IEEE P11073-10101a Update HL7 DEV SIG and IEEE 11073 GC Meetings, Chicago, IL

1. IEEE P11073-10101a Update • HL7 DEV SIG and IEEE 11073 GC Meetings, Chicago, IL • Thursday Q4, September 18, 2014 • Paul Schluter, GE Healthcare • Jan Wittenber and Todd Cooper, C4MI

2. IEEE P11073-10101a-D0.1g Term Status • Goal: Draft -10101a standard ready by end October 2014 •  Reconciliation of vent terms with ISO/CD 19223 largely completed • Need infusion terms and enumerations (Todd, Jeff)

3. Changes since May 2014 • Reconciliation between IEEE 11073-10101a and with ISO/CD 19223 • defined 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 subsets • review and mapping of ISO terms to IEEE terms • Updated PHD SCADA, Continua WAN and timekeeping term section; updated VMD list. • Other editorial and content updates.

4. Remaining items • Add 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? • Anynew MDS/VMD/CHAN identifiers fromIHE PCD? - requested feedback last February; have not received any • Incorporate other recommendations - based on discussion at this meeting

5. New 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.xlsxx» • Need twelve codes in part=1 for these attributes to complete; otherwise, use aECG attributes (in a different partition).

6. New 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 B • New 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.

7. IEEE P11073-10101a Annexes • Annex 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

8. ISO/CD 19223 Reconciliation and Mapping • The RTM and IEEE 11073-10101a “old” and “new” respiratory, ventilator and anesthesia terms have largely been “reconciled”with 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 names • • indicates the most preferred and/or frequently used IEEE 11073 terms • • improves the harmonization between the two standards and their respective committees • Norman Jones, Steven Dain, Jan Wittenber, Paul Schluter and others have contributedto this effort, completed during the summer of 2014.

9. How 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.