IEEE_11073-10101a.Update.1b.SanAntonio.2015-01-22.FINAL

Report
IEEE P11073-10101a Update
HL7 DEV SIG and IEEE 11073 GC Meetings, San Antonio
Thursday Q2, January 22, 2015
Paul Schluter, GE Healthcare
Jan Wittenber and Todd Cooper, C4MI
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IEEE P11073-10101a-D0.1k Term Status
Subset
Owner
Status
Resp, Vent, Anesth
Paul
Completed
Other Parameters
Paul
Completed
ACM Attrs & Enums
Paul, Monroe
Completed
WCM Attrs & Enums
Paul, Ken
Defer to -10101b (use aECG, Capsule-Epic demo)
Infusion Terms
Todd, Jeff
Defer to -10101b (not done)
Units
NIST, Paul
Completed
MDS/VMD/CHAN
Paul
PHD (Personal Health Daidi/Michael,
Devices)
Paul and Jan


Compleded
Completed: includes new PHD MDC_PART_DIM
and MDC_PART_SCADA terms
Draft -10101a standard ready for balloting this month!
 Reconciliation of vent terms with ISO/CD 19223 (ISO/TC121/SC4) completed
 Informal approval to defer infusion terms and enumerations to -10101b
Includes over 450+ new terms and enumerations (excluding infusion pumps)
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Respiratory, ventilator and anesthesia terms,
and collaboration with ISO/CD 19223
• 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
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ISO/CD 19223: Add fifth breath type
Illustration of difference between current-practice
terminology and the draft ISO terminology
Spon (ISO)
Mand (current)
Assisted
Spon & Mand (ISO)
Mand (current)
Synch’d
Assisted
Spon (ISO)
Spon (current)
Supported
Inspiratory
Breath
Unassisted
Spon (ISO)
Spon (current)
Mand (ISO)
Controlled
Mand (current)
In ISO terminology a mandatory delivery is a function of the ventilator
whereas a spontaneous breath is an independent patient function:
they are not alternatives.
In the pursuit of simplicity, the currently used terminology employs
both terms in the context of ventilator settings, thereby making them
convenient alternatives. As ventilator technology has developed this
has become a source of confusion because the term ‘spontaneous’ can
be used in the same sentence with two different meanings: either a
ventilator setting or a patient action. Natural language only recognises
a ‘spontaneous breath’ as a patient action.
NSJ Iss1: 16/10/2015
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Explore the documents ...
• IEEE P11073-10101a Nomenclature Amendment/Extension
•
•
IEEE_11073-10101a-D0.1j_pss.2015-01-01T19.clean.pdf (distributed)
IEEE_11073-10101a-D0.1k_pss.2015-01-17T20.pdf (current)
• ISO/CD 19223 (ISO restricted distribution)
•
•
NSJ rev 2 N283-ISO_CD_19223_(E) Revised during Incheon_MD.pdf
IsoSettings.2f.2015-01-17T20.abbr.xlsx
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IEEE P11073-10101a Collaborations
• IEEE 11073 and IHE PCD Rosetta
• ISO/TC121/SC4 (ISO/CD 19223 working group)
•
•
•
Dr. Norman Jones (Technical chair, ISO 19223)
Dr. Steven Dain (Chair ISO 19223, anesthesiologist, editor for IEC 60601-1-8
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 11073 to LOINC)
•
Drs. Clem McDonald, MD, and Swapna Abhankar, MD
• GE HC LSS (CS2V2 Aisys/Avance, Carescape R860)
•
Andreas Tzanetakis, Robert Tham, Mike Krajnak
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Ready for balloting ...
IEEE P11073-10101a-D0.1k is ready for balloting ...
• Add any changes from ‘short list’ and IEEE 11073 GC
discussions
• Submit draft for IEEE Mandatory Editorial Coordination
(MEC) review next week (without infusion content).
• Motion to start balloting at today’s meeting ...
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IEEE P11073-10101a Annex A
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 Nomenclature and code extensions for electrode sites for electroencephalography
A.12 Information attributes to support IHE PCD Alert Communication Management
A.13 Infrastructure attributes to support Continua WAN and IHE PCD DEC
A.14 Information attributes to support Continua WAN
A.15 Information attributes to support IHE PCD DEC and Continua WAN timekeeping
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13
17
22
24
63
64
65
67
69
70
73
74
74
75
76
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IEEE P11073-10101a Annexes B-G
Annex B (normative) Expanded terms and numeric codes
79
B.1 Overview
79
B.2 Expanded terms and numeric codes
79
Annex C (informative) Schema and XML for nomenclature extensions
80
Annex D (informative) Breaths and Inflations
81
Annex E (informative) Respiratory, Ventilator and Anesthesia Reference ID Naming Conventions 82
Annex F (informative) Anesthesia Ventilation and Breathing Circuits
84
F.1 Bellows driven on expiratory side
86
F.2 Piston driven on inspiratory side
87
F.3 Mapleson circuits
88
Annex G (informative) Bibliography
89
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