Daily Schedule Overview

• We will be holding 4 sessions per day Monday through Thursday (U.S. Pacific Standard Time (PST) Time Zone, GMT-8)

• IEEE-SA 11073 PoCD Working Group Meetings

  • Q1-Q2 Tuesday is dedicated for the IEEE 11073 PoCD
  • Meeting Room: "Grand Ballroom Salon 3" + Virtual via WebEx
  • Note: 9 am PST Start Time Through Q2 (12:30 PM PST) End Time
• HL7 DEV Working Group Meetings
  • DEV WG Meetings in Room "Grand Ballroom Salon 3" + Virtual via WebEx
  • Monday  Q1-Q4 Review and Draft Content to SDPi 1.0.x Document (See Zoom meeting details below)
  • Tuesday Q3/Q4, Meeting Admin focused
  • Wednesday - Thursday, HL7 DEV focus
    • Thursday Q1 Joint at Orders & Observations
    • Thursday focused on Gemini SES and MDI work
  • Note: 9 am PST Start Time each day

Daily Schedule Overview - Detailed daily agendas are below
NOTE that the Baltimore meetings occur in the United States Pacific Standard Time Zone

Meeting Calendar: 

Daily Schedule Overview - Detailed daily agendas are below
NOTE that the meeting occurs in the United States Pacific Time Zone

WebEx Information (Tuesday Q1 - Thursday Q4, January 17-19, 2023)

• Meeting link:

      https://ieeesa.webex.com/ieeesa/j.php?MTID=m1caa11b802336eae2bd0afffa29adf3f 

• Meeting number (access code):
     2348 552 0884

• Meeting password:
     39EdEPBW3MC

•  from a mobile device (attendees only):
  • +1-646-992-2010,,23485520884## United States Toll (New York City)
  • +1-213-306-3065,,23485520884## United States Toll (Los Angeles)
• Join by phone:
  • +1-646-992-2010 United States Toll (New York City)
  • +1-213-306-3065 United States Toll (Los Angeles)
  • Global call-in numbers

Room: "Grand Ballroom Salon 3"

Recording Attendance:

• Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here

Abbreviations

Agenda:

16 Jan 2023 Room "Grand Ballroom Salon 3"

Monday Q1 - Q4, 9 AM - 5:00 PM (Pacific Time - PST U.S.)

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

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 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

IEEE EMB 11073 Point-of-Care Working Group Meeting 

17 Jan 2023  Room "Grand Ballroom Salon 3"

IEEE EMB 11073 PoCD WG Virtual Meeting

Tuesday Q1, Q2, (9:00 AM - 12:30 PM, PST)

Meeting agenda January 17

IEEE 11073 POCD Officers

CHAIR: STEFAN SCHLICHTING, PHD

SECRETARY: KONSTANTINOS MAKRODIMITRIS, PHD

VICE-CHAIR: STEVEN DAIN, MD (MICHAEL FAUGHN 2023-)

Meeting link: https://ieeesa.webex.com/ieeesa/j.php?MTID=m1caa11b802336eae2bd0afffa29adf3f 

IEEE-SA 11073 PoCD iMeetCentral site 

• Presentation, Resource, and other resources for uploaded/archived information:
• Meeting Minutes
• Agendas

1.    Call to Order     (IEEE 11073 POCD Officers)                        9:05a 

2.    Introduction and Affiliation Declarations (WG, All)                    9:10a
a.    Establish Quorum

3.    Approval of Agenda (WG, All)                                9:20a

4.    Approval of Previous Meeting Minutes (WG, All)                    9:25a

5.    IEEE Policies         (IEEE 11073 POCD Officers)                    9:35a
a.    IEEE SA Call for Patents 
b.    IEEE SA Copyright Policy Presentation
c.    IEEE SA Individual Participation

6.    Technical Presentation(s), Contribution(s) or Discussion(s)    
a.    RTM Subgroup updates (Rosetta Terminology Map)                 9:40a
BREAK                                             10:30a
b.    IDCO Subgroup updates (Implanted Devices Cardiac Observation terminology)    11:00a
c.    SDC Subgroup updates     (Service-oriented Device Connectivity)            11:30a
d.    PHD 11073 updates                                12:00p

7.    SC/IEEE brief updates                                    12:15p
8.    New Business    (IHE, AAMI, ISO, NIST, FDA, Conformity briefs)            12:20p
9.    Future Meetings                                    12:40p
10.    Adjourn                                        1:00p

HL7 Devices (DEV) WG Meeting

17 Jan 2023 Room "Grand Ballroom Salon 3"

Tuesday Q3, 1:45 - 3:00 PM (Pacific Time - PST U.S.)

