PowerPoint Presentation

IEEE P11073-10101a Update

HL7 DEV SIG and IEEE 11073 GC Meetings, Chicago, ILThursday Q4, September 18, 2014Paul Schluter, GE HealthcareJan Wittenber and Todd Cooper, C4MI

# HL7 DEV SIG and IEEE 11073 GC2014-09-18IEEE P11073-10101a-D0.1g Term StatusSubsetOwnerStatusResp, Vent, AnesthPaulEssentially complete (97 terms)Other ParametersPaulComplete (57 terms)ACM Attrs & EnumsPaul, MonroeRTM and ACM doneWCM Attrs & EnumsPaul, KenDefine new SCADA attr or use aECG?Infusion TermsTodd, JeffIn progress using NIST RTMMSUnitsNIST, PaulRTM and NIST RTMMS, ready to publishMDS/VMD/CHAN PaulList compiled (need final pump terms)PHD (Personal Health Devices)Daidi/Michael, JanInclude new PHD MDC_PART_DIM and MDC_PART_SCADA termsGoal: Draft -10101a standard ready by end October 2014 Reconciliation of vent terms with ISO/CD 19223 largely completedNeed infusion terms and enumerations (Todd, Jeff)# HL7 DEV SIG and IEEE 11073 GC2014-09-18Changes since May 2014 Reconciliation between IEEE 11073-10101a and with ISO/CD 19223defined four top-level { P, S, A, C } inspiratory breath types to provide a common semantic foundation for traditional spontaneous and mandatory breath rates, tidal volumes and minute volumes as well as ISO breath type subsetsreview and mapping of ISO terms to IEEE termsUpdated PHD SCADA, Continua WAN and timekeeping term section; updated VMD list.Other editorial and content updates.

# HL7 DEV SIG and IEEE 11073 GC2014-09-18Remaining itemsAdd final _BTSD_{P,S,A,C} breath rate, minute volume and tidal volume terms and minor cleanup.Merge in infusion pump section ... [when ready?]- camera-ready MS-Word draft to be provided by Todd Cooper, Jeff Rinda and PCD infusion WG by IHE PCD F2F in Boca ... ???Add new WCM waveform attributes ... [defer to 10101b?]- or simply re-use aECG REFIDs and codes?Any new MDS/VMD/CHAN identifiers from IHE PCD?- requested feedback last February; have not received anyIncorporate other recommendations - based on discussion at this meeting

# HL7 DEV SIG and IEEE 11073 GC2014-09-18New WCM attributes [1]A comprehensive list of waveform attributes used by IEEE Std 11073-10102-2012 Annotated ECG (aECG) and attributes used in the IHE PCD DEC Waveform Content Module (WCM) have been compiled by Paul Schluter and Ken Fuchs.WCM_attributes.1a.2014-01-23T13.ctlvbl2attrpss+kf.DISCUSSED.xlsxxNeed twelve codes in part=1 for these attributes to complete; otherwise, use aECG attributes (in a different partition).

# HL7 DEV SIG and IEEE 11073 GC2014-09-18New MDS/VMD/CHAN terms [2]A comprehensive list of all old and new MDS/VMD/CHANsfrom RTM and other sources was sent out for review on 2/13/2014at 9:40 AM CST as file MedDevsOnly.2b.2014-02-13T09.xlsx ;have not received any replies.Terms from ISO/IEEE Std 11073-10101 Annex A (light-grey)Terms from ISO/IEEE Std 11073-10101 Annex BNew MDS/VMD/CHAN terms from the IHE PCD domain (with proposed Systematic Names and Definitions, need numeric codes) (light-yellow)Infusion MDS/VMD/CHAN terms (from Todd and Jeff, most requireSystematic Names and Definitions, already have numeric codes)Based on information provided by John and Nicolas, this list contains allMDC_DEV VMD terms found in all messages of the Cycle 8 testing (all profiles).Will assign codes for non-infusion MDS/VMD/CHAN terms using next available.

# HL7 DEV SIG and IEEE 11073 GC2014-09-18IEEE P11073-10101a AnnexesAnnex A (normative) Nomenclature Semantics .......................................................................................11 A.1 Nomenclature, data dictionary, and code extensions for vital signs devices ..................................12 A.2 Terminology and code extensions for units of measurement ..........................................................17 A.3 Nomenclature and code extensions for hemodynamic monitoring measurements .........................22 A.4 Nomenclature and code extensions for respiratory, ventilator and anesthesia measurements ........24 A.5 Nomenclature and code extensions for fluid chemistry measurements ..........................................59 A.6 Nomenclature and code extensions for infusion pumps ..................................................................60 A.7 Nomenclature and code extensions for neurological monitoring measurements ............................61 A.8 Nomenclature and code extensions for miscellaneous measurements ............................................63 A.9 Nomenclature and code extensions for infant incubator and warmer microenvironments .............64 A.10 Nomenclature and code extensions for personal health devices ...................................................65 A.11 Information attributes to support IHE PCD Alert Communication Management ........................68 A.12 Infrastructure attributes to support Continua WAN and IHE PCD DEC ......................................68 A.13 Information attributes to support Continua WAN .........................................................................69 A.14 Information attributes to support IHE PCD DEC and Continua WAN timekeeping ....................70 # HL7 DEV SIG and IEEE 11073 GC2014-09-18ISO/CD 19223 Reconciliation and MappingThe RTM and IEEE 11073-10101a old and new respiratory, ventilator and anesthesia terms have largely been reconciledwith ISO/CD 19223 to ensure semantic harmonization.Note: The -10101a extension will not include ISO/CD 19223 ventilatormodes and breath-by-breath annotations; these will be added to -10101b.The reconciliation and mapping provides the following benefits:defines four top-level breath types { P, S, A, C } to provide common semantic foundation for traditional spontaneous and mandatory breath rates, tidal volumes and minute volumes as well as ISO breath type subsets. defines informative mapping the IEEE 11073 terms and ISO/CD 19223 identifier phrases improves the clarity of the IEEE 11073 definitions and systematic namesindicates the most preferred and/or frequently used IEEE 11073 termsimproves the harmonization between the two standards and their respective committeesNorman Jones, Steven Dain, Jan Wittenber, Paul Schluter and others have contributedto this effort, completed during the summer of 2014.# HL7 DEV SIG and IEEE 11073 GC2014-09-18How will we show changes?In cases where an existing IEEE 11073-10101:2004 definition was modified for clarity, underscores and strikethroughs are used to indicate text changes.If an existing definition was materially changed, a new term REFID and code were defined to maintain backwards compatibility.

# HL7 DEV SIG and IEEE 11073 GC2014-09-18