ISO/IEEE 11073-10101:2004
(Main)Health informatics — Point-of-care medical device communication — Part 10101: Nomenclature
Health informatics — Point-of-care medical device communication — Part 10101: Nomenclature
ISO 11073-10101:2004 covers nomenclature architecture for point-of-care (POC) medical device communication (MDC). It defines the overall architecture of the organization and relationships among nomenclature components and provides specifications of semantics and syntaxes. ISO 11073-10101:2004 is intended for use within the context of IEEE Std 1073,1 which sets out the relationship between this and other documents in the POC MDC series.
Informatique de santé — Communication entre dispositifs médicaux sur le site des soins — Partie 10101: Nomenclature
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INTERNATIONAL
ISO/IEEE
STANDARD
11073-10101
First edition
2004-12-15
Health informatics — Point-of-care
medical device communication —
Part 10101:
Nomenclature
Informatique de santé — Communication entre dispositifs médicaux sur le
site des soins —
Partie 10101: Nomenclature
Reference number
ISO/IEEE 11073-10101:2004(E)
© ISO/IEEE 2004
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ISO/IEEE 11073-10101:2004(E)
Health informatics — Point-of-care
medical device communication —
Part 10101:
Nomenclature
Sponsor
™
IEEE 1073 Standard Committee
of the
IEEE Engineering in Medicine and Biology Society
Approved 24 June 2004
IEEE-SA Standards Board
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ISO/IEEE 11073-10101:2004(E)
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Abstract: Within the context of the ISO/IEEE 11073 family of standards for point-of-care (POC) medical
device communication (MCD), this standard provides the nomenclature that supports both the domain infor-
mation model and service model components of the standards family, as well as the semantic content
exchanged with medical devices. The nomenclature is specialized for patient vital signs information represen-
tation and medical device informatics, with major areas including concepts for electrocardiograph (ECG),
haemodynamics, respiration, blood gas, urine, fluid-related metrics, and neurology, as well as specialized
units of measurement, general device events, alarms, and body sites. The standard defines both the architec-
ture and major components of the nomenclature, along with extensive definitions for each conceptual area.
Keywords: codes, information model, medical device communication, nomenclature, ontology, patient,
point-of-care, POC, semantics, service model, terminology
This ISO/IEEE document is an International Standard and is copyright-protected by ISO and the IEEE. Except as
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ii Copyright © 2004 ISO/IEEE. All rights reserved.
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ISO/IEEE 11073-10101:2004(E)
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Copyright © 2004 ISO/IEEE. All rights reserved. iii
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ISO/IEEE 11073-10101:2004(E)
iv Copyright © 2004 ISO/IEEE. All rights reserved.
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ISO/IEEE 11073-10101:2004(E)
ISO 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 committees. 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 International Electrotechnical Commission (IEC) on all matters of electrotechnical
standardization.
Draft International Standards adopted by the technical committees are circulated to the member bodies for
voting. Publication as an International Standard requires approval by at least 75% of the member bodies
casting a vote.
A pilot project between ISO and the IEEE has been formed to develop and maintain a group of ISO/IEEE
standards in the field of medical devices as approved by Council resolution 43/2000. Under this pilot
project, IEEE is responsible for the development and maintenance of these standards with participation and
input from ISO member bodies.
Attention is drawn to the possibility that some of the elements of this International Standard may be the
subject of patent rights. Neither ISO nor the IEEE shall be held responsible for identifying any or all such
patent rights.
ISO/IEEE 11073-10101:2004(E) was prepared by IEEE 1073 Committee of the IEEE Engineering in
Medicine and Biology Society.
Copyright © 2004 ISO/IEEE. All rights reserved. v
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ISO/IEEE 11073-10101:2004(E)
IEEE Introduction
This introduction is not part of ISO/IEEE 11073-10101:2004(E), Health informatics — Point-of-care medical device
communication — Part 10101: Nomenclature.
ISO/IEEE 11073 standards enable communication between medical devices and external computer systems.
