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HL7 Healthcare Devices/IEEE 11073 Working Group Meetings
2014.05.04 – 2014.05.09 – Phoenix, Arizona
See meeting documents posted @ http://www.hl7.org/Special/committees/healthcaredevices/docs.cfm?
Monday – Q3 May 5, 2014
Participants
John Garguilo (NIST) [email protected] John Rhoads (Philips) [email protected] Stan Wiley (Draeger) [email protected] Stefan Schlichting (Draeger) [email protected] Kathryn Bennett (IEEE) [email protected] Janek Schumann (GS corpuls) [email protected] Jan Wittenber (Center for Medical Interoperability) [email protected] Todd Cooper (Center for Medical Interoperability) [email protected] Ken Fuchs (Center for Medical Interoperability) [email protected] Jing Li (Center for Medical Interoperability) jli @center4mi.org Allen Hobbs (KP) [TBD]
Other Participants Pool (note – use for future Qs if present)
Paul Schluter (GE) [email protected] Masato Tanaka (Nihon Kohden) [email protected] Gora Datta (Cal2Cal) [email protected] Stephan Poehlsen (Draeger) [email protected] Kathryn Bennett (IEEE) [email protected] John Roberts (GS-1-US) [email protected] Jeff Rinda (Hospira) [email protected] Barry Brown (Mortara Instruments) [email protected] Leslie Tompkins (FDA CDRH UDI) [email protected] Nicholas Crouzier (Prometheus Computing) [email protected] Scott Denis (Center for Medical Interoperability) [email protected] Kevin MacDowell (Center for Medical Interoperability) [email protected] John Walsh (Partners Healthcare) [email protected] Martin Hurrell (Anesthesia WG) [email protected] Andrew Norton (United Lincolnshire Hospitals) [email protected] William Goosen (PC WG) [email protected] Paul Knapp (ITS , Chair of UDI Task Force) [email protected] Terri Monk (APSF) [email protected] Chi Tran (Center for Medical Interoperability) [email protected] Michael Faughn (Prometheus Computing) [email protected] Art Greisser (Prometheus Computing) [email protected] Russell Ott (Deloitte/DoD DHA) [email protected] Joe Good (Center for Medical Interoperability) [email protected] Darryl Mellott (Center for Medical Interoperability) [email protected] Paul Spadafora (Center for Medical Interoperability) [email protected] Greg Staudenmaier (VA) [email protected] Kevin Brady (NIST) [email protected] Sean Moore (Epic) [email protected]
Larry Gay (Sevocity) [email protected] David Hay (FMG) [email protected] Galen Mulrooney (JP Systems) [email protected] David Rein Wertheim (Furore) [email protected] Jackie Mulrooney (JP Systems) [email protected] Josh Mandel (Boston Children’s Hospital) TBD Grahame Grieve (Health Intersections Pty Ltd) TBD Tracy Rausch (DocBox/MDPnP) [email protected] Kai Hassing (Philips) [email protected] Sadamu Takasaka (HL7 Japan) [email protected] Zachary Huynh (Kaiser Permanete) [email protected]
Minutes for Q3
The Patent Policy, IP Policy, and the Anti-Trust Policy of the IEEE were reviewed with attendees.
Agenda revision 1.4 was reviewed. Motion by S. Wiley and seconded by J. Rhoads; motion was amended by T. Cooper to add to the agenda an update on Tuesday of the HL7 Co-Chairs Meeting that would be held on Monday evening. Amended agenda was approved.
Minutes and action items from the January 2014 Committee Meeting were reviewed. John Rhoads reported that efforts to discontinue HCD DEV Project #s 513 and 595 were in process. Motion to approve minutes as presented was advanced (T. Cooper), seconded (J. Garguilo), and approved.
