TuesdayMonday

17 16 Jan 2023 

MEETING NOTES FROM John J. Garguilo

16 Jan 2023 Room "Grand Ballroom Salon 3"

Monday Q1

- Q4, 9

AM -

5:

00 PM (

Pacific Time -

PST U.S.)

Q1  Plenary

Plenary Session: A Global Healthcare Ecosystem to Meet the Needs of the Next Pandemic

See <https://whova.com/portal/webapp/wgmse_202209/Agenda/2521093>

Q2 Plenary

Panel: Preparing for the Next Pandemic

See <https://whova.com/portal/webapp/wgmse_202209/Agenda/2572481>

Monday Q3, 1:30 PM - 3:00 PM (Eastern Time - ET U.S.)

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

• ANSI Anti-Trust Policy reviewed: (Garguilo)

  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). 

• Reminder to log attendance on Confluence page: https://confluence.hl7.org/pages/viewpage.action?pageId=108300461

• Agenda Reviewed (Garguilo)
  • Minor edits made, no new topics proposed by attendees
  • Physical Activity Implementation Guide - PSS-2091 (from project proposal PSS-2069)
    • Project review - Confirmed  Thursday Q3 joint with mHealth...  
  • Gemini SES + MDI Update - PSS-1980 to be discussed Q4 Wednesday
  • Agenda approved by attendees

• General updates / announcements (Garguilo) 

  • Note:  HL7 International Education on Demand Site for members: https://www.pathlms.com/hl7

  • E.g., "How To" videos on Confluence and Jira

  • 2022SEP NIB site is now OPEN: Book mark to submit Notice of Intent to Ballot (NIBs)

• HL7 Co-Chair Updates (Co-Chairs)

  • Note:  HL7 International Education on Demand Site for members:  https://www.pathlms.com/hl7

    • E.g., "How To" videos on Confluence and Jira

  • Chief Standards Development Officer: Dan Vreeman, Deputy Chief: Diego Kaminker
  • Other new TSC members: Jean Duteau (TSC Vice-Chair), Gora Datta, Rich Geimer
• May 2022 WG Meeting Minutes Review / Approval (Garguilo)
  • Assumed review had occurred by attendees and those interested
  • May 2022 HL7 DEV Meeting Minutes
  • Garguilo walked through meeting minutes, no further discussion occurred.
  • Motion to "approve May 2022 Meeting Minutes"
    • Approved 16-0-0, First: Todd Cooper, Second: Ken Fuchs
• HL7 DEV Meeting Coordination / Communications (Rhoads)
  • Use of HIMSS Teams or HL7 Zulip:  The Missing "Chat" Window!

• •  ACTION:  John Rhoads  John Rhoads to work with Sarah Bell (IHE) to get resolution

• • …To include Call canceling / change notification / etc.
• Co-Chair Elections (No Co-Chair positions presently up for nomination)
  • HL7 Device WG - Future elections of six co-chairs to fill the positions currently held by Todd Cooper, John Garguilo, Martin Hurrell, John Rhoads, Chris Courville, and Martin Rosner (all of whom may be re-elected)
  • No further discussion needed.

Break 3:00 - 3:30 PM

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

• Housekeeping: Current Versions of WG documents, for discussion (Rhoads)

  • HL7 DEV Confluence Page providing mission and relationships: https://confluence.hl7.org/display/HCD

• Review of Mission, Charter, SWOT - see DEV Main Page (Rhoads)

  • John Rhoads introduced and presented DEV's SWOT
  • Review of SWOT Document: 

    • John Rhoads walked through the Strengths, Weaknesses and Opportunities

    • Updates made with group's input; new document to be provided by John R.

