes for Q3Session SummaryIEEE Standards Maintenance (see posted presentation by K. Bennett and edited version by K. Fuchs)Need to revise 10101 prior to its expiration in 2018; recommend we extend PAR authorization that expires in 31 Dec 2016; decision – extend date of PAR as far as possible. Do new PAR for 10101C.Need to revise 10301-1 and 10302-1 and 10303-1; PAR authorizations for all expire 31 Dec. 201620101 (base standard application profile): Extend PAR date (to 12/31/18)20201 (polling mode) revisit in May 201620202 (baseline async mode) revisit in May 201620301 (remote control) revisit in May 201620401 (CNS) – withdraw (replaced by SDC)10201 (DIM) – expires in 31 Dec. 2018; revisit in May 2016 MotionsNoneAction ItemsPrepare PAR for IEEE P11073-10101c: Schluter *Note: Upcoming NesCom deadlines are 1/22/2016, then 3/22/2016Monday – Q4 Jan. 11, 2016Q4-Specific Participants (21)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenAmlar Dasgupta Kathryn Bennett Alexander Mense Martin Kasparick Martin Rosner Brian ReinholdTodd CooperVadim PeretokinJoerg-Uwe MeyerMasato TanakaMinutes for Q4Session SummaryInfusion Pump DiscussionOverview of IHE PCD Pump Model – RTMMS Content and DIM Profiling ToolsStarting with RTMMS – content from a plurality of Infusion pump vendors in IHE PCD – created ~ 50 new terms targeted for 10101b amendmentNeed to complete additional semantic content in plexity rules (primary/secondary, dosing protocol, medication types, MDS attributes, Communications status, et. al.) and containment tree were presented.Intend to go from RTMMS term approval to (after IHE PCD Connectathon) providing input into 10101B (propose to have draft document at May IEEE 11073 F2F meeting).Relationship to 10301? (Infusion pump value set to enable validation of pumps; does not have detail around the dynamic modes of infusion pumps).o Content in this area can inform work in the AAMI interoperability Work Group and the Clinical Scenario Projects Group.Licensing with IEEE SAProposed boilerplate language from IEEE SA to be displayed in NIST RTMMS.Question regarding how to use in PHMR (CDA) Use Cases – B. ReinholdStds-ipr@ is the email address for any queries related to use of IEEE SA content in specific use cases.IEEE 11073 Membership RecruitmentDisincentives for membership and participationMembership feeIEEE-SA Membership is NOT required to participate in standards development.Cost of meeting attendance (due to HL7 venues)Cost of standards purchase Standards do not need to be purchased for the purpose of standards development. Requests should be submitted to Kathryn Bennett.Base standards do not have the same draw as the specialization standards.Propose e-Blast for call for membership; Bennett to provide exemplars for call for membership that could inform this effort.Potential IEEE 11073 PoCD WG Chair ReplacementFunding status of J. Wittenber was summarized.MotionsNoneAction ItemsNoneTuesday – Q1 Jan. 12, 2016Q1-Specific Participants (16)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenKathryn Bennett Joerg-Uwe MeyerMichael FaughnClem McDonaldMasato TanakaMinutes for Q1SummaryResults from HL7 Co-Chairs Meeting (J. Rhoads/J. Garguilo)Summary of new guidance of meeting room reservations, posting of HL7 minutes, and distribution of HL7 Work Group meeting agendas.Co-Chair nominations – T. Cooper’s position expires in Jan. 2016; HL7 Status Report (J. Rhoads)Review status of HL7 HCD Projects (reference: )Detailed discussion regarding a proposed new relationship with the Anesthesia Work Group (GAS)FDA UDI Update (J. Rhoads)Background on results and current status of UDI standardization in HL7 O&O (approved use of PRT segment to include detailed UDI information) and in IHE PCD DEC profile.Time Synchronization (P. Schluter)Information from P. Schluter on behalf of B. Reinhold, regarding work in PCHA on standardizing synchronization methods to 1 second, and striving to improve to 50 msecondsIDCOPAR approved for nomenclature supplementExpect support for EGM annotations and enriching vocabulary from 2012Expect participation in next year’s ConnectathonMotionsTo authorize the HL7 co-chairs to investigate a contingency, collaborative meeting relationship with the co-chairs of the HL7 Anesthesia Work Group for future co-meetings – Passed: motion by Wiley; seconded by Fuchs Action ItemsNoneTuesday – Q2, Jan. 12, 2016Q2-Specific Participants (23)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenKathryn