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![Page 1: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 ISO: Overview of TC215/WG2 activity in the telemedicine-related.](https://reader035.fdocuments.net/reader035/viewer/2022070305/551540ae550346a87d8b5f02/html5/thumbnails/1.jpg)
International Telecommunication Union
Workshop on Standardization in E-healthGeneva, 23-25 May 2003
ISO: Overview of ISO: Overview of TC215/WG2 activity TC215/WG2 activity in the telemedicine-in the telemedicine-
related arearelated areaMelvin Reynolds
Senior Partner, AMS Consulting, UKDeputy Chair ISO/TC215/WG2, Vice Chair
IEEE1073, Convenor CEN/TC251/WG4
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223-25 May 2003 Workshop on Standardization in E-health
ITU-T
Contents
o Standards development contexto ISO/TC215: Structure – WGs & TFso WG2: Messaging &
communications- scope and sub-groups
o WG2.1: Medical devices - projectso WG2.2: Architecture - projectso WG2.3: Methodology - projectso WG2.4: DICOM persistent object
projecto Summary
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323-25 May 2003 Workshop on Standardization in E-health
ITU-TISO TC215 Context
ISO TC215
International
National
Standards
Bodies
CEN TC251
WG1:Models
e.g USA (ANSI)HL7
ASTM
WG1:Models andMessages
WG2:Terminology
WG3:Security
WG4:Technology
forInteroperability
WG2:Messages and
Communications
WG3:Terminology
WG4:Security
WG5:Cards
EuropeanNational
StandardsBodies
Type A Liaison
DICOM
"Pilot Process
MOU
IEEE NCCLS
"Pilot Process
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423-25 May 2003 Workshop on Standardization in E-health
ITU-TISO TC215 Scope
o Health informatics – generally interpreted as ISO/OSI Level 7
o Some groups work in Levels 1-6 by reference to other standards.
ISO/OSI Level 7: Application
ISO/OSI Level 6: Presentation
ISO/OSI Level 5: Session
ISO/OSI Level 4: Transport
ISO/OSI Level 3: Network
ISO/OSI Level 2: Datalink
ISO/OSI Level 1: Physical
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523-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO TC215 Structure
o WG1 Health records and modelling
coordinationo WG2 Messaging and
communicationso WG3 Health concept
representationo WG4 Securityo WG5 Health cards
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623-25 May 2003 Workshop on Standardization in E-health
ITU-TISO TC215 Structure
Technical Committee
WG 1 WG 2 WG 3 WG 4 WG 5
TF EHR TF e-Pharm.
TF CoPolCoTF Mobile
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723-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG 2Messaging &
communicationso Scope:
• Describing the functional purposes of information interchange and the circumstances in which interchange should occur;
• Defining a means of implementing information interchange in one or more syntax or communication modalities;
• Identification of specific domains of activity.
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823-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG 2Messaging &
communications
o Specific Domains:
• Clinical messaging• Medical device communication• Business and financial
messaging
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923-25 May 2003 Workshop on Standardization in E-health
ITU-T
o Sub-working Groups:
2.1 Device interface 2.2 Architecture 2.3 Methodology 2.4 DICOM persistent
object
ISO/TC215/WG 2Messaging &
communications
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1023-25 May 2003 Workshop on Standardization in E-health
ITU-T
o ISO 11703-nnnnn Health informatics – Point-of-care medical device communication• Series that has, for the most part, an IEEE1073
lead;• The foundational standards originate in CEN ENVs
- 13734Vital Signs representation and- 13735 Interoperability of patient connected
medical devices;• All the work items are covered by the Vienna
Agreement between ISO and CEN;• All the products are therefore joint labelled as:
“EN/ISO/IEEE 11073-nnnnn, Health informatics – Point-of-care medical device communication - …”
ISO/TC215/WG2.1, Devices - Products
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1123-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn Productso -00000 … - Framework and overview o -10101 … - Nomenclature o -10201 … - Domain information modelo -10301 … - Device specialization - Infusion deviceo -10302 … - Device specialization – Patient monitor o -20101 … - Application profiles - Base standard o -20201 … - Application profiles - Polling mode o -20202 … - Application profiles - Baseline o -30200 … - Transport profile - Cable connected o -30300 … - Transport profile - Infrared wireless
o + 28 other items in series underway
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1223-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn products
Reference the following:o ITU-T Rec. X.226, ISO OSI - Connection-
Mode Protocol Specificationso ITU-T Rec. X.227, ISO OSI - Connection-
Mode Protocol Specificationso ISO/IEC 8824-1/ITU-T Rec. X.680, OSI
ASN.1 - Specification of basic notationo ISO/IEC 8824-2/ITU-T Rec. X.681, OSI
ASN.1 - Information object specification
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1323-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn reference
Reference the following:o ISO 8825-1/ITU-T Rec. X.690 OSI
ASN.1 - Encoding Rules: Specification of Basic Encoding Rules (BER), Canonical Encoding Rules (CER), and Distinguished Encoding Rules (DER)
o ISO/IEC 8802-3, … - Part 3: Carrier sense multiple access with collision detection (CSMA/CD) access method and physical layer specifications.
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1423-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn reference
Reference the following:o ISO/IEC 8877, … - Interface connector
and contact assignments for ISDN Basic Access Interface located at reference points S & T.
o IEC 60417-1, Graphical Symbols for Use on Equipment - Part 1: Overview and Application.
o IEC 603-7, Connectors ..., Part 7: ..., 8-way, ...