• 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

  • Note: Marti Velezis  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

  • Note: Marti Velezis  At O&O w DEV

Room "Grand Ballroom Salon 3"

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

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

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

  • Review of DEV WG required documents

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

    • ACTION (John J. Garguilo ) Update entry for DEV at: HL7 Overall Tracking Page (for each WG)

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

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

  • Download 3 Year Plan (2021-->2024)

  • Download SWOT Analysis (2019-01-17 Document)

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

  • HL7 DEV Working Group 'Health Reports and the Project and Ballot Health Metrics:  (Rhoads)
    • The final WG Health and PBS Metrics reports have been released for the 2022 May cycle: 2023 January Final Reports
    • New WG Health Metric:

      • A new metric has been added to Work Group Health measuring the number stale issues your WG has in JIRA across product families. Since this is new, it is purely informational at this time, but eventually anything in the red zone will result in an increment on your work group health. This metric will be recalculated before each report is released.

    • See links to current "HL7 WG Health" documents at end of this Agenda

18 Jan 2023 Room "Grand Ballroom Salon 3"

Wednesday Q1, 9 AM - 10:30 AM (Pacific Standard Time - PST U.S.)

• Meeting link:

      https://ieeesa.webex.com/ieeesa/j.php?MTID=m1caa11b802336eae2bd0afffa29adf3f 

• Meeting number (access code):
     2348 552 0884

• Meeting password:
     39EdEPBW3MC

•  from a mobile device (attendees only):
  • +1-646-992-2010,,23485520884## United States Toll (New York City)
  • +1-213-306-3065,,23485520884## United States Toll (Los Angeles)
• Join by phone:
  • +1-646-992-2010 United States Toll (New York City)
  • +1-213-306-3065 United States Toll (Los Angeles)
  • Global call-in numbers

Recording Attendance:

Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here   

• 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). 

• Review Tuesday Q3/4 proceedings (@Cochairs) 

  • Admin Spill over from Q4 Tuesday, as necessary

• Note: O&O is going to discuss Device Resource with Patient Care

• Agenda review (@ Cochairs):

  • SDPi Need a quarter?, if so which Q?

  • Add PSS-1980 Gemini SES+MDI Update - Need a whole quarter? // If so, which Q?

  • Add PSS-2091 Physical Activity Implementation Guide (from project proposal PSS-2069) Project review - Confirmed  Thursday Q3 joint (note: Mobile Health WG not meeting)...

  • other topics for consideration?...

  • ...

• General updates / announcements 

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

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

  • HL7 Co-Chair Updates (Co-Chairs)

    • Chief Standards Development Officer: Dan Vreeman, Deputy Chief: Diego Kaminker
    • Other new TSC members: Jean Duteau (TSC Vice-Chair), Gora Datta, Rich Geimer
  • Note:  HL7 International Education on Demand Site for members: https://www.pathlms.com/hl7
    • E.g., "How To" videos on Confluence and Jira
  • DEV WG Health Metrics: Working Group Health Files (January '23 Interim Reports)
  • Active Standards for Trial Use
    

    • List includes:

      HL7 FHIR® Implementation Guide: Personal Health Device (PHD), Release 1

      FHIR_IG_PHD_R1_STU_2022MAY

      2022-05-09

      2024-05-09

      Devices

    • HL7 FHIR-specific dates

  • Other announcements / updates / suggestions from attendees...
    • 2022SEP NIB site is now OPEN:  Book mark to submit Notice of Intent to Ballot (NIBs): 