HL7/HCD Status Reporto A. Hobbs’ new role as an independent consultant and in private practice in California. Expect to
clarify the co-chair position at the September, 2014 HL7 Working Group Meeting. J. Rhoads standing for re-election as an HL7 Co-Chair,
o Project 595 – discontinue as an HL7 project; FHIR is the successor to this project.
o Project 850 – still active; interest expressed by Dr. John Walsh at MGH.
o HL7 Terminology Authority – HL7 and IHTSDO (owner of SNOMED CT) created a single au-thority for terminology and manage the vetting process. Group met in January; similar discussion in CIMI (clinical information model interface), and agreeing to integrate with the HL7 and IHTSDO groups.
o HL7 Conformance Testing – HL7 initiated a conformance testing program approximately 4 months ago. Had a pilot project around registries for immunizations (HL7), done in conjunction with CDC. Aegis is driving this testing initiative.
Monday – Q4
Participants
Attendees from Q3 on Monday Stephan Poehlsen Kathryn Bennett Jeff Rinda John Roberts
Minutes for Q4
Agenda adjustments:o HL7 3 year plan - deferred to Fridayo HL7 Terminology Authority – covered in Q3 on Mondayo HL7 Conformance Testing – covered in Q3 on Monday
DEV Projectso #850 IG CDAr3 Vital Signs X73 Representation (proposed for discontinuation to enable resource
availability for FHIR resource project development)o #595 IG HCD Comm. Messaging
FHIR PSS & Status Updateo HL7 Device Alert and Control Resources – draft PSS for review : device alert report, device con-
trol operation, device service control: proposed DEVWG FHIR resources.o Resource availability – Aug/Sep 2014; Content for inclusion in FHIR DSTU ballot - Jan 2015;
ballot content published as part of next DSTU – Mar 2015o Proposed minor edits to draft to update prior to the presentation to the Domain Experts Steering
Division.
TC215 Proposed Olympic Games Demoo “EHR Interoperability at the Olympic Games” – proposal for a “demo” during the Olympic Games
supporting interoperability across multiple EHRs (athlete medical triage, Olympic Village medical Center, host city Hospital)
Tuesday – Q1 May 6, 2014
Participants
Attendees from Q3 on Monday John Roberts Masato Tanaka Paul Schluter
Minutes from Q1
The Patent Policy, IP Policy, and the Anti-Trust Policy of the IEEE were reviewed with attendees.
HL7 Co-Chairs Meeting (T. Cooper/J. Rhoads/J. Garguilo)o No significant resultso DEV PSS for FHIR project was approved (coordinate with FHIR on final wording; questions
about schedule, including commitment to do a profile; also clinical decision support)o Doing pilot with Conformance Testing (Aegis) on immunization worko DEV WG assessment was rated as “Green”
IEEE Updateso Elections (K. Fuchs)
Melvin Reynolds (UK) has left medical device area; co-chair role is now open Last election: J. Wittenber (Upper Layer Co-Chair); K. Fuchs (Committee Chair); S.
Wiley (Secretariat)o IEEE+ICUCare & Other Agreements (K. Fuchs)
ICUCare dissolved the MoU with IEEE Discussions between IEEE (Todd Cooper) and ITSDO (Jane Millar): Discussing the
relationship of IEEE nomenclature with the SNOMED CT nomenclature.
o Projects (K. Bennett) Reference presentation from IEEE posted on HCD HL7 website 27 PARs Open; 5 PARs due to expire by 31 Dec. 2014
P10101 P10201 – no further extension possible P10413 P10419 – further extension will be difficult P20101 Decision to defer actions on this topic to Friday, 9 May 2014.
