Prior Meeting Minutes (Approved on 02/04/2020)as recorded & presented (motion made by John Garguilo, 2nd by Michael Faughn; approved 12-0-0); refer to Meeting Minutes (September 2019, Atlanta ).
Ken Fuchs is Co-chair of the "use case" sub-committee
Artificial Intelligence, Blockchain, and other related projects as well as a number of groups in IEEE which have emerged...
IEEE Web Site
Tom Tompson suggested having IEEE pages on an IEEE Web Site and "owned" by IEEE Leadership role person
CMI Report Out
CMI (Center for Medical Interoperability, Nashville, Tennessee, USA) update (by Paul Schluter)
No updates / report from Paul regarding CMI from last meeting
Paul noted ventilator terms still actively being worked on...
No Action items Q2 ...
Tuesday, Q3
Terminology Update (for Clem McDonald)
Nomenclature Modeling Discussion
Paul Schluter
Michael Faughn
Brief Terminology Report Out
Paul Schluter, CMI
Note: Paul Schluter provided a status update on terminology efforts (mainly for NLM's Clem McDonald - who had limited time available in the HCD WG session).
Nomenclature Modeling Discussion
Michael Faughn (Prometheus Computing, NIST Contractor)
Michael provided an overview of some thoughts, ideas, and a proposal(?) on potential approaches to improve some terminology which have some "inconsistencies" or areas that are difficult to interpret based on his tool development and modeling efforts ...
Michael systematically lead everyone to the difficulties encountered in some issues, such as handling attribution around synonyms or homonyms.
The following slide capture is the introduction of the topic discussed and presented:
Engaged discussion, group will continue to move forward and consider Michael's suggestions...
More discussion moving forward likely in the weekly WG Teleconferences and future WG meetings noted.
No action items identified for Q3.
Tuesday, Q4
"DiGAV" (German regulation) draft discussion
PoCD Cybersecurity:
11073 PHD Cybersecurity
AAMI TIR57, SW96, TIR97,
UL2900
Security topics from JWG7
Bjoern Anderson/Martin Kasparnick
John Rhoads / Schlichting
"DiGAV" (German regulation) draft discussion
Bjoern Andersen Björn Andersen provided background on a new German regulation regarding regulations to 'register' "Apps" between 'App' and 'Device'. The draft regulation mentions requirement of using IEEE 11073. Björn and Martin Kasparick Martin Kasparnick (both from University in Lübeck, Germany) mentioned that comments are due in the very near term and were looking to get feedback from this HCD WG expertise to potentially submit comments.
PoCD Cybersecurity
John Rhoads
John noted that documents appear to look at governance versus the typical implementation details...
John provided briefings and updates on the following standards:
11073 PHD Cybersecurity
AAMI TIR57,
SW96, TIR97,
UL2900-1
New release just out...
Series that talks about general environments, 2900 is general and there is also a UL standard(s) for specific medical devices...
Security topics from ISO TC215, JWG7
Topic discussed regarding Safety and security of health Apps - for health Apps, now looking at software as a medical device...
Björn provided overview and within discussion of Road-mapping, addressed "what should be done first?"
Note refer to snippet of "Cathedral Diagram" below
Key purpose standards will first be addressed; mainly P11073-10700, -10701, -10702, -10703 (green standards in diagram below)
Green standards define roles and responsibilities - e.g., you have to understand the semantic meaning of target, device, and enable the risk management of the "participants"
Yellow (see below) parts of standard (-10721, 22, 23, 24, 25) are the device specializations
ModSpecs are reusable and a consistent structure is assumed across the devices
"Cathedral Diagram" snippet:
Björn noted goal and striving for 'Modular Specifications' - Example provided (gas supply, work in progress, see below):
Action Item: Martin Kasparick is to update the PAR via IEEE, then vote would go to WG, then to NesCom (which would go onto the next NesCom) agenda...
