ISO/TC 215 - Health InformaticsWG2 - Messages and Communications SWG2 - Architecture

28 January 2005Orlando, Florida

Grant Gillis

Telehealth InteroperabilityISO/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

Telehealth InteroperabilityPhase 1: Introduction

Key definitions, scopeWork plan phases outlined

Phase 2: Real-time, video conferencingTelelearning Application

Phase 3: Teleradiology Interoperability Project:

Technical SpecificationUse DICOM, HL7, IHE

Telehealth InteroperabilityProject 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.

Teleradiology Requirements Business Requirements Processing Requirements Information Requirements

Teleradiology ModelBusiness Process ModelData ModelTeleradiology Vocabulary

Teleradiology Data SpecificationData Model SpecificationData DictionaryDraft Standard

Teleradiology Messaging Specification Interactions with Other Systems Message Specification Draft Standard

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Teleradiology Testing FrameworkApproach and Testing StrategyConformance TestsInteroperability Tests

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Integrating the Healthcare Enterprise (IHE) Integration Profiles

Telehealth Interoperability

Teleradiology ServicesTelemanagementTeleconsultationTelediagnosisTelemonitoring

InfostructureStore-and-Forward Applications (e.g., image visualization and analysis)Real-Time Applications (e.g., videoconferencing)Collaborative Applications (e.g., multimedia conferencing)Databases

InfrastructureInformation Technology (e.g., computer hardware, system software)Computer Networks (e.g., LAN and WAN)Data Communications (e.g., protocolsMedical Imaging Modalities (e.g., CT, MRI, Ultrasound)

Telehealth Interoperability

Network A Network B

User InteroperabilityHealth / Professional OrganizationsCare ProvidersCare RecipientsResearchers

User InteroperabilityHealth / Professional OrganizationsCare ProvidersCare RecipientsResearchers

Business InteroperabilityHealth Policies (e.g., licensing)Legal Framework (e.g., liability)Business and Professional RelationshipsResources

Business InteroperabilityHealth Policies (e.g., licensing)Legal Framework (e.g., liability)Business and Professional RelationshipsResources

Clinical InteroperabilityCare Policies and StandardsClinical Practice GuidelinesCare Goals and StrategiesDiagnostic Services (e.g., telediagnosis)

Clinical InteroperabilityCare Policies and StandardsClinical Practice GuidelinesCare Goals and StrategiesDiagnostic Services (e.g., telediagnosis)

Technical InteroperabilityInfostructure (real-time, store-and-forward, and collaborative applications, databases)Infrastructure (computers, networks, diagnostic imaging modalities)

Technical InteroperabilityInfostructure (real-time, store-and-forward, and collaborative applications, databases)Infrastructure (computers, networks, diagnostic imaging modalities)

Telehealth Interoperability

Telehealth InteroperabilityCompleting Research Report – March

Development of NWIP for TS

Presentation & Discussion at Berlin Plenary

Questions? Comments? Contact ggillis@cihi.ca