    • Item discussed regarding potential  of adoption of Devices vs. FHIR (also a funding issue)

    • Suggested item be captured and put "in parking lot" for more elaboration

    • To be updated and soon available: Download SWOT Analysis (2019-01-17 Document)

      •  ACTION: John Rhoads to verify and post latest documents to Confluence

• • Not reviewed: (deferred to weekly WG meetings - next formal review in HL7 January 2023)

    • Review of DEV WG required documents

    • Download HL7 Decision making practices (Default_HL7_WG_DMP_2019_V5.2_Clean) 

    • Download Mission and Charter (2019-01-17 Document)

      • No discussion on document - it was noted that the document is not expiring any time soon
      • Note that in the May WG meetings: Motion made and accepted "to adopt current version of Mission and Charter"

    • Download 3 Year Plan (2021→2024)

      • Martin Hurrell has take ownership of document, noted some changes have occurred and need to be synched with the PHD group (Martin Rosner)
        • More on the 3 Year Plan later this week...
      • Doc is has been updated and again presented this week Sept 2022 WG Meetings (and likely voted upon).

SDPi 1.0.x Document Review and Drafting Session at HL7 WGM (Todd Cooper )

Work 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 HL7 WG week.

Link to SDPi Information: "Everything you wanted know Library"

Recorded Reviewer Sessions:

1. 14 Dec 2022 : Session 1 General (Slides) / (YouTube Recording)
2. 19 Dec 2022 : Session 2 Profiles (Slides) / (YouTube Recording)
3. 21 Dec 2022 : Session 3 Gateways (Slides) / (YouTube Recording)

Monday Q5, 5:30 - 7:30 PM (Pacific Time - PST U.S.): Co-Chairs Meeting and Dinner

Noted that Co-Chairs will attend the Q5 Co-Chair Dinner meeting - with a report out on Wednesday Q1.

•  John Rhoads  Work with IHE Sarah Bell to resolve "MS Teams" Meeting chat issues
•  John Rhoads Validate latest versions of WG documentation, including this session's worked-on SWOT 19 Sep 2022 

Tuesday

17 Jan 2023 

IEEE POCD Meeting minutes(approved) in IMEET-CENTRAL IEEE POCD WEB

MEETING NOTES FROM John J. Garguilo

IEEE-SA iMeetCentral Folder for: 11073 Point of Care Device Working Group

Start Q1 (9 AM)

Welcome, Introductions, and Agenda Review [Kosta M./Ken Fuchs]  

Welcome by Konstantinos Makrodimitris (Kosta) and Ken Fuchs (Chair Stefan Schlichting regrets for first part of meeting) to in-person and virtual attendees.

Attendance officially kept by Kosta and IEEE-SA; attendees encouraged to log attendance on HL7 site: Log September 2022 HL7 DEVICE and IEEE 11073 WG Attendance

Slide sets and meeting materials at IEEE-SA's iMeet Central
https://development.standards.ieee.org/myproject/Public/mytools/mob/slideset.pdf
https://ieee-sa.imeetcentral.com/p2933/folder/WzIwLDEyMTEyODczXQ/WzIsNjY4ODg0NTdd/
IEEE-SA Presentations site to upload slides: https://ieee-sa.imeetcentral.com/11073pocd/folder/WzIwLDE1MDMwOTA4XQ/

IEEE Disclosures [Ken Fuchs]

Call for Potential Essential Patents Holders. Please contact IEEE WG co-chairs with just name and affiliation. 

IEEE Patent Policy - IEEE Patent Policy

IEEE-SA Copyright Policy - IEEE Copyright Policy

IEEE Meeting Conduct – IEEE Code of Conduct

IEEE Ethics Policy - IEEE Code of Ethics

11073 SC Update [Ken Fuchs]

 09:15a | Agenda Review [Kosta] / Review Previous Minutes and New Members [Kosta] 

• Kosta walked through the IEEE-SA site, and showed the structure (tabs) for this PoCD WG.
• Kosta reviewed the Sept 2022 meeting minutes taken, showed suggested edits to date, and asked for folks to send any other edits.
• No further edits suggested by attendees.  
• Motion "to approve the IEEE-SA September 2022 meeting minutes" by xxx, second by yyy, no abstentions, no negative, passes unanimously, minutes approved (19 Attendees).
• See IEEE-SA's iMeet site for approved and unapproved Meeting minutes

