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Dr. Sungkee Lee Dr. Il-kon Kim Todd Cooper

IHE – Korea Daegu Connectathon 2011.07.11 – 15. Kick-off Meeting 2011. 4. 5. Dr. Sungkee Lee Dr. Il-kon Kim Todd Cooper. IHE/Connectathon Overview KIMES slides Terminologies 2010 Results Logistics Profiles, Technical Frameworks Registration eWorkshop, Next meeting.

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Dr. Sungkee Lee Dr. Il-kon Kim Todd Cooper

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  1. IHE – Korea Daegu Connectathon 2011.07.11 – 15 Kick-off Meeting 2011. 4. 5. Dr. Sungkee Lee Dr. Il-kon Kim Todd Cooper

  2. IHE/Connectathon Overview KIMES slides Terminologies 2010 Results Logistics Profiles, Technical Frameworks Registration eWorkshop, Next meeting IHE-Korea Connectathon 2011Agenda 2

  3. Interoperability: From a Problem to a Solution IETF IHTSDO eHealth Projects Base Standards Profile Development Specific Extensions Profiling Organizations Have Emerged

  4. Standards: Necessary … not Sufficient Standards are • Foundational - to interoperability and communications • Broad - varying interpretations and implementations • Narrow - may not consider relationships between standards domains • Plentiful - often redundant or disjointed • Focused - standards implementation guides focus only on a single standard IHE provides a standard process for implementing multiple standards

  5. IHE Standards Adoption Process Testing at Connectathons IHE Demonstrations Develop technical specifications Products with IHE Identify available standards (e.g. HL7, DICOM, IEEE, IETF) Improved safety, quality & efficiency! Document Use Case Requirements Easy to integrate products

  6. Domain System Integration Profile Actor Transaction Technical Framework IHE-Korea Connectathon 2011Terminologies

  7. Domain Clinical or operational field with a particular set of interoperability issues 13 domains IT Infrastructure (ITI) Patient Care Coordination (PCC) Patient Care Devices (PCD) IHE-Korea Connectathon 2011Terminologies

  8. System Any combination of IHE Actors that could be delivered as a product Cramming too many actors on one system makes life difficult for you and testing partners IHE-Korea Connectathon 2011Terminologies

  9. Integration Profile Describe clinical information management use cases and specify how to use existing standards (ISO/IEEE, HL7, DICOM, etc,...) to address them Systems that implement integration profiles solve interoperability problems IHE-Korea Connectathon 2011Terminologies

  10. Actor Responsible for producing, managing and/or acting on information in the context of an IHE Profile The same Actor might be referenced in multiple Profiles A vendor’s product might implement multiple Actors IHE-Korea Connectathon 2011Terminologies

  11. Transaction Interactions between Actors that communicate the required information through standards-based messages IHE-Korea Connectathon 2011Terminologies 11

  12. Technical Framework Documents that specify the Integration Profiles and the associated systems (actors) and transactions Technical Framework Layout Volume 1 One large section for each Integration profile Volume 2 One section for each transaction Appendix material with further clarification IHE-Korea Connectathon 2011Terminologies 12

  13. Relationship to Purchasers Integration Profile Should define a use case or problem they see in their environment Actor Is something they would want to buy or add on to an existing implementation Transaction Low level details IHE-Korea Connectathon 2011Terminologies 13

  14. IHE Testing Process Testing Results Users Deploy Systems Sponsors:Project Management Team Develop Testing Tools Approves Test Logs Interview Connectathon Product +IntegrationStatement In-House Testing Vendors Implement Profile Actors Sponsors: Exhibits Demonstration IHE Technical Framework (IHE Profile Specifications)

  15. http://connectathon-results.ihe.net http://product-registry.ihe.net IHE-Korea Connectathon 20112010 Results 15

  16. IHE – Korea Daegu Connectathon 2011 Plan & Proposal

  17. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Dates: • 2011.07.11-15 (exact daily schedule TBD) • Includes 1 day Connectathon Conference • Includes 1 day “Showcase Testing” • Call for Participation planned for early March / April • Location: Kyungpook National University, Daegu • Registration … • ￦2M KRW • Key sponsoring organizations engaged, including KNU, DIP, DTP, HL7 Korea, KOSMI, KSIIM, …

  18. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Additional Meetings • Technical eWorkshops (2 or 3) • Topics: Overview, XDS, CDA, … • In April / May (soon after call for participation closes) • Weekly Management Meetings • Management Team (see below) weekly web conferences – after registration closes • Participants meetings weekly or as needed • IHE-Korea 2011 Connectathon Conference • Tuesday during Connectathon • Focus on what is new this year + integration with national u-Health program

  19. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Target Use Case Scenarios • Note: Meets needs of end users + participants • National u-Health Project • Personal Health Focus • u-Health <Chronic Health> Services: • Diabetes (primary target for 2011) • PHM glucose monitor reading to u-Health Server • Report sent to primary care physician • Physician creates and publishes health summary (a.k.a. CCD) • COPD (anticipated 2012 or later) • Cancer (anticipated 2012 or later)

