Transcript DICOM_in_Japan_2002-05

Report on Japanese Activity
Hidenori Shinoda
JIRA
st
1
Demo of IHE-J
• We had the first demo of IHE-J at JMCP (now
JRC) in Kobe between April 4 and 6.
• 20 to 50 audiences joined to a tour each time.
• Two integrated systems were shown. Each had
one clinical scenario.
– Scenario 1: Emergency exam for a trauma patient
– Scenario 2: Multiple exam orders from multiple
practices
Participants for the demo
• Scenario 1
– Fujitsu (ADT & Order Placer)
– A&T (Lab System)
– Toshiba (Order Filler, PPS
Manager, Image Manager,
Archive, & Viewer)
– Konica (Acquisition
Modality)
– Fuji Film (Acquisition
Modality)
– Shimadzu (Image Viewer)
• Scenario 2
– NEC (ADT & Order Placer, &
Image Reference)
– Yokogawa (Order Filler)
– Toshiba (Acquisition
Modality)
– Canon (Acquisition Modality)
– Climb (Image Manager,
Archive, & Viewer)
– Hitachi Medico (Report
Creator & Viewer)
A scene of tour
Next steps
• Video Demo and Workshop at Modern
Hospital Show in July
• 2nd Demo at JAMI (Japan Association of
Medical Informatics) Conference in November
• Educational Seminars in July and October
Grand design for Integrated Delivery
Network issued in December
• It stated;
– HL7 and DICOM were essential standards for the
healthcare information system.
– IHE-J would be a project for popularizing the
standards.
– 60% of hospital with more than 400 beds and 60%
of clinics would have equipped with electronic
health record in five years.
– EDI system would be widely used in five years.
Issues raised
• A Japanese rule requires description about stresses by
exercise or drug during exam.
• There is an agreement of putting a signature on the
radiation dose record with a local government.
• There is an opinion of the necessity of the push model
of MWL. Because hospitals in Japan want the flexible
modality operation and frequently change scheduled
exam rooms and then, they want a RIS to push
worklists to the modality after schedules changed.
Usually a RIS has the schedule database.
Other news
• HELICS Board required us to propose DICOM
2001 and put into the approving process as a
national standard.
• Japanese privacy rule is now on discussion at
the diet. People in the journalism are against
the rule. Because they feel the rule will bring a
limitation to the right to know.