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MEETING AGENDA

Dated                  18  

Reference           IEEE 11073 / HL7 DEVICES –  FINAL Version 1.2 3 


Joint meeting of HL7 Devices (DEV) WG + IEEE EMBS 11073 PoCD + PHD WGs, In-Person 

Monday   – Friday  

...

  • Welcome, Introductions, and Agenda Review (HL7 Officers)

    • ANSI Anti-Trust Policy: 

      Professional Associations, such as HL7, which bring together competing entities are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of the Governance and Operations Manual (GOM). 

  • Agenda review (@ Cochairs)

  • Work on JIRA Tickets / Issues

    • Work on JIRA Tickets / Issues

    Note: Marti Velezis  can Join

    •  Joins DEV

  • Co-Chair Report Out (@ Cochairs)

    1. Report-out by Co-Chairs of Monday Q5 meeting ...

    2. TSC 2023-01-16: WGM + Co-Chair+Dinner

  • HL7 DEV Meeting Coordination / Communications

    • Use of HIMSS Teams:  The Missing "Chat" Window problem fixed!

    • Call canceling / change notification / etc. 

  • Co-Chair Elections (All Co-Chair terms /positions good through December 2023)

    • Devices- Future elections of five co-chairs to fill the positions currently held by Todd Cooper, John Garguilo, Martin Hurrell, John Rhoads and Martin Rosner (all of whom may be re-elected, after December 2024)
    • Next Co-Chair terms ending is Chris Courville  on December 2023, Chris is eligible to be re-elected; other nominations welcome!

Tuesday Q4, 3:30 - 5:00 PM (Eastern Time - ET U.S.) 

  • Continue Work on JIRA Tickets / Issues

Room "Grand Ballroom Salon 3"

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  • September 2022 WG Meeting Minutes Review / Approval (Garguilo)

Break from 10:30 AM - 11:00 AM PST

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WG Mission and Charter Tracking - Feedback on TSC Topics - Confluence (hl7.org)

Break from 10:30 AM - 11:00 AM PST

Wednesday Q2, 11:00 AM - 12:30 PM (PST U.S.) Room "Grand Ballroom Salon 3"

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  • Address JIRA Tickets - Working Session

    • Note: Marti Velezis  can Join DEV

    • Continue addressing JIRA Tickets with Marti V. and Elliot Silver

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Proposed: Join O&O with FHIR-I as Device Resource discussions are anticipated (Meeting Room "Piazza")

Gemini SES+MDI Updates - (Cooper)

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 PSS-1980 Status Update

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SDPi Version Roadmap

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GitHup Repository Wiki Article Review

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If DEV meets with O&O, then move the followingmaterial to Q3.

...

SDPi Tour (Cooper)

  • Meta Data and process

, then move the followingmaterial to Q3.


Anesthesia WG Topic (

...

No Presenter

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)

      • Allocate: partial Quarter if Grant is available (Martin Hurrell regrets)

      • Intra-procedural Anesthesia FHIR IG Work

R5 FHIR - Address plan and solutions for R5 Device related resources (by February 2023) - JIRA Tracker items (~50)

...

Thursday Q3 (1:45 - 3:00 PM) Room "Pavilion"

  • SDPi Tour (Cooper)

    • Meta Data and process

  • Gemini, SES+MDI Updates - (Cooper)

    •  PSS-1980 Status Update

    • SDPi Version Roadmap

    • GitHup Repository Wiki Article Review

    • ASCII Doc tour...


  • (Session did not occur: No AHA Members participated)
    Meeting Session w/      Physical Activity Alliance and the American Heart Association - continuation as they jump into the HL7 FHIR standards development world

    • Laurie Whitsel (Laurie.Whitsel@heart.org) and Maria Isler (Maria.Isler@heart.org) are the project sponsors. 
      They will be coming to the September WGM and are hoping to meet with certain relevant work groups to talk about their project proposal for an IG defining standards for physical activity measurement and enhancement. 
    • Russell Buchanan (russell.buchanan@accenture.com) will be supporting them at the WGM.  Devices is one of the work groups that seems to have overlap/interest.  
    • Laurie, Maria, and Russ to provide an ~10 minute overview/presentation of work and proposal

    • Specifically, the project is looking at being able to capture measures related to physical activity level.  This may well involve leveraging real-time device information such as step counts or heart rate monitor information.

    • Currently looking for sponsors, co-sponsors and interested parties, so please think about if/how the HC Devices work group might like to be involved. 
      • Also reaching out to PC, FM, OO, MH, CIC, and the Gravity project


  • Open Discussion / Topics Arising from this week... (Co-Chairs)

    • IEEE POCD 11073 additional topics?
    • Regulatory map/coordination on interoperability 
    • HL7 DEV Topics?

  • Action Items overview going forward from January 2023 (HL7/IEEE/ISO) and coordination with other SDOs

    • Action Item Review

    • HL7 PSS "Action Plan" 

  • Planning May 8-12, 2023 WGM (Co-Chairs)

    • HL7 announced it will be a live event from May 8, 2023 to May 12, 2023 in New Orleans, Louisiana

    • Feedback from these/January '23 meetings

      • Participants liked not (informally) preferred meeting on Monday and having open work day in DEV room; thus reserve smaller room for Monday.
      • Todd Cooper would like to have a Friday Morning Workshop in May 2023

    • Objectives / Core Topics for May '23 (incl. joint sessions)

      • NOTE: we have been offered a full Quarter with OO - what day/quarter works best for DEV?
      • Presently there are many JIRA Tickets to resolve, so meeting with O&O, and specifically with Marti Velezis and Elliot Silver is quite helpful!