They provide automatic and detailed electronic data capture of patient vital signs information and device
operational data. The primary goals are to:
— Provide real-time plug-and-play interoperability for patient-connected medical devices
— Facilitate the efficient exchange of vital signs and medical device data, acquired at the point-of-care,
in all health care environments
“Real-time” means that data from multiple devices can be retrieved, time correlated, and displayed or
processed in fractions of a second. “Plug-and-play” means that all the clinician has to do is make the
connection — the systems automatically detect, configure, and communicate without any other human
interaction.
“Efficient exchange of medical device data” means that information that is captured at the point-of-care
(e.g., patient vital signs data) can be archived, retrieved, and processed by many different types of
applications without extensive software and equipment support, and without needless loss of information.
The standards are especially targeted at acute and continuing care devices, such as patient monitors,
ventilators, infusion pumps, ECG devices, etc. They comprise a family of standards that can be layered
together to provide connectivity optimized for the specific devices being interfaced.
Notice to users
Patents
Attention is called to the possibility that implementation of this standard may require use of subject matter
covered by patent rights. By publication of this standard, no position is taken with respect to the existence or
validity of any patent rights in connection therewith. The IEEE shall not be responsible for identifying
patents or patent applications for which a license may be required by to implement an IEEE standard or for
conducting inquiries into the legal validity or scope of those patents that are brought to its attention.
Errata
Errata, if any, for this and all other standards can be accessed at the following URL: http://
standards.ieee.org/reading/ieee/updates/errata/index.html. Users are encouraged to check this URL for
errata periodically.
Interpretations
Current interpretations can be accessed at the following URL: http://standards.ieee.org/reading/ieee/interp/
index.html.
vi Copyright © 2004 ISO/IEEE. All rights reserved.
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ISO/IEEE 11073-10101:2004(E)
Participants
At the time this standard was completed, the working group of the IEEE 1073 Standard Committee had the
following membership:
Todd H. Cooper, Chair
Michael Krämer
Wolfgang Bleicher Paul Rubel
Francis Cantraine
Alberto Macerata Lief Rystrøm
Mats Cardell Simon Meij Paul Schluter
Thomas Norgall
Michael Flötotto Michael Spicer
Ken Fuchs Thomas Penzel Lars Steubesand
Kai Hassing Francesco Pinciroli Alpo Värri
Melvin Reynolds
Gunther Hellmann Jan Wittenber
Jörg Kampmann Angelo Rossi Mori Paul Woolman
Ron Kirkham Christoph Zywietz
The following members of the individual balloting committee voted on this standard. Balloters may have
voted for approval, disapproval, or abstention.
Thomas Canup John Grider Melvin Reynolds
Michael Chilbert Kai Hassing Michael Spicer
Keith Chow Tom Kannally Richard Schrenker
Todd H. Cooper Robert Kennelly M. Michael Shabot
Grace Esche Randall Krohn Lars Steubesand
Kenneth Fuchs Yeou-Song Lee Gin-shu Young
Daniel Nowicki
When the IEEE-SA Standards Board approved this standard on 24 June 2004, it had the following
membership:
Don Wright, Chair
Steve M. Mills, Vice Chair
Judith Gorman, Secretary
Chuck Adams Mark S. Halpin Paul Nikolich
Stephen Berger Raymond Hapeman T. W. Olsen
Richard J. Holleman Ronald C. Petersen
Mark D. Bowman
Gary S. Robinson
Joseph A. Bruder Richard H. Hulett
Frank Stone
Bob Davis Lowell G. Johnson
Malcolm V. Thaden
Joseph L. Koepfinger*
Roberto de Marca Boisson
Doug Topping
Hermann Koch
Julian Forster*
Joe D. Watson
Thomas J. McGean
Arnold M. Greenspan
Daleep C. Mohla
