DICOM and ISO/TC215

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DICOM and ISO/TC215

• Hidenori Shinoda
• Charles Parisot

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Scope of ISO/TC215

• Formed in January, 1998
• Standardization in the field of information for
  health, and Health Information and Communications
  Technology (ICT) to achieve compatibility and
  interoperability between independent systems.
  Also, to ensure compatibility of data for
  comparative statistical purposes (e.g.
  classifications), and to reduce duplication of
  effort and redundancies.

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Organization
TC215
WG1 Health records and modeling coordination WG
2 Messaging and communication Direct
Liaison with DICOM Strategic
Committee WG 3 Health concept
representation WG 4 Security WG 5 Health
cards AHGs Consumer Policies
E-Pharmacy Mobile Health
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What ISO/TC215 would try to cover?
Health Indicators and Statistics
Country Border
System Interface
EPR
Secure Message Transfer
Certification
Electronic Prescription
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WG1 Health records and modeling coordination

• Scope
• Standards for the Trusted Management of
  Information Concerning Health and Healthcare
  Process
• Health Record Standards
• Health Information Modeling
• Current Work Items
• Country Identifier Mechanism in Healthcare
• Requirements for an Electronic Healthcare Record
  Reference Architecture
• Health Indicators Conceptual Framework

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WG2 Messaging and Communication

• Scope of Effort Defined in
• A General Statement of the Types of Standards to
  Be Considered
• The Specific Domains of Activity
• A Set of Additional Tasks or Working Principles
  that Will Guide the Effort
• Specific Domains
• Clinical Messaging
• Medical Device Communication
• Business and Financial Messaging
• Current Work Items
• Point-of-Care Medical Device Communication
  Related Items
• Method for the Development of Messages
• Key Characteristics for Interoperability and
  Compatibility in Messaging and Communication
  Standards

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WG3 Health Concept Representation

• Scope
• Standards for the Representation of Health
  Concepts
• Formal Models of Representation and Description
  of Health Concepts
• Principles of their Organization within
  Terminologies and their Related Systems
• Issues Concerning the Context of their Use in
  Electronic Health Record
• Current Work Items
• Vocabulary on Terminological Systems
• Controlled Health Vocabularies Vocabulary
  Structure High-Level Quality Indicators
• Integration of a Reference Terminology Model for
  Nursing

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WG4 Security

• Scope
• Technical Measures to Protect and Enhance the
  Confidentiality, Availability, and Integrity of
  Health Information
• Accountability for Users
• Guidelines for Security Management in Healthcare
• Current Work Items
• Public Key Infrastructure
• Directory Services for Security for
  Communications and Identification of Professional
  and Patient
• Security requirements for Archiving and Backup
  Archiving of Health Record

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WG5 Health Cards

• Scope
• Healthcare Usage of Machine Readable Cards
• Technology Independent Data Structures Leading to
  Interoperability and Compatibility
• Identification for Patients and Healthcare
  Providers
• Patient Data Cards to Convey Healthcare Data Set
• Current Work Items
• Patient Healthcare Data
• Health Cards General Characteristics
• Machine Readable Cards Health Care Applications
  Numbering System and Registration Procedure for
  Issuer Identifiers

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Brief History of Interaction between DICOM and
ISO/TC215

• TC215 decided not to establish an imaging WG at
  Berlin meeting in 1999.
• ISO/TC 215 established a peer liaison with DICOM
• Close cooperation established and now have a
  yearly joint meeting between DICOM WG10 and TC
  215 WG2
• DICOM has agreed to respond to TC215's interest
  to standardize the means for referring images
  from EPRs.

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Pilot Projects

• DICOM and ISO agreed to begin a pilot project to
  attain an ISO status to DICOM standard.
• ISO has a process of approving standards
  developed by the third standard development
  organizations (SDOs) as ISO standards.
• IEEE already started to use this process for
  Point-of-Care devices. HL7 started this pilot
  process for gaining ISO standard status for HL7
  V2.4.

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Next Steps

• DICOM plans to
• negotiate with ISO/TMB (Technical Management
  Board) to start the pilot project,
• obtain approval of DICOM 2002 by ISO/TC215
• also discuss an specification for referring
  medical images in EPR.

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Conclusion

• ISO/TC 215s main role is to facilitate the
  consolidation of existing standardization efforts
  such as IEEE, CEN, HL7 and DICOM
• DICOM has a responsibility of developing
  international Medical Imaging and Communications
  Standards and jointly harmonizing them with other
  healthcare standards with TC215.