ISO/TC 215 - Health Informatics WG2 - Messages and Communications SWG2 - Architecture

1. ISO/TC 215 - Health InformaticsWG2 - Messages and Communications SWG2 - Architecture 28 January 2005 Orlando, Florida Grant Gillis

2. Telehealth Interoperability • ISO/TR 16056-1 Health informatics - Interoperability of telehealth systems and networks – Part 1: Introduction and definitions • ISO/TR 16056-2 Health informatics – Interoperability of telehealth systems and networks – Part 2: Real-time systems • ISO/TS 16058 Health informatics – Interoperability of telelearning systems

3. Telehealth Interoperability • Phase 1: Introduction • Key definitions, scope • Work plan phases outlined • Phase 2: Real-time, video conferencing • Telelearning Application • Phase 3: Teleradiology Interoperability Project: • Technical Specification • Use DICOM, HL7, IHE

4. Telehealth Interoperability • Project components: • Teleradiology Requirements – composed of the Business, Processing and Information Requirements, which represent a high-level overview of the Teleradiology System described from the end-user point of view. • Teleradiology Model – describes the Teleradiology System that meets the requirements stated in the Teleradiology Requirements document and represents a technology view of the system. It covers the Business Process Model, the Data Model, and Teleradiology Vocabulary. • Teleradiology Data Specification – describes the core data sets the Teleradiology system is capable of handling, the Data Dictionary and outlines the proposed draft standard. • Teleradiology Messaging Specification – describes the interactions between the Teleradiology System and other systems, provides detailed definitions of the messages to facilitate the interactions, and outlines the proposed draft standard. • Teleradiology Testing Framework – describes an approach and testing strategy for teleradiology systems and networks and outlines conformance and interoperability tests.

5. Telehealth Interoperability

6. Teleradiology Services • Telemanagement • Teleconsultation • Telediagnosis • Telemonitoring • Infostructure • Store-and-Forward Applications (e.g., image visualization and analysis) • Real-Time Applications (e.g., videoconferencing) • Collaborative Applications (e.g., multimedia conferencing) • Databases • Infrastructure • Information Technology (e.g., computer hardware, system software) • Computer Networks (e.g., LAN and WAN) • Data Communications (e.g., protocols • Medical Imaging Modalities (e.g., CT, MRI, Ultrasound) Telehealth Interoperability

7. User Interoperability • Health / Professional Organizations • Care Providers • Care Recipients • Researchers • User Interoperability • Health / Professional Organizations • Care Providers • Care Recipients • Researchers • Business Interoperability • Health Policies (e.g., licensing) • Legal Framework (e.g., liability) • Business and Professional Relationships • Resources • Business Interoperability • Health Policies (e.g., licensing) • Legal Framework (e.g., liability) • Business and Professional Relationships • Resources • Clinical Interoperability • Care Policies and Standards • Clinical Practice Guidelines • Care Goals and Strategies • Diagnostic Services (e.g., telediagnosis) • Clinical Interoperability • Care Policies and Standards • Clinical Practice Guidelines • Care Goals and Strategies • Diagnostic Services (e.g., telediagnosis) • Technical Interoperability • Infostructure (real-time, store-and-forward, and collaborative applications, databases) • Infrastructure (computers, networks, diagnostic imaging modalities) • Technical Interoperability • Infostructure (real-time, store-and-forward, and collaborative applications, databases) • Infrastructure (computers, networks, diagnostic imaging modalities) Network A Network B Telehealth Interoperability

8. Telehealth Interoperability • Completing Research Report – March • Development of NWIP for TS • Presentation & Discussion at Berlin Plenary • Questions? Comments? Contact ggillis@cihi.ca