Update regarding PARs & Standards (Tom Thompson, IEEE-SA Liaison)

IEEE 11073 PARs, Projects, SDOs and Analytics
IEEE reports, dates and stats

Tom Thompson, IEEE-SA, provided the 11073 Standards update - please see slide set provided on iMeet Central Site: IEEE-SA Liaison Slide Set: Update September 2022

IEEE reports, dates and stats

• Schedule and upcoming meetings (e.g., NESCOM):

https://standards.ieee.org/content/dam/ieee-standards/standards/web/governance/sasb/2022calendar.pdf

Update from SDC SG (Martin Kasparick, and Bjorn Andersen, now both with Draeger)

• PHD Update

Break 10:30-11 AM

Start Q2 

Update from SDC SG (Continued)

Reference links for General Project, Issue Tracker, and Draft Document:

• https://sourceforge.net/projects/pocspec/

• https://sourceforge.net/p/pocspec/_list/tickets

• https://sourceforge.net/p/pocspec/drafts/

Update from the IDCO SG (Paul Schluter, for Craig Reister)  

• Craig.reister@bsci.com  Meet on Fridays, typically 5-7 folks join

  • Sarah Bell, from IHE-DEV, can send notices to folks who ask…

  • Focus on P11073-10103R - Implanted Devices Cardiac

  • Kudos to Craig Reiser (IDCO group lead, BSCI), Paul Schluter (RTM Lead), and Michael Faughn (NIST) for help and expertise on the terminology development

Update from the 10101b (Paul Schluter)  

12:30-1:45 pm | LUNCH

Nomenclature - Continued (Paul Schluter)

11073 lifecycle from cases, development to recognition to adoption to value for patients (Kosta, Stefan, Sajjad, Todd, Ray, Isabel, Martin, All)

Attendees on-line: Anil Kochlar, Danica Marianac-Dabic, Isabel Tejero, Gregory Pappas, Stefan Schlichting

Silent ICU / Quiet Hospital / Silent Hospital / Quiet ICU

•  Provide care where the patient is, not the medical devices

• Alarm providers (at patient bedside) can stay silent - but signaling of alerts (e.g., to central station) to caregivers …

• Use cases - Medium care patients… maybe wirelessly connected… usually want to see information from not only alert, but associated information on the patient that related to alert (or giving context)…

• "Medium" - each hospital calls level of care differently…

• E.g., one ventilator patient

• Participated in HIMSS22 - https://www.draeger.com/Library/Content/11en_HIMSS-Showcase-SDC.pdf

Danica Marianac-Dabic

Patient Centered

How can we tap into very rich data (collected by professional societies) - and link data sources between different data sources…https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8749335/

Comments from chat window via Greg Pappas (FDA)

• WE HAVE WRITTEN A SERIES OF MANUSCRIPTS THAT DOCUMENT THE VALUE CREATED BY REAL WORLD EVIDENCE

• THIS BUILDS ON THE WORK DANICA SHARED, ON COORDNIATED REGISTRY NETWORKS.

11073 to FHIR/PHR/EHR: how to integrate, map, coordinate medical device data for high quality clinical data and analytics (Kosta, Isabel, all)

Break 3:00 - 3:30 PM

Presentation on AAMI/UL 2800 (Geetha Rao)

• MOU between AAMI + UL about 10 years ago…

• Latest version release earlier this year…

Geetha noted that no action items identified regarding editions above however documentation efforts continue...

