1、 Copyright 2003 IEEE and ISO. All rights reserved. This is an unapproved IEEE and ISO Standards Draft, subject to change. ISO/IEEE P11073-10101/d08 IEEE P1073.1.1.1/d08 Date: 2003 September Draft Standard for Health informatics Point-of-care medical device communication Nomenclature Copyright 2003 b
2、y the Institute of Electrical and Electronics Engineers, Inc. Three Park Avenue New York, New York 10016-5997, USA All rights reserved. All rights reserved. This document is an unapproved draft of a proposed IEEE Standard. As such, this document is subject to change. USE AT YOUR OWN RISK! Because th
3、is is an unapproved draft, this document must not be utilized for any conformance/compliance purposes. Permission is hereby granted for IEEE Standards Committee participants to reproduce this document for purposes of IEEE standardization activities only. Prior to submitting this document to another
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5、om the Manager, Standards Licensing and Contracts, IEEE Standards Activities Department. IEEE Standards Activities Department Standards Licensing and Contracts 445 Hoes Lane, P.O. Box 1331 Piscataway, NJ 08855-1331, USA ISO Copyright notice This ISO document is a working draft or committee draft and
6、 is copyright-protected by ISO. While the reproduction of working drafts or committee drafts in any form for use by participants in the ISO standards development process is permitted without prior permission from ISO, neither this document nor any extract from it may be reproduced, stored or transmi
7、tted in any form for any other purpose without prior written permission from ISO. Requests for permission to reproduce this document for the purpose of selling it should be addressed as shown below or to ISOs member body in the country of the requester: Audrey Dickerson (adickersonhimss.org) ISO TC2
8、15 secretariat HIMSS Reproduction for sales purposes may be subject to royalty payments or a licensing agreement. Violators may be prosecuted. Warning This document is not an ISO International Standard. It is distributed for review and comment. It is subject to change without notice and may not be r
9、eferred to as an International Standard. Recipients of this document are invited to submit, with their comments, notification of any relevant patent rights of which they are aware and to provide supporting documentation. Deleted: d07Deleted: d07Deleted: AugustCopyright The Institute of Electrical an
10、d Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-IEEE P1073-1.1.1/d08 ISO/IEEE P11073-10101/d08 2003-09 Copyright 2003 IEEE and ISO. All rights reserved. Page ii This is an unapproved IEEE and ISO
11、Standards Draft, subject to change. Revision history Revision Date Source Comment NWIP 1999/05/20 TC215/WG2 CEN ENV 13734 Annex A submitted as basis for WI a01 1999/10/20 Jan Wittenber Isonom.zip contaned three parts as an initial working draft. Part 1: Architecture Part 2: Semantics Part 3: Syntax
12、Content from IEEE 1073.1.1 and ENV 13735 ahd been merged at this stage. It was agreed in Tokyo that these should be converted to a single document with the 2ndand 3rdparts as normative annexes a01-a06 2000/06/09 -2000/08/21 Michael Kraemer ISO_VITAL_ANNEX_A_neu2.rtf to ISO17109reva_210800_MK.doc Tec
13、hnical corrections in Annexes A they are SI units, but dont currently have a Term Code defined for them. This may be added in a later revision as necessary. Table A.6.2 Changed invalid table reference in A.6.1.3 from Table A.4.3 to A.6.3 Section A.6.1.3 Due to differences in the definitions of billi
14、on and trillion in the U.S. and Europe, these terms were removed and simply replaced with their “power of 10” definitions. No semantic change was effected. Note that for backward compatibility, the reference IDs were left in the listings with the same Term Codes. Table A.6.3, Reference ID listing Ad
15、ded comment to introductory section about the rationale for the inclusion of non-metric units and their intended purpose. Section A.6.1.1 Changed “square seconds” to “seconds squared” in two places. Table A.6.3 Deleted: d07Deleted: d07Deleted: 08Deleted: d06Deleted: Added section A.8.5.1.3.3 with ad
