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International Organization for Standardization (ISO)
Collaborate on topics with ISO/TC215, the ISO Technical Committee (TC) on Health Informatics.
Members: 115
Contact: Sari Schapira
Type: Open
Access: Public
Collaborate on topics with ISO/TC215, the ISO Technical Committee (TC) on Health Informatics.

About

ISO/TC215 enables standardization in the field of health informatics to facilitate the capture, interchange and use of health related data, information and knowledge to support and enable all aspects of the health system.

The ISO/TC215 community is structured through working groups that deliver standards in the following priority health infostructures and domains:

  • Architecture, Frameworks and Models (WG1)
  • Systems and Device Interoperability (WG2)
  • Semantic Content (WG3)
  • Security, Safety and Privacy (WG4)
  • Pharmacy and Medicines Business (WG6)
  • Safe, effective and secure health software and health IT systems, including those incorporating medical devices (JWG7)

Currently, TC215 standards development work addresses health and health informatics needs including:

- Health information / data (definition, content, models, representation)

- Requirements (medications, EHR’s, use case, security)

- Genomics (data, quality and reliability metrics, markup languages)

- Semantic content representation (specifications, terminology resources, models, structure, competencies and content, big data)

- Health data, software and systems safety and privacy (management of risk)

- Pharmaceutical product information system safety, efficiency and interoperability (medicinal product identification, implementation guides)

- Medical device interoperability

- Standards sets (Patient Summaries, etc.)

Standards sets are key new interoperability initiatives in the ISO and Standards Development Organization (SDO) communities, starting with a clinical imaging standard ‘bundle’ at ISO and supporting the Joint Initiative Council’s (JIC) patient summary standards set published in early 2018, all building from ISO/TC215 and other SDO base standards.

Canada is proud to have a thriving ISO TC215 Canadian Constituency and actively participates in ISO TC215 ballots and standards development, through this community and the Canadian Mirror Committee of ISO TC215

To become a member of this community select Join Group in the Group Menu.

For more information on the Canadian Mirror Committee of ISO TC215, contact Elizabeth Keller (Chair & Head of Delegation Canada), or Bev Knight (Vice-Chair) or Finnie Flores (Vice-Chair) as community leaders.

If you have an idea for a community, working group or project that will drive interoperability forward, let us know! Send us your suggestions

LEADERS

Elizabeth Keller, ISO/TC 215 Mirror Committee Chair & Head of Delegation (Canada), also Vice-President Product Strategy & Delivery OntarioMD

Beverly Knight, ISO/TC 215 Mirror Committee Vice-Chair and WG3 Secretary

Finnie Flores, ISO/TC 215 Mirror Committee Vice-Chair, also Program Lead, CIHI

Sari Schapira, ISO/TC215 Secretariat Support Canada Health Infoway

KEY RESOURCES

ISO Resources

Activity

I am suspicious that "princess32604" is actually one of Derek's accounts, given the inevitability of getting around to mention of IHE's IPS and the discussion and information sharing that has arisen on this topic. :D Seriously, I hope that the OP (see how current I am, there?), Stephanie McBaine, has been able to extract some useful information from this thread. Stephanie, I also hope that you might be able to share your research paper with us, when you are done.
Peter, I had a good chuckle at your reference to our SYNAPSE project 20 years ago!! Apparently, it's still in operation in the Yukon (last time I checked). :) To the group: cross-border movement of patient information is currently best exemplified by the newly launched International Patient Summary (IPS), which was mentioned previously. Co-developed by 5 international digital health SDO's (including ISO/TC215), this initiative is getting a lot of attention worldwide, and also in Canada. Lots of info out there, but you might want to start with this: https://www.ihe.net/news/ihe-releases-the-international-patient-summary-ips-profile/
This was obviously a timely question, given the enthusiastic participation! As Finnie hints, we all dream of the day that our Canadian health care teams can video conference with providers and patients in other countries and can share records back and forth with a gesture on a touch screen. B) (I think that that is the "cool" emoji, but I am old or, at least, old school; so, please forgive me if I have that wrong. :D) About a decade ago, there was an ambitious pilot project in Europe, epSOS, that examined the logistics and technical issues of sharing actual personal health information across borders. Called The Large Scale Project, you can start your ... journey with the linked article on the European Union's digital portal, if it could contribute to your research. Sadly, the epSOS project web site, itself, shut down in 2017, but Deloitte produced a nice report on the state of ... just before that project ended. In 2019, the European Commission passed a .... A digestible article with lots of links can be found, .... Within Canada, there are some intriguing examples of practical work on using EHR standards to share PHI between jurisdictions. It is a 36MB PDF, but ... presents a good story about BC's SYNAPSE-EHR for mental health telehealth (full disclosure - I and some members on these forums were involved with SYNAPSE!). Within a jurisdiction, many of the same technological issues are encountered, and you can see some solutions in a ....
Hi Stephanie, Our response was based on our personal knowledge. Just to be clear, when we say that Canada does not yet share EHR-data, we don't mean sharing PHI on paper or even in digital format such as those carried by individuals through their PHR applications. What we are referring to is system-to-system sharing (for example sharing of ePrescribing information from Finland to Estonia https://e-estonia.com/first-eu-citizens-using-eprescriptions-in-other-eu-country/). Hope this clarifies.
Hi Stephanie, Just to build on that knowledgeable answer from Peter, the staff at SickKids work with international PHI every day through the International Patient Program (IPP) (https://www.sickkids.ca/en/care-services/international-patients/). Peter's answer provides great examples of Canada's international PHI sharing, and the IPP could be an example of Canada's international PHI collecting. -Katie
It is not actually forbidden to exchange personal health information (PHI) internationally. In fact, Canadians who work outside of Canada (diplomats, military personnel) and other travellers ("snow-birds," anyone on vacation who has an accident) have paper and electronic records that are shared with health care providers and administrators in other national jurisdictions, in addition to having paper and electronic records in systems governed by the laws of other national jurisdictions. However, you might find some of the information for which you search by digging into the Health section of the .... In Canada, there is a lot of talk about institutions not storing PHI in the USA (a couple of provinces ban it, outright), in particular, but PHI can be disclosed to anyone by any means with appropriate consent of the subject of care. Specific to Ontario, but generalisable to other Canadian jurisdictions, is ... (again, to institutions).
Thanks for mentioning the Standards Knowledge Management Tool, Peter. That is a great resource for definitions and also as a reference for many standards in digital health and health informatics. And it demonstrates the challenges we have with definitions and terms. It is accessible here - www.skmtglossary.org/