*Member Emeritus
Also included are the following nonvoting IEEE-SA Standards Board liaisons:
Satish K. Aggarwal, NRC Representative
Richard DeBlasio, DOE Representative
Alan Cookson, NIST Representative
Don Messina
IEEE Standards Project Editor
Copyright © 2004 ISO/IEEE. All rights reserved. vii
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ISO/IEEE 11073-10101:2004(E)
Contents
1. Scope. 1
2. Conformance. 1
3. Normative references. 1
4. Terms and definitions . 2
5. Symbols (and abbreviated terms) . 2
6. Application. 4
7. Semantics . 4
7.1 Attribution. 5
7.2 Coding. 5
7.2.1 Context-sensitivity. 6
7.2.2 Grouping . 7
8. Syntax . 7
8.1 Transfer. 7
8.1.1 Types. 7
8.1.2 Notation . 8
8.2 Programmatic. 8
8.2.1 Attribution. 8
8.2.2 Notation . 9
9. Extensibility . 10
10. Version exporting . 10
Annex A (normative) Nomenclature semantics. 11
A.1 Overview of nomenclature for vital signs—semantics. 11
A.1.1 Introduction. 11
A.2 Code assignment to the MDIB elements . 12
A.2.1 Overview. 12
A.2.2 Basic rules.12
A.2.3 Coding spaces . 13
A.3 Data dictionary and codes for object-oriented modeling elements (Block A) . 18
A.3.1 Introduction. 18
A.3.2 Object-oriented modeling elements: inventory tables . 19
A.4 Data dictionary and codes for communication infrastructure (Block G). 42
A.4.1 Communication infrastructure: inventory tables . 42
A.5 Nomenclature, data dictionary, and codes for vital signs devices (Block A). 47
A.5.1 Introduction. 47
A.5.2 Base concepts. 48
A.5.3 First set of differentiating criteria . 48
A.5.4 Second set of differentiating criteria. 49
A.5.5 Third set of differentiating criteria. 49
viii Copyright © 2004 ISO/IEEE. All rights reserved.
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ISO/IEEE 11073-10101:2004(E)
A.5.6 Attributes .50
A.5.7 Code table . 50
A.6 Terminology and codes for units of measurement (Block B). 59
A.6.1 Introduction. 59
A.6.2 Orders of magnitude discriminator. 59
A.6.3 Units outside of SI . 60
A.6.4 Units of measurement . 60
A.7 Nomenclature, data dictionary, and codes for metrics (measurements and
enumerations) (Block C). 76
A.7.1 Nomenclature for ECG measurements . 76
A.7.2 Nomenclature for ECG enumerations. 93
A.7.3 Nomenclature, data dictionary, and codes for haemodynamic
monitoring measurements. 102
A.7.4 Nomenclature, data dictionary, and codes for respiratory measurements . 118
A.7.5 Nomenclature, data dictionary, and codes for common blood-gas, blood,
urine, and other fluid chemistry measurements. 150
A.7.6 Nomenclature, data dictionary, and codes for fluid output measurements. 157
A.7.7 Nomenclature, data dictionary, and codes for pumps. 161
A.7.8 Nomenclature, data dictionary, and codes for neurological monitoring
measurements. 177
A.7.9 Nomenclature, data dictionary, and codes for neurophysiologic enumerations . 190
A.7.10 Nomenclature, data dictionary, and codes for stimulation modes. 217
A.7.11 Nomenclature, data dictionary, and codes for miscellaneous measurements. 224
A.8 Nomenclature, data dictionary, and codes for body sites (Block D) . 228
A.8.1 Introduction. 228
A.8.2 Sites for neurophysiological signal monitoring: locations near peripheral nerves 228
A.8.3 Sites for neurophysiological signal monitoring: locations near muscles. 244
A.8.4 Sites for EEG-electrode placement on the head . 287
A.8.5 Sites for EOG signal monitoring . 294
A.8.6 Sites for general neurological monitoring measurements and drainage. 299
A.8.7 Sites for cardiovascular measurements. 301
A.8.8 Miscellaneous sites used in vital signs monitoring and measurement. 307
A.8.9 Qualifiers of body site locations . 322
A.9 Nomenclature, data dictionary, and codes for alerts (Block E) . 326
A.9.1 Introduction. 326
A.9.2 Diagnostic pattern events. 326
A.9.3 Device-related and environment-related events . 334
A.10 Nomenclature, data dictionary, and codes for external nomenclatures and messaging
standards (Block F). 357
A.10.1 Introduction. 357
