1 HL7 DEV SIG and IEEE 11073 GC 2015-01-22 IEEE P11073-10101a Update HL7 DEV SIG and IEEE 11073 GC Meetings, San Antonio Thursday Q2, January 22, 2015.

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Presentation transcript:

1 HL7 DEV SIG and IEEE GC IEEE P a Update HL7 DEV SIG and IEEE GC Meetings, San Antonio Thursday Q2, January 22, 2015 Paul Schluter, GE Healthcare Jan Wittenber and Todd Cooper, C4MI

2 HL7 DEV SIG and IEEE GC IEEE P a-D0.1k Term Status SubsetOwnerStatus Resp, Vent, AnesthPaul Completed  Other ParametersPaulCompleted ACM Attrs & EnumsPaul, MonroeCompleted WCM Attrs & EnumsPaul, KenDefer to b (use aECG, Capsule-Epic demo) Infusion TermsTodd, JeffDefer to b (not done)  UnitsNIST, PaulCompleted MDS/VMD/CHANPaulCompleded PHD (Personal Health Devices) Daidi/Michael, Paul and Jan Completed: includes new PHD MDC_PART_DIM and MDC_PART_SCADA terms Draft a standard ready for balloting this month!  Reconciliation of vent terms with ISO/CD (ISO/TC121/SC4) completed  Informal approval to defer infusion terms and enumerations to b Includes over 450+ new terms and enumerations (excluding infusion pumps)

3 HL7 DEV SIG and IEEE GC Respiratory, ventilator and anesthesia terms, and collaboration with ISO/CD Numeric parameters based on subset of inflation or breath types: TV, MV, breath rate... to support precise definitions of ‘spontaneous’ and ‘mandatory’ (using _BTSD_P,S,Z,A,C). Extended gas measurement sites, internal as well as external Anesthesia ventilation and breathing circuits Unambiguous use of _SETTING über-discriminator Reference ID structure and construction guidelines Term normalization by various body weights: - ‘total’ (TBW, actual, default) - ‘ideal’ IBW = ‘predicted’ PBW (Devine, 1974) - ‘adjusted’ ABW

4 HL7 DEV SIG and IEEE GC ISO/CD 19223: Add fifth breath type

5 HL7 DEV SIG and IEEE GC Explore the documents... IEEE P a Nomenclature Amendment/Extension IEEE_ a-D0.1j_pss T19.clean.pdf (distributed)IEEE_ a-D0.1j_pss T19.clean.pdf IEEE_ a-D0.1k_pss T20.pdf (current)IEEE_ a-D0.1k_pss T20.pdf ISO/CD (ISO restricted distribution) NSJ rev 2 N283-ISO_CD_19223_(E) Revised during Incheon_MD.pdf IsoSettings.2f T20.abbr.xlsx

6 HL7 DEV SIG and IEEE GC IEEE P a Collaborations IEEE and IHE PCD Rosetta ISO/TC121/SC4 (ISO/CD working group) Dr. Norman Jones (Technical chair, ISO 19223) Dr. Steven Dain (Chair ISO 19223, anesthesiologist, editor for IEC Ed 1) Dr. John Walsh (anesthesiologist at Partners) HL7 GAS SIG Dr. John Walsh (HL7 GAS SIG chair, anesthesiologist at Partners) VA Dr. Loren Stevenson, Greg Staudenmaier, Ioana Singureanu and others NIH/NLM/LHC and Regenstrief (Mapping IEEE to LOINC) Drs. Clem McDonald, MD, and Swapna Abhankar, MD GE HC LSS (CS2V2 Aisys/Avance, Carescape R860) Andreas Tzanetakis, Robert Tham, Mike Krajnak

7 HL7 DEV SIG and IEEE GC Ready for balloting... IEEE P a-D0.1k is ready for balloting... Add any changes from ‘short list’ and IEEE GC discussions Submit draft for IEEE Mandatory Editorial Coordination (MEC) review next week (without infusion content). Motion to start balloting at today’s meeting...

8 HL7 DEV SIG and IEEE GC IEEE P a Annex A Annex A (normative) Nomenclature Semantics12 A.1 Nomenclature, data dictionary, and code extensions for vital signs devices13 A.2 Terminology and code extensions for units of measurement17 A.3 Nomenclature and code extensions for hemodynamic monitoring measurements22 A.4 Nomenclature and code extensions for respiratory, ventilator and anesthesia measurements24 A.5 Nomenclature and code extensions for fluid chemistry measurements63 A.6 Nomenclature and code extensions for infusion pumps64 A.7 Nomenclature and code extensions for neurological monitoring measurements65 A.8 Nomenclature and code extensions for miscellaneous measurements67 A.9 Nomenclature and code extensions for infant incubator and warmer microenvironments69 A.10 Nomenclature and code extensions for personal health devices70 A.11 Nomenclature and code extensions for electrode sites for electroencephalography73 A.12 Information attributes to support IHE PCD Alert Communication Management74 A.13 Infrastructure attributes to support Continua WAN and IHE PCD DEC74 A.14 Information attributes to support Continua WAN75 A.15 Information attributes to support IHE PCD DEC and Continua WAN timekeeping76

9 HL7 DEV SIG and IEEE GC IEEE P a Annexes B-G Annex B (normative) Expanded terms and numeric codes79 B.1 Overview79 B.2 Expanded terms and numeric codes79 Annex C (informative) Schema and XML for nomenclature extensions80 Annex D (informative) Breaths and Inflations81 Annex E (informative) Respiratory, Ventilator and Anesthesia Reference ID Naming Conventions82 Annex F (informative) Anesthesia Ventilation and Breathing Circuits84 F.1 Bellows driven on expiratory side86 F.2 Piston driven on inspiratory side87 F.3 Mapleson circuits88 Annex G (informative) Bibliography89