16、ditional semantic link “is computed as:” for the 1st set of differentiating criteria for Blood Gas, Blood, Urine and other fluid Chemistry Measurements; criteria included Linear and LogarithmicDeleted: Section A.8.5Deleted: Added “Logarithmic “ criteria to all existing “pH” systematic names that inc
17、lude H+ in table A.8.5.8: MDC_CONC_PH_ART, MDC_CONC_PH_VEN, MDC_CONC_PH_URINE, MDC_CONC_PH_ASPIR, MDC_CONC_PH_DRAIN, MDC_CONC_PH_PLASMA, MDC_CONC_PH_SERUM, MDC_CONC_PH_CSF, MDC_CONC_PH_GEN, MDC_CONC_PH_GASTRIC, MDC_CONC_PH_ESOPHDeleted: 8.5.8Deleted: Added terms for H+ that call out “H+, Linear” in
18、the systematic names: MDC_CONC_H_ION_ART, MDC_CONC_H_ION_VEN, MDC_CONC_H_ION_URINE, MDC_CONC_H_ION_ASPIR, MDC_CONC_H_ION_DRAIN, MDC_CONC_H_ION_PLASMA, MDC_CONC_H_ION_SERUM, MDC_CONC_H_ION_CSF, MDC_CONC_H_ION_GEN, MDC_CONC_H_ION_GASTRIC, MDC_CONC_H_ION_ESOPHDeleted: Table A.8.5.8Deleted: Added the ab
19、ove _H_ION_ reference IDs and term codes to the listings in listing B3 (after the related terms)Deleted: Section B.3 (around page 325), “BLOOD CHEM” partitionDeleted: “(e.g., measured on-line by a telemetry system)” Deleted: descriptionsDeleted: Table A.8.11.16Deleted: MDC_CONC_ESOPH_ACIDDeleted: MD
20、C_CONC_GASTRIC_ACIDDeleted: Spelling change: “gneral“ to “general”. 1Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-IEEE P1073-1.1.1/d08 ISO/IEEE P11073-10
21、101/d08 2003-09 Copyright 2003 IEEE and ISO. All rights reserved. Page iv This is an unapproved IEEE and ISO Standards Draft, subject to change. Contents 1 Scope 1 2 Conformance 1 3 Normative references. 1 4 Terms and definitions 2 5 Symbols (and abbreviated terms) . 2 6 Application 3 7 Semantics .
22、4 7.1 Attribution. 4 7.2 Coding. 5 7.2.1 Context-sensitivity . 5 7.2.2 Grouping. 6 8 Syntax . 7 8.1 Transfer. 7 8.1.1 Types. 7 8.1.2 Notation. 7 8.2 Programmatic . 8 8.2.1 Attribution. 8 8.2.2 Notation. 8 9 Extensibility 9 10 Version Exporting 9 Normative Annex A. 10 A.1 Overview of Nomenclature for
23、 vital signs - Semantics . 11 A.1.1 Introduction 11 A.2 Code Assignment to the MDIB Elements . 12 A.3 Data Dictionary and Codes for Object Oriented Modelling Elements 18 A.3.1 Introduction 18 A.3.2 Object-Oriented Modelling Elements: Inventory Tables 20 A.3.2.1 General 20 A.3.2.2 Medical Package. 20
24、 A.3.2.3 Alert Subject . 25 A.3.2.4 System Subject. 26 A.3.2.5 Control Subject. 29 A.3.2.6 Extended Services Subject 31 A.3.2.7 Communication Subject 32 A.3.2.8 Archival Subject . 34 A.3.2.9 Patient Subject . 35 A.4 Data Dictionary and Codes for Communication Infrastructure 38 A.5 Nomenclature, Data
25、 Dictionary and Codes for Vital Signs Instrumentation/Devices . 43 A.5.1.1 Introduction 43 A.5.1.2 Base Concepts . 43 A.5.1.3 First Set of Differentiating Criteria 44 A.5.1.4 Second Set of Differentiating Criteria. 45 A.5.1.5 Third Set of Differentiating Criteria. 45 A.5.1.6 Attributes 46 A.5.1.7 Co
26、de Table 46 A.6 Terminology and Codes for Units of Measurement. 52 A.6.1.1 Introduction 52 Deleted: d07d0708Field Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code C
27、hangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField
28、Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code Changed
29、Field Code ChangedField Code ChangedField Code Changed. 2. 3. 5. 4. 6. 28. 7. 29. 8. 30. 9. 31. 10. 32. 11. 33. 12. 34. 13. 35. 14. 36. 15. 37. 16. 38. 17. 39. 18. 40. 19. 41. 20. 42. 21. 43. 22. 44. 23. 45. 24. 46. 25. 47. 26. 48. 27. 49Copyright The Institute of Electrical and Electronics Engineer
30、s, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-IEEE P1073-1.1.1/d08 ISO/IEEE P11073-10101/d08 2003-09 Copyright 2003 IEEE and ISO. All rights reserved. This is an unapproved IEEE and ISO Standards Draft, subject to ch
31、ange. Page v A.6.1.2 Orders of Magnitude Discriminator 52 A.6.1.3 Units outside of SI 53 A.6.1.4 Units of Measurement 53 A.7 Nomenclature, Data Dictionary and Codes for Metrics (Measurements and Enumerations) 62 A.7.1 Nomenclature for ECG Measurements . 62 A.8.2 Nomenclature for ECG Enumerations 76