OR.NET
Association is still active, now hoping to get some funding for new standards (e.g., SDC standards with security). Goal would be to make it as easy as possible and usable for small companies. Will be searching for funding over the next year or so (some marketing efforts happening in some German conferences)
OR.NET conformity is important.
Started doing "plug-fests"; 3rd meeting of open source libraries and use of these libraries were tried and tested to ensure interoperability and where there are shortcomings or issues.
1 Action Item Assigned
Wednesday Q3
"Service-oriented Device Point-of-Care Interoperability (SDPi)" White Paper (out for Public Comment)
CAT Roadmapping
MDI Standards "Families" - Intro.
U.S. Army MRDC MDIRA Project
IHE SDPi Use Cases
IHE PCD 2.0 Considerations
X73 PoCD/PHD "Scoping" Open Discussion
Roadmap for PoCD WG
Planning for May Meeting (San Antonio)
Review IEEE Portion of Meeting
Adjourn IEEE PoCD WG
Todd Cooper
Co-Chairs
Note: Todd Cooper was not in attendance, however he provided the HU/APL MIDIRA Architecture. This document is in public comment status and is available per request (contact Todd Cooper via email request).
Other topics were not discussed or updated, please refer last meeting (Atlanta) for prior status update.
Roadmap for PoCD WG
John Rhoads
Plans are in place to roll PCHA with PHD under IHE as one sub domain (formally IHE-PCD) along with SDPi and proposed new domain name (change) to "IHE-Device".
Planning for Next HL7 HCD WG (May 2020) Meeting (San Antonio)
John Rhoads
Noted that several individuals from the group here in Sydney plan on attending ... more details as WG gets closer to May 2020
Attendees and WG participants encouraged to submit Agenda topics as soon as possible.
Attendees and WG participants encouraged to review Sydney meeting minutes and either edit or contact John Garguilo and Co-Chairs to make edits (include corrections, typos, and elaboration/detail on topics and subjects addressed).
Review IEEE Portion of Meeting
IEEE PoCD Secretary John Garguilo led review along with IEEE 11073 Chair Ken Fuchs and PocD Chair John Rhoads.
Ken Fuchs noted more forthcoming regarding new officer roles and descriptions...
Motion made to close the IEEE PoCD portion of WG meetings
HL7 continues to move and demand (all WGs use) toward Confluence and JIRA
Harmonization project is going away for Co-Chairs... will now be done electronically on Confluence by Vocabulary WG. May 2020 reconciliation of terminology is proposed to happen in May 2020. Vocabulary WG Chair (Ted Klein) calling for "pilot" participants.
Goal is to have a high-quality collection of device terminology (including 10101R)
Functional goal to produce any format out of RTMMS II
Power users can also take output to perform verification with existing "tools/spreadsheets/etc." (e.g., Paul Schluter)
RTMMS V2 - will provide two distinct interfaces - 1) for management/curation/sheppard from inception to ballot and 2) for users to get at collection of terminology
11073-10201 DIM-(Domain Information Model) DPE (Device Profile Editor)
Michael has figured out a way to make profiles based on UML models; to enable this it will require enough of a change to refactor DPE to some levels
Also a -10207 DPE, which will work on same framework - which is in place today! (and thus be leveraged and used for re-work of -10201)
Re-work will enable "plug-ins"
Management and Governance of RTMMS
This does not preclude a way to get terms through standardization and adoption process...
11073-10201 Device Profile to V2 IG and testing (integrated into NIST Testing and Development Framework)
Present NIST Framework - V2 - centric...
Michael discussed prior projects and where we are at going forward...
Above: There will be a device profiling tool editor in RTMMS - shown as feeding into "Device Profile Tools"
Given the model (see snippet above) - the tool should be device "agnostic"
Enables modeling and mapping regarding of the differences (-10201 vs. -20601) which captures all the attributes that "make the device the device"
Device Profile to FHIR IG (gives a head start on a FHIR IG)
Note: there are other FHIR IG producing tools (e.g., Forge) - still looking at the boundaries and integration potential... (e.g., Latana, Trifolia, Fire-I)
Related to all the 'resources' from FHIR site...