Ballot Highlights P10101a – ballot group to close by 17 May 2014; ballot group is currently
unbalanced (producer category is at 37.5%; must be at 33.3% or lower) P10419 – still in ballot; due to expire P10422 – in comment resolution P20601 – in 2nd recirculation until 8 May 2014 Others…. Reference presentation from K. Bennett
SASB Actions Since January 2014 4 approved withdrawals 5 Approved PARs
ISO Adoption Status 4 Approved by TC215 (10103, 10102, 10408, 10417) Queued (30200a, 20601a, 00103, 10441)
Agreements IEEE/HL7 SoU – due to expire 7 August 2014 IHE MoU – auto renew in August IHTSDO MoU – under negotiation NIST Royalty Free Agreement: Kathryn B and John G to review in this meeting Continua Collaboration Agreement
2014 Conferences/Meetings…reference presentation from K. Bennett Alternative Publications
Nomenclature (10101) DIM (10201) – implications to PAR expiration
eHealth Strategy Seeking instructors (standards education) from 11073 community (Oct. 2014)
for Innovation Point-of-Care Technology Conference Need advocacy speaker on behalf of PHD for mHealth Summit (Dec. 2014)
PR & Sales Evangelization via IEEE-SA Facebook, Twitter, etc. Subscription for Health for sale in Q3 2014
o IEEE P&P (K. Bennett) Sponsor – current approved expires 31 Dec. 2014 Work Group
o Sponsor Change (K. Bennett) Advantages and Disadvantages of EMBS sponsorship Potential alternatives with better fit Key decision factors Next steps – briefing document being prepared for IEEE SA; meeting scheduled with
Chair of EMBS next week; propose group discussion/decision at next 11073 Committee Meeting
Motion to endorse Kathryn’s review of the current situation with the Executive Director and Chair of EMBS. Seconded and approved.
Motion to endorse Kathryn’s engagement of the IEEE Communications Society and the IEEE Computer Society. Seconded and approved.
o IEEE News & Tools (K. Bennett) reference presentation from K. Bennett
Tuesday – Q2
Participants
Attendees from Q3 on Monday John Roberts Masato Tanaka Paul Schluter Jeff Rinda Barry Brown Leslie Tompkins
Minutes from Q2
US FDASIA (T. Cooper)o FDA Safety and Innovation Act – report published in April 2014. 3 days of meetings next weeko Creation of HIT Safety Centero Updated agenda now available:
http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/ucm392877.htm#agenda
AAMI-UL JC2800 (S. Wiley)
o Open meetings on June 2, 3 @ AAMI Standards Weeko Vertical Standards and Horizontal Standards for initial exemplar of ICS PCA-Patient Monitoringo List of artifacts which support the creation of the standards to be discussed at the June F2F
meeting
11073-10101a Amendmento Review Draft Document
i. Updates to the 10101a nomenclature extensions (see presentation by P. Schluter)ii. Draft ready by end of May 2014; 5 remaining gating action items
iii. Reconciling vent terms with ISO/TC121/SC4 – anticipated full synchronization in 10101b;
iv. Now awaiting inclusion of infusion terms and enumerationsv. Decision to make WCM attributes “wave general” (not ECG-specific)
vi. Review Pump Terms vii. Review Vent Terms
o PHD Terminologyo Finalize Set for Balloto 11073-10101 Revision (documents, database, tooling)o Work Planningo Barry Brown’s Request
i. Just balloted an updated implementation guide for aECG standard (continuous ECG waveforms for up to 48 hours in recognized file structures)
ii. Using HL7 V3 messaging; encapsulated data type (ED)iii. Needed to add a control structure; additional MDC codes to define structure within the
files (sensitivity, time skew, filter values, etc. ~12 new terms)
iv. Jan/Paul: requested presentation on proposed control variables and how they will be used; semi-formal definition for interleaving methods (meta information for describing data format)
o Jeff Rinda’s Request – Deferred to Q3 on Tuesday
Tuesday – Q3
Participants
Attendees from Q3 on Monday Scott Denis John Roberts Masato Tanaka Paul Schluter
Minutes from Q3
11073-10101a Amendmento Review Draft Document
Updates to the 10101a nomenclature extensions (see presentation by P. Schluter) Draft ready by end of May 2014; 5 remaining gating action items Reconciling vent terms with ISO/TC121/SC4 – anticipated full
synchronization in 10101b; Now awaiting inclusion of infusion terms and enumerations Decision to make WCM attributes “wave general” (not ECG-specific) Consensus from group that there are no major “Showstoppers” to move
forward to start the ballot (authorization to go directly to ballot without performing in-Committee Review)
The amendment PAR expires by end of Dec. 2014; ballot should therefore start by mid-June to ensure availability for Rev-Con Meeting in Dec. 2014.