Bennett Joerg-Uwe MeyerMichael FaughnClem McDonaldSwampna AhbyankarDaniel VreemanTodd CooperMartin HurrellJohn WalshDominick BrammenAndrew NortonMasato TanakaMinutes for Q2SummaryTerminology Update (P. Schluter)11073-10101a Status (see posted presentation)SummaryApproved 12/5/2105;Published 12/9/2015NIST RTMMS and test tools are being updated to support IHE PCD ConnectathonEstablished good relationships with ISO 19223 Committee and Regenstrief, et. al.Transition to NIST RTMMS Test ToolshRTM2 with 10101a terms (~800) uploaded to RTMMSAdded 240 new termsUpdated hRTM2 co-constraints11073-10101b StatusProposed content is sharedSeeking to include terminology for Dialysis systems in 10101b (PAR scope was general and not specific to content covered in the slide deck) in principleSeeking cut-off for any new terms in Dec. 2016 to support pre-Connectathon activities.Surgical terms will also be proposed for inclusion in this version (Bj?rn Andersen)11073-10103a StatusPAR approved for implantable cardiac device termsIDCOPAR approved for nomenclature supplementExpect support for EGM annotations and enriching vocabulary from 2012Expect participation in next year’s ConnectathonTerminology Mapping (P. Schluter)LOINC (C. McDonald/S. Abhyankar)Review of LOINC website, and download area with ~ 350 maps in 10101~ 200 LOINC codes for 10101a on hold, pending publication of 1010aNext release is for June 2016 for content on the LOINC website (expect a total of more than 400 codes to be included)SNOMED-CT (K. Bennett)Last telecon with ITHSDO was late August 2015 – K. Bennett++summary from Kathryn Bennett++Agreement between SNOMED-CT and LOINC (2013) to do a mapping of terms. Believe there is limited overlap.MotionsNoneAction ItemsNoneTuesday – Q3, Jan. 12, 2016Q3-Specific Participants (16)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenKathryn Bennett Joerg-Uwe MeyerMartin KasparickJan SchlamelcherMasato TanakaMinutes from Q3Summary11073 – SDC (S. Schlichting – see posted presentation)Standards Document ReviewPARs OverviewRegular meetings in Germany, hosted by DKE and DINDraft DocumentsStability – no significant changes to 20701-SDC since Oct. WG meeting20702 MDPWS – draft Complete; document stable and already hosted on IEEE SA Central Desktop – candidate for next steps10207 – BICEPs: improved terms and definitions, 35 minor change requests still open – updates expected due to more demonstrations that are planned.Next DKE meetingStatus OverviewDemonstrator in Lubeck June 2015Demonstrator in Aachen in October 2015Demonstrator review in Leipzig in Dec. 2015 – complex endoscopy working place; video of PACS demonstrator; – 2 reference implementations, OpenSDC and OSCLib (these different reference implementations interoperate)Demonstrator review in Munich 1Q 2016 Demonstrator review in Heidelberg 1H 2016Subnet of “powerlink” Ethernet real-time communicationOCLIBOpenSDC Reference Implementation Update available from SourceForgeProposed Next Steps20702 MDPWS: decide on ballot readiness now; initiate mandatory editorial corrdination; form ballot group10207 BICEPS: decide on ballot readiness in Q1 2016 and prepare to form ballot group20701 SDC: prepare requirements with references to 10207 and 20702; content ready in Q2 2016Ballot DiscussionLife of ballot group is 6 monthsDemonstrators have significant value-add and should be differentiated from the normative standards contentDocumentation set has to clarify system boundary and value-add beyond the normative standards implementationUse of nomenclature and necessity of device specialization are currently missing to support immediate implementations.DICOM Configuration Management and SDC (Bj?rn Andersen)Goal – incorporate legacy DICOM devices into the dynamic, service-oriented environmentDICOM configuration management is an extension of DICOMNeed to add new information model for IEEE 11073 for this purpose.Concerns about this not being within the scope of IEEE 11073, but rather in a DICOM group for discussion.MotionsNoneAction ItemsNoneTuesday – Q4, Jan. 12, 2016Q4-Specific Participants (13)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenKathryn Bennett Joerg-Uwe MeyerMinutes from Q4SummaryC4MI Update – K. FuchsRelocation from LaJolla, CA to Nashville, TN; majority of staff declined to relocate; re-staffing now.Jan Wittenber is now a consultant to C4MI, with funding targeted directly to activities of the