Hidenori Shinoda11/29/2007

RSNA, Chicago

The last joint working groups meeting was held between August 26 and 29, 2007 in Brisbane, Australia.

Shinoda attended the meeting for architecture breakout of WG2. A drafted document on IHE Global

Standards Adoption - Part 1 Process was reviewed. It would be submitted to the secretariat for the ballot to be approved.

A meeting for SDO harmonization was held on Sunday, August 26. Shinoda did not attend the meeting, but items listed below were discussed;

New WG was established as WG9:Joint Initiative on SDO Global Health Informatics Standardization.

The WG was formed to address and resolve issues of gaps, overlaps, and counter-productive standard efforts by ISO, CEN, and HL7.

Co-Chairs （ ISO ： Don Newsham, HL7 ： Charles Jaffe, CEN ： Melvin Reynolds ）

ISO serves as the host of the WG and Australia will be in charge of the secretariat.

They would collect work items which are worked on by each SDO.

They decided that they would call IEEE, DICOM, IHE, etc. to participate to the WG.

*I attached a copy of their presentation.

Each ISO/TC215 member countries are requested to evaluate WADO standard.

Evaluation items are below;1. Recommended action (Withdraw, Revise/Amend, Confirm,

Confirm with correction of errors * , Abstain, or Abstain with survey replies)

2. Has this International Standard been adopted or is it intended to be adopted in the future as a national standard or other publication?

(Reply only if the answer to Question 2 is "Yes") 3. Is the national publication identical to the International

Standard or was it modified?4. Is this International Standard used in your country

without national adoption or are products used in your country based on this standard? 

5. Is this International Standard, or its national adoption, referenced in regulations in your country?

Due date will be March 17, 2008.

Joint Initiative on SDO Global Health Informatics

Standardization

Joint Working Group (WG9) Meeting #1

Welcome / Introductions / Agenda

Charter update (Including ISO Ballot)

Working Group Structure

Work Program Overview / Summary / Harmonization needs

Current Work Program Updates 13606, Data Types, Care Information Models, Other

Working Group Processes

Next JWG Meetings

Joint Initiative – Charter Update CEN, HL7, ISO Charter Approval Status

Approved in all three Additional SDO participation already under discussion

Joint Initiative Purpose / ScopeThe Joint Initiative on SDO Global Health Informatics Standardization is formed to enable common, timely health informatics standards by addressing and resolving issues of gaps, overlaps, and counter-productive standardization efforts through:

An agreed upon and used decision process for international standardization needs.

Coordinated standards strategies and plans.An integrated work programFocused, specific resolution of overlapping or counteracting

standards within existing work programs.

Joint Working Group Structure

OverviewHosted by ISO TC215 (within ISO as WG9)Secretariat (Australia)A planning, process determination and coordinating working group

Purpose:To provide the discussion, liaison, advisory and communication forum for achieving the goals of the Joint Initiative on SDO Global Health Informatics Standardization

Joint Working Group StructureScope

Develop an integrated work program amongst the participating SDO’s

• Collection, summarization, awareness building, coordinatingIdentifying, defining and documenting gaps, overlaps issues and tasks to be addressedDeveloping, testing and using a decision processDeveloping common processes for harmonization activity

Not Developing standards, changing SDO accredited processes, changing SDO accountability and mandates

Joint Working Group StructureParticipation

Open, all Convenors, Committee chairs from all SDO’s particularly requested to be ongoing and regular JWG members

Process for Co-ChairsHL7 and CEN have identified their co-Chairs• Charles Jaffe• Melvin Reynolds

ISO proceeding with normal processes for co-Chair / Convenor • Recommendation from WG to Plenary, member vote at

plenary, Joint Initiative Council also has input

ISO / CEN /HL7 Work Programs (current)Common Terminology ServicesCommon GlossaryHI Conceptual Framework for Pt findings and problems in terminologyApp of Clinical Risk Mgmt to Hlth S/WGuidance on Risk Eval and Mgmt in deployment of Hlth S/WSecure Archiving of EHR – Pt 2 GuidelinesHC Info Privilege Mgmt and Access ControlAudit Trails for EHRPseudonymisationFunctional and Structural Roles

EHR Architecture (13606) – Parts 1,2,3Provider IdentificationIdentification of Subjects of CareDocument Registry FrameworkHarmonized Data Types for Information InterchangeMessages and Communications – WARMHL7v2.5 MessagingClinical Document Arch(R2)IHE Global Stnds Adoption, Part 1 ProcessGenomic Sequence Variation Markup LangExchange of Info Between HC systems – Development of Messages

