1. IEEE 11073 GC at HL7, Baltimore, MD
IEEE Nomenclature
IEEE GC at HL7, Baltimore, MD
Tuesday Q2 – September 20, 2016
Paul Schluter, GE Healthcare

2. Topics IEEE Std 11073-10101 and NIST RTMMS Update
IEEE P b – new terminology
IEEE P c – events and alerts
IEEE P a – IDC extensions
NIST RTMMS – accelerate numeric code assignments
PHD Terminology in NIST RTMMS (with Malcolm Clarke)

3. IEEE Std 11073-10101a and NIST RTMMS update
NIST RTMMS has been updated with a nomenclature and was used for limited testing at IHE NA Connectathon.
Co-constraints (units, enums and sites) for new a terms have been uploaded to NIST RTMMS are available, pending resolution of minor issue regarding UCUM annotations.
The second-generation harmonized Rosetta, hRTM2, combines the ‘old’ and ‘new’ 10101a terms and co-constraints, and use aECG lead offsets  65. hRTM2exp.3j.x3j T16.expALL.html (hRTM2 html)
Co-constraints for several PHD devices (NBP, SpO2, Glu, Coag) have been added, based on the published PHD and -104xx device specializations. PHD-nibp-spo2-glu-inr.1e.x3g T12.html

4. IEEE P11073-10101b [PAR approved]
Extends ISO/IEEE Std :2004 and a-2015:
Initial Proposal
REFIDS
Defn’s
UoM
Enums
WG Appr
Codes
Infusion pumps and infusion events (IHE PCD PIV and IPEC)
Ventilator mode, high-frequency ventilation, annotations
NMT Neuromuscular transmission (level of neuromuscular block)
Finalize the WCM waveform attributes (or just use aECG)
IHE PCD Device Management Control (DMC)
IHE PCD Real-Time Location Services (LS)
Generalized Signal Quality Index
Dialysis
Surgical and OR devices (by OR.NET at
Additional observation identifiers and settings
1. IEEE-SA staff has already merged :2004 and a-2015 into a single document.
2. Inclusion of new terms in draft standard is contingent on timely completion.

5. IEEE P11073-10101c [PAR approval in progress]
Existing list of ISO/IEEE :2004 MDC_EVT_ identifiers will be extended to support the IHE PCD Rosetta for Events and Alerts.
Will cover physiologic alerts and essential technical events and alerts
PAR: IEEE P c- PAR Detail_jw1.pdf
Status: PAR submitted, should be approved this week ( ).

6. IEEE P11073-10103a [PAR approved]
Extends IEEE P :2012 Implanted Devices Cardiac
New IDC term codes, extending IEEE P :2012
Considering EGM waveforms.
New terms were presented and discussed at the Heart Rhythm Society (HRS) meeting in San Francisco
See presentation: IDC Nomenclature Status 20-Sep-2016.ppt

7. New Term REFID and Code Assignments
Background for this discussion, motivated by the desirability of having numeric code assignments at the earliest possible time.
Use the NIST RTMMS as the authoritative numeric code validator (and generator) for new terms to guarantee non-overlap between multiple organizations, e.g. IEEE PoCD, IEEE PHD, IHE PCD DEC and PCHA/Continua.
If the proposed Reference ID, Disc, Part::Code is discarded during balloting, it is retired as a “zombie term” and cannot be re-used.
Proposed terms must also have complete definitions, UoMs, enum values and other information when they are submitted as an Excel worksheet, formatted exactly as it would appear in the published standard.
Is this a good idea?
Yes, if we can keep the number of “zombie terms” to a small number (e.g. < 5% of new terms defined).
No, we could end up with a ‘free-for-all’ if this is uncontrolled without any degree of editorial review and curation.