Review Pump Terms Review Vent Terms
o PHD Terminology – included in P. Schluter presentation updateo Finalize Set for Ballot – targeting mid-June 2014
11073-10101 Revision (documents, database, tooling) – reference presentation given to IHE PCD F2F (J. Garguilo): Adding to the Rosetta terminology, a simple tagging mechanism. Adding audit capabilities of when new terms are added. Proposing to begin automated build into standard quality standard quality documentation approved by IEEE. Will add appropriate columns (set of attributes to support versioning and tagging) to database to enable interim ballot reports – these will provide status of terminology progress.
Work Planning – not discussed in detail - loosely estimated for end of May 2014.
Jeff Rinda’s Request (T. Cooper) – Pump Update
o Overview of work since Jan. 2014 Update MDC Fluid Flow Genericized term “reservoir” to “container” in REFID and DESCRIPTION Added new terms to program PCA Pumps Missing PCA terms Terms without the “total” discriminator Others….
ISO 8003 (K. Fuchs/J. Wittenber)
o Nomenclature standardization effort in ISO TC12; ISO TC215 reviewingo Meetings next week in Europe to better understand scope and needo Proposed standard has terminology in WORD tables; defined significant parts of the standard
IHE USA MDPRI Project Update (w/ MU III) (P. Schluter)o Series of weekly telecons on Monday for purposes of promoting IEEE 11073 terminology in
requirements for Meaningful Use (ONC); Alex Lippett from HIMSS taking lead.o Progress is slow.o Plan is to build this on top of RTMSS.o Would require contract expertise to perform this mapping.o Mapping could be store at both the NLM and at NIST.
Mapping 11073/LOINC/SCT (per VA/IHE POI & IHE USA Project requirements)o See above
x73 and IHE-PCD Containment Treeo OBX-4 within and across OBRs: is the containment tree static or dynamic? Should this be
mandatory? Intent is to discuss tomorrow morning at the IHE PCD Technical Committee.
Tuesday – Q4
Participants
Attendees from Q3 on Monday Scott Denis John Roberts Masato Tanaka Paul Schluter Leslie Tompkins John Walsh Martin Hurrell Andrew Norton William Goosen Paul Knapp Terri Monk
Minutes from Q4
Hosting HL7 Anesthesia WG (GAS)o Joint GAS-HCD Projects
All collaborative projects are covered by DEV Potential collaboration in 10101 for “ventilator mode” and mapping with SNOMED CT
o #513 CDA Anesthesia Record (J. Rhoads) Believe there is a need of incorporating “encapsulated” data with streaming data (HL7
ORU messages) from PoC gateway.
10101 (Nomenclature), 10201 (DIM), CDA, CCD, and PHMGuide are relevant building blocks
Will initiate regular teleconferences to adapt CDA within the next 3 weeks; participants are encouraged (solicitations will be sent out via the HL7 ListServer)
Will collaborate further with GAS for additional use case materialo #850 VS in CDA (J. Rhoads)
Tied to #513o #661 DCM4MD Update
No discussion
UDI Discussion
o FDA Update (Leslie Tompkins, PhD) 21 CFR801.20 readable labeling; 21 CFR 830.xx FDASIA requirement incorporate for 2015; Class 2 devices 2015 UDI rule guidance in June 2014 (identify device at distribution and at point of care) Help Desk now live GUDID – 80 records submitted; several draft records; expecting 450 manufacturers to be
in database by Sept. 2014 (> 1000 records) Accounts – 71 production; 32 pre-production; 10 third party Adoption of UDI in Health IT – harmonization across HL7 in current ; NPRM 2014
Certification Criteria for HER; included in phase 3 MU www. FDA.gov/UDI – FAQs in development UDI implementation workshop on May 20 – 22, Baltimore Hilton Current implementation is US-specific ; IMDRF have published white paper with respect
to UDI There is not one UDI system (different UDI databases); the “class” cannot be assumed.
o V2 representation of UDI V2.9 change request and V2.8.2 For V2: focusing on using the “participation” segment for UDI information (PRT-10:
human readable code; PRT-4 for participation type; always send UDI, except send components as components if UDI is not available)
CP to be submitted on May 8, Q5.