• Goal was to create a framework usable by a range of stakeholders.
• Standard written "stakeholder agnostic"

• Multiple "use specification" for "context of use"…

"Hazardous Condition" -

PoCD WG organization, meetings & wrap-up

Logistics next WG meeting

• IEEE-SA 11073 PoCD likely to meet again jointly at the next HL7 WG meetings scheduled for January 16-20, 2023 in Las Vegas, Nevada, USA.
• Kosta noted the potential going forward to have (off-cycle with HL7) IEEE-SA 11073 only meetings in 2023 - TBD...

4:30 pm Closing and Adjourn [Stefan/Kosta/Steve]

Note:  Christian Haye was recognized for his fine work over many years - as he announced this would be his last HL7 WG meeting - Thanks Christian and all the best in your new endeavors

Motion "to adjourn the meeting": made by Christian Haye, second by Bjorn Anderson

Approved 16-0-0

• CHAIR: STEFAN SCHLICHTING, PHD
• VICE-CHAIR: STEVEN DAIN, MD
• SECRETARY: KONSTANTINOS MAKRODIMITRIS, PHD

• • No Additional topics bought forward for (spillover meeting) this coming Friday morning Q1 meeting (23 Sep 2022 )

Kosta thanked attendees , reminded presenters to post slides.

• CHAIR: STEFAN SCHLICHTING, PHD
• VICE-CHAIR: STEVEN DAIN, MD
• SECRETARY: KONSTANTINOS MAKRODIMITRIS, PHD

Wednesday

18 Jan 2023 

MEETING NOTES FROM John J. Garguilo

18 Jan 2023 Room "TBD"

Wednesday Q1, 9 AM - 10:30 AM (Eastern Time - ET U.S.)

Meeting link (details above): https://ieeesa.webex.com/ieeesa/j.php?MTID=mb8f9c1692e7cf097593c3f60890e0e3a

Recorded Attendance: September 2022 HL7 DEVICE and IEEE 11073 WG Attendance   

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

  • ANSI Anti-Trust Policy read to attendees (Garguilo): 

    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). 

• Reviewed Monday Q3/4 proceedings (@Cochairs) 

  • No addiontal or changes of Agenda items (from Monday Q3)

  • Confirmed joint with O&O on Thursday Q1 with "spillover" time available on Friday Q1
  • Confirmed joint Thursday Q3 with Mobile Health WG and presentation of Laurie Whitsel from Physical Activity Alliance and the American Heart Association

• Co-Chair Report Out (@ Cochairs)

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

  2. Report-out by Co-Chairs of 16 Jan 2023 Monday's Q5 meeting ...

• DoF:  "Larger bundle of device data as an example" (Zulip thread) (Jacob Andersen )

  • Jacob Anderson provided the following use cases:

• • Jacob tried to map the 'complicated pregnancies' use case to FHIR;
    • Noted a very complex use case to address… not aware of all FHIR constructs available
      

  • COVID-19 use case:

    • Holter monitoring: can't yet share details, but in some cases Holter monitor can be connected and do a live streaming - also looking to do a large roll out...

  • Live Spirometry flow, so not to wait the 6+ seconds to do a live flow…(waveforms)...
  • Two issues:
    • 1. Complex nature of date (mapped to IEEE, and in particular to FHIR) - lacking more complex data types, as well as some quality enumerations… e.g., when leads are not connected properly - there is noise ratio
      • --should have some attempt to get a consistent  way to do this in FHIR

• • • 2. Live Streaming - more generic way to do this w FHIR payloads - send data to server, viewer that pulls date from server in real time or near real time/recoding while being made…

• • Todd Cooper noted is useful in Zulip to capture the use cases…
  • Paul Schluter commented that work was done regarding waveforms… reasonable for real time monitors - including beat to beat etc. (this was done in HL7 V2)…  Can be easily persisted as a binary data set (V2 can be trivially mapped to be looked at retrospectively later on…)
  • Mikael Rinnetmaki (Finland) - added comments around timing intervals - e.g., medication requests…
    Once you do this you end up with a bundle around 20-30K which are sent to server, and then accessed (this takes 20 - 30 minutes - which has big consequences…) - now becomes 30 minutes back which is obviously not ideal…  Could a sample bundle be published as a FHIR resource to highlight this issue… 
    Sample data is available, but not yet on the explanatory text…  this could be discussed on one of the weekly Monday or Wednesday 9 am Eastern US meetings… where do pieces fit and try to coordinate this…
    
  • Suggested to coordinate via Zulip…
    Slides to be sent at later time… perhaps when more details written about the use cases… Jacob agreed to send once available…
    

• • EEE EMBS Standards referenced
    • IEEE 1752 noted...