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1523-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn reference
Reference the following:o IETF, … RFC-1305, Network Time
Protocol (v3) specification, implementation & analysis, ...
o IETF, … RFC-2030, Simple network time protocol (SNTP) version 4 for IPv4, IPv6 and OSI, ...
o IETF, … RFC-793, Transmission Control Protocol - DARPA Internet Program Protocol Specification
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1623-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn reference
Reference the following:o ANSI/TIA/EIA-232-F, Interface Between
Terminal Equipment and Data Circuit-Terminating Equipment ...
o ANSI/TIA/EIA-561, Simple 8 Position Non-Synchronous Interface ...
o ANSI/TIA/EIA-562, Electrical Characteristics for an Unbalanced Digital Interface.
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1723-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn reference
Reference the following:o ANSI/TIA/EIA-568-A, Commercial
Building Telecommunications Cabling Standard.
o IEEE Std 100, ... Dictionary of Electrical and Electronics Terms.
o IrDA (Infrared Data Association) [IrLAP], Serial Infrared Link Access Protocol (IrLAP), Version 1.1.
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1823-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices 11073-nnnnn reference
Reference the following:o IrDA [IrLAP-VFIR], Serial Infrared Link Access
Protocol Specification for 16 Mb/s Addition, Version 0.20.
o IrDA [IrLMP], Serial Infrared Link Management Protocol, Version 1.1.
o IrDA [IrPHY], Serial Infrared Physical Layer Specification, Version 1.3.
o IrDA [VFIR], Serial Infrared Physical Layer Specification for 16 Mb/s Addition (VFIR).
o IrDA [Tiny TP], ... A Flow-Control Mechanism for use with IrLMP, Version 1.1.
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1923-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.1, Devices - Products
o EN/IS/NCCLS11073-90101 Analytical instruments - Point-of-care test (=POCT1-A)
o IS 18812 Health informatics - Clinical analyzer interfaces to laboratory information systems - Use profiles
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2023-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.2, Architecture - Products
o TR 18307 Health informatics - Key characteristics for interoperability and compatibility in messaging and communications standards
o NWI Health informatics - Inventory of healthcare informatics related standards and works in progress
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2123-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.2, Architecture - Products
o TR 16056-1 Health informatics - Interoperability of telehealth systems and networks -Part 1: Introduction and definitions
o TR 16056-2 Health informatics - Interoperability of telehealth systems and networks - Part 2: Real-time systems
o TR 16058 Health informatics - Interoperability of telelearning systems
o CD Health informatics - Interoperability guidelines for telehealth systems and networks
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2223-25 May 2003 Workshop on Standardization in E-health
ITU-T
Telehealth - Part 1: Introduction and definitions
o Telemedicinethe use of advanced telecommunication technologies to exchange health information and provide health care services across geographic, time, social and cultural barriersReid, J. (1996), A Telemedicine Primer: Understanding the Issues. Innovative Medical Communications
o Telehealththe use of telecommunication techniques for the purpose of providing telemedicine, medical education, and health education over a distanceGATES (1994), Global Access Telehealth and Education System. Final Report. The International Space University. Summer Session, The Universitat Autỏnoma de Barcelona, Spain
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2323-25 May 2003 Workshop on Standardization in E-health
ITU-T
Telehealth - Part 2: Real-time systems
o References 20 ITU-T Recommendations:
• 224, 230, 233, 234, 243, 281• G.711, G.722, G.728• H.221, H.242, H.320• T.120 – T.127
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2423-25 May 2003 Workshop on Standardization in E-health
ITU-T
Interoperability of telelearning systems
o References 26 ITU-T Recommendations:• G.711, G.722, G.723.1, G.728, G.729, • H.221, H.225.0, H.230, H.231, H.233,
H.234, H.242, H.243, H.245, H.261, H.263, H.281, H.320, H.323
• T.120, T.122, T.123, T.124, T.125, T.126, T.127
o ISO/IEC 8802-3, … Carrier sense multiple access with collision detection (CSMA/CD) access method and physical layer specifications
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2523-25 May 2003 Workshop on Standardization in E-health
ITU-T
Interoperability guidelines for telehealth systems & networks
o References 20 ITU-T Recommendations:
• 224, 230, 233, 234, 243, 281• G.711, G.722, G.728• H.221, H.242, H.320• T.120 – T.127
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2623-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.2, Architecture - Products
o TR Health informatics - Trusted end-to-end information flows
o WD Health informatics - Quality indicators for health information made available on the Internet
o WD Health informatics - High level message flows (stakeholder to stakeholder)
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2723-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.3, Methodology - Productso IS17113 Exchange of information between
healthcare information systems - Development of messages
o IS18232 Health informatics - Procedure result data objects - Unique instance identifiers - Format
o NWI Health informatics - De-identification of health records
o NWI Health informatics - Data types for use in health care data interchange
o NWI Health informatics - Stakeholder general purpose information component
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2823-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2.4, DICOM Persistent object – Web access
o 17432 Web access to DICOM persistent objects
This is a rapid joint activity beteen members of ISO/TC215/WG2 and members of DICOM WG6 to enable DICOM Persistent Objects to be displayed in a web-browser environment.
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2923-25 May 2003 Workshop on Standardization in E-health
ITU-T
ISO/TC215/WG2Conclusions
WG2 has great depth of knowledge of health information communication and management, but would welcome complementary work, especially if it assists nations with developing economies and infrastructure.
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International Telecommunication Union
Workshop on Standardization in E-healthGeneva, 23-25 May 2003
EndEndISO: Overview of TC215/WG2 activity in the ISO: Overview of TC215/WG2 activity in the
telemedicine-related areatelemedicine-related area
Thank you.Thank you.
Melvin [email protected] Consulting, HR9 5PQ, UK
www.ieee1073.org