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
2
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／TC２１５ (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
Upload electronic
message
(waveform data)
standardization
study
1997
1998
Study for amendment
of upload electronic
message (numerical
data) standardization
1999
23-25 May 2003
Download electronic
message
(request & inquiry)
standardization
study
2000
Workshop on Standardization in E-health
5
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
Server
23-25 May 2003
CATV,
ADSL,
Subscriber’s
telephone
network
Center
Computer
ISDN,
Vital-signs sensor adapter
Vital-signs sensors
(blood pressure,
electrocardiograph readers,
body temperature, etc.)
Transmission/
receiving
module
Printer
At-home controller
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,
ITU-T
etc.)
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
Workshop on Standardization in E-health
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