1 HL7 DEV SIG and IEEE GC IEEE P a Update HL7 DEV SIG and IEEE GC Meetings, Phoenix, AZ Tuesday Q2 and Q3, May 6, 2014 Paul Schluter, GE Healthcare Jan Wittenber and Todd Cooper, C4MI

2 HL7 DEV SIG and IEEE GC IEEE P a-D0.1g Term Status SubsetOwnerStatus Resp, Vent, AnesthPaul Essentially complete (97 terms)  Other ParametersPaulComplete (57 terms) ACM Attrs & EnumsPaul, MonroeRTM and ACM done WCM Attrs & EnumsPaul, KenDefine new SCADA attr or use aECG? Infusion TermsTodd, JeffIn progress using NIST RTMMS  UnitsNIST, PaulRTM and NIST RTMMS, ready to publish MDS/VMD/CHANPaulList compiled, need feedback PHD (Personal Health Devices) Daidi/Michael, Jan Include new PHD MDC_PART_DIM and MDC_PART_SCADA terms Goal: Draft a standard ready by end May 2014  Reconciling vent terms with ISO/CD (ISO/TC121/SC4)  Need infusion terms and enumerations (Todd, Jeff)

3 HL7 DEV SIG and IEEE GC Changes since January Reconciliation between IEEE a and with ISO/CD – added markup and mappings. 2.Added new infusion units (arb’U, USP’U, caloric). 3.Added IHE PCD ACM alert attributes. 4.Updated column headings and clause ordering to match ISO/IEEE Std format.

4 HL7 DEV SIG and IEEE GC Remaining items 1.Add new WCM waveform attributes - or simply re-use aECG REFIDs and codes? 2.Add new MDS/VMD/CHAN identifiers based in IHE PCD - requested feedback last February; have not received any 3.Add PHD SCADA terms - have complete list, just need a few blanks filled in 4.Merge in infusion pump terms - to be provided by Todd Cooper, Jeff Rinda and PCD infusion WG 5.Incorporate other recommendations - based on discussion at this meeting

5 HL7 DEV SIG and IEEE GC New WCM attributes [1] A comprehensive list of waveform attributes used by IEEE Std 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 T13.ctlvbl2attrpss+kf.DISCUSSED.xlsxx»WCM_attributes.1a T13.ctlvbl2attrpss+kf.DISCUSSED.xlsxx Need twelve codes in part=1 for these attributes to complete; otherwise, use aECG attributes (in a different partition).

6 HL7 DEV SIG and IEEE GC New MDS/VMD/CHAN terms [2] A comprehensive list of all “old” and “new” MDS/VMD/CHANs from RTM and other sources was sent out for review on 2/13/2014 at 9:40 AM CST as file «MedDevsOnly.2b T09.xlsx» ; have not received any replies.MedDevsOnly.2b T09.xlsx Terms from ISO/IEEE Std Annex A (light-grey) Terms from ISO/IEEE Std 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 require Systematic Names and Definitions, already have numeric codes) Based on information provided by John and Nicolas, this list contains all MDC_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 HL7 DEV SIG and IEEE GC New PHD SCADA terms [3] Published SCADA terms defined by IEEE Std a and the xx Personal Health Device (PHD) device specializations have been compiled and updated with Systematic Names and Definitions for inclusion in IEEE P a by Daidi Zhong and Michael Kirwan. They are listed in: «PHD nomenclature_ xlsx»PHD nomenclature_ xlsx These are ready to include as a separate table in IEEE P a. [The PHD SCADA term codes were ‘protected’ during the code assignment process used for RTM SCADA term code assignment.]

8 HL7 DEV SIG and IEEE GC ISO/CD Reconciliation and Mapping The RTM and IEEE a “old” and “new” respiratory, ventilator and anesthesia terms are currently being “reconciled” with ISO/CD to ensure semantic harmonization. Note: The a extension will not include ISO/CD ventilator modes and breath-by-breath annotations; these will be added to b. The reconciliation and mapping provides the following benefits: defines an informative mapping the IEEE terms and ISO/CD “identifier phrases” improves the clarity of the IEEE definitions and systematic names indicates the most preferred and/or frequently used IEEE terms improves the harmonization between the two standards and their respective committees Norman Jones, Steven Dain, Jan Wittenber, Paul Schluter and others have contributed to this effort, expected to conclude by the 3rd week of May Note: To date we have not materially changed any existing IEEE definitions; if there was any risk of doing that, we would create a new term.

9 HL7 DEV SIG and IEEE GC How will we show changes? IEEE P a IEEE requires the use of underscores and strikethroughs to indicate text changes but these are difficult to review and extract from a pdf. Color highlighting will be used to indicate changes for pre-ballot review and as an html table to show informative mappings. «XSL Output T20.html»XSL Output T20.html Unlike IEEE P a, the html table will show the informative mappings to ISO/CD “identifier phrases” and additional information to facilitate review. light blueindicates text insertions, deletions and substitutions light greenIndicates _SETTINGs using the über-discriminator light pinkIndicates REFIDs that will have a REFID-synonym