Proposal for IHE New Domain : Endoscopy

IHE Japan, JAMI, JAHIS

JAMI : Japan Association for Medical Informatics

JAHIS : Japan Association of Healthcare Information Systems Industry

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New Domain and Domain Sponsors

• Domain Name: Endoscopy • Sponsoring Organization Name:

– JAMI　　 (Japan Association for Medical Informatics)– JAHIS (Japan Association of Healthcare Information Systems

Industry)

• Name of Primary Contact: 　 Atsushi Amano– Title: Vice Chair, Medical Image System Committee of JAHIS

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The scope of interest to be addressed by the domain.(1/2)

Scope Statement of the proposed domain:• IHE Endoscopy will address information sharing, workflow and patient

care where endoscopes are used. • Gastrointestinal and other area where endoscopies are used are the

scope of the interest. • It is affected by systems and activities in hospital endoscopy

departments or endoscopy private offices.

Notable interoperability/information sharing problems to be addressed:

• Many of the communication between department system and hospital-wide enterprise system are composed of proprietary protocol. Even in the cases that employ HL7 and DICOM standards, each implementation is different.

• Because of the situation, both users and vendors experience difficulty in not only defining interoperability functional requirement, but also quality, cost and development time.

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3.The scope of interest to be addressed by the domain.(2/2)

Rational for creating the new domain :• Although a lot of similarities are seen between endoscopy and other

domains like radiology, endoscopy has its own workflow. • First major difference is that the performer is not a technician but

medical doctor. Therefore, sometimes different examination than ordered is done. Also as it is done by doctor, report is always necessary for the examination, it means we need report relating description in fundamental endoscopy profile.

• The second major difference is the number of inter-department order. Once the doctor conduct biopsy, anatomical pathology order is needed. Biopsy is a popular performance in endoscopy.

• Those are just examples. Such understanding of the differences is necessary to define endoscopy technical framework. And the place, where the persons who know endoscopy well meet together, is demanded.

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Schedule (tentative)• 2010

– March Proposed to IHE International Board– May IHE Int’ Board approve (hopefully…)– June 1st Preparation meeting on t-con– August 2nd Preparation meeting on t-con– November 1st Face-to-face meeting at MEDICA

• 2011– Development of TF

• 2012– Publish TF for trial implementation– Publish TF as Final text

• In Japan– Working on the draft TF now – The Connectathon for endoscopy will be held this year.