  20. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Target Profiles • Consistent Time • IHE PCD DEC (WAN) w/ Rosetta Terminology • PHD Manager to u-Health Server • XDS. b (w/ ITI-08) • XDS-MS • Security (e.g., ATNA) • See ihewiki.wustl.edu/wiki/index.php/Connectathon_Registration_Advice • CDA Documents to be supported: • Personal Health Monitoring Report (PHMR)

  21. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • New from 2010 to 2011 • XDS.b (basic) to support Korean National u-Health Program • Patient Identity Management (i.e., ITI-08) • Increased security support (e.g., ATNA)

  22. IHE Korea Connectathon PHD Device Home/ Mobile ISO/IEEE 11073 PHD WAN (DEC) PHD Manager u-Health Server PCD-01 WAN (XDS.b) XDS-MS PHMR EMR/HIS Note: Out-of-Scope for Testing

  23. IHE Korea Connectathon u-Health Server u-Health Server XDS-MS PHMR PIS/Consumer/ Source/Repository PIS/Consumer/ Source/Repository XDS.b PHMR XDS-MS PHMR XDS-MS EMR/HIS EMR/HIS PHMR XDS-MS PIS/Consumer/ Source/Repository PIS/Consumer/ Source/Repository

  24. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Connectathon Project Manager: • Dr. Sungkee Lee (Co-Chair, IHE Korea) • Project Management Support: • Todd Cooper (on-site) • Manny Furst (PCD testing) • NIST (XDS & PCD testing) • Administrative Lead Contacts: • Dr. Il-Kon Kim (Head of Korean Delegation, ISO TC215) • Dr. Sungkee Lee • Additional support team members: • Dr. Byoung-Kee Yi (Chair, HL7 Korea)

  25. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Test Tooling: • Maximally use tooling / scripts / procedures for same profiles from 2011 NA Connectathon! • NIST PCD Message Validator • Primary Tool for 2010 IHE-K Connectathon • http://xreg2.nist.gov:8080/PCD-HL7WebCon/ • NIST CDA Validation Tools • Used @ 2011.01 Chicago Connectathon • http://xreg2.nist.gov/cda-validation/validation.html • Oxygen XML Editor (http://www.oxygenxml.com/) • XDS Toolkit • http://ihexds.nist.gov/ • Others, especially Korean-based tooling • TBD

  26. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Showcase • KOSMI (Korean Society of Medical Informatics) Fall Conference • Oct. 2011 • Korea Health Congress 2011 • KHA (Korean Hospital Association) • Nov. 2011 • KITHA (Korean Information Technology of Hospital Association) Fall Conference • Nov. 2011

  27. IHE-Korea ConnectathonDaegu/2011.07.11 - 15 • Beyond 2011 • XDS.b w/ additional Options as needed to support Korean National u-Health Information Exchange • Additional XDS profiles, such as XDM / XDS-SD • PCD ACM across WAN interface • Expanded patient identity management (e.g., XCPD) • Expanded document (CDA) support • On-Demand Documents • …

  28. IHE-Korea Connectathon 2011XDS.a & XDS.b • XDS is renamed to XDS.a as of year 2007-2008 • XDS.a is deprecated from 2009 and removed from TF Revision 7.0 • New XDS.b is introduced • XDS.b is based on a use of the Web Services and ebXML Registry standards

  29. IHE-Korea Connectathon 2011Manager-to-Server Profiles • IHE-PCD DEC • Device Observation Reporter (DOR) • Device Observation Consumer (DOC) • Rosetta Terminology Mapping (RTM) • if needed • Consistent Time (CT)

  30. IHE-PCD DEC (PCD-01) Samsung Electronics INFINITT UCareSoft Samsung Electronics SKT UCareSoft

  31. IHE-Korea Connectathon 2011Server-to-Server Profiles • IHE-ITI XDS.b • Document Consumer • Integrated Document Source/Repository • Document Registry • IHE-PCC XDS-MS • Content Consumer • Content Creator • Consistent Time (CT) • ATNA • Secure Application • PIX/PDQ

  32. IHE-ITI XDS.b Infinitt ? GNSK ? UCareSoft Insung Infinitt GNSK UCareSoft UCareSoft Insung Infinitt ? GNSK ?

  33. Technical Frameworks http://www.ihe.net/Technical_Framework wiki pages http://wiki.ihe.net http://ihewiki.wustl.edu/wiki IHE-Korea Connectathon 2011Resources 33

  34. Registration eWorkshop, Next meeting IHE-Korea Connectathon 2011Agenda 34

  35. Let’s get started!

  36. Health Information Exchange SNU Bundang Hospital SNU Bundang Hospital CDA Repository Client Metadata Registry Metadata Metadata CDA CDA Client Repository Repository Client District Hospital District Hospital Clinical Document Registration

  37. Health Information Exchange SNU Bundang Hospital SNU Bundang Hospital CDA Repository Client Metadata Registry Metadata Metadata Metadata Query Message CDA CDA Document Retrieve Message Client Repository Repository Client District Hospital District Hospital Clinical Document Retrieval

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