Dr. Sungkee LeeDr. Sungkee LeeDr. Il-kon KimDr. Il-kon KimTodd CooperTodd Cooper
IHE – Korea IHE – Korea Daegu ConnectathonDaegu Connectathon
2011.07.11 – 15
Proposal to Proposal to IHE InternationalIHE International
IHE – Korea IHE – Korea Daegu ConnectathonDaegu Connectathon
2010 Review
3
IHE-Korea Connectathon 2010Review
Dates 2010. 8. 23 - 26 Connectathon Conference
2010. 8. 24.
Location Kyungpook National University, Daegu
Registration fee ₩ 1M KRW
4
IHE-Korea Connectathon 2010Review
Connectathon Project Managers: Manny Furst Sungkee Lee / Todd Cooper
Administrative Lead Contacts: Sungkee Lee Il Kon Kim
Additional support team members: Yun Sik Kwak
5
IHE-Korea Connectathon 2010Review
Devices Manager Server
(Blood Pressure)
(GlucoseMeter)
(Weighing Scale)
GBTec(Urinalysis)
Insung Info.
Insung Info.
InfinittInfinitt
H3 System
H3 System
U-Care Soft
U-Care Soft
Insung Info.
Insung Info.
InfinittInfinitt
IEEE 11073 HL7
IEEE 11073
IEEE 11073
IEEE 11073
HL7
HL7
HL7
HL7 U-Care Soft
U-Care Soft
Biospace(BCA)
6
IHE-Korea Connectathon 2010Participants
PCD (Patient Care Devices) Domain DEC : PCD-01 RTM
ITI (IT Infrastructure) Domain CT ITI TF-2x Appendix V: Web Services
7
IHE-Korea Connectathon 2010Profiles Tested
Many “firsts” … 1st Non-North American PCD Connectathon 1st Test of IHE PCD / Continua WAN I/F 1st WAN Communication of PHD Information
Global influence … Improvements to PCD Tech Framework Improvements to NIST Test Tooling Will influence IHE NA & Continua Test Events!
Significant step in support for U-Health
IHE-Korea Connectathon 2010Review
Dates Oc t. 26-28, 2010
Location EXCO, Daegu
9
HIMSS Asia10 ShowcaseReview
EndEndEndEnd
1-3 HomeMed Devices
[Continua; IHE PCD]
1-3 HomeMed Devices
[Continua; IHE PCD]
CastsCastsa.a.InsungInsungb.b.H3 systemsH3 systemsc.c.UCaresoftUCaresoftd.d.Continua/LNIContinua/LNI
CastsCastsa.a.InsungInsungb.b.H3 systemsH3 systemsc.c.UCaresoftUCaresoftd.d.Continua/LNIContinua/LNI
1-4 PCP Office Remote
Monitoring MgmtSystem (RMMS)[IHE PCD, RAD]
1-4 PCP Office Remote
Monitoring MgmtSystem (RMMS)[IHE PCD, RAD]
CastsCastsa.a.UcaresoftUcaresoftb.b.UcaresoftUcaresoftc.c.Continua/IBMContinua/IBMd.d.Continua/IBMContinua/IBM
CastsCastsa.a.UcaresoftUcaresoftb.b.UcaresoftUcaresoftc.c.Continua/IBMContinua/IBMd.d.Continua/IBMContinua/IBM
1-1 Patient Registration
1-1 Patient Registration
CastsCastsa.a.GenevaGenevab.b.GenevaGenevac.c.GenevaGenevad.d.GeneveGeneve
CastsCastsa.a.GenevaGenevab.b.GenevaGenevac.c.GenevaGenevad.d.GeneveGeneve
1-2 Imaging Dept PACS
[IHE RAD XDS-I]
1-2 Imaging Dept PACS
[IHE RAD XDS-I]
CastsCastsa.a.InfinittInfinittb.b.InfinittInfinittc.c.InfinittInfinittd.d.InfinittInfinitt
CastsCastsa.a.InfinittInfinittb.b.InfinittInfinittc.c.InfinittInfinittd.d.InfinittInfinitt
HIMSS Asia10 ShowcaseUse Cases
First ever Showcase in KoreaSignificant influence on Korea National Health
PlanSignificant step in support for u-Health Services
11
HIMSS Asia10 ShowcaseReview
IHE – Korea IHE – Korea Daegu ConnectathonDaegu Connectathon
2011 Plan & Proposal
IHE-Korea ConnectathonDaegu/2011.07.11 - 15
Dates: 2011.07.11-15 (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 ConnectathonDaegu/2011.07.11 - 15
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 ConnectathonDaegu/2011.07.11 - 15
Target Use Case Scenarios Note: Meets needs of end users + participants
National u-Health Project Personal Health Focus
u-Health <Chronic Health> Services: Diabetes (primary target for 2011)
PHM glucose monitor reading to u-Health ServerReport sent to primary care physicianPhysician creates and publishes health summary (a.k.a. CCD)
COPD (anticipated 2012 or later) Cancer (anticipated 2012 or later)
IHE-Korea ConnectathonDaegu/2011.07.11 - 15
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 ConnectathonDaegu/2011.07.11 - 15