Wednesday – Q1 May 7, 2014
Participants
Attendees from Q3 on Monday Chi Tran Stephan Poehlsen Scott Denis Michael Faughn Russell Ott Andrew Norton Masato Tanaka Joe Good John Walsh Allan Hobbs Darryl Mellott Paul Spadafora Greg Staudenmaier
Kevin MacDowell
Minutes from Q1
Review of the IEEE Patent and IP Policy - discussed Review of Anti-Trust and competition laws – discussed FHIR Prep/Update from PHX activities
o Review PSS for DEV WG FHIR Project (T. Cooper) To be discussed at end of Q2 Wednesday
o Review technical proposal for FHIR (C. Tran – presentation posted at HL7 DEV website) Problem statement – deficiencies in current device observation resource (support for
multiple MDS; missing code field; traceability information; resources for device alert and remote control operation need to be defined
Proposed solutions: added element (medical device system); revised metric element (code to represent type of parameter); traceability metric added to the Observation Resource (discussion action follow-up); propose new DeviceAlertReport, DeviceAlertSource, DevicServiceControl resources; Future – DeviceControlOperation resource;
UseCases Nurse Call system SpO2 limit violation Device battery low condition advisory DeviceServiceControl (example: infusion pump)
o Alarm reporting harmonizationo IHE PCD FHIR White paper (T. Cooper, C. Tran)
Providing technical overview of FHIR in relationship to IHE PCD profiles and transactions Propose review of IHE PCD ACM profile as an example
Setting technical direction for Fall of 2014 – possible work proposals for the next development cycle (potential testing at the New Directions session at IHE in Cleveland in Jan. 2015)
Wednesday – Q2
Participants
Attendees from Q3 on Monday Chi Tran Scott Denis Kevin Brady Sean Moore Larry Gay David Hay Galen Mulrooney John Walsh David Rein Wertheim Masato Tanaka Jackie Mulrooney Andrew Norton Josh Mandel Michael Faughn Joe Good
Darryl Mellott Paul Spadafora Jing Li Russell Ott Leslie Tompkins Graham Grieve Allan Hobbs Kathryn Bennett
Minutes from Q2
Hosting FHIR Status Update / Ballot Resolution (T. Cooper) X73=> FHIR Update (incl. Connectathon) FHIR Resource & IG Proposals
o Proposal from C4MI (C. Tran) – see details from Q1 Wednesday Problem Statement – editorial changes implemented; agreement to provide
reference to IHE PCD TF for device specialization information for FHIR WG; Device Alert Resource – detailed review with FHIR experts; architectural comparison of
alert to “order” resource; Device control Resources – detailed review with FHIR experts
o FHIR and “Real-Time” Fulfillment Communications control model
Confirmation of message receipt Confirmation of ability to perform requested action Confirmation of action execution
Acknowledgement of need to further decompose resources to fulfill DEV needs PSS can be used, however the alignment process between WGs will be extensive to
assure the correct use of existing resources and the proper identification of new resources can fit the DEV device profiles.
