Health informatics - Device interoperability - Part 10201: Point-of-care medical device communication - Domain information model (ISO/IEEE 11073-10201:2020)

The scope of this project is to define a general object-oriented information model that may be used to structure information and identify services used in point-of-care (POC) medical device communications. The scope is primarily focused on acute care medical devices and the communication of patient vital signs information.

Medizinische Informatik - Geräteinteroperabilität - Teil 10201: Kommunikation patientennaher medizinischer Geräte – Bereichs-Informationsmodell

Informatique de santé - Interopérabilité des dispositifs - Partie 10201: Communication entre dispositifs médicaux sur le site des soins - Modèle d'informations du domaine (ISO/IEEE 11073-10201:2020)

Le domaine d'application du présent projet consiste à définir un modèle d'information général orienté objet pouvant être utilisé pour structurer l'information et identifier les services utilisés dans les communications entre dispositifs médicaux sur le site des soins (PoC). Le domaine d'application est principalement axé sur les dispositifs médicaux de soins actifs et la communication des informations relatives aux signes vitaux des patients.

Zdravstvena informatika - Interoperabilnost naprav - 10201. del: Komunikacija medicinskih naprav na mestu oskrbe - Informacijski model domene (ISO/IEEE 11073-10201:2020)

General Information

Status
Published
Publication Date
02-Jun-2020
Withdrawal Date
30-Dec-2020
Current Stage
6060 - Definitive text made available (DAV) - Publishing
Start Date
03-Jun-2020
Completion Date
03-Jun-2020

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Standard
EN ISO 11073-10201:2020
English language
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SLOVENSKI STANDARD
01-september-2020
Nadomešča:
SIST EN ISO 11073-10201:2005
Zdravstvena informatika - Interoperabilnost naprav - 10201. del: Komunikacija
medicinskih naprav na mestu oskrbe - Informacijski model domene (ISO/IEEE
11073-10201:2020)
Health informatics- Device interoperability - Part 10201: Point-of-care medical device
communication - Domain information model (ISO/IEEE 11073-10201:2020)
Medizinische Informatik - Kommunikation patientennaher medizinischer Geräte - Teil
10201: Bereichs-Informationsmodell (ISO/IEEE 11073-10201:2020)
Informatique de santé - Communication entre dispositifs médicaux sur le site des soins -
Partie 10201: Modèle d'information du domaine (ISO/IEEE 11073-10201:2020)
Ta slovenski standard je istoveten z: EN ISO/IEEE 11073-10201:2020
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO/IEEE 11073-
EUROPEAN STANDARD
NORME EUROPÉENNE
EUROPÄISCHE NORM
June 2020
ICS 35.240.80 Supersedes EN ISO 11073-10201:2005
English Version
Health informatics - Device interoperability - Part 10201:
Point-of-care medical device communication - Domain
information model (ISO/IEEE 11073-10201:2020)
Informatique de santé - Interopérabilité des dispositifs Medizinische Informatik - Kommunikation
- Partie 10201: Communication entre dispositifs patientennaher medizinischer Geräte - Teil 10201:
médicaux sur le site des soins - Modèle d'informations Bereichs-Informationsmodell (ISO/IEEE 11073-
du domaine (ISO/IEEE 11073-10201:2020) 10201:2020)
This European Standard was approved by CEN on 2 May 2020.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2020 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO/IEEE 11073-10201:2020 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO/IEEE 11073-10201:2020) has been prepared by Technical Committee ISO/TC
215 "Health informatics" in collaboration with Technical Committee CEN/TC 251 “Health informatics”
the secretariat of which is held by NEN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by December 2020, and conflicting national standards
shall be withdrawn at the latest by December 2020.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
This document supersedes EN ISO 11073-10201:2005.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Endorsement notice
The text of ISO/IEEE 11073-10201:2020 has been approved by CEN as EN ISO/IEEE 11073-
10201:2020 without any modification.

