1. ISO/TC 215 - Health Informatics WG2 - Messages and Communications SWG2 - Architecture 28 January 2005 Orlando, Florida Grant Gillis

2. Telehealth Interoperability ISO/TR 16056-1 Health informatics - Interoperability of telehealth systems and networks – Part 1: Introduction and definitions ISO/TR 16056-2 Health informatics – Interoperability of telehealth systems and networks – Part 2: Real- time systems ISO/TS 16058 Health informatics – Interoperability of telelearning systems

3. Telehealth Interoperability Phase 1: Introduction Key definitions, scope Work plan phases outlined Phase 2: Real-time, video conferencing Telelearning Application Phase 3: Teleradiology Interoperability Project: Technical Specification Use DICOM, HL7, IHE

4. Telehealth Interoperability Project components: Teleradiology Requirements – composed of the Business, Processing and Information Requirements, which represent a high-level overview of the Teleradiology System described from the end-user point of view. Teleradiology Model – describes the Teleradiology System that meets the requirements stated in the Teleradiology Requirements document and represents a technology view of the system. It covers the Business Process Model, the Data Model, and Teleradiology Vocabulary. Teleradiology Data Specification – describes the core data sets the Teleradiology system is capable of handling, the Data Dictionary and outlines the proposed draft standard. Teleradiology Messaging Specification – describes the interactions between the Teleradiology System and other systems, provides detailed definitions of the messages to facilitate the interactions, and outlines the proposed draft standard. Teleradiology Testing Framework – describes an approach and testing strategy for teleradiology systems and networks and outlines conformance and interoperability tests.

5. Telehealth Interoperability

6. Teleradiology Services  Telemanagement  Teleconsultation  Telediagnosis  Telemonitoring Infostructure  Store-and-Forward Applications (e.g., image visualization and analysis)  Real-Time Applications (e.g., videoconferencing)  Collaborative Applications (e.g., multimedia conferencing)  Databases Infrastructure  Information Technology (e.g., computer hardware, system software)  Computer Networks (e.g., LAN and WAN)  Data Communications (e.g., protocols  Medical Imaging Modalities (e.g., CT, MRI, Ultrasound) Telehealth Interoperability

7. Network ANetwork B User Interoperability  Health / Professional Organizations  Care Providers  Care Recipients  Researchers User Interoperability  Health / Professional Organizations  Care Providers  Care Recipients  Researchers Business Interoperability  Health Policies (e.g., licensing)  Legal Framework (e.g., liability)  Business and Professional Relationships  Resources Business Interoperability  Health Policies (e.g., licensing)  Legal Framework (e.g., liability)  Business and Professional Relationships  Resources Clinical Interoperability  Care Policies and Standards  Clinical Practice Guidelines  Care Goals and Strategies  Diagnostic Services (e.g., telediagnosis) Clinical Interoperability  Care Policies and Standards  Clinical Practice Guidelines  Care Goals and Strategies  Diagnostic Services (e.g., telediagnosis) Technical Interoperability  Infostructure (real-time, store-and-forward, and collaborative applications, databases)  Infrastructure (computers, networks, diagnostic imaging modalities) Technical Interoperability  Infostructure (real-time, store-and-forward, and collaborative applications, databases)  Infrastructure (computers, networks, diagnostic imaging modalities) Telehealth Interoperability

8. Completing Research Report – March Development of NWIP for TS Presentation & Discussion at Berlin Plenary Questions? Comments? Contact ggillis@cihi.ca