FHIR is a platform specification, and security is a application-specific requirement (ensure the security control points exist) – no specification on access control yet, but have provided general guidance (e.g. SSL, etc.)…being investigated by HL7 Security WG
Next steps Supply revised PSS to FHIR (DEV) Completion of formal templates for resource requests, including key
assumptions (DEV) Review of draft proposal content already prepared by DEV (FHIR)
PSS for DEV WG FHIR Projecto Review of PSS comments
Designation of publishing facilitator (not necessary) Grahame to submit PSS to HL7 TSC
Wednesday – Q3
Participants
Attendees from Q3 on Monday Tracy Rausch
Masato Tanaka Kathryn Bennett Michael Faughn Stephan Poehlsen Paul Spadafora Jing Li Kevin MacDowell Allan Hobbs
Minutes from Q3
OpenSDC General Update (S. Schlichting)
o History: openSDC is a protocol stack (DPWS, MDPWS, BICEPS, ICE); http://sourceforge.net/projects/opensdc/
o Open SDC Reference Implementation: now at beta03 (Q2 2014); beta04 (Q3 2014) Review of Discussions During IHE PCD DPI WG Telecons (S. Schlichting/J. Wittenber)
o Convergence Project Harmonization approaches for OpenSDC and Common Networking Services
Convergence o Discovery – details from J. Wittenber (DNS)o Securityo QoS for Transport
Coexistenceo Common MDIB structure (Multi-protocol Gateway model)o Alert Models Example
Summarize Use Cases Outbound data sent to 1 or more recipients Outbound event and alert messages where zero or one or more recipients can
respond Use cases archived in X73 website
Summarize key technical requirements Follow clinical gateway model Limited value for converge network specification Need for common security infrastructure services, including role-based access Need for common requirements glossary Recommendations for transport, QoS, Security, ….based on specific Use Case
Standardization Roadmap (S. Schlichting) OR.NET – Karl Storz GmbH to sponsor OpenSDC to 11073 Committee; 3 demonstrators
to be installed in Germany in 2015 Proposals for new terms (OR table, light sources, tracking, navigation, media control,
imaging, HF dissector, Insufflator) Update 2012 MDPWS+BICEPS specification to new version (Dec. 2014)….consortia
decision to engage IEEE 11073 as the venue for this standardization openSDC/OR.NET Technical Spec Nomenclature Additions Clinical Gateway Spec ICE Implementation Guide
DIN Interoperability Work Group presentation next week
Wednesday – Q4
Participants
Attendees from Q3 on Monday Stephan Poehlsen Masato Tanaka Tracy Rausch Kai Hassing Scott Denis Michael Faughn
Minutes from Q4
Hosting mHealth Review mHealth use cases needing MD Interop.
o Overview Need for HCD record patient generated healthcare data (PGHD) using mobile devices Meaningful Use 2 and 3 want to encourage use of mobile health technology Problem statement: facilitating patient healthcare data interoperability Define projects that mHealth and DEV can focus on to achieve desired solution Want to get data into EHR/PHR and to send data to mobile health devices (PHD) PGHD examples: observations (weight, blood pressure, glucometer readings, heart rate,
etc.) and activity readings (walking, running, stairs, sleep patterns)o Use cases
FDA mHealth Update FHIR Resource & IG Proposalso MH Project #4: mFHIRframe o “FHIR side chat”….light weight messaging protocol
X73 + FHIR & mHealth Review of PSS commentso Not yet available
Thursday – Q1 May 8, 2014
Participants
Attendees from Q3 on Monday, less Allan Hobbs, Kathryn Bennett, Scott Denis Tracy Rausch Kai Hassing Art Greisser Michael Faughn Masato Tanaka Kevin MacDowell Jing Li Joe Good Paul Spadafora
Minutes from Q1
Review of the IEEE Patent and IP Policy - discussed Review of Anti-Trust and competition laws – discussed
NIST Tooling IHE PCD v2 Tooling, RTMMS (J. Gargioulo)
o HL7 V2 (2.6) IH-PCD Validation Tools Focusing on Cycle 9 Change Proposals Supports 6 Integration Profiles 30+ Test Cases 60+ existing User Accounts Spring IHE-PCD F2F in Cleveland at HIMSS Interoperability Center: IHE Framework
Documents Vol. 2 and Vol.3 Have updated roadmap at Wiki Validation of Syntax and Semantic Content for Peer-to-Peer Testing (HL7, IHE Profiles, New and In Progress: support for 10101a, Alert attributes (ACM), additional test cases,
IPEC containment tree validation, pre-Connecthon tool, uploading demographics “Out of Cycle” enables separation of test event results
o Rosetta Terminology Mapping Management System (RTMMS) Preparing use for 10101a New proposed MDS structure
o IGAMT – Implementation Guide Authoring Management Tool DIM Tooling Update and Demo (M. Faughn)
o Background of DIM UML development using MagicDraw in early 2012 (11073-10201:2004); going away from MagicDraw to “Model Manager”….
