The IHE Initiative Worldwide December 3 rd, 2008 RSNA Michio Kimura, MD, PhD Hamamatsu University / IHE Japan IHE Japan & Asia-Oceania Integrating the Healthcare Enterprise

The IHE Initiative Worldwide December 3rd, /10/27-31   40 vendor, 81 systems tested Tested profiles   Radiology SWF, PIR, CPI, KIN, MAMMO, PDI, IRWF, ARI   Cardiology CATH, ECG, ECHO, ED   Laboratory LTW, LBL, LDA, LTW-MB, LPOCT   IT Infrastructure CT, ATNA, XDS, XDS.b, XDS-I, PDQ, PAM IHE Japan Connectathon 2008

The IHE Initiative Worldwide December 3rd, ………… IHE Japan Connectathon 2008

The IHE Initiative Worldwide December 3rd, Network Structure for Stroke Care in Nagoya

The IHE Initiative Worldwide December 3rd, Nagoya IHE XDS-I project  Backed by Ministries  4 Emergency hospitals, 3 Rehab facilities(now)  Profiles and standards  Integrating XDS with PIX, PDQ and ATNA  Enhancing XUA, NAV with access control based on XACML  Excerpting XDS metadata from CDA header part  Based on ebXML ebRIM3.0/ebRS3.0 (supporting XDS storedQuery), while XDS.a was specified on ebXML2.1. (Being ahead of XDS.b.)

The IHE Initiative Worldwide December 3rd, EUA & PSA Working at NIRS NIRS users appreciate EUA

The IHE Initiative Worldwide December 3rd, Demo at JAMI Conference Japan Assoc. for Medical Informatics  Participants: 2500 Ministries-Vendors-Academia  Stroke patient’s ECG(Fukuda) on ambulance sent to ER and viewed by Nihon Koden viewer (MFER, waveform standard)  Lab exam at ER, LSWF(now LTW), LDA(Lab automation), LBL(Barcode labeling)  Referral documents CD to clinic (SS-MIX, CD based PDI with lab, Px, and referral document of CDA)

The IHE Initiative Worldwide December 3rd,

The IHE Initiative Worldwide December 3rd, Now paper-based report filled by busy doctors   But, most items are in CPOE Post Market Adverse Event Report in RFD

The IHE Initiative Worldwide December 3rd, ………… …

The IHE Initiative Worldwide December 3rd,

The IHE Initiative Worldwide December 3rd,

The IHE Initiative Worldwide December 3rd, Images exchanged by CD started, but making some annoyance   Not conforming PDI, DICOM   Too many slices, too many studies   Multiple patients in one CD   etc. By academic assoc.(JAMI, JRS, JSRT), vendor assoc. (JIRA, JAHIS), and IHE-J   1 patient, 1 CD   Conform PDI   Conform DICOM   Reasonable amount of slices (no MDCT), and studies   If include report, must be in "other files" position and note it PDI Agreement

The IHE Initiative Worldwide December 3rd, IHE-J HP

The IHE Initiative Worldwide December 3rd, International Growth of IHE France   Local Deployment   National Extensions   Promotional & Live Demonstration Events   Funding USAGermanyItalyJapanUKCanadaKoreaTaiwanNorway Netherlands Spain ChinaAustria Pragmatic global standards harmonization + best practices sharing Australia

The IHE Initiative Worldwide December 3rd, IHE, Global Standards-Based Profiles Adopted in National & Regional Projects Quebec, Toronto, Alberta, British Columbia Canada Infoway THINC- New York NCHICA – N. Carolina Italy (Conto Corrente Salute) Boston Medical Center - MA Philadelphia HIE CHINA-MoH Lab results sharing KeyHIE Pennsylvania CHINA-Shanghai Imaging Info Sharing JAPAN-Nagoya Imaging Info Sharing, Nationwide PDI guideline South Africa Malaysia VITL-Vermont CareSpark – TN & VA NETHERLANDS Friesland Lower Austria France DMP UK CfH (Radiology WF) Suisse St Gallen

The IHE Initiative Worldwide December 3rd, Our neighbors Korea  High rate of e-claim and PACS  Mainly radiology based connections since 2005 Taiwan  Connect-a-thon around HIS-RIS since 2005  Citizen’s health IC card since 2003, now upgrading to have templated documents Malaysia  400 government officials attended HIMSS AsiaPAC in Kuala Lumpur, Feb 2009  7 national hospitals has paperless EMR Australia  XDS lab demo at MEDINFO 2007 Brisbane.

The IHE Initiative Worldwide December 3rd, Questions ?