DoF 2016-12-21

Meeting Information

WebEx (incl. VOIP): CLICK HERE

Phone: +1 770-657-9270

Participant Code: 432584

Attendees

• Henrique Amaral (Siemens Brazil), Björn Anderson (Univ. of Lübeck), Todd Cooper (BSF), John Dyer (Draeger), Michael Faughn (NIST / Prometheus), Ken Fuchs (C4MI), John Garguilo (NIST), Sungkee Lee (KNU), Koichiro Matsumoto (NKC), Andrew McCaffrey (NIST), J. Uwe Meyer (MT2IT), Renjith Nair (COHERE-MED), Joe Quinn (Optum), Brian Reinhold (LNI), John Rhoads (Philips), Paul Schluter (GE)

Regrets / Holiday Vacation: Chris Courville (Epic)

Agenda/Minutes

• Introductions, Agenda Review, etc.
• Approve Minutes from previous calls 2016.12.07 and 2016.12.14 (which was cancelled)
• Activity / Action Item Review

- mHealth Conference report out - No one attended

- IEEE PHD Meetings (Reported by Brian)

- @ Continua plugfest, focus was on BLE which continues to present PnP challenges

- @ IEEE PHD meetings, started FHIR discussion; however, but only a mention given the rest of the agenda

- AAMI Standards Week report

- Ken Fuchs ...

- Interoperability WG (IWG) 3 days

- TIR 75 Factors to Consider When Multi-Vendor Devices Interact Via an Electronic Interface discussion (Michelle Jump / Stryker lead)

- ICE Black Box Recorder discussion - continued resolution of scope and definition

- John Rhoads - Same as Ken + DoF not relevant to the discussions, at least at this point in time

- FDA CDRH NEST Public Workshop Update (reported by Todd Cooper)

- Todd presented on DoF at the FDA's NEST public workshop (National Evaluation System for healthcare Technology)

- Primary focus was leveraging FHIR technology coupled with UDI-based tracking to provide surveillance of device use and effectiveness

- Semantic Mapping Update (Rhoads)

- Continue to update the wiki content; Stefan Karl provided good input

- @ IEEE PHD - Use of UDI ... need to finalize where the ProductionSpec goes in FHIR

- NOTE: General discussion about the need for FHIR PROFILES

• Topic: Tooling @ NIST

- Faughn & Garguilo reporting ...

- planning on support, probably starting with Continua FHIR profiles (given the maturity of device specialization specifications

- Intent is to use the DIM Editor (MyDevice profiler) to create specifications that are then translated to FHIR Profiles

- Currently supporting PHD, with PoCD in process

- NIST IGAMT is good for V2, looking at possible use for FHIR capabilities

• C4MI Update on FHIR

- Ken Fuchs reported C4MI's considerations around supporting FHIR

- After evaluating many protocols, FHIR-based interfaces for the device interface makes sense

- Performing architectural / technical gap analysis for what would be needed for using FHIR in a device

- PnP support? Scalability to 1,000's of devices? Peer-to-peer communication? Command & Control support?

- TBD what and whether this is advanced via HL7 for DoF - depends on what will be required

- V2 (incl. PCD DEC) is in C4MI's Phase 1 effort, but will not take much effort given its maturity

- Security is a major challenge ...

- MLLPS (over transport w/ TLS) or HTTPS are under consideration

- OAuth2 or WS Security not under consideration

- NOTE: HL7 over HTTP / HTTPS has been implemented in a project in Ontario CA

• Connectathon / Showcase Planning

- January IHE Connectathon Discussion -

- Objectives: Standardized device data representation + consumer apps "hack-a-thon" +

- See use case topic below ...

- Possible joint effort with proposed mHealth Plug-a-Thon

- HIMSS Interoperability Showcase

• Topic: FDA UDI + PCIM Scenarios for January / February Events (ALL)

- Discuss how we might integrate FDA UDI implementation (both IHE PCD @ V2 & DoF) with the PCIM use case scenarios for January testing

• Topic: Round-table discussion of participants' interest in DoF for 2017 (All)

- Continued open discussion of each participant regarding what they / their organization would like to see accomplished in 2017 with DoF

• Topic: DoF Agenda @ HL7 WGM January in San Antonio w/ DEV WG (Co-Chairs)

- Open discussion of what topics should be prioritized for the January WGM in San Antonio

• Additional Business

• Plan next meeting - 2017.01.11