it infrastructure glen marshall siemens health solutions ihe it infrastructure committee co-chair
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IT InfrastructureIT Infrastructure
Glen MarshallSiemens Health Solutions
IHE IT Infrastructure Committee Co-chair
June 28-29, 2005 Interoperability Strategy Workshop2
IHE IT Infrastructure RoadmapIHE IT Infrastructure RoadmapStage 0 – 2003 profile development for 2004 ConnectathonStage 0 – 2003 profile development for 2004 Connectathon
EHR Security
Profiles Retrieve Information for Display (RID) Patient Identifier Cross-Referencing
(PIX) Patient Synchronized Applications
(PSA)
Profiles Enterprise User Authentication (EUA) Consistent Time (CT)
Standards & Prerequisites CCOW v1.4 Patient Context HL7 v2.3.1 HL7 v2.4 HTTP WSDL 1.1 XHTML 1.0 XML 1.0
Standards & Prerequisites CCOW v 1.4 User Context Kerberos NTP SNTP
June 28-29, 2005 Interoperability Strategy Workshop3
IHE IT Infrastructure RoadmapIHE IT Infrastructure RoadmapStage 1 – 2004 profile development for 2005 ConnectathonStage 1 – 2004 profile development for 2005 Connectathon
EHR Support Security
ProfilesCross-enterprise Document Sharing (XDS)Patient Demographics Query (PDQ)
ProfilesAudit Trail and Node Authentication (ATNA)Personnel White Pages (PWP)
Standards & PrerequisitesStage 0 IHE ITI profilesCDA r1HL7 v2.5ebXML RegistryHTTP
Standards & PrerequisitesIHE Radiology Basic SecurityStage 0 IHE ITI security profilesRFC 3881 (Audit record schema)LDAP (RFC 2251-2256)RFC 2798 (inetOrgPerson schema)
June 28-29, 2005 Interoperability Strategy Workshop4
IHE IT Infrastructure RoadmapIHE IT Infrastructure RoadmapStage 2 – 2005 profile development for 2006 ConnectathonStage 2 – 2005 profile development for 2006 Connectathon
EHR Support Security
ProfilesNotification of Document Availability (NAV)Patient Management (PAM
ProfilesCross-Enterprise User Authentication (XUA)Document Digital Signature (DSG)
Standards & PrerequisitesStage 1 IHE ITI profiles IETF SMTP / MIME HL7 v2.5
Standards & PrerequisitesStage 1 IHE ITI security profilesOASIS SAML 2.0HL7 v2.6 UAC segmentW3C XML Digital SignatureITU X.509ISO/TS 17090
June 28-29, 2005 Interoperability Strategy Workshop5
IHE IT Infrastructure RoadmapIHE IT Infrastructure RoadmapStage 3 – 2006 profile candidates for 2007 ConnectathonStage 3 – 2006 profile candidates for 2007 Connectathon
EHR Security Common Data
Profiles – to be decided in Nov. 2005Templates registry Patient Demographics Query - multi-enterprise Federated XDS registries Harmonize XDS and RID document retrieval capabilities
Referred to IHE PCC domainScheduling – enterprise scopeDynamic data for EHR
Profiles – to be decided in Nov. 2005RBAC – enterprise scope
Referred to IHE PCC domainPatient consents
Profiles – to be decided in Nov. 2005LDAP information sourcesTransaction Failure Management (TFM)RID configurability directoryService discovery
Depends on other IHE domains’ needsMasterfile MaintenanceReference code set maintenance
Standards & PrerequisitesStage 2 IHE ITI profilesHL7 templates standardsW3 standards for XML schemas and XSLHL7 scheduling messagesW3C Semantic Web (interoperability and clinical vocabulary standards for assembling dynamic data sources into documents)
Standards & PrerequisitesStage 2 IHE ITI security profilesISO/TS 21547-1 for certificate archivingISO/TS 22600 parts 1 & 2ISO/TS 21298 for function & structural rolesASTM E31.20 Privilege Management InfrastructureStable HL7 standards for communicating patient consents
Standards & PrerequisitesStage 2 IHE ITI Patient Management profileHL7 v2 Masterfile maintenanceMature/stable standards for selected masterfile information sourcesSuitable LDAP schema definitionsWeb services standardsIETF infrastructureW3C infrastructure
June 28-29, 2005 Interoperability Strategy Workshop6
IHE IT Infrastructure RoadmapIHE IT Infrastructure RoadmapStage 4 – 2007 profile candidates for 2008 ConnectathonStage 4 – 2007 profile candidates for 2008 Connectathon
EHR Security Common Data
ProfilesScheduling Respond to national/regional EHR mandates and initiatives, TBD
ProfilesRBAC – multi-enterprise scopeWide-area patient accessMobile applicationsPatient identification based security
ProfilesWorkflow management preferencesSNMP MIBSLDAP equipment directory support
Standards & PrerequisitesHL7 scheduling messagesEHR-related standards, TBD
Standards & PrerequisitesStage 3 IHE ITI security profilesStable standards for cross-enterprise RBACStable standards for mobile access securityStable standards for patient identification
Standards & PrerequisitesStable workflow management standards for healthcare use cases Suitable LDAP schema definitionsIETF MIB standards
June 28-29, 2005 Interoperability Strategy Workshop7
IHE IT Infrastructure RoadmapIHE IT Infrastructure RoadmapStage 5 – 2008+ profile candidates for 2009+ ConnectathonStage 5 – 2008+ profile candidates for 2009+ Connectathon
EHR Security Common Data
ProfilesXDS composite documents from multiple clinical domains.
ProfilesRemote service accessAnonymizationPseudoanonymizationPatient-controlled access
ProfilesEquipment discovery and automatic provisioningRID and XDS configurability
Standards & PrerequisitesStage 3 IHE ITI profilesClinical domains’ XDS document profiles
Standards & PrerequisitesStage 4 IHE ITI security profilesStable healthcare data model standardsStable standards for labeled data access rules
Standards & PrerequisitesStage 3 IHE ITI common data profilesStable standards for user interface optimization, e.g., DICOM “hanging protocols”XDS clinical application domains’ content profiles