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Question 02/12/21
I am suspicious that "princess32604" is actually one of Derek's accounts, given the inevitability of getting around to mention of IHE's IPS and the discussion and information sharing that has arisen on this topic. :D Seriously, I hope that the OP...
Question 02/12/21
Peter, I had a good chuckle at your reference to our SYNAPSE project 20 years ago!! Apparently, it's still in operation in the Yukon (last time I checked). :) To the group: cross-border movement of patient information is currently best exemplifi...
Question 02/12/21
This was obviously a timely question, given the enthusiastic participation! As Finnie hints, we all dream of the day that our Canadian health care teams can video conference with providers and patients in other countries and can share records back...
Question 02/12/21
Hi Stephanie, Our response was based on our personal knowledge. Just to be clear, when we say that Canada does not yet share EHR-data, we don't mean sharing PHI on paper or even in digital format such as those carried by individuals through their...
Question 02/11/21
Hi Stephanie, Just to build on that knowledgeable answer from Peter, the staff at SickKids work with international PHI every day through the International Patient Program (IPP) (https://www.sickkids.ca/en/care-services/international-patients/). P...
Question 02/11/21
It is not actually forbidden to exchange personal health information (PHI) internationally. In fact, Canadians who work outside of Canada (diplomats, military personnel) and other travellers ("snow-birds," anyone on vacation who has an accident) hav...
Question 02/11/21
Thanks for mentioning the Standards Knowledge Management Tool, Peter. That is a great resource for definitions and also as a reference for many standards in digital health and health informatics. And it demonstrates the challenges we have with defi...
Question 02/11/21
Fortunately for us, the ... narrows it down to 21 terms, 49 definitions and 30 parts. :)
Question 02/11/21
I recall on being on a committee with Peter Schloeffel and Sam Heard back in 2003 with ISO TC 215 where we came up with a definition of the EHR. In our discussions there were different ideas expressed as to what an EHR should be. After a while it was...
Question 02/11/21
Thank you for this information! Would you have a link to some information regarding why Canada does not exchange PHI internationally that I could cite in my research paper?
Question 02/11/21
Hi Stephanie, As far as we know, Canada currently does not share EHR-related data outside of Canada. However, enablers, particularly, standards are available for this to happen. Some examples of standards (which have varying levels of implementati...
Question 02/11/21
Hi Iryna, It just means that different organizations, communities, etc. use different definitions of "EHR". Cheers, Katie
Question 02/11/21
Hi Katie, I am not sure I understand what you mean by EHR as a concept not defined universally. It is actually described by international standards such as ISO standards https://www.iso.org/files/live/sites/isoorg/files/store/en/PUB100343.pdf...
Question 02/11/21
Thank you Iryna, that's certainly exciting news about the IPS. Stephanie: Although Iryna has made very cogent points, please do consider ISO 19115 in supporting the ability to exchange international digital health data, and the fact that "Electron...
Question 02/11/21
Hello Ladies, EHR - Electronic Health Record. To answer the question directly, Stephanie: No, EHR systems in Canada are not sending patient-centric, identifiable information globally intentionally for reasons like legislations, standards, confide...

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Archive ( 6 Documents )

Implementation ( 1 Document )

Webinars ( 5 Documents )

Public Health Emergency Preparedness - new ISO work item

Published on Jun 21, 2020 by Beverly Knight

ISO/TC215 Standards Catalog 2018

Published on Dec 20, 2018 by Linda Monico

Canadian Delegation Expert Profiles

Published on Sep 25, 2018 by Lisa Hayes

ISO/TC215 Maringa Meeting Summary (May, 2018)

Published on May 23, 2018 by Don Newsham

Form_01_Proposal_from_BSI_for_a_TC_on_Ageing_Societies

Published on Aug 29, 2017 by Sari Schapira

Annex-A-SAG-Ageing-Societies-Gap-analysis

Published on Aug 29, 2017 by Sari Schapira

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Sari Schapira
Canada Health Infoway
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Elizabeth Keller
OntarioMD
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Andrea MacLean
Canada Health Infoway
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Stephanie McBaine
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Karla Ortiz
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Snezana Dudas
SHA
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Joan Harper
Canada Health Infoway
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Katherine McMillan
Telfer School of Management
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Nasreen Latheef
Canada Health Infoway
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Matthew Herbert
CannScript
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Colleen MCCUBBIN
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Sisira De Sliva
Newfoundland Labrador Centre for Health Information
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TAS Consulting
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