Key "resources" defined (4.0.1 of specification is compatible with IGs): - Device, DeviceMetric, Observation, and Patient
Logistics, catalogs, moving patients around the hospital
NIST V2 Tooling Status Update (Garguilo)
John Garguilo provided a general overview of NIST test program, V2 Framework and relationship to IEEE family of standards work (semantic content)
Discussion on "mappings" of 11073 DIMs, including SDC.
Conceptual maps are achievable - achieving specifics is/would be the hard development effort...
E.g., device to device vs device to enterprise (having a "common model")...
Devices through a gateway to a common interface (including difference DIMs) ?? versus device to device...
Note: a diagram was shown on "levels of Interoperability" - similar conceptual interoperability Model (see Turnista,
Action: John G. to post both Michael Faugh's and his meeting slides...
Thursday, Q2
Terminology:
10101 to LOINC mapping updates
10101 / LOINC review panel plan
IEEE P11073-10101b
parameters (NMT, TPTD-CCO, infusion?
event and alert nomenclature
additional body and measurement sites
IEEE -10103 IDCO
Harmonized Rosetta (hRTM2a) updates
Type your task here, using "@" to assign to a user and "//" to select a due date
Focus on new terms in green below (all above the "New Parameters")
Paul presented the following three questions:
Action items from this session (outside of continued work and addressing the items mentioned by Paul (three slide snippets above):
Action items:
Paul Schluter Paul Schluter intends and has an ask (review by others) to have a provisional term set (by End of February, ref id + code + descriptions)
Paul Schluter Paul also intends to address ability to generate additional test strings (with help of review from others!?)
Action Item (HCD/All) Sara asked HCD for review and provide feedback regarding concept map from WG members
FDA Discussion
Konstantinos Makrodimitris
Kosta hosted a discussion, which included folks from American Dental Association, around if and what projects involve other HL7 standards including V2, V3, and FHIR
Dental Device focus
American Dental Association (ADA) folks in attendance include: Philip Wilford, Sharon Stanford, Gregory Zeller
SNODENT
SNOMED for Dentistry terminology
SNOMED-GD (General Dentistry)
Images are typically exchanges Using DICOM
Imaging
CDA Implementation with DoD and Private
Dental to Medical, CCDA
Dentist to Dentist CCDA → working on FHIR
Patient provider Information Exchange (PIE)
Co-sponsor from Patient Care
Sharon and Philip Wilford are working through ISO Dental Group TC216
Sharon mentioned that anything on Dental (any projects with Dental - likely has a home for the work)
Group is open - There is both a National and International umbrella for all such projects
These cross between informatics and materials
Part of ANSI process...
Kosta asked (see following slide snippet) about what projects are in V3 and CDA?
1351: To be deleted from Project List (3 year plan no longer needed)
1335: On-going (HCD is Co-Sponsor), owe an update to Project Insight (ballot item)
1277: Need to update the PSS for the steering division (and update dates)
1153: HCD is working with Anesthesia WG to get two groups revised, then Anesthesia WG has to complete DAM
898: Now at the next stage of usability (no needs for HCD from lead) - success!
897: Now at the next stage of usability (no needs from HCD from lead) - success!
850: Dependent on the DAM finishing
513: HCD has asked to remove, still shows up
HL7 DEV General Roadmap and Planning
Mainly FHIR IGs work, in addition to Anesthesia WG items tied to DAM
FHIR Connectathon here in Sydney, John Rhoads caucused with the FHIR Shorthand Group - a domain specific effort to make it less difficult to profile IGs with a simple language in the draft.
John R. suggested to - Google "FHIR Shorthand" which provides links to a compiler and other information...
John R. was successful in short time at building on basic FHIR resources, appeared to work, was simple and straightforward...much easier than using extensions and cardinality in raw XML..
Carry-over DEV topics
No carry-over topics
Motion to adjourn HL7 HCD WG
Motion by Michael Faughn, second by Matthew Graham