• Break from 10:30 AM - 11:00 AM ET

  Wednesday Q2, 11:00 AM - 12:30 PM (ET U.S.) Room "Watertable B"

  Recorded Attendance: September 2022 HL7 DEVICE and IEEE 11073 WG Attendance   

• DoF:  PoCD – Device Settings Reporting / Snapshot Reporting (Elliot Silver )

  • Discussion on the challenges or (several) ways of recording a setting -Device Metric 

  • There are gaps - 
    •  ACTION Elliot Silver Begin to capture the use cases identifying (and ultimately addressing) such gaps...Type your task here, using "@" to assign to a user and "//" to select a due date

(NIST) Tooling & Testing (Michael Faughn , John J. Garguilo )

• PoCD and PHD IG Publication topics/issues/other  (John Rhoads , Martin Rosner )

  • PoCD IG (Rhodes + Stefan Karl)

  • John Rhoads provided/noted IG reference to current build on FHIR site (search "FHIR PoCD" - https://hl7.org/fhir/uv/pocd/2021sep/index.html and http://build.fhir.org/ig/HL7/uv-pocd/)

• • PHD IG (Marin Rosner)

Lunch Break from 12:30 PM - 1:45 PM ET

Wednesday Q3 Room "TBD"

• Gemini SES+MDI Update - (Cooper)

  • Todd referenced PSS-1980 (Jira Site)

  • Todd walked through the related Gemini projects  -  and walked through the landscape and many related activities

  • Device Interoperability using SDPi+FHIR
    • Library with EVERYTHING you ever wanted to know ...
    • Based on Hanging Gardens Framework
    • Pathway to an Ecosystem of Plug-and-Trust Products
    • Gemini EP Discussion Notes
    • EP Topics of Interest
    • Todd noted: Conformity Assessment & Tooling activities and invited folks to the scheduled one-day hybrid meeting at NIST on 27 Sep 2022 
      • Contact Todd Cooper or John J. Garguilo 
      • Several FDA attendees RSVPed favorably
      • Several presentations lined up...
      • Meeting information, session/presentation materials (and resultant notes): CA Strategy Workshop at NIST 27-09-2022
    • On-going SDC Connectathons mainly connectivity events at this point... more and more content exchange anticipated
    • Specifications: SDPi IHE Profiles
    • Paper: SES MDI
    • MDIRA Specifications: Specifications: MDIRA / ICE Profile

From the 2019-09 HL7 WGM   (here is the presentation) & 2019-10 IHE Devices meetings:  

• • • Use Cases - both that are distinct to a specific use context and that involve two or three and require cross-context coordination
    • Use Contexts - are the (3) suggested appropriate or should there be a further breakdown? Architectures?
    • Ecosystem – Intra & Inter Context Providers / Consumers (e.g., EHR consumers of PoC device content)
    • Risk => Criticality => Regulatedness:  Clearly this is involved in all three use contexts, but at different levels?
    • Quality – including process requirements (e.g., ISO 13485)
    • User - professional clinician to personal grandpa or family caregiver
    • Technology - esp. with the advent of Medical IoT & Clinical IoT and Io<everything>T, mobile FHIR-based, AI/ML MD ... EMBS SC initiatives?  Etc.