o Have supporting models of RTMMs, 20101(ASN.1), device profiles, and metamodel Discussion about tooling roadmap
o List of near-term goals: MYDevice, exchange format for device use, cardinality of contained elements within a profile, addition of non-conformant- attributes to objects within a device profile, alert addition for non-conformant device profile, production of pdf of DIM, production of conformance statements
Thursday – Q2
Participants
Attendees from Q3 on Monday Stephan Poehlsen Scott Denis Tracy Rausch Kai Hassing Art Greisser Michael Faughn Masato Tanaka
Minutes from Q2
ICE / OpenICE Update General Update (T. Rausch)
o Announced at the Medical Device Connectivity Conference 12/2013o Work started in 2004 with $20M in funding by DoD, NIH, o In Beta development with clinical CS researcherso Clinical Requirementso Risks and Hazards Analyses Documentationo Regulatory Researcho Clinical Research Implementationso Commercial OpenICE Deploymentso Reference Implementation
Modeling incl. IDL (T. Rausch)o Matlab DDS link with IDL release in August 2014o Implement IDL (Interface Definition Language) using 11073 DIM and have proposals for changes
to DIM Patient, operation, and location Alarms
DDS-based Implementation (T. Rausch)o Topics Definition
System Topics: MDS identification, request, MDS, battery topic, clock topic Metric Topics: separate measurement, setting, and observation Alarm Topics Other ICE Topics (HL7 CDA, IEEE 11073)
o Mutable Extensibility Tour of SourceForge Distribution
o Not reviewed Standardization Roadmap
o Re-use of 11073o Anticipated new versions of ICE
Standard on data logger
Thursday – Q3
Participants
Attendees from Q3 on Monday Stephan Poehlsen Scott Denis Tracy Rausch Kai Hassing Art Greisser Michael Faughn Masato Tanaka Jing Li Paul Spadafora
Minutes from Q3
11073NW Project Review of alternative paths
o Not discussed – deferred to Friday Q1 Convergence with CNS, OpenSDC, OpenICE (J. Wittenber)
o Upper Layers Perspective: keep commonality in nomenclature and DIMo Leverage OTS tools and specifications to move forwardo Will need additional resources and PARs if we adapt portions of 11073 to support OpenSDC and
OpenDDSo NIST tooling would have to be based on one common approach – action: inform group as to how
existing tooling combined with external tooling can support proposed standardo Need to have Middleware community represented in these discussionso Propose prototyping activity for standards proposal as a way forward for the standard
Discuss strategy – Not discussed – deferred to Friday Q1
Thursday – Q4
Participants
Attendees from Q3 on Monday Stephan Poehlsen Scott Denis Tracy Rausch Kai Hassing Art Greisser Michael Faughn Masato Tanaka Sadamu Takasaka Zachary Huynh (Kaiser Permanete)
Minutes from Q4
11073NW Project Decide on path forward
o Nomenclature – one nomenclature:o DIM
One DIM, in principle Need convergence tiger team to address:
Demographics Alarms/Alerts Persistent Store Etc.
What changes are acceptable to current DIM? Tiger Team nominees: Jan, Tracy, Stefan, Chi, Michael Faughn, Kai, PHD rep? To be accomplished by next HL7/11073 meeting Meet at 2PM ET (11 AM ET currently) Thursdays (included in IHE PCD DPI telecon) Need to address PAR timing….
Withdraw current revision PAR Re-affirm current version New PAR for revision
o Specializations
Deferred to Q2 on Fridayo Lower Upper Layers
OpenICE Will standardize in conjunction with other ICE standards IP based networks Intra PoC Use Cases; extendable to inter-PoC Use Cases
OpenSDC Will standardize in conjunction with IEEE 11073 IP based networks Intra PoC Use Cases; extendable to inter-PoC Use Cases By September – plan for Project and integration in 11073
Need middleware agnostic peer-to-peer solution for RS232, BT non-IP networks CNS? PHD?
