1. 1 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 IEEE P11073-10101a Update HL7 DEV SIG and IEEE 11073 GC Meetings, Phoenix, AZ Tuesday Q2 and Q3, May 6, 2014 Paul Schluter, GE Healthcare Jan Wittenber and Todd Cooper, C4MI

2. 2 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 IEEE P11073-10101a-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 -10101a standard ready by end May 2014  Reconciling vent terms with ISO/CD 19223 (ISO/TC121/SC4)  Need infusion terms and enumerations (Todd, Jeff)

3. 3 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 Changes since January 2014 1.Reconciliation between IEEE 11073-10101a and with ISO/CD 19223 – 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 11073-10101-2004 format.

4. 4 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 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. 5 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 New WCM attributes [1] A comprehensive list of waveform attributes used by IEEE Std 11073- 10102-2012 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»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).

6. 6 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 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.MedDevsOnly.2b.2014-02-13T09.xlsx 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.

7. 7 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 New PHD SCADA terms [3] Published SCADA terms defined by IEEE Std 11073-20601a and the 11073-104xx Personal Health Device (PHD) device specializations have been compiled and updated with Systematic Names and Definitions for inclusion in IEEE P11073-10101a by Daidi Zhong and Michael Kirwan. They are listed in: «PHD nomenclature_20140307.xlsx»PHD nomenclature_20140307.xlsx These are ready to include as a separate table in IEEE P11073-10101a. [The PHD SCADA term codes were ‘protected’ during the code assignment process used for RTM SCADA term code assignment.]

8. 8 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 ISO/CD 19223 Reconciliation and Mapping The RTM and IEEE 11073-10101a “old” and “new” respiratory, ventilator and anesthesia terms are currently being “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 an 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, expected to conclude by the 3rd week of May 2014. Note: To date we have not materially changed any existing IEEE 11073-10101 definitions; if there was any risk of doing that, we would create a new term.

9. 9 HL7 DEV SIG and IEEE 11073 GC 2014-05-06 How will we show changes? IEEE P11073-10101a 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.2014-05-04T20.html»XSL Output.2014-05-04T20.html Unlike IEEE P11073-10101a, the html table will show the informative mappings to ISO/CD 19223 “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