International Telecommunication Union ISO TC 215, Health

International Telecommunication Union ISO TC 215, Health Informatics Overview Yun Sik Kwak, MD,PhD ISO TC 215 Dept Medical Informatics Kyungpook Nat’l Univ Sch Med, Daegu, Korea Workshop on Standardization in E-health Geneva, 23-25 May 2003

ITU-T ISO TC 215 Health Informatics Chair : Yun Sik Kwak (Rep. of Korea) Secretariat : ANSI Secretary : Todd Sandler (ASTM, USA) Joyce Sensmeier (HIMSS; USA) as of 1/6/03 Scope :Standardization in field of information for health, health ICT to achieve compatibility and interoperability between independent systems. Also to ensure compatibility of data for comparative statistical purpose (eg, classifications), and to reduce duplication of effort and redundancies. 23-25 May 2003 Workshop on Standardization in E-health 2

ITU-T ISO TC215 Structure Technical Committee WG 1 WG 2 TF e-Health 23-25 May 2003 WG 3 TF e-Pharm. WG 4 WG 5 TF COPOLCO Workshop on Standardization in E-health 3

ISO TC 215 Membership ITU-T ‘P' Member Bodies 23 Australia Ireland Austria Israel Belgium Italy Canada Japan Denmark Korea Finland Netherlands France New Zealand Germany Norway Serbia - applied for 23-25 May 2003 Russian federation South Africa Spain Sweden Turkey United Kingdom USA (Secretariat) Kenya - applied for Workshop on Standardization in E-health 4

ISO TC 215 Membership ITU-T 'O' Member Bodies 14 Argentina India Switzerland China Mongolia Czech Republic Poland Ecuador Portugal Hungary Singapore 23-25 May 2003 Thailand Yugoslavia Zimbabwe Workshop on Standardization in E-health 5

ISO TC215 Scope ITU-T o o 23-25 May 2003 Health informatics – generally interpreted as ISO/OSI Level 7 Some groups work in Levels 1-6 by reference to other standards. ISO/OSI Level 7: Application ISO/OSI Level 6: Presentation ISO/OSI Level 5: Session ISO/OSI Level 4: Transport ISO/OSI Level 3: Network ISO/OSI Level 2: Datalink ISO/OSI Level 1: Physical Workshop on Standardization in E-health 6

ISO TC 215 WG 1 Health Records and Modelling ITU-T Coordination o Convenor : Don Newsham (Canada) o Scope : To develop standards to facilitate the capturing, safe communications, and trusted management of information concerning the total health process applied to one subject of care for individual and public health purposes and, furthermore, to coordinate modelling of other relevant standards efforts such as those regarding terminology, messaging, and security o http://secure.cihi.ca/cihiweb/dispPage.jsp?cw page infostand ihisd isowg1 e 23-25 May 2003 Workshop on Standardization in E-health 7

ISO TC 215 WG 2 ITU-T Messaging and communications o o Convenor : Edward Hammond (USA) Scope :effort of the WG 2 is defined as follows: o o 23-25 May 2003 A general statement of the types of standards to be considered (for example, the functional purpose of the interchange and the circumstances in which the interchange should occur) The specific domains of activity (that is, clinical messaging, medical device communication, and business and financial messaging) A set of additional tasks or working principles that will guide the effort www.hl7.org/special/committees/tc215 http://isotc.iso.ch/livelink/livelink? func ll&objId 1300702&objAction browse&sort n ame Workshop on Standardization in E-health 8

ISO TC 215 WG 2 Messaging and communications(cont’) ITU-T o o 23-25 May 2003 Scope : A means of implementing that interchange in one or more syntax or communication modalities. Specific Domains : Clinical messaging Medical device communication Business and financial messaging Workshop on Standardization in E-health 9

ISO TC 215 WG 2 Messaging and communications(cont’) ITU-T o 23-25 May 2003 Sub-working Groups : 1. Architecture 2. Device interface 3. Methodology 4. DICOM persistent object Workshop on Standardization in E-health 10

ISO TC 215 WG 3 Health Concept Representation ITU-T o o Convenor : Christopher Chute (USA) Scope : To develop standards for representation of health concepts. These standards include formal models of representation and description of health concepts; principles of their organization within terminologies and their related systems (including controlled clinical terminologies and classifications); and issues concerning context of their use in electronic health records. http://www.tc215wg3.nhs.uk/ 23-25 May 2003 Workshop on Standardization in E-health 11

ISO TC 215 WG 4 Security ITU-T o Convenor : Gunnar Klein (Sweden) Scope : Defining standards for technical o measures to protect and enhance the confidentiality, availability, and integrity of health information, and also accountability for users, as well as guidelines for security management in healthcare. http://www.medis.or.jp/iso/tc215wg4.html o 23-25 May 2003 Workshop on Standardization in E-health 12

