# Medical Informatics Indo-Pacific(MI-IP) standard adoption processes
## Connectathon: Medical informatics system interoperability testing
- [IHE Connectathon](https://www.ihe.net/participate/connectathon/)
- [FHIR Connectathon](https://confluence.hl7.org/display/FHIR/2022+-+01+Connectathon+29)
- [FHIR Connectathon Australia](https://confluence.hl7australia.com/display/AFR/2021-11+Virtual+Connectathon)
- [FHIR Connectathon China , 31 July 2021 connectathon results](http://hl7.org.cn/index.php?m=content&c=index&a=show&catid=9&id=204)
- [HL7 India FHIR Connectathon](https://www.connectathon2021.in/)
- [Medical Informatics Taiwan (MI-TW) Connectathon](https://mitw.dicom.org.tw/)
## Comparisons of IHE, FHIR, and MI-TW connectathon

| | IHE | FHIR |MI-TW|
| -------- | -------- | -------- |-------- |
| Referenced standard | HL7 v2, HL7 v3, FHIR, DICOM |FHIR |FHIR & DICOMWeb | | -------- | -------- | -------- |-------- |
| Document| hard to understand |hard to understand |easy to understand |
| Entry level training| no |no |yes |
|Promoting by|standard organizations and venders| standard organizations and venders| **Universities**|
| Participate teams | Venders |Venders|[Venders, Hospitals, and Schools](shttps://mitw.dicom.org.tw/result.html) |

## MI standard adoption in Taiwan
- Internationally, most are large companies involved in standard establishment and connectathon.
- But, venders in Taiwan and emerging Asian countries lack of R&D teams with MI standard experience.
-- Small companies does not have resources to promote standardization.
- It is more feasible to be led by academic associations and scholars to build and promote MI standard in Taiwan.
- Taiwan do not have big MI company. Consequently, it is more likely to form an industrial ecosystem by the cooperation between manufacturers, hospitals, and universities.
- It is necessary to establish an suitable processes and incentive mechanisms to encourage venders, hospitals,and universities to engage in standard establishment processes and connectaton

## MI-TW connectathon development strategy
- Intensive webinars, expert meetings, and educational training
- Based on local and recent needs
- Standardized most useful specifications and integration infrastructure
-- MI-TW has established interoperability specifications of medical records, images, signals, and genes.
- Create systemically standard promotion processes
-- Standard establishment, system development, connectathon, and commercial application.
-- Connectathon and [Projectathon](https://www.ihe-europe.net/testing-IHE/projectathons)
--- Projectathon: According to the real clinical needs adopts the required standards and integration testing.
- Encourage young people participate connectathon and standard adoption processes
- International cooperation: education and training, expert (interesting group) meetings, establishment of common specifications, and connectathon