INTERNATIONAL ISO/IEEE
STANDARD 11073-
Second edition
2020-04
Health informatics — Device
interoperability —
Part 10201:
Point-of-care medical device
communication — Domain
information model
Informatique de santé — Interopérabilité des dispositifs —
Partie 10201: Communication entre dispositifs médicaux sur le site
des soins — Modèle d'informations du domaine
Reference number
ISO/IEEE 11073-10201:2020(E)
©
IEEE 2019
ISO/IEEE 11073-10201:2020(E)
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ii © IEEE 2019 – All rights reserved

ISO/IEEE 11073-10201:2020(E)
Foreword
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© IEEE 2019 – All rights reserved iii

IEEE Std 11073-10201™-2018
(Revision of
IEEE Std 11073-10201-2004)
Health informatics—Point-of-care medical device communication

Part 10201: Domain Information Model
Sponsor
IEEE 11073™ Standards Committee
of the
IEEE Engineering in Medicine and Biology Society

Approved 5 December 2018
IEEE-SA Standards Board
ISO/IEEE 11073-10201:2020(E)
Abstract: Within the context of the ISO/IEEE 11073 family of standards for point-of-care medical
device communication, an abstract, object-oriented domain information model that specifies the
structure of exchanged information, as well as the events and services that are supported by
each type of object, is provided in this standard. All data structure elements are specified using
abstract syntax (ASN.1) and may be applied to many different implementation technologies,
transfer syntaxes, and application service models. Core subjects include medical, alert, system,
patient, control, archival, communication, and extended services. Model extensibility is supported,
and a conformance model and statement template is provided.
Keywords: abstract syntax, alarm, alert, ASN.1, DIM, domain information model, IEEE 11073-
10201™, information model, medical device communications, medical information bus, MIB,
object-oriented, patient, POC, point-of-care, remote control

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ISO/IEEE 11073-10201:2020(E)
Participants
At the time this IEEE standard was completed, the Point-of-Care Devices Working Group had the
following membership:
John Rhoads, Chair
Michael Faughn, Subgroup Chair
Bjoern Anderson David Gregorczyk Tracy Rausch
Malcolm Clarke Kai Hassing Stefan Schlichting
Todd Cooper John Hatcliff Paul Schluter
Chris Courville Stefan Karl Masato Tanaka
Kenneth Fuchs Martin Kasparick Eugene Vasserman
John Garguilo Koichiro Matsumoto Stan Wiley
Frank Golatowski Joerg-Uwe Meyer Jan Wittenber
Stephan Poehlsen
The following members of the individual balloting committee voted on this standard. Balloters may have
voted for approval, disapproval, or abstention.
Bjoern Andersen Kai Hassing Stefan Schlichting
Michael Bayer Werner Hoelzl Paul Schluter
Keith Chow Noriyuki Ikeuchi Walter Struppler
Malcolm Clarke Atsushi Ito Ganesh Subramanian
Michael Faughn Stefan Karl Thomas Tullia
David Fuschi Piotr Karocki Jan Wittenber
David Gregorczyk Martin Kasparick Oren Yuen
Randall Groves H. Moll Daidi Zhong
John Rhoads
When the IEEE-SA Standards Board approved this standard on 5 December 2018, it had the following
membership:
Jean-Philippe Faure, Chair
Gary Hoffman, Vice Chair
John D. Kulick, Past Chair
Konstantinos Karachalios, Secretary
Ted Burse Xiaohui Liu Robby Robson
Guido R. Hiertz Kevin Lu Dorothy Stanley
Christel Hunter Daleep Mohla Mehmet Ulema
Joseph L. Koepfinger* Andrew Myles Phil Wennblom
Thomas Koshy Paul Nikolich Philip Winston
Hung Ling Ronald C. Petersen Howard Wolfman
Dong Liu Annette D. Reilly Jingyi Zhou
*Member Emeritus
ISO/IEEE 11073-10201:2020(E)
Introduction
This introduction is not part of IEEE Std 11073-10201-2018, Health informatics—Point-of-care medical device
communication—Part 10201: Domain Information Model.
ISO/IEEE 11073 standards enable communication between different medical devices and between medical
devices and other IT systems for information and for command and control. The primary goals are to:
 Provide real-time plug-and-play interoperability for patient-connected medical devices
 Facilitate the efficient exchange of patient related data and medical device related data, acquired at
the point-of-care (POC), 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 when a device or system is connected to another device or system, detection,
configuration, and the initiation of communication all occur automatically andwithout any other human
interaction.
“Efficient exchange of medical device data” means that information that is captured at the POC (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. This standard
is especially targeted at acute and continuing care devices, such as patient monitors, ventilators, infusion
pumps, ECG devices, etc. It is a member of a family of standards that can be layered together to provide
connectivity optimized for the specific devices being interfaced.