A.10.2 Base concepts. 357
A.10.3 First set of differentiating criteria . 357
A.10.4 Second set of differentiating criteria. 358
A.10.5 Third set of differentiating criteria. 358
A.10.6 Code table . 358
Annex B (normative) Nomenclature syntax . 363
B.1 General . 363
B.1.1 Notation . 363
B.1.2 Partition codes. 363
B.1.3 Discriminator ranges. 364
B.2 Object infrastructure . 364
B.3 Medical supervisory control and data acquisition (SCADA) . 396
Copyright © 2004 ISO/IEEE. All rights reserved. ix
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ISO/IEEE 11073-10101:2004(E)
B.4 Events . 442
B.5 Dimensions . 458
B.6 Virtual attributes . 467
B.7 Parameter groups . 467
B.8 Body Sites . 467
B.9 Communication infrastructure . 483
B.10 External nomenclature . 486
Annex C (informative) Bibliography. 489
x Copyright © 2004 ISO/IEEE. All rights reserved.
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Health informatics — Point-of-care
medical device communication —
Part 10101:
Nomenclature
1. Scope
The scope of this standard is nomenclature architecture for point-of-care (POC) medical device communica-
tion (MDC). It consists of three parts: the body of the standard, which defines the overall architecture of the
organization and relationships among nomenclature components; normative Annex A and Annex B, which
provide specifications of semantics and syntaxes, respectively; and informative Annex C, the bibliography.
1
This standard is intended for use within the context of IEEE Std 1073, which sets out the relationship
between this and other documents in the POC MDC series.
2. Conformance
There are no particular implementation conformance requirements defined in this standard, but some
requirements for nomenclature representation are established in this standard to guide specification of
semantics and syntax in other parts of the overall standard.
3. Normative references
The following normative documents contain provisions that, through reference in this text, constitute provi-
sions of ISO/IEEE 11073-10101. For dated references, subsequent amendments to, or revisions of, any of
these pub
...
INTERNATIONAL ISO/IEEE
STANDARD 11073-10101
First edition
2004-12-15
Health informatics — Point-of-care medical
device communication —
Part 10101:
Nomenclature
Informatique de santé — Communication entre dispositifs médicaux sur le
site des soins —
Partie 10101: Nomenclature
Reference number
ISO/IEEE 11073-10101:2004(E)
©
ISO/IEEE 2004
---------------------- Page: 1 ----------------------
ISO/IEEE 11073-10101:2004(E)
PDF disclaimer
This PDF file may contain embedded typefaces. In accordance with Adobe's licensing policy, this file may be printed or viewed but
shall not be edited unless the typefaces which are embedded are licensed to and installed on the computer performing the editing. In
downloading this file, parties accept therein the responsibility of not infringing Adobe's licensing policy. The ISO Central Secretariat
accepts no liability in this area.
Adobe is a trademark of Adobe Systems Incorporated.
Details of the software products used to create this PDF file can be found in the General Info relative to the file; the PDF-creation
parameters were optimized for printing. Every care has been taken to ensure that the file is suitable for use by ISO member bodies. In
the unlikely event that a problem relating to it is found, please inform the Central Secretariat at the address given below.
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applicable laws of the user’s country, neither this ISO/IEEE standard nor any extract from it may be reproduced, stored in a retrieval
system or transmitted in any form or by any means, electronic, photocopying, recording or otherwise, without prior written permission
being secured.
Requests for permission to reproduce should be addressed to either ISO
...
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