1. Report on Japanese Activities Hidenori Shinoda JIRA 9/29/2005 Budapest

2. Activities of IHE-J Connectathon –23 vendors and 48 systems participated –Done between Feb. 22 nd and 25 th, 2005 –For only Radiology Profiles Adopted JJ1017 ver.3.0 code –JJ1017 ver.3.0 was developed –Adopted this code to connectathon 2004 and demo –The code is very descriptive. It is 32 byte-coding system.

3. METI ’ s new project IT for regional healthcare alliance Building a networked system to care cerebral stroke patients –Sharing medical data of a patient in a regional medical community –From ambulatory care to nursing care at patient ’ s home –Remotely care patients on ambulances –XDS as infrastructure for sharing healthcare information Images will be the main information. Lab test data, wave forms, text, etc. –Telemedicine supported by real time video systems Teleconsulting at surgical rooms Teleradiology for image diagnosis Remotely support nursing people at patient ’ s home

4. Node authentication system via smart card Gateway Application Examination of qualification Registration Issuing smart cards Secure Connector System UserSmart Card Issuer Healthcare Information System Request of permission for connection Permission Certificate Authority

5. Just for your information There are 9,034 hospitals in Japan. 5.5% of them have EMR systems. (20.9% of hospitals with more than 400 beds have EMR systems.) But, almost all of them are not interoperable. Ministry of Health, Welfare, and Labor wants EMR systems to be semantically interoperable. AS a first step to this, MHWL plans to reward health institutions which provide patients healthcare information burned onto CDR.