1 HL7 DEV SIG and IEEE GC IEEE P a Update HL7 DEV SIG and IEEE GC Meetings, Chicago, IL Thursday Q4, September 18, 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 final pump terms) 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 October 2014  Reconciliation of vent terms with ISO/CD largely completed  Need infusion terms and enumerations (Todd, Jeff)

3 HL7 DEV SIG and IEEE GC Changes since May Reconciliation between IEEE a and with ISO/CD 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 2.Updated PHD SCADA, Continua WAN and timekeeping term section; updated VMD list. 3.Other editorial and content updates.

4 HL7 DEV SIG and IEEE GC Remaining items 1.Add final _BTSD_{P,S,A,C} breath rate, minute volume and tidal volume terms and minor cleanup. 2.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... ??? 3.Add new WCM waveform attributes... [ defer to 10101b? ] - or simply re-use aECG REFIDs and codes? 4.Any new MDS/VMD/CHAN identifiers from IHE PCD? - requested feedback last February; have not received any 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 IEEE P a Annexes Annex A (normative) Nomenclature Semantics A.1 Nomenclature, data dictionary, and code extensions for vital signs devices A.2 Terminology and code extensions for units of measurement A.3 Nomenclature and code extensions for hemodynamic monitoring measurements A.4 Nomenclature and code extensions for respiratory, ventilator and anesthesia measurements A.5 Nomenclature and code extensions for fluid chemistry measurements A.6 Nomenclature and code extensions for infusion pumps A.7 Nomenclature and code extensions for neurological monitoring measurements A.8 Nomenclature and code extensions for miscellaneous measurements A.9 Nomenclature and code extensions for infant incubator and warmer microenvironments A.10 Nomenclature and code extensions for personal health devices A.11 Information attributes to support IHE PCD Alert Communication Management A.12 Infrastructure attributes to support Continua WAN and IHE PCD DEC A.13 Information attributes to support Continua WAN A.14 Information attributes to support IHE PCD DEC and Continua WAN timekeeping

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 have largely been “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 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 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, completed during the summer of 2014.

9 HL7 DEV SIG and IEEE GC How will we show changes? In cases where an existing IEEE :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.