1. DSC meeting @ RSNA Dec. 1, 2015. America Health Information Construction and Standards in China

2. Population Health Information Standard System Information Security Protection System National Health Information Development — Top-Level Design Prefecture level population health region information platform The National Population Health Management Platform Provincial Population Health Information Platform Public health information system of traditional Chinese and Western medicine Grassroots medical and health management information system Medical health public service information system EHR Database EMR Database Population Health Network Public Health Medical Service Medical Security Drug Management Comprehensive Management County level population health region information platform Birth Control Population Database Cellular Internet GPS Health GIS

3. Hospital information platform——building intelligent hospital (top-level design) Realize accessible 、 consistent 、 simple 、 intelligent information service Promote the hospital's information construction, to improve the efficiency and quality of medical service

4. The construction of regional health information platform and health records system Public EHR Personal Info Quick view of EMR Medical occasions Public health agency Hospital B referral Information exchange and share Information exchange and share Disease report Information exchange and share Follow up Information exchange and share Hospital A Community health service centre Regional health information platform

5. EHR Database EMR Database Identification Database National Healthcare Platform EHR Database EMR Database Identification Database Provincial Healthcare Platform EHR Database EMR Database Identification Database Local Healthcare Platform Clinics Emergency Dispatch Neighborhood Hospitals CFDA Childcare CDA EMR Remote Medical Service Helps Good Resource Flowing Downwardly Medical Centers County Hospitals Report

6. Management Structure of Chinese Health Information Standards Organization National Health Planning Commission Legal Department Ministry of Health Statistical Information Center Relevant departments Standard Professional Committee Information Standards Department Ministry of Health Supervision Center National Health Standards Committee Beacon Committee Secretariat

7. Framework of Health Information Standards System in China Basic standards Standard system and technology guide Management specification Technical standards Data standards Data element Classification and code Health information model Medical nomenclature The shared document specification Data Set The functional specification The technical specification Information security specification Test and evaluationSupervision and inspection Privacy protection specification

8. International Health Information Standards Formulating Regional(Hospital) Information Interaction Rules by references Formulating DICOM Chinese DS Standards ， and DICOM Supplementary ConCP1234 Formulating Health Information Sharing Document Standards by references In order to collect tertiary hospitals’ information and make it applicable domestically ， we began to study on expanding four bit code which was based on ICD-10 to six since 2011.

9. Satisfied the interoperability requirement in China at this stage 9 Progress of health information standard system revision in China year Planned number Actual number Published number Approved number Developing number 2008810 00 200977700 201088800 201110812912630 20127504910 2013223717137 201477007 total167248 217 1714

10. Conformance Assessment of Healthcare Standards Maturity Assessment for Regional Standardized Interoperability Maturity Assessment for Hospital Standardized Interoperability Assessment for First Care and Remote Medical Service Standardization Conformance Assessment of DICOM Radiology-related Information Exchange Remote Medical Service Information Exchange Inter-hospital Information Exchange Integration of Resources Sharing of Information Interoperability Collaboration In-hospital Information Exchange

11. CIMICS Structure  Integrate resources related to DICOM in China  Promote DICOM’s application  Research around and improve DICOM  Develop products and services related to DICOM  International collaboration and communication related with DICOM Principals of DICOM Standard Chinese Committee

12. CIMICS Work been done,and work to be done – Fundamentals of DICOM – Packaging of DICOM – 4 National Standards, 1 International Std. – Applications of DICOM – Localization of DICOM – Promotion of Remote Medical Service – Translated and Published DICOM in CHN – 1000+ Times of Training Doctors – Hosted DICOM DSC Meeting Twice – Started Translation of DICOM 2015c – Detail the Use of DICOM – Localize DICOM Applications – Publish DICOM User Guidance – Found a Research Institute of DICOM – Host More DICOM International Meetings – Schedule More DICOM Related Trainings – Std. Conformance Assessment for PACS – Std. Conformance Assessment for Equip. – C.A for Communication PACS and Equip. – C.A for Regional PACS Promotion Research Application Work Done Conformance Assessment Guidance Collaboration Future Work

13. DICOM Standard Conformance Assessment Assessment Content Baseline: Conformance Statement Part 1Part 2Part 3Part 4 Image Format DICOM format Data Structure and Compression Image Data Format IOD Communication DIMSE-C C-Store 、 C-Find--- DIMSE-N N-Get 、 N-Set--- others Worklist 、 MPPS--- DICOM Print--- Security Socket Communication Environment DICOM Node DICOM Anonymous File DICOM Digital Signature Grayscale DICOM Grayscale SDF

14. Plans for DICOM Standard Conformance Assessment  Tools for Assessment  Processes and Documentation 1 st Stage: Preparation  2015-12-31 Finish ： Work ：  3 Hospitals  3 Equipment Manufactures  4 PACS Manufactures 2 nd Stage: Start Finish ： Work ：  2016-6-30  30 Hospitals  10 Equipment Manufactures  Regional PACS 3 rd Stage: Assessment Starts ： Work ：  2016-7-1 DICOM Standard Conformance Assessment