Center. Chairperson activities for PoCD WG is not a funded role. Intending to continue role as PoCD Chair and 11073 contributor, but will be working on prospective “transition plan” and may need to hold election by/at next F2F.Working more aggressively in speaking with vendors on ecosystem engagement – medical device vendors, application vendors.1st group of vendors on the platform are to meet by the end of Feb; device vendors by the end of April.Intent to pursue MDI prototyping – expect to have a release at the end of Feb. 2016.MDI Security – J. WittenberWhite Paper from IEEE 11073 PHD on Cybersecurity1st meeting in Feb 2016, on a weekly basisOverview of whitepaperGoal of this group is produce security artifacts that can be included in PHD profiles. Recommendation for security technology to protect CIA?With Paper from Diabetes Technology Society (DTSec) on Cybersecurity Optimized Association – J. WittenberModify IEEE 11073-20101?Application profile needs to be contemporized. For example, SDC is a better pathway for evolving this profile. So what do we do with the classic profile? Improve its association methodology. Stefan Karl from PHC did an analysis for an SDC-based and a multi-point multi-cast methodology. Have identified a nominal approach. Revision of association methodology. Has a PAR and is in revision. Proposed to extend to 2018.MotionsNoneAction ItemsNoneWednesday – Q1 Jan. 13, 2016 Q1-Specific Participants (17)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenKathryn Bennett Joerg-Uwe MeyerBeth PumoJ. Uwe MeyerMalcom ClarkeSungkee Lee Minutes from Q1SummaryAdministration (K. Fuchs)Revision 0.5 of the agenda was presented.NIST Tooling (J. Garguilo)Reference posted presentationMeetings and ActivitiesConnectathon 25-29 Jan 2016, ClevelandHIMSS 2016 Feb. 2016 Las VegasIHE PCD F2F Apr. 2016 San DiegoIHE PCD V2 changes since Oct. 2015New RTMMS content since Oct. 2015Posting of MDC/LOINC mappings view in tab interfaceNIST Tool Framework ActivitiesConnectathon Testing EnvironmentIHE PCD v2 Tooling, RTMMS1648 Rosetta terms and 804 hRTM terms; 65 registered organizationsListings of IEEE permissions for reproduction of NIST contentDIM Tooling and DemoIn year 3 of this tooling updateDIM UML Development – the model is the standardPrinted standardSoftware toolsXml schemaConformance statementsDIM Profile EditorXML OutputRecent UpdatesFY2016 GoalsTabs: Device profiles; terminology; update button; DIM modelIEEE Publishing ToolingDemonstration of computable standardDemonstration of outputting artifacts (xml or json)MotionsNoneAction ItemsNoneWednesday – Q2 Jan. 13, 2016 Q2-Specific Participants (21)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenSatoshi KobyashiKathryn BennettTodd CooperJoerg-Uwe MeyerJ. Uwe MeyerMalcom ClarkeSungkee LeeJan SchlamelcherCharles ParisotMartin Kasparick Minutes from Q2SummaryNew Standards PlanningPoint to Point Over Multiple Physical LayersCNS convergenceCNS convergence SpecializationsSDC Set of Standards Balloting PlanProposal to move forward with MDPWS and provide to editorial coordination group of IEEE SA and to form the ballot groupConcern exists whether the draft standard alone has sufficient context to enable informed balloting –?need to also do a review of MDPWS document within the PoCD WG (a detailed review has previously been performed within the DKE Work Group).Invitation to form a ballot group normally takes 30 days; the ballot group must conduct a ballot within 6 months of the formation of the ballot group. Thereafter, the ballot process runs for 30 days, and subsequent re-circulations run for 10 days.To begin the ballot, the document must go through the IEEE SA MEC (editorial); this can be performed in parallel with the ballot group recruitment.“Call for participation” – propose to communicate to IEEE 11073 PoCD WG (J. Wittenber), IEEE 11073 PHD (J. Wittenber), IHE PCD (J. Rhoads), et. al. – S. Schlichting to propose two dates (week of 25 Jan 2016 and week of 1 Feb 2016)? to present the MDPWS content. Reviewer availability and review capacity may necessitate additional time.Propose to form the ballot group by end of Feb. 2016.?Access to DICOM Devices via SDC?How to proceed? Is this a gateway or proxy function? Devices that use DICOM via SDC are being considered for demonstration. Propose we wait on this topic after the balloting of the SDC model.DIM RevisionToolingDIM Roadmap PlanningReview of decisions around developments of