Plan roadmapo Deferred to Q1 on Friday
Friday – Q1 May 9, 2014
Participants
Attendees from Q3 on Monday, less Stefan Schlichting, Allan Hobbs, Kathryn Bennett Scott Denis Kai Hassing Art Greisser Michael Faughn Masato Tanaka Andrew Norton Jing Li Darryl Mellott Kevin MacDowell
Minutes from Q1
Announcement of possible suspension of Q3 today Review of the IEEE Patent and IP Policy - discussed Review of Anti-Trust and competition laws – discussed
DIM Revision: Editorial approach working with new tool from NIST (+ LaTeX usage) (M. Faughn/K. Fuchs)
o Would like to have the next DIM revision document to be generated by the NIST tool; need to confirm the ability of IEEE SA personnel to accept the document file type; will provide IEEE SA examples of what Prometheus intends to provide by May 16.
o Will re-create several diagrams (some of which originated from Enterprise Architect, not MagicDraw); o Original documents for 20101 are not availableo IEEE SA’s Central Desktop will have tools in the future (like X1 platform) to support real-time capture
of the standard committee content into the IEEE-required formats and editorial conventions. DIM Roadmap planning (K. Fuchs/J. Wittenber)
o Will convene a small team to address during the IHE PCD Standards and Tooling Coordination telecon (Thursdays, 14:00 ET); results of this group will be an updated DIM proposal at the next IEEE 11073 Standards Committee Meeting.
o 11073 nomenclature is larger than that in hRTM in RTMMS; the relationship content of RTMMS effectively becomes a DIM.
PAR Updates: 20101 Expires end of year – extension possible (K. Fuchs)
o Proposing to re-ballot and approve before end of 2014, otherwise, seek extension submission before mid-September
o Jan to take lead in initiating this process 10201 Expires end of year – no extensions
o Need to clarify with Todd what the plan is for update; proposed content changes involve association control (would also require updated DIM)
Friday – Q2
Participants
Attendees from Q3 on Monday, less Stefan Schlichting Scott Denis Kai Hassing Michael Faughn Masato Tanaka Andrew Norton Jing Li Darryl Mellott Kevin MacDowell
Minutes from Q2
DIM Discussions 11073 specializations (J. Wittenber)
o 10301 (Infusion pump)o 10302 (Ventilator)o 103xx (Patient monitor)o Have discovered likely sub-sets of the current specializations are requiredo Need to complete work on DIM and current Nomenclature topics ahead of work on specializaitonso Can use DIM (“MyDevice”) tool to provide:
Exemplar models (i.e. device specializations) for various types of devices Companies can publish and share their models – need to define a place to archive these
models NIST-Prometheus tool may be available by end of 2014 to support modeling
o Question about whether Device Specializations are Normative or just illustrative Standards Roadmap Planning
o Plan for new tool from NIST and IEEE testo HL7 HCD 3 Year Plan
FHIR Project Scope Statement – (9/2014 development; DSTU support up to 3/2015) GAS – anesthesia record into CDA (estimated 1 year to ballot) Detailed Clinical Model
VA sponsored project (Ioana)o IEEE 11073 Plan
No discussion at this time. Open Items
o Prototyping of Open SDCo Peer-to-Peer Networking
Friday – Q3
Participants
John Rhoads Janek Schumann Jan Wittenber Ken Fuchs Scott Denis Kai Hassing Masato Tanaka
Minutes from Q3
Discussion on Point-to-Point Devices Using RS232/BT/USB
Problem Statement:o There is no current IEEE 11073 standard for supporting point-to-point device communications
using RS232/BT/USB.o
Current Situation:o Existing known implementations
Continua: x73-PHD agent & manager, c Antidote: x73-PHD manager-only, c & Android adapter OpenHealth: x73-PHD manager-only, Java & Android Commercial libs for x73-PHP agents available
o Work at C4MI Implementation of the x73 PoC stack Testing PHD devices against relevant 11073 profiles Preparation of open source documentation/tutorials to facilitate prototyping
Goals:o Portabilityo Toolingo Availabilityo Testingo Marketability – after prototype/reference implementation, go to clinics to ask to place pressure
on vendors Motions:
o Request Todd to distribute the last draft of the remote control standard (IEEE 11073-20301) to the group (motion – Janek; seconded – Ken; motion approved)
Actions:o Implement MoU between Philips (Kai),Center for Interoperability (Todd), and Corpuls (Janek)