ISO / CEN /HL7 Work Programs (current)P-o-C Medical Device Comm Framework / overview P-o-C Medical Device Comm Nomenclature – ECGP-o-C Medical Device Comm Implantable Device, CardiacP-o-C Medical Device Comm App Profiles MIB ElementsP-o-C Medical Device Comm App Profiles Access ControlP-o-C Medical Device Comm App Profiles PollingP-o-C Medical Device Comm App Profiles Asynch P-o-C Medical Device Comm Analyt Inst. P-o-C testStandard Comm protocol ECG

Info Security Mgmt using 17799Public Key Infrastructure Pt 1,2,3Patient Health Card Pt 8,6,5 (links, admin, identification)Pharmacovigilance Indivual Case Safety RptPharmacovigilance Structure and Vocab for Lab Test UnitsIdentification of Medicinal products (4 parts)Business Req’s for Reporting of Pharmacist ServicesFunctional Characteristics for Prescriber Support SystemsApplication of Risk Mgmt for IT –Networks w/Med DevicesP-o-C Medical Device Comm App profile (Opt Pkg, R-Ctrl)P-o-C Medical Device Comm App gateway HL7v2

ISO / CEN /HL7 Work Programs (current)Requirements for EHR Ref ArchReq’s and Specs for Hlth Summary Record (elements)Req’s and Specs for Hlth Summary Record (info)EHR Standards MapEHR System Functional Model

ISO / CEN /HL7 Work Programs (current)Info Security Mgmt using 17799Security for Communication Pt 1,2,3 (concepts/term, objects, channels)Measures for pt safety of health s/wOverview of hlth professional cards in CEN countriesAudit Trails for EHRApp of Clinical risk mgmt to health s/wGuidance of risk eval and mgmt in deployment of health s/w

EHR Architecture (13606) – Parts 2,3,5Patient Health Card Pt 5, 6,7,8 (identification, admin, med data, linkage)HI Service Architecture (Pt 1, 2, 3)(Enterprise, Info, Comp)Data TypesCategorical Structure-terminologies of anatomyCategorical structure– systems of concepts med devicesSystems of concepts – continuity of careClinical knowledge resources – metadataSyntax for content of med classification systems

ISO / CEN /HL7 Work Programs (current)P-o-C Medical Device Comm Framework / overviewP-o-C Medical Device Comm App profile (Opt Pkg, R-Ctrl)P-o-C Medical Device Comm App profile (baseline)P-o-C Medical Device Comm App profile (polling mode)P-o-C Medical Device Comm Med Waveform encoding

ISO / CEN /HL7 Work Programs (current)Structured Product LabelingCDA structure for Anatomic Path ReportReal time location trackingDocument architecture / CDA for reporting (non-clinical)Basic imaging reports in CDA and DICOMAdministrations for medicinal substances – terminologyCare provision – Allergy and IntolerancesRole based access permission catalogOrders and Obs- Lab result reporting to EHRClinical Doc Arch – R2

Periodontal, basic imaging, anatomic path, consult notes, infection reports, history & physican reports

HL7 artifacts knowledge baseE-Learning CD Intro HL7Web Strategy OverviewWrappers release 2E-learning business planHL7 V3 Substantive ChangesSpecs / Use of info constraint templatesMaster File / Registry InfraTransmission InfraMessage Control Act infraMessage control Query infraNew Impl Tech Spec GuideNew Impl Tech SpecTransport Spec – ebXMLTransport Spec Removable media

ISO / CEN /HL7 Work Programs (current)Imp Tech Spec for v3 StructureImp Tech Spec Data TypesCommon Message Element typesDevelopment Framework

V2.5.1Orders and Obs Lab to Ambulatory EHR

Accounting and BillingClaims and ReimbursementShared MessagesData Types – abstract specsISO Data TypesClinical Statement PatternCommon ObservationsObservation requestComposite OrderOrders & Reqs PatternReal Time location trackingAllergy / IntoleranceImmunizationPublic hlth Case MgmtPublic hlth Outbreak MgmtSchedulingImp Guide Using Snomed CT

Current Joint Program – Work Updates 13606 (Dipak Kalra)

Data Types (Tom Marley, Graham Grieve, Mark Shafarman)

Care Information Models (William Goossens)

Joint Working Group – Key Processes Decision Tree (Jeremy Thorpe)

Other needed / future process requirements (topics for next meetings)

Joint Working Group – Next Meetings JWG at CEN (Dublin, Tuesday October 2, 5-9pm)

JWG at HL7 (?) / HIMSS Feb07

JWG at ISO (Sweden May 29)

JWG at HL7 (Sept 08)

Key Actions

Joint Initiative on SDO Global Health Informatics

Standardization

Joint Working Group (WG9) Meeting #1