the tooling and to converge on a work planJ. Wittenber leading the IHE PCD STC web-conference to capture and prioritize the DIM improvement issues. Need additional input from PHD and SDC to inform this list.Announcement from IHE InternationalNew conformity assessment process for IHE PCD DEC, PIV are now available.This does not replace Connectathon testing, but enables a ISO 17025 certification that can be recognized globally.MotionsNoneAction ItemsEstablish schedule for SDC educational sessions for the MDPWS proposed standard – S. SchlichtingInitiate communications of the educational review sessions to IEEE 11073 PoCD WG, IEEE 11073 PHD WG, and to IHE PCD – J. Wittenber and J. Rhoads Wednesday – Q3 Jan. 13, 2016 Q3-Specific Participants (18)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenSatoshi KobyashiMichael FaughnTodd CooperJoerg-Uwe MeyerJ. Uwe MeyerMalcom ClarkeSungkee LeeMinutes from Q3SummaryIEEE 11073 Roadmap PlanningFollow-up on OpenSDC next stepsDecision on timing for addressing DICOM-SDC communicationsDecisions on actions for expiring PARs – see posted revised IEEE PAR report, edited by K. FuchsDIM PlanningReview of proposed DIM upgrade topics and prioritizationMotionsTo authorize formal adjournment of the IEEE PoCD WG meeting – Passed; motion by Faughn, seconded by Wiley.Action ItemsPresent DIM models for ventilation, physiological patient monitor, infusion pump, and pulse oximeter at the next IEEE 11073 PoCD WG meeting - Faughn to collaborate/support stakeholders doing model entry/editing, e.g. Pulse Oximeter, Infusion Pump, DialysisSchedule multiple SDC educational sessions in January and February - SchlichtingInform interested parties from IEEE 11073 PoCD WG, IEEE 11073 PHD, and IHE PCD on technical information sessions for OpenSDC - Wittenber, RhoadsWednesday – Q4 Jan. 13, 2015 Q4-Specific Participants (28)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenSatoshi KobyashiMichael FaughnTodd CooperJoerg-Uwe MeyerJ. Uwe MeyerMalcom ClarkeMatthew GrahamGora DattaSungKee LeeDan MorfordMasoud HosseiniMarc RosnerMuhhamed AsimAnwar MowdIoana SingureanuAnoop ShethHarry Rhodes Minutes from Q4SummaryHosting Mobile Health (Datta/Graham)mFASTShort messaging strategy; going to ballot in next ballot cycle as a white paperProject lead is Nathan Botts, PhD.Provide standards for communicating health information with “short messages”Low-cost, low infrastructure, low learning-curveUse Cases: diabetes, smoking cessation, weight management, et. al.Immunization use caseBarrier for adoptionConsumer Mobile Health Functional Framework – cMH2FOverview of project scope and project needProject lead is Gora DattaDefine security, privacy, and data control standards for secure mobile health appsHow to interact with PHR and EHR systemsResults of Jan. 2016 ballot of the White paperBalloted this framework – functional model and implementation guide for a consumer mobile health app.Trying to define at a black box level of functions and behavior of a model health app.Extended HL7 template for this purposeDeveloping certification criteria for mobile health appsLimited set of use casesRequest liaising with IEEE 11073FHIRframeBackgroundDevelopment of mobile APIs100,000 Health Apps already for IOS platform165,000 mobile apps in the world today; on 12% account for 90% of downloadsWhat is the problem statement? How to provide interoperability from mobile device to EHR/PHR capture.LiaisonsWorking with ContinuaTom Ericsson (BT SIG) and mobileHealth SoU – HL7 HQ has prepared a SOU with the BT SIG.Current StatusProject lead is Dr. Christopher DossRe-writing PSSProject NeedStrategyMeeting details - Mobile Health Weekly Friday calls 11:00 EDTWiki pageRequest liaising with IEEE 11073/HL7 HCDWould like to produce a white paper on the API use and then proceed to define the standardization opportunityUse the Argonaut FHIR profiles to facilitate this effortDecision – review the PSS at the next meetingContinua Alliance Update (Reinhold)Not covered in this meetingMotionsTo co-sponsor the FHIRframe project (development of the white paper option; reviewer option, only being informed at WG meetings) PSS of the HL7 Mobile Health Work Group – future PSS draft will clarify level of engagement that is requested (TBD) – Passed (0 – opposed; 3 abstains): motion by Datta and seconded by Singureanu.Action ItemsNoneThursday – Q1 Jan. 14, 2016Q1-Specific Participants (21)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenSatoshi