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
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18
IEEE P11073-10101a-D0.1g Term Status
Subset
Owner
Status
Resp, Vent, Anesth
Paul
Essentially complete (97 terms)
Other Parameters
Paul
Complete (57 terms)
ACM Attrs & Enums
Paul, Monroe
RTM and ACM done
WCM Attrs & Enums Paul, Ken
Define new SCADA attr or use aECG?
Infusion Terms
Todd, Jeff
In progress using NIST RTMMS
Units
NIST, Paul
RTM and NIST RTMMS, ready to publish
MDS/VMD/CHAN
PHD (Personal
Health Devices)
Paul


List compiled (need final pump terms)
Include new PHD MDC_PART_DIM and
Daidi/Michael, Jan
MDC_PART_SCADA terms
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)
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18
Changes since May 2014
1. 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
2. Updated PHD SCADA, Continua WAN and timekeeping
term section; updated VMD list.
3. Other editorial and content updates.
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18
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
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18
New WCM attributes [1]
A comprehensive list of waveform attributes used by IEEE Std 1107310102-2012 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).
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18
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.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 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.
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18
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
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HL7 DEV SIG and IEEE 11073 GC
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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 ventilator
modes 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 contributed
to this effort, completed during the summer of 2014.
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HL7 DEV SIG and IEEE 11073 GC
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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.
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HL7 DEV SIG and IEEE 11073 GC
2014-09-18