32、A.8.3 Nomenclature, Data Dictionary and Codes for Haemodynamic Monitoring Measurements 82 A.8.4 Nomenclature, Data Dictionary and Codes for Respiratory Measurements 95 A.8.5 Nomenclature, Data Dictionary and Codes for common Blood Gas, Blood, Urine and other fluid Chemistry Measurements 118 A.8.6 No
33、menclature, Data Dictionary and Codes for Fluid Output Measurements. 126 A.8.7 Nomenclature , Data Dictionary and Codes for Pumps. 129 A.8.8 Nomenclature, Data Dictionary and Codes for Neurological Monitoring Measurements. 143 A.8.9 Nomenclature, Data Dictionary and Codes for Neurophysiologic Enumer
34、ations. 155 A.8.10 Nomenclature, Data Dictionary and Codes for Stimulation Modes 174 A.8.11 Nomenclature, Data Dictionary and Codes for Miscellaneous Measurements . 179 A.8.12 Nomenclature, Data Dictionary and Codes for Body Sites . 183 A.9 Nomenclature, Data Dictionary and Codes for Body Sites . 18
35、4 A.9.1 Introduction 184 A.9.2 Sites for neurophysiological signal monitoring: location near peripheral nerves 185 A.9.3 Sites for neurophysiological signal monitoring: location near muscles . 197 A.9.4 Sites for EEG-electrode placement on the head 227 A.9.5 Sites for EOG signal monitoring . 232 A.9
36、.6 Sites for General Neurological monitoring measurements and drainage 237 A.9.7 Sites for Cardiovascular Measurements 239 A.9.8 Miscellaneous sites used in vital signs monitoring and measurement . 243 A.9.9 Qualifiers of Body Site Locations . 253 A.10 Nomenclature, Data Dictionary and Codes for Ale
37、rts . 257 A.10.1 Introduction 257 A.10.2 Diagnostic Pattern Events . 257 A.10.3 Device and environment related Events. 264 A.11 Nomenclature, Data Dictionary and Codes for External Nomenclatures. 283 A.11.1 Introduction 283 A.11.2 Base Concepts . 283 A.11.3 Code Table 285 Normative Annex B. 288 B.1
38、General 289 B.1.1 Notation 289 B.1.2 Partition Codes 289 B.1.3 Discriminator Ranges 290 B.2 Object Infrastructure 290 B.3 Medical Supervisory Control and Data Acquisition (SCADA). 322 B.4 Events 369 B.5 Dimensions . 385 B.6 Virtual Attributes 393 B.7 Parameter Groups 393 B.8 Body Sites. 394 B.9 Comm
39、unication Infrastructure 409 B.10 External Nomenclature. 412 Informative Annex C . 414 Deleted: d07d0708Field Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code Chang
40、edField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code
41、 ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code ChangedFiel
42、d Code ChangedField Code ChangedField Code ChangedField Code ChangedField Code Changed. 50. 51. 52. 53. 54. 77. 55. 78. 56. 79. 57. 80. 58. 81. 59. 82. 60. 83. 61. 84. 62. 85. 63. 86. 64. 87. 65. 88. 66. 89. 67. 90. 68. 91. 69. 92. 70. 93. 71. 94. 72. 95. 73. 96. 74. 97. 75. 98. 76. 99Copyright The
43、Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-IEEE P1073-1.1.1/d08 ISO/IEEE P11073-10101/d08 2003-09 Copyright 2003 IEEE and ISO. All rights reserved. Page vi This is a
44、n unapproved IEEE and ISO Standards Draft, subject to change. Foreword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of preparing International Standards is normally carried out through ISO technical comm
45、ittees. Each member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the
46、International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization. International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 3. Draft International Standards adopted by the technical committees are circulated to the member
47、 bodies for voting. Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote. Attention is drawn to the possibility that some of the elements of this part of ISO/IEEE 11073-10101 may be the subject of patent rights. ISO shall not be held respons
48、ible for identifying any or all such patent rights. International Standard ISO/IEEE 11073-10101 was prepared by Technical Committee ISO/TC 215, Healthcare Informatics, Working Group 2, Healthcare Messaging and Communications. The ISO/IEEE Pilot Project Process was used for the development of this standard, which provided for participation of international experts in the initial development and approval of the IEEE version of the standard. Once a draft document was approved using an IEEE process, it was then sent to ISO CS for DIS and FDIS balloting, and by the Vienna Ag