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

  • Assumes review has occurred by attendees and those interested

  • September 2022 HL7 DEV Meeting Minutes

  • Motion to Approve; approved 9-0-0, Motion and First: Todd Cooper , Second: John Rhoads

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

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

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

  • Review of DEV WG required documents

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

    • ACTION (John J. Garguilo ) Update entry for DEV at: HL7 Overall Tracking Page (for each WG)

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

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

  • Download 3 Year Plan (2021-->2024)

  • Download SWOT Analysis (2019-01-17 Document)

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

  • HL7 DEV Working Group 'Health Reports and the Project and Ballot Health Metrics:  (Rhoads)
    • The final WG Health and PBS Metrics reports have been released for the 2022 May cycle: 2023 January Final Reports
    • New WG Health Metric:

      • A new metric has been added to Work Group Health measuring the number stale issues your WG has in JIRA across product families. Since this is new, it is purely informational at this time, but eventually anything in the red zone will result in an increment on your work group health. This metric will be recalculated before each report is released.

    • See links to current "HL7 WG Health" documents at end of this Agenda

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"

Recording Attendance:

Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here   

• PHD Status update/report out - (Martin Rosner)

  • Update: IEEE ACOM and BT Generic Health Sensor update (Rosner) 

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

• FHIR Resources

  • FHIR Implementers Site and Resources

  • FHIR Tooling Ecosystem

  • Using the FHIR Mapping Language

• Nomenclature - RTM status update (Paul Schluter )

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

  • 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).

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

  • RTMMS new version release update and progress

  • Tooling updates

  • IHE NA Connectathon 2023 (March 6-10, 2023 held in Austin, Texas)

  • HIMSS23 (April 17-20, 2023 held in Chicago, Illinois)

Wednesday Q3 Room "Grand Ballroom Salon 3"

• Address JIRA Tickets - Working Session

  • Note: Marti Velezis  can Join DEV

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

Wednesday Q4 Room O&O: "Piazza" ; DEV: "Grand Ballroom Salon 3"

• DEV to join O&O w/ Marti Velezis and Elliot Silver to address JIRA Tickets/Issue items.

  • Note: meeting minutes will be recorded by O&O for Wednesday, Q4

• Adjourn IHE-DEV Wednesday 

HL7 Devices (DEV) WG Meeting

19 Jan 2023 DEV Room: "Monte Vista"; Joint w/ O&O Room: "Grand Ballroom Salon 4"

Thursday Q1 (9:00 - 10:30 AM ET)

Meeting link (details above): https://ieeesa.webex.com/ieeesa/j.php?MTID=m1caa11b802336eae2bd0afffa29adf3f

Recording Attendance:

Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here   

• Welcome and Introductions (new attendees)

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 ; O&O Room "Grand Ballroom Salon 4"

• From O&O Agenda:

• Q1  Joint at Orders and Observation WG + BR&R (Device Scope Technical Paper); room Grand Ballroom Salon 4 

• • Links to Confluence Discussion Topics for R5 Ballot JIRAs

    • Device/Definition Specialization 

    • Device Association

    • Device - Device Definition Parent/HasPart

    Device Settings 

    • Current JIRA Tickets

      • FHIR-38057 - DeviceDefinition and Device should use same "specialization" modelMeeting adjourned early - due to lack of participates for the topics on hand.

      • FHIR-38058  - Device specialization assumes a particular model of standards compliance

      • FHIR-39084 - Change .specialization to .conformsTo

        • FHIR-39242 - Change .specialization to .conformsTo. See ticket FHIR-39084

        • FHIR-39053 - Ambiguity when to use .specialization and when .property element

      • FHIR-38902 - Consistency between Device and DeviceDefintion resources

  • Device Scope Whitepaper + PSS-2120 "What is a 'Device'?" TR

  • 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)

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

Thursday Q2 (11:00 AM - 12:30 PM ET) Room "Grand Ballroom Salon 3"

Recording Attendance:

Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here   

Note: Joint meeting with O&O and FHIR-I

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

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

Anesthesia WG Topic (No Presenter)

• • • 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)

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

    • FHIR-39048 - Relationship between Device and Patient

    • FHIR-39009 - Device subject Jiras stomped on each other (related to changes from FHIR-30243, FHIR-34135, FHIR-32570

    • FHIR-38904 - Move patient association out of Device

      • FHIR-39226  - Move patient association out of Device. See FHIR-38904 for more detail.
      • FHIR-39243  - Move patient association out of Device. See ticket FHIR-38904.

