# Medical Informatics Standard Application Consortium (MISAC) ## Purpose: 1.Addressing standard specifications basing on real world use cases 2.Simplify standard specifications for understanding, adoption, and implement ## Foundation working groups 1. Administration and security: managing organizations, persons, devices. Standardized secure integration. 2. Diagnosis and evaluation: FHIR condition, observation, Questionnaire, and diagnosis 3. Order, healthcare planning, procedure,and medication 4. DICOM 5. Virtual slide and multimedia 6. Genomics 7. Workflow management and auditing 8. Financial and accounting 9. Clinical knowledge management and clinical decision support 99. Code system ## [Relation of Working Groups ](https://hackmd.io/HVQjNG8YTdyV6auP7isLmQ?view) ## Application working groups 1. Cross department integrated or PHR and EHR integrated Healthcare -- Exam referral, emergency referral (EMS), image exam cooperation, tel-healthcare and tel-medicine 2. Colonic disease healthcare (**COPD**, coronary artery disease , diabetes… ) -- [IoT on FHIR](https://hackmd.io/bKOgxrMlRnaML3evZTN6pA) -- colonic disease carePlan with healthcare decision support 3. Image based lesion management -- [Oncology on FHIR](https://www.researchgate.net/publication/351931439_Oncology_on_FHIR_A_Data_Model_for_Distributed_Cancer_Research), [mCode](http://hl7.org/fhir/us/mcode/STU2/), [QIBA](https://www.rsna.org/research/quantitative-imaging-biomarkers-alliance) 5. [Patient social activity management](https://patient.info/doctor/social-isolation-how-to-help-patients-be-less-lonely) -- Home Care, [Family-Centered Health Promotion](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278332/), **Sports Medicine**, **palliative care** ## Standard adoption processes [Chinese](https://hackmd.io/RejH9jyJQ_-3-HJMDubqAg?view) , [English](https://hackmd.io/sgRUPoISQ9OGFcf-Pah3oA?view) ## Education and cooperation ### Education (Established) - **The Construction of Digital Medical Content**. -- cooperated online course with [TCU](https://ican.tcu.edu.tw/ican5/course/outer_data/ican_guestlist_show.aspx?cid=1101UMNMI1440400) and [NYCU](https://timetable.nycu.edu.tw/?r=main/crsoutline&Acy=110&Sem=1&CrsNo=A164&lang=zh-tw). For high school or undergraduate school students, won't need any comupter and medical knowledge. -- Introduce contents generated in healthcare: medical record(FHIR), DICOM image, bio-signal, genomics, and multi-medium -- Provide innovating usages and requirements by healthcare domain experts -- Demonstrate the skill, knowledge, and altitude should learn for joining healthcare system developing teams. - **FHIR Applications** Course of [TCU](https://ican.tcu.edu.tw/ican5/course/outer_data/ican_guestlist_show.aspx?cid=1101UMNMI1440400) and may cooperate with another university for creating online course. For undergraduate school students(G2 or G3). Provide JS, C, or Python examples for handling FHIR. - **Basic Medical Image System Development** -- cooperated online course with [TCU](https://ican.tcu.edu.tw/ican5/course/outer_data/ican_guestlist_show.aspx?cid=1102UMNMI3564200)、[NYCU ](https://timetable.nycu.edu.tw/?r=main/crsoutline&Acy=109&Sem=2&CrsNo=A953&lang=zh-tw) ## Planning education course - FHIR financial and accounting - Wearable device and edge AI