ISO TC 215 WG 5 Health Cards ITU-T o o o 23-25 May 2003 Convenor : Juergen Sembritzki (Germany) Scope : To develop standards in field of healthcare usage of machine readable cards compliant with physical characteristics, including dimensions defined in ISO/IEC 7810,Identification cards Physical characteristics. The WG shall place special emphasis on standards on technology independent data structure leading to interoperability and compatibility including communication of data. http://www.din.de/cgi ds/dokuserv/ ds einstieg.init?z sprache en Workshop on Standardization in E-health 13

ISO TC 215 Liaison ITU-T International Council of Nurses Category B IMIA WG Standard A UN/EDIFACT D11 Healthcare EWG - A WHO B World Wide Web Consortium B 23-25 May 2003 Workshop on Standardization in E-health 14

ISO/TC 215 Officer Structure ITU-T o Chairman o Secretariat WG Convenors Project Leaders 23-25 May 2003 Workshop on Standardization in E-health 15

Chairman ITU-T o Responsible for the overall management of the technical committee, including any subcommittees and working groups o Works closely with the Secretary to ensure effective management of the work programme 23-25 May 2003 Workshop on Standardization in E-health 16

Secretary ITU-T o Responsible for monitoring, reporting, and ensuring active and timely progress of the work and adherence to the ISO Directives o Provides administrative support 23-25 May 2003 Workshop on Standardization in E-health 17

Working Group Convenor ITU-T o Assigned to an individual Convenor shall confirm interest in serving and commitment of time and financial resources ISO/TC 215 convenors have a three year term limit Convenors are responsible for the progress of work items within their respective working group 23-25 May 2003 Workshop on Standardization in E-health 18

ISO/CS Support ITU-T o Sophie Clivio, ISO Programme Manager Central Secretariat Contact Coordinates ISO/CS resources for committee’s use o Procedural questions o Work programme o Balloting of DIS and FDIS o Editing/publication 23-25 May 2003 Workshop on Standardization in E-health 19

WEBSITE ITU-T o ISO General Site www.iso.ch o ISO/TC 215 Home Page (LiveLink): http://isotc.iso.ch/livelink/livelink.exe? func ll&objId 529136&objAction browse&so rt name o Standards specific information www.iso.ch/sdis Templates Directives Informative articles/Communiqué 23-25 May 2003 Workshop on Standardization in E-health 20

Project Leaders ITU-T o Assigned for the development of each work item Nominated by the proposer of a new project Appointed by the P-members of the TC 23-25 May 2003 Workshop on Standardization in E-health 21

ISO TC 215 Where to Go For ITU-T o 23-25 May 2003 Global consensus IS - for interoperability (data and semantic) of health information - by negotiated idealism and realism - with broader participation of diverse expertise - of representation of current paradigm and multi-culture Workshop on Standardization in E-health 22

ITU-T Thank you [email protected] 23-25 May 2003 Workshop on Standardization in E-health 23

ISO/TC215 WG Activities ITU-T Working Group 1 o Designation ISO/CD 17120 Health informatics o o o o 23-25 May 2003 Country identifier mechanism in healthcare Designation ISO/CD 18308 Health informatics Requirements for the electronic health record reference architecture Designation ISO/DTS 21667 Health informatics Health indicators conceptual framework Designation ISO/DTR 17119 Health informatics A general domain model for health information Designation ISO/WD Health informatics Emergency data set Workshop on Standardization in E-health 24

ITU-T ISO/TC215 WG Activities(cont’) Working Group 1 o Designation ISO/NWI Health informatics - Health indicators definitions, attributes and relationships o Designation ISO/DTS 18308 Health informatics Electronic health records reference architecture Working Group 2 o Designation ISO/TR 18307 Health informatics - Key characteristics for interoperability and compatibility in messaging and communications standards (Published in Dec 01) 23-25 May 2003 Workshop on Standardization in E-health 25

ITU-T ISO/TC215 WG Activities(cont’) Working Group 2 o Designation ISO/DIS 11703-00000 Health informatics Point-of-care medical device communications - Framework and overview o Designation ISO/DIS 11703-10101 Health informatics Point-of-care medical device communications - Nomenclature o Designation ISO/DIS 11703-10201 Health informatics Point-of-care medical device communications - Domain information model o Designation ISO/CD 11703-30200 Health informatics Point-of-care medical device communications Transport profile-Cable connected 23-25 May 2003 Workshop on Standardization in E-health 26