ISO/IEEE 11073-10201:2020(E)
Contents
1. Scope . 9
2. Normative references . 9
3. Definitions, acronyms, and abbreviations . 10
3.1 Definitions . 10
3.2 Abbreviations and acronyms . 13
4. General requirements . 14
5. Domain information model (DIM) . 15
5.1 General . 15
5.2 Package diagram–Overview . 18
5.3 Model for the Medical Package . 19
5.4 Model for the Alert Package . 23
5.5 Model for the System Package . 25
5.6 Model for the Control Package . 27
5.7 Model for the ExtendedServices Package . 30
5.8 Model for the Communication Package . 33
5.9 Model for the Archival Package . 35
5.10 Model for the Patient Package . 37
5.11 DIM—Dynamic model . 37
6. DIM class definitions . 42
6.1 Overview . 42
6.2 Top class . 51
6.3 Medical package . 52
6.4 Alert package . 89
6.5 System package . 95
6.6 Control package .115
6.7 ExtendedServices package .129
6.8 Communication package .142
6.9 Archival package .149
6.10 Patient package .156
7. Service model for communicating systems .159
7.1 General .159
7.2 Communicating systems .159
7.3 General service model overview .160
7.4 General object management services definition .162
8. MDIB nomenclature .167
9. Conformance model .168
9.1 Applicability .168
9.2 Conformance specification .168
9.3 ICSs .169
Annex A (informative) Bibliography .175

ISO/IEEE 11073-10201:2020(E)
Health informatics—Point-of-care medical device communication

Part 10201: Domain Information Model
1. Scope
The scope of this project is to define a general object-oriented information model that may be used to
structure information and identify services used in point-of-care (POC) medical device communications.
The scope is primarily focused on acute care medical devices and the communication of patient vital signs
information.
2. Normative references
The following referenced documents are indispensable for the application of this document (i.e., they must
be understood and used, so each referenced document is cited in text and its relationship to this document is
explained). For dated references, only the edition cited applies. For undated references, the latest edition of
the referenced document (including any amendments or corrigenda) applies.
ISO/IEC 8824-1, Information technology — Abstract Syntax Notation One (ASN.1) — Part 1: Specification
of basic notation.
ISO/IEEE 11073-10101, Health informatics — Point-of-care medical device communication — Part 10101:
Nomenclature.
ISO/IEEE 11073-20101, Health informatics — Point-of-care medical device communication — Part 20101:
Application profiles – Base standard.
® ® ® 3
OMG Unified Modeling Language (OMG UML ) 2.5.1.