    • FHIR-38637 - Add period to Device.association

• DeviceDefinition
  • Device/Definition Specialization

    • Current JIRA Tickets

      • FHIR-38057 - DeviceDefinition and Device should use same "specialization" modelMeeting adjourned early - due to lack of participates for the topics on hand.
      • FHIR-38058  - Device specialization assumes a particular model of standards compliance
      • FHIR-39084 - Change .specialization to .conformsTo
        • FHIR-39242 - Change .specialization to .conformsTo. See ticket FHIR-39084
        • FHIR-39053 - Ambiguity when to use .specialization and when .property element
      • FHIR-38902 - Consistency between Device and DeviceDefintion resources
  • Device / Device Definition Mapping
  • DeviceMetric (Release 4B, V4.3.0)
• 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).

• • others??...

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 (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

Thursday Q4 (3:30 - 5:00 PM) At O&O (note Change), room Piazza

DEV has Room "Event Center Break Out Room" open

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

• Meeting Adjournment (Co-Chairs)

20 Jan 2023 

Friday Q1 (9:00 AM - 10:30 AM ET)

TBD if WebEx will be available in O&O Meeting Room

If available - Meeting link (details above): https://ieeesa.webex.com/ieeesa/j.php?MTID=m1caa11b802336eae2bd0afffa29adf3f

Recording Attendance:

Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here 

20 Jan 2023 O&O Room: "Montelago 1"

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 - room is available for)

• • Friday Q1 (OO, DEV) - O&O Agenda
    • NOTE: joint meeting with O&O and may include FHIR-I WG 
    • Device Overflow from Thurs Q1 with DEV group
    • If WebEx is available, the same connection link will be used: https://ieeesa.webex.com/ieeesa/j.php?MTID=mb8f9c1692e7cf097593c3f60890e0e3a

Friday Q2  (11:00 AM - 1:00 PM ET) Room "Monte Vista"

Open - NO meetings scheduled

Recording Attendance:

Please Log January 2023 HL7 DEVICE and IEEE 11073 WG Attendance here 

Welcome and Daily Agenda Review (Cooper)

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). 

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

Topics Development Items (used to formulate September Agenda) Co-Chairs only area...

January 2023 IEEE-11073 Point of Care Device (PocD) WG Topics for consideration:

1. Add new topic here (which will be added below to schedule by IEEE PoCD Co-chairs/Secretary)
2. ...

January 2023 HL7 DEV WG Topics for consideration:

Please Add Proposed Agenda Items Here (with lead name(s) provided):
(Note: Items with a check mark have already been added to Agenda in specific quarters during week)

• 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 22 Dec 2022  

  • 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

        • FHIR-39048 - Relationship between Device and Patient

        • FHIR-39009 - Device subject Jiras stomped on each other (related to changes from FHIR-30243, FHIR-34135, FHIR-32570

        • FHIR-38904 - Move patient association out of Device

          • FHIR-39226  - Move patient association out of Device. See FHIR-38904 for more detail.
          • FHIR-39243  - Move patient association out of Device. See ticket FHIR-38904.

        • FHIR-38637 - Add period to Device.association

    • DeviceDefinition
      • Device/Definition Specialization

        • Current JIRA Tickets

          • FHIR-38057 - DeviceDefinition and Device should use same "specialization" modelMeeting adjourned early - due to lack of participates for the topics on hand.
          • FHIR-38058  - Device specialization assumes a particular model of standards compliance
          • FHIR-39084 - Change .specialization to .conformsTo
            • FHIR-39242 - Change .specialization to .conformsTo. See ticket FHIR-39084
            • FHIR-39053 - Ambiguity when to use .specialization and when .property element
          • FHIR-38902 - Consistency between Device and DeviceDefintion resources
      • Device / Device Definition Mapping
      • DeviceMetric (Release 4B, V4.3.0)
    • 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??...