Dr. Sungkee Lee Dr. Il-kon Kim Todd Cooper IHE – Korea Daegu Connectathon IHE – Korea Daegu Connectathon – 15 Kick-off Meeting

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

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

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

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

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

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) 7 IHE-Korea Connectathon 2011 Terminologies

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 8 IHE-Korea Connectathon 2011 Terminologies

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 9 IHE-Korea Connectathon 2011 Terminologies

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 10 IHE-Korea Connectathon 2011 Terminologies

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

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 12 IHE-Korea Connectathon 2011 Terminologies

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 13 IHE-Korea Connectathon 2011 Terminologies

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

IHE-Korea Connectathon Results

IHE – Korea Daegu Connectathon IHE – Korea Daegu Connectathon 2011 Plan & Proposal

IHE-Korea Connectathon Daegu/ Dates:  (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, …

IHE-Korea Connectathon Daegu/ 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

IHE-Korea Connectathon Daegu/ Target Use Case Scenarios Note: Meets needs of end users + participants  National u-Health Project  Personal Health Focus u-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)

IHE-Korea Connectathon Daegu/ 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)

IHE-Korea Connectathon Daegu/ 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)

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

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

IHE-Korea Connectathon Daegu/ 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)

IHE-Korea Connectathon Daegu/ 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  NIST CDA Validation Tools  Chicago Connectathon   Oxygen XML Editor ( XDS Toolkit  Others, especially Korean-based tooling  TBD

IHE-Korea Connectathon Daegu/ Showcase KOSMI (Korean Society of Medical Informatics) Fall Conference  Oct Korea Health Congress 2011  KHA (Korean Hospital Association)  Nov KITHA (Korean Information Technology of Hospital Association) Fall Conference  Nov. 2011

IHE-Korea Connectathon Daegu/ 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 …

IHE-Korea Connectathon 2011 XDS.a & XDS.b XDS is renamed to XDS.a as of year – 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

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

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

IHE-Korea Connectathon 2011 Server-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

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

Technical Frameworks – wiki pages – – IHE-Korea Connectathon 2011 Resources

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

Let’s get started!

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

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