    • HL7  Room Reservation for May 2023 Meetings (Garguilo)

      •  John J. Garguilo ACTION: Garguilo will reserve rooms and schedule joint quarters - needs to be completed by next week.
      •  To include full Q with O&O and DEV (OO hosting), partial Q with Mobile Health WG, check with Physical Activity Alliance (AMA folks) to see if they would like on-going Thursday Q3 meetings with DEV

...

DEV has Room "Event Center Break Out Room" open

  • Proposed to again meet

    Meeting held w/at O&O to continue resolving JIRA Tickets


  • Meeting Adjournment (Co-Chairs)

...

Professional Associations, such as HL7, which bring together competing entities are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of the Governance and Operations Manual (GOM). 

Current Versions of WG documents, for discussion (To Do: John Rhoads please validate for latest versions...)

https://www.hl7.org/documentcenter/public/wg/healthcaredevices/Default_HL7_WG_DMP_2018.pdf

...

  •  All day Monday - Review and add Content to SDPi 1.0.x Document (Cooper); Zoom call as medium
    • Proposal is to spend as much of the day reviewing and drafting content in the SDPi 1.0.x DEV Review draft, with an aim to get 1.0 DEV Review (v2) published during that week. 
  •  Meeting Room for DEV (most of week) is "Grand Ballroom Salon 3"... see agenda for details
  •  Note:  Mobile Health WG has cancelled our joint session; MHealth WG will not be at January meeting (as of 12/22/2022)
  •  

    (NIST) Tooling & Testing (Michael Faughn , John J. Garguilo ) - proposed Wed Q2

    • RTMMS new version release update and progress

    • Tooling updates

    • IHE NA Connectathon 2023 (Austin, TX)

  •  

    Terminology - RTM (Paul Schluter note: Paul will be virtual only, not in person) - Proposed Wed. Q2 Wednesday along with NIST material

    • Collaboration and use of the RTMMSv2 for IEEE P11073-10101b

    • What we could capture in RTMMSv2 to further promote conformance testing

      • co-constraints

      • cardinality based on device type, use cases and clinical scenarios

      • dynamic cardinality based on test message content using xPath-based assertion statements

        • Focus on recent work with the Dialysis Machine Consortium

        • Using a validator I have written as an additional layer that runs after the NIST Test Tools are used
          (ideally, this should be one seamless process, and I am confident that we will all get there).

  •  

    Session w/  Physical Activity Alliance and the American Heart Association - continuation as they jump into the HL7 FHIR standards development world

    • Proposed Q3 Thursday, confirmed w/ Paul Chase on  

    • Laurie Whitsel (Laurie.Whitsel@heart.org) and Maria Isler (Maria.Isler@heart.org) are the project sponsors....
    • Note:  Mobile Health WG has cancelled our joint session; MHealth WG will not be at January meeting (as of 12/22/2022)
  •  R5 FHIR - Address plan and solutions for R5 Device related resources (by February 2023) - JIRA Tracker items (~50)
    • JIRA Tracker Items
      • Suggested to, where possible, propose solutions in afternoon sessions, then propose on subsequent morning session(s) (for time differences w/ European/Asian remote participants)
      • Note: Marti Velezis (O&O DEV liaison) added a session in O&O Agenda for Monday Q3 as a working session for "DeviceDefinition resource revisions (Prep for later in the week)"
    • Wide variety of use cases within DEV
    • Focus on some of the main areas/topics including:
      • Device Association

        • Current JIRA Tickets

      • DeviceDefinition
      • Device - Device Definition Parent/HasPart 
        • JIRA Ticket - FHIR-32271  DeviceDefinition.parentDevice and DeviceDefinition.hasPart allow same concept to be modeled in two ways
      • Device Settings (Device, Device Metric, Observation)

        • Current JIRA Tickets

          • FHIR-39322 - Device.property definition overlaps with DeviceMetric and Observation
            • See proposed changes to each resource (DeviceMetric, Device, DeviceDefinition)
          • FHIR-39501 - Clarify whether others can create Device setting observations
          • FHIR-39244 - Add example of and/or guidance on how to associate device settings with clinical observations. See ticket FHIR-38917
          • FHIR-38917 - Add example of and/or guidance on how to associate device settings with clinical observations

        • Discussion

          • Need to determine the distinct uses of each concept as it relates to capturing/recording device settings:
            • DeviceMetric
            • Device.property
            • Observation

          Note: Device Metric has some additional data elements that need to be added (based on existing JIRA tickets)

          During Sep 2021 ballot there was a proposal for adding DeviceMetric elements, which should replace extensions currently defined in the PoCD IG:

          • FHIR-33534 - Make metric availability an element of DeviceMetric

          • FHIR-33535 - Make technical range an element of DeviceMetric

          • FHIR-33536 - Make resolution an element of DeviceMetric

          In addition to the new DeviceAlert resource we discussed a DeviceMetric.alertDetection backbone element for alert activation state and limit range (see Additions to FHIR Resource: DeviceMetric).

      • Perhaps focus on device definitional pattern items
      • others??...

...