ISO/IEC documents are available from the International Organization for Standardization (http://www.iso.org/), the International
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The OMG UML standard can be freely downloaded at https://www.omg.org/spec/UML/
ISO/IEEE 11073-10201:2020(E)
IEEE Std 11073-10201-2018
IEEE Standard for Part 10201: Domain Information Model
3. Definitions, acronyms, and abbreviations
3.1 Definitions
For the purposes of this document, the following terms and definitions apply. The IEEE Standards
Dictionary Online should be referenced for terms not defined in this clause.
agent: Device that provides data in a manager-agent communicating system.
alarm: Signal that indicates abnormal events occurring to the patient or the device system.
alert: Synonym for the combination of patient-related physiological alarms, technical alarms, and
equipment-user advisory signals.
alert condition: The active (true) state of a physiologic alarm (primarily related to the patient), technical
alarm (primarily related to a device), or an advisory that is typically reported to clinicians, physicians, or
other healthcare staff, for responding to patient needs or related workflows.
alert monitor: Object representing the output of an alert system that considers multiple alert conditions in
a scope defined by objects that are contained by a single medical device system object. An alert monitor is
able to report individual, concurrent alert conditions as well as the overall system alert condition.
alert status: Object representing the output of an alert system that considers multiple alert conditions in a
scope defined by objects that are contained by either a single virtual medical device object or a single
medical device system object. An alert status is able to report concurrent alert conditions.
archival: Relating to the storage of data over a prolonged period.
association control service element (ACSE): Method used to establish logical connections between
medical device systems.
attribute: The definition of a property of an object.
channel: An object that groups together physiological measurement data and any derived data that have a
contextual relationship with each other.
class: A model which describes the properties and behaviors of a type of entity found within a problem
domain.
class diagram: Diagram showing connections between classes in a system.
communication controller: Part of a medical device system responsible for communications.
communication party: Actor of the problem domain that participates in the communication in that domain.
communication role: Role of a party in a communication situation defining the party’s behavior in the
communication. Associated with a communication role is a set of services that the party provides to other
parties.
data agent: As a medical device, a patient data acquisition system that provides the acquired data for other
devices.
The IEEE Standards Dictionary Online is available at http://dictionary.ieee.org/. An IEEE Account is required for access to the
dictionary, and one can be created at no charge on the dictionary sign-in page.
ISO/IEEE 11073-10201:2020(E)
IEEE Std 11073-10201-2018
IEEE Standard for Part 10201: Domain Information Model
data format: Arrangement of data in a file or stream.
data logger: A device that is functioning in its capacity as a data storage and archival system.
NOTE—There may be several different types of data loggers; clinical, technical, forensic, alarm condition, user logs.
data structure: A data organization format that is implemented by an application.
dictionary: Description of the contents of the medical data information base (MDIB) containing vital signs
information, device information, demographics, and other elements of the MDIB.
discrete parameter: Measured, calculated, or manually entered value that can be expressed as a single
numeric or textual value.
Example: A non-invasive systolic blood pressure (measured), cardiac index (calculated), gender male
or female.
domain information model (DIM): The model describing common concepts and relationships for a
problem domain.
event: A change in device status that is communicated by a notification reporting service.
event report: Service (provided by the common medical device information service element ) to report an
event relating to a managed object instance.
framework: A structure of processes and specifications designed to support the accomplishment of a
specific task.
graphic parameter: Parameter that requires multiple regularly sampled data points in order to be
expressed properly.
Example: A single ECG waveform snippet.
host system: Term used as an abstraction of a medical system to which measurement devices are attached.
information service element: Instances in the medical data information base.
instance: The realization of an abstract concept or specification, e.g., class instance, application instance,
information service element instance, virtual medical device instance, operating instance.
instance method: A procedure or process that defines a behavior exhibited by the instances of a class (i.e.,
objects). Instance methods provide the interface by which the properties of an object may be accessed or
modified.
intensive care unit (ICU): The unit within a medical facility in which patients are managed using multiple
modes of monitoring and therapy.
interchange format: The representation of the data elements and the structure of the message containing
those data elements while in transfer between systems. The interchange format consists of a data set of
construction elements and a syntax. The representation is technology specific.
interoperability: The ability of two or more devices or systems to exchange information in a format that is
usable by the receivers of the information.

Notes in text, tables, and figures of a standard are given for information only and do not contain requirements needed to implement
this standard.
ISO/IEEE 11073-10201:2020(E)
IEEE Std 11073-10201-2018
IEEE Standard for Part 10201: Domain Information Model
latency: In a communications scenario, the time delay between sending a signal from one device and
receiving it by another device.
lower layers: Layer 1 to Layer 4 of the International Organization for Standardization (ISO)/open systems
interconnection (OSI) reference model. These layers cover mechanical, electrical, and general
communication protocol specifications.
manager: Device that receives data in a manager-agent communicating system.
manager-agent model: Communication model where one device (i.e., agent) provides data and another
device (i.e., manager) receives data.
medical data information base (MDIB): The concept of an object-oriented database storing (at least) vital
signs information.
medical device: A device, apparatus, or system used for patient monitoring, treatment, or therapy, which
does not normally enter metabolic pathways. For the purposes of this standard, the scope of medical
devices is further limited to patient-connected medical devices that provide support for electronic
communications.
medical device system (MDS): Abstraction for system comprising one or more medical functions. In the
context of this standard, the term is specifically used as an object-oriented abstraction of a device that
provides medical information in the form of instances of the classes that are defined in this standard.
monitor: A medical device designed to acquire, display, record, and/or analyze patient data and to alert
caregivers of events needing their attention.
object: A particular instance of a class. An object represents a physical or logical occurrence of an actual
medical device or medical device component. Syn: object instance.
object instance: See: object.
object-oriented analysis: Method of analysis where the problem domain is modelled in the form of classes
and the relationships between those classes.
open system: A set of protocols allowing computers of different origins to be linked together.
operation: A function or transformation that may be applied to or by objects (sometimes also called service).
problem domain: The field of health care under consideration in a modeling process.
protocol: A standard set of rules describing the transfer of data between devices. It specifies the format of
the data and specifies the signals to start, control, and end the transfer.
real time: At the time when an event or process occurs.
scanner: An observer and “summarizer” of attribute values.
scenario: A formal description of a class of business activities including the semantics of business
agreements, conventions, and information content.
service: A specific behavior that a communication party in a specific role is responsible for exhibiting.
syntax (i.e., of an interchange format): The rules for combining the construction elements of the
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