KobyashiMichael FaughnJoerg-Uwe MeyerMalcom ClarkeSungKee LeeIoana SingureanuEwout KramerSheryl TaylorRachel DavisRon ShapiroMinutes from Q1SummaryT. Cooper was re-elected as a HL7 Co-Chair.Hosting FHIR WG (HL7 HCD Project #1103)Review DSTU2 Resources (Kramer)Feb. 7 is deadline for HCD to correct warnings in its FHIR resources that will be re-designated as errors.DSTU 2.1 in process.Maturity level of HCD resources are all at level 1. Seeking to advance this maturity. Draeger and PHC are now actively working with FHIR resources. To participate in the FHIR Connectathon, maturity has to be at level 2.There is an formal liaison between HCD and FHIR – liaison is Christian Hay.Seeking feedback on Gforge – issues capturing system.Dr?ger submits request for search in Device Component resourceCollaboration with HSPC (clinical decision support weaning in an NICU) for possible demonstration at May WG meeting. Need 3 different, independent implementations to conduct a FHIR Connecthathon for HCD resources.Discuss mACM effort in IHE ITI (Rhodes)Using FHIR to communicate alerts to the clinicianTrial use in IHE ITI (published in August 2015)Getting report from Monroe PattilloRoadmap for FHIRNow working on DSTU 3.0, expected to be published for end of 2017Primary expansion will be in the area of workflow support resources + care continuityPlan for Prototyping and Connectathon (Rhodes) Need to have at least 1 Connectathon with HCD FHIR device resources to advance to maturity level 2.Plan to be determined – John Rhoads (PHC) to contact Chris Courville (EPIC).Objective Hierarchy Containment Tree Topic (IHE PCD)Introduction to architecture (M. Clarke)Agent and manager example (scale, ECG, NIBP device)Issues with implementing text in this annex in OBX-4 Observation Sub-IDIssue is specifically for 11073 PHDPCD01 messagingMetric elevated to channel for compound attributePHD rules and practice conflict with language for Containment TreeProblem: wording is ambiguous in how to put information into PCD01 messages according to Continua guidance rules. Decision to continue this discussion off-line and propose another venue in which a F2F can be convened to work through the different aspects of this issue. See additional comments “Containment tree discussion follow up…” by J. Wittenber in HL7 Documents and Presentations websiteMotionsNoneAction Items:NoneThursday – Q2 Jan. 14, 2016Q2-Specific Attendees (22)Recurring Participants from Q1 on MondayStefan SchlichtingStephan P?hlsenSatoshi KobyashiTodd CooperMichael FaughnJoerg-Uwe MeyerMalcom ClarkeIoana SingureanuMinutes from Q2SummaryDialysis Support Update (T. Cooper)See posted presentationFocus has been on Enterprise level concepts (e.g. CDA). The consortium continues with the development of their device model and data model, in an effort to parallel the efforts with the Infusion Pump community.Group wants to do device interoperability at the device interface, and wants to pursue FHIR in their communications.Determining how much is an HL7 implementation guide, how much is IHE PCD, and how much is content from IEEE 11073.Goal is to have full definitions at the next IEEE 11073 PoCD WG meeting in May.Need to create a workplace for this consortium within RTMMS (expect to have 50 to 75 new terms)….target to include these terms in IEEE 11073-10101bThere are evolving interoperability use case models.Activity diagrams are in process with a "GenMyModel" group – interested parties should speak to J. Wittenber. A clinical work flow treatment has influenced the diagrams. Also looking at UML models.Display of NxtStage Medical’s simplified interoperability diagram.HL7 Roadmap Planning (J. Rhoads)Status of HCD activities with respect to FHIR? C4MI has deemphasized this work. The device component and device metric are expected to be stable after the issues previous reviewed with the FHIR WG are addressed. Proposing to have monthly web-conferences as a follow-up.Overflow TopicsNext steps for IHE PCD01 Topic (M. Clarke)IHE Technical Committee owns the governance topic of changing the IHE Technical Framework.Will also explore a rigorous work around if the long-term standardization topic cannot be resolved in a timely manner to help developers.MotionsNoneAction ItemsNoneAdjourn MeetingMotion to adjourn – offered by Fuchs seconded by Faughn. Motion passed unanimously. ................
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