-Consider RWE needs of FDA and others @ AI / ML MDs ... melding a few of the above aspects

• • • Architecture – Is there a clear delineation between device subsystems that allow for "containment" of critical (high risk) functions to one system component (e.g., the dialysis subsystem with SiMD) and other elements, such as education or user interface to software applications (general health software & SaMD) that are running on a general purpose platform?  
    • Communication Devices:
    • e.g., mobile "device" - "device used in a clinical setting" but not a regulated medical device (at ACM:  Edge devices / end-point communication devices) 

• • • Google Glass ... VR / MR / AR technology
    • Note:  in ACM a "dashboard" can be an endpoint "device"
    • Connected vs. Disconnected (not connectable)
    • HIT Infrastructure "devices" vs. health / medical purpose (sensor/actuator/intelligence) "device"

• • • Including ID & location devices (e.g., RFID)
    • Cameras ...
    • e.g., for patient assessment in an isolation room

• Martin Hurrell suggested to first make a general list that "everything people might consider to be a device, and that people are interested in:…  but something like a multi-lumen catheter is of interest..
  • Write down as many "real" devices that we can
  • Try to define a series of constructs in which could be used to define - such as can a device communicated, etc…
  • Look at tirade of these devices to say in what way are these devices alike, but others do not…
  • Constrain it "medical devices"
  • Potentially look at multiple set of devices…
  • OO has a much broader space (beyond Med Devs) - this may hinder the need for this quickly…
    • Perhaps find out what O&O considerations / exemplars are?
  • Importance is high
  • Timing: hard to say how long this would take…hard to say??
  • Goal would be to make a significant improvement on where we are now…

ACTION: @Todd Cooper and @Martin Hurrell: Re-start the Technical Report process for "What is a Device?"

Todd Cooper started a new project (ID: PSS-2120): Added to O&O Agenda for Thursday's Q1 discussion.

Wednesday Q4 Room "TBD"

• ( John Rhoads / Todd Cooper )  DeviceAlert project:  

• (Todd Cooper )  "What is a 'Device'?"
  

1. 1. Reference Confluence page/site: "What is a Device"?
   2. Review general "heads up" content proposed for the updated Device resource description
   3. Review the content being added to the SDPi 1.0 TF-1 front matter related to the scope of the IHE DEV TF (this will be the first version of the broadened IHE domain (vs. PCD only)
   4. Discuss whether and who and where to include and publish the broader question of "What is a 'Device'?" material 
      1. Consider Martin's work around establishing a metamodel w/ attributes, looking for "clusters" and leveraging that to address some common uses of the term:  device 
      2. Link in the previous material from Paper: What is a device? confluence page
      3. Determine the best place to publish this article - for example as an article in the FHIR space similar to workflow and other topics (and linkable from the device-related resources!)
      4. A previous project proposal (pre PSS) was floated for this topic but never fully advanced .. should it be now?
      5. All in favor of Dr. Martin Hurrell being the Editor-in-Chief, raise your hand!  (you cannot vote, Martin ...)
         1. Martin Hurrell asked to defer his taking this item on... 
      6. Is this a Gemini (joint IHE-HL7 article) and should fly under that flag?  Or simply an HL7 internal paper?  (it will be used / leveraged in the IHE DEV TF-1 discussion)

• (Todd Cooper )  MDIRA Project Update (esp. relevance to SDPi + EP group discussions)
  • MDIRA Specifications: Specifications: MDIRA / ICE Profile

Adjourn IHE-DEV Wednesday 

Thursday

19 Jan 2023 

Thursday Q1 (9:00 - 10:30 AM PST)

Recorded Attendance: September 2022 HL7 DEVICE and IEEE 11073 WG Attendance   

• Welcome and Introductions (new attendees)

• Introductions: 13 Attendees;  new attendees for Q1 Grant Forrest, Dr. Cheryl Lohman, "SV"(?)

Garguilo read 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). 