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)
2011: Only “required” transactions
IHE Korea ConnectathonIHE Korea Connectathon
PHD Device
PHD Manager u-Health Serveru-Health Server
EMR/HISEMR/HIS
ISO/IEEE 11073 PHD
PCD-01
PHMR
Home/Mobile WAN
(DEC)
WAN(XDS.b)
CCD/XDS-MS
Note: Out-of-Scope for Testing
IHE Korea ConnectathonIHE Korea Connectathonu-Health
Serveru-Health
Server
EMR/HISEMR/HISPIS/Consumer/Source/Repository
u-Health Server
u-Health Server
PIS/Consumer/Source/Repository
EMR/HISEMR/HIS
RegistryRegistry
CCD/XDS-MS
CCD/XDS-MS
PHMR
PIF[ITI-8]
PIF[ITI-8]
PIF[ITI-8]
PIF[ITI-8]
CCD/XDS-MS
CCD/XDS-MS
PHMR
PHMR
PHMR
PIS/Consumer/Source/Repository
PIS/Consumer/Source/Repository
IHE-Korea ConnectathonDaegu/2011.07.11 - 15
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 ConnectathonDaegu/2011.07.11 - 15
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 http://xreg2.nist.gov:8080/PCD-HL7WebCon/
NIST CDA Validation Tools Used @ 2011.01 Chicago Connectathon http://xreg2.nist.gov/cda-validation/validation.html Oxygen XML Editor (http://www.oxygenxml.com/)
XDS Toolkit http://ihexds.nist.gov/
Others, especially Korean-based tooling TBD
IHE-Korea ConnectathonDaegu/2011.07.11 - 15
Showcase KOSMI (Korean Society of Medical Informatics)
Fall Conference Oct. 2011
Korea Health Congress 2011 KHA (Korean Hospital Association) Nov. 2011
KITHA (Korean Information Technology of Hospital Association) Fall Conference Nov. 2011
IHE-Korea ConnectathonDaegu/2011.07.11 - 15
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 …
Let’s get started!Let’s get started!
Find out more at www.ihe.netFind out more at www.ihe.net
Additional information …Additional information …
CDARepository
Registry
District Hospital
Repository Repository
MetadataMetadata
Metadata
Client
District Hospital
ClientClient
SNU Bundang Hospital
CDACDA
Clinical Document RegistrationClinical Document Registration
Health Information ExchangeHealth Information ExchangeSNU Bundang HospitalSNU Bundang Hospital
CDARepository
Registry
District Hospital
Repository Repository
Metadata M
etadata
Metadata
Client
District Hospital
ClientClient
SNU Bundang Hospital
CDACDA
Document Retrieve Message
Document Retrieve Message
Clinical Document RetrievalClinical Document Retrieval
Health Information ExchangeHealth Information ExchangeSNU Bundang HospitalSNU Bundang Hospital
Metadata Query
Message
Metadata Query
Message
Message Transport
Web Services WS-I BP
IHE IT Infrastructure TF Vol 2Appendix V Rev 6.0WS-I BP over SOAP 1.2
Plus WSI-BSP, TLS and IHE ATNA
HL7 MLLP
IHE HL7 V2 Msg Transport
HL7 Minimum Lower Layer Protocol (MLLP) over TCP/IP
Messaging HL7 V2.6 constrained byIHE DEC PCD-01 and RTM .
Semantics IEEE 11073-20601 and 104xx terms
IEEE 11073-10101 terms and –10201 info model
(beyond the firewall) (behind the firewall)
Continua “WAN” & IHE DEC
Note: This is new to the IHE PCD … not IHE ITI … test tooling, test scripts, etc.
Anticipated that this will be part of the 2011 NA PCD Connectathon as well.
(Slide from Paul Schluter (GE), Workshop presentation @ HIMSS ’10 conference in Atlanta GA)
Requirement Guidelines WAN HITSP IHE
Data Confidentiality WS-I BSP v1.0• TLS protocol v1.0 (RFC 2246) • AES cipher (RFC 3268)
M O
Data Integrity WS-I BSP v1.0• TLS protocol v1.0 (RFC 2246)• SHA1 hash (RFC 3174)
M O Authorization Information
ExchangeWS-I BSP v1.0• WS-Security Header Only• SAML v2.0 token
M Consistent with
IHE XUA
Auditing IHE ATNA Auditing• Section 3.20, ITI-TF6-Vol2a mV2 1
M Mandatory ‘shall’ R Recommended O Optional
Guideline is aligned with IHE and HITSP
mV21 IHE ATNA Auditing may become mandatory in a later version, e.g. V2
“wan” Security Guidelines
(Slide from Paul Schluter (GE), Workshop presentation @ HIMSS ’10 conference in Atlanta GA)