dr. sungkee lee dr. il-kon kim todd cooper ihe – korea daegu connectathon ihe – korea daegu...

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


2010 Review

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IHE-Korea Connectathon 2010Review

Dates 2010. 8. 23 - 26 Connectathon Conference

2010. 8. 24.

Location Kyungpook National University, Daegu

Registration fee ￦ 1M KRW

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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


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

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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


Dates Oc t. 26-28, 2010

Location EXCO, Daegu

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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

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HIMSS Asia10 ShowcaseReview


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, …


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


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)


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)


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




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)


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


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


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)