Status of Medical waveform Format - Encoding Rules (MFER)

Jan.14.2009HL7 Japan

Masato TanakaTsutomu Kawano

Masaaki Hirai

Health Level Seven Working Group MeetingLake Buena Vista, FL

MFER update TS11073-92001(Base standard) IS (2010)

TS11073-92301(Electrocardiography) NWIP (2009) TS11073-92302(Long term ECG) NWIP (2009) TS11073-92205(ECG/CDA report) Standby TR11073-92206(SCP-ECG MFER) TS11073-92202(DICOM Wrapping)

Part 3.3 Stress ECG: now developing Part 3.11 Vital sign trend: targeting Anesthesia record Part 3.XX Spirometory: now developing Part 2.1 Messaging in HL7 V2.5: JAHIS standard Par 3.10 Monitoring waveform: trial implementation

TS11073-92301 Electrocardiography

Scope of Electrocardiography

This standard applies to Standard 12-lead ECG used for ECG examination.

Demo screen

Fukuda denshi(Ambulance car)

Nihon Kohden(Hospital)

Status of Electrocardiography

NWIP arrangement scheduleWriting of Form4 document.Convert to ISO Style format from

draft document.

TS11073-92302Long term ECG

Scope of Long term ECG

This rule applies to Holter ECGs examination and monitoring long-term ECG etc;.

It also applies to the encoding of long-term waveforms such as ECG waveform , respiratory waveform and SpO2.

Analog Digital

Media Cassette TapeIC memory

(SD ， MMC card etc.)Dimension

Weight200 ～ 300 ｇ270 ～ 320 cm3

35 ～ 100 ｇ30 ～ 100 cm3

Disposable Tape, mechanical parts NoFrequency 0.2 ～ 35 Hz 0.05 ～ 40 Hz

Future extension NO more More

Compatibility Direct recording with sync. (32 Hz) No comptibility

QualityEquability

Low quality (wow and flutter)(Irregular speed, Polluted head) Good quality

Archiving Cassette tape Easy archiving

demeritsmerits

Why use MFER for Holter ECG

Long term ECG

Long term ECG invent strip

Status Long term ECG

NWIP arrangement scheduleWriting of Form4 document.Convert to ISO Style format from

draft document.

Status ECG/CDA report Waiting IS27932 (CDA) passed

Japanese Sample CDA-R2

Status DICOM Wrapping Technical meeting is progressing. It is necessary to submit Supplement.

Next Steps (near term goals)

The member's assist is necessary to five countries and five member or more.

Thank you

NWIP (2009) TS11073-92301 Electrocardiography TS11073-92302 Long term ECG