ISO/TC215 WG ITU-T Working Activities(cont’) Group 2 o Designation ISO/CD 11073-20101 Health informatics - Point-of-care medical device communication Application profiles - Base standard o Designation ISO/CD 11073-20201 Health informatics - Point-of-care medical device communication Application profiles - Polling mode o Designation ISO/CD 11073-20202 Health informatics - Point-of-care medical device communication Application profiles - Baseline o Designation ISO/CD 11073-10301 Health informatics - Point-of-care medical device communication Device specialization - Infusion device 23-25 May 2003 Workshop on Standardization in E-health 27

ISO/TC215 WG ITU-T WorkingActivities(cont’) Group 2 o Designation ISO/CD 11073-10303 Health informatics - Point-of-care medical device communication - Device specialization - Ventilator o Designation ISO/CD 11073-30300 Health informatics - Point-of-care medical device communication - Transport profile - Infrared wireless o Designation ISO/FDIS 18812 Health informatics Clinical analyzer interfaces to laboratory information systems - Use profiles o Designation ISO/FDIS 17113 Health informatics Method for the development of messages 23-25 May 2003 Workshop on Standardization in E-health 28

ISO/TC215 WG ITU-T WorkingActivities(cont’) Group 2 o Designation ISO/NWI Health informatics - Data o o o o 23-25 May 2003 types for use in health care data interchange Designation ISO/CD TR Health informatics Trusted end-to-end information flows Designation ISO/CD Health informatics Interoperability guidelines for telehealth systems and networks Designation ISO/WD Health informatics - Quality indicators for health information made available on the Internet Designation ISO/WD Health informatics - High level message flows (stakeholder to stakeholder) Workshop on Standardization in E-health 29

ISO/TC215 WG ITU-T WorkingActivities(cont’) Group 2 o Designation o o o o 23-25 May 2003 ISO/PNWI Health informatics Inventory of healthcare informatics related standards and works in progress Designation ISO/PNWI Health informatics - Deidentification of health records Designation ISO/DTR 16056-1 Health informatics - Interoperability of telehealth systems and networks -Part 1: Introduction and definitions Designation ISO/DTR 16056-2 Health informatics - Interoperability of telehealth systems and networks - Part 2: Real-time systems Designation ISO/DTR 16058 Health informatics Interoperability of telelearning systems Workshop on Standardization in E-health 30

ITU-T ISO/TC215 WG Activities(cont’) Working Group 3 o Designation ISO/DIS 17115 Health informatics - Metavocabulary for terminologic systems o Designation ISO/DTS 17117 Health informatics Controlled health vocabularies - Vocabulary structure and high-level quality indicators o Designation ISO/CD 18104 Health informatics Integration of a reference terminology model for nursing Working Group 4 o Designation ISO/DTS 17090-1 Health informatics - Public key infrastructure - Part 1: Framework and overview 23-25 May 2003 Workshop on Standardization in E-health 31

ISO/TC215 WG Activities(cont’) ITU-T Working Group 4 o Designation ISO/DTS 17090-2 Health informatics o o o o 23-25 May 2003 Public key infrastructure - Part 2: Certificate profile Designation ISO/DTS 17090-3 Health informatics Public key infrastructure - Part 3: Policy management of certification authority Designation ISO/WD Health informatics - Security requirements for archiving and backup of health records Designation ISO/WD Health informatics - Standard guide for a directory and certificate registry for healthcare Designation ISO/WD Health informatics - Framework for health information security Workshop on Standardization in E-health 32

ISO/TC215 WG ITU-T Activities(cont’) Working Group 4 o Designation ISO/WD Health informatics - Directory services for security, communications and identification of professionals and patients Working Group 5 o Designation ISO/DIS 21549-1 Health informatics - Patient healthcard data - Part 1: General structure o Designation ISO/DIS 21549-2 Health informatics Patient healthcard data - Part 2: Common objects o Designation ISO/DIS 21549-3 Health informatics Patient healthcard data - Part 3: Limited clinical data o Designation ISO/DIS 21549-7 Health informatics Patient healthcard data - Part 7: Electronic prescription 23-25 May 2003 Workshop on Standardization in E-health 33

ITU-T ISO/TC215 WG Activities(cont’) Working Group 5 o Designation ISO/CD 21549-8 Health informatics - Patient healthcard data - Part 8: Links o Designation ISO/WD 20301 Health informatics Healthcards - General characteristics o Designation ISO/WD 20302 Health informatics Healthcards - Numbering system and registration procedure for issuer identifiers Task Force o e-Health o e-Pharmacy o Consumer policy 23-25 May 2003 Workshop on Standardization in E-health 34