1. International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 E-Health Standardization in Japan and JAHIS Masatsugu Tsuji Professor of Economics OSIPP, Osaka University

2. ITU-T 2 23-25 May 2003 Workshop on Standardization in E-health WHAT IS JAHIS? JAHIS (Japanese Association of Healthcare Information Systems Industry) was established in April 1994. Currently it has 309 member companies, including major electric appliances companies such as Panasonic, NEC, Fujitsu. JAHIS plays an essential role in the field of information system in health, medical care and welfare services.

3. ITU-T 3 23-25 May 2003 Workshop on Standardization in E-health WHAT ARE THEY DOING? Mission 1. JAHIIS promotes the concept of medical information systems, specifically focusing the development of electronically processing medical images, medical records and receipts. 2. JAHIS develops various standards, which link the health, medical care and welfare services.

4. ITU-T 4 23-25 May 2003 Workshop on Standardization in E-health International Collaboration for Standardization o ISO TC (Health Infromatics), since 1998

5. ITU-T 5 23-25 May 2003 Workshop on Standardization in E-health Upload electronic message (numerical data) standardization study 1997 Upload electronic message (waveform data) standardization study 1998 Study for amendment of upload electronic message (numerical data) standardization 1999 Download electronic message (request & inquiry) standardization study 2000 WHAT WHAT DID THEY DO? (1) Vital Data Communication Standards

6. ITU-T 6 23-25 May 2003 Workshop on Standardization in E-health WHAT DID THEY DO? (2) Standardization of Tele-Home-Care System Computer Transmission/receiving module Medical institution, etc. Users home Transmission/receiving module Center Printer Server Computer Transmission/ receiving module ComputerServerPrinter Vital-signs sensors (blood pressure, electrocardiograph readers, body temperature, etc.) Vital-signs sensor adapter ISDN, CATV, ADSL, Subscribers telephone network System center (EBH, etc.) Videophone At-home controller

7. ITU-T 7 23-25 May 2003 Workshop on Standardization in E-health JAHISS CURRENT PROJECT Data transmission with XML data exchange tool Users homeCenter (medical institution, etc.) Personnel health DB Vital-signs sensors (blood pressure, electrocardiograph readers, body temperature, etc.) Center server IP network Home-based terminal Hospital terminal Operation center CSV Information of property + CSV Information of property + Data exchange system

8. ITU-T 8 23-25 May 2003 Workshop on Standardization in E-health Title in Verdana 32 o 1. Level 2 text numbered to appear in Trebuchet font, Point size 28 with bullet/numbering at 90% of font 2. page on which article finally ends up

9. ITU-T 9 23-25 May 2003 Workshop on Standardization in E-health Example of text with a chart Here is the text that introduces the chart

10. ITU-T 10 23-25 May 2003 Workshop on Standardization in E-health Two columns This shows the use of two columns. It uses Trebuchet Font, Point size 22 o that gives about 6 to 9 months for scheduling its release, researching the background, reviewing the text, consulting authors about review, etc The second column is the same. o It uses Trebuchet Font, Point size 22 o One has to be careful and check on the tool bar that the size point is maintained at 22 as Power Point adjust font size automatically according to the quantity of text