• NO MEETING - DEV at O&O

• Q1  Joint at Orders and Observation WG + BR&R (Device Scope Technical Paper); room "TBD" 

  • Update on Device resource discussions  (Marti Velezis )

  • Update on PSS-2005 DeviceAlert project (John Rhoads )

  • Update on PSS-1980 Gemini SES+MDI (Todd Cooper )

  • Update on "What is a device?" technical report  (Todd Cooper ) 

From O&O Agenda:

• Device Scope Whitepaper
• Gemini Safe, Effective & Secure Medical Device Interoperability (SES+MDI)
• Resource topics:
  • Device
    • specialization.systemType and specialization.category bindings
    • Mappings - PHD, PoCD
    • Identify stable elements, those that have changed and need further testing 
    • Examples (review/clean-up based on R5)
    • FMM 3 or 4?
  • Device Definition
    • Scope/Boundary 
    • Mappings to EUDAMED, GUDID (Catalog)
• Note: Refer to O&O meeting minutes for proceeding details

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

Thursday Q2 (11:00 AM - 12:30 PM ET)

• Anesthesia WG Topic

  • • Allocate: partial Quarter

    • Intra-procedural Anesthesia FHIR IG Work

• Nomenclature - RTM status update (Paul Schluter)

  • Paul Schluter to provide Nomenclature update - RTM + on 10101b progress (and milestone!)

  • Nomenclature work

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

• Joint with Mobile Health WG (Matt Graham/Gora Datta/Nathan Botts/Frank Ploeg - Mobile Health Co-Chairs)

• 2:30 PM 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. 
    Project Proposal for an IG defining standards for physical activity measurement and enhancement. 
  • PSS-2091 Physical Activity Implementation Guide Update (Laurie Whitsel)
  • Overview/presentation of work and proposal: PAA - HL7 Slide Decks - FInal.pptx

  • 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.

  • Laure asked to 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
  • PAA will continue to meet with DEV as part of the Q3 joint meetings with Mobile Health moving forward (and at January 2023 WG meetings)

Thursday Q4 (3:30 - 5:00 PM) Room "Watertable B"

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

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

  • Action Items Review (deferred to once meeting minutes completed)

• Planning May '23 WGM (Co-Chairs)

  • HL7 announced it will likely be a live event  in 

  • Feedback from these/January '23 meetings

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

    • NOTE: we have been offered a full Quarter with OO - continuing to assume Thursday Q1 works best for DEV(?)
      • Attendees agreed

  • HL7  Room Reservation for January 2023 Meetings (Garguilo)

    •  John J. Garguilo (Completed 29 Sep 2022) ACTION: Garguilo to reserve rooms and schedule joint quarters - needs to be completed by next week.. .To include full Q with O&O and DEV (OO hosting); Q3 Thursday with Mobile Health WG and Physical Activity Alliance

Meeting Adjournment (Co-Chairs)

• Meeting Adjournment (Co-Chairs)

Friday

20 Jan 2023 

NOTE: No Q1 DEV Meeting - Joint at O&O

Friday Q1 (9:00 AM - 10:30 AM PST)

No WebEx available in O&O Meeting Room

23 Sep 2022 O&O Room: "TBD"

Note: Joint DEV at O&O (Joint) - Members welcomed to join Joint O&O and FHIR-I WG Sessions in Q1
(No official DEV Meeting)

• Friday Q1 (OO, DEV) - O&O Agenda
  • NOTE: joint meeting with O&O and may include FHIR-I WG 

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

Default_HL7_WG_DMP_2019_V5.2_Clean.docx

https://www.hl7.org/documentcenter/public/wg/healthcaredevices/HL7 DEVICES - 3-year plan 2021 - 2024.docx

https://www.hl7.org/documentcenter/public/wg/healthcaredevices/HCD_DEV_SWOT_Analysis_2019-01-17.doc

https://www.hl7.org/documentcenter/public/wg/healthcaredevices/HCD_WG_Mission_And_Charter_2019-01_17.docx