International Telecommunication Union
E-Health Standardization in
Japan and JAHIS
Masatsugu Tsuji
Professor of Economics
OSIPP, Osaka University
Workshop on Standardization in E-health
Geneva, 23-25 May 2003
WHAT IS JAHIS?
ITU-T
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.
23-25 May 2003
Workshop on Standardization in E-health
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WHAT ARE THEY DOING?
ITU-T
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.
23-25 May 2003
Workshop on Standardization in E-health
3
International Collaboration
for Standardization
ITU-T
o
23-25 May 2003
ISO/ TC2 1 5 (Health Infromatics) ,
since 1998
Workshop on Standardization in E-health
4
WHAT
WHAT
ITU-T
DID THEY DO? (1)
Vital Data Communication Standards
Upload electronic
message
(numerical data)
standardization
study
1997
1998
Study for amendment of
upload electronic
message (numerical
data) standardization
1999
23-25 May 2003
Upload electronic
message
(waveform data)
standardization
study
Download electronic
message
(request & inquiry)
standardization
study
2000
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WHAT DID THEY DO? (2)
Standardization of Tele-Home-Care System
ITU-T
User’s home
Medical institution, etc.
Videophone
Transmission/receiving
module
Transmission/receiving
module
Computer
ISDN,
CATV,
At-home controller
ADSL,
Subscriber’s
telephone
network
Center
Vital-signs sensor adapter
Vital-signs sensors
(blood pressure, electrocardiograph
readers, body temperature, etc.)
Computer
Server
23-25 May 2003
Transmission/r
eceiving
module
Printer
System center (EBH, etc.)
Transmission/receiving
module
Computer
Server
Workshop on Standardization in E-health
Printer
6
JAHIS’S CURRENT PROJECT
Data transmission with XML data exchange tool
Center (medical institution, etc.)
ITU-T
User’s home
Hospital terminal
Home-based terminal
IP network
Vital-signs sensors
Center server
CSV
+
Information of
property
CSV
+
(blood pressure,
electrocardiograph
readers, body
temperature, etc.)
Operation center
Information of
property
Data exchange system
23-25 May 2003
Personnel health DB
Workshop on Standardization in E-health
7
Title in Verdana 32
ITU-T
o
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
1.
23-25 May 2003
Workshop on Standardization in E-health
8
Example of text with a chart
ITU-T
Here is the text that introduces the
chart
90
80
70
60
Americas
Asia
Africa
Arab States
50
40
30
20
10
0
23-25 May 2003
1997
1998
1999
2000
Workshop on Standardization in E-health
9
Two columns
ITU-T
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
23-25 May 2003
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
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