September, 2005What IHE Delivers 1 Charles Parisot, GE Nikolaus Wirsz, Siemens Integrating the Healthcare Enterprise (IHE)

2 A Framework for Interoperability Integrating the Healthcare Enterprise: An initiative that improves patient care by harmonizing healthcare information exchange An initiative that improves patient care by harmonizing healthcare information exchange Provides a common standards-based framework for seamlessly passing health information among care providers, enabling local, regional and national health information networks Provides a common standards-based framework for seamlessly passing health information among care providers, enabling local, regional and national health information networks Promotes the coordinated use of established standards–Health Level 7, ASTM, DICOM, W3C, IEEE, etc.to address specific clinical needs Promotes the coordinated use of established standards–Health Level 7, ASTM, DICOM, W3C, IEEE, etc.to address specific clinical needs

3 Who is IHE? IHE is a joint initiative among: American College of Cardiology (ACC) American College of Cardiology (ACC) Radiological Society of North America (RSNA) Radiological Society of North America (RSNA) Healthcare Information Management Systems Society (HIMSS) Healthcare Information Management Systems Society (HIMSS) GMSIH, HPRIM, JAHIS (laboratory) GMSIH, HPRIM, JAHIS (laboratory) American Society of Ophthalmology American Society of Ophthalmology American College of Physicians (ACP) American College of Physicians (ACP) American College of Clinical Engineering (ACCE) American College of Clinical Engineering (ACCE) And many more…. And many more…. Began in 1997 in Radiology (RSNA) and IT (HIMSS) International effort: IHE- Europe and IHE-Asia Additional sponsors for Cardiology including ASE, ESC, ASNC, SCA&I, HRS and more

4 IHE Organizational Structure Multi-Domain & Multi-National Participants contribute Global Development: Radiology, IT Infrastructure, Cardiology, Lab, etc. Delegates IHE Europe IHE North America IHE Asia/Oceania Regional & National Deployment supervises reports IHE (International) Strategic Development Committee Sponsors Co-Chairs Global Interoperability IHE Domain-related Planning Committee and Technical Committee National Extensions

5 IHE 2006 – Nine Active Domains Over 100 vendors involved world-wide, 5 Technical Frameworks 37 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide 15 Active national chapters on 4 continents

6 Connecting standards to care Care providers work with vendors to coordinate the implementation of standards to meet their needs Care providers identify the key interoperability problems they face Care providers identify the key interoperability problems they face Drive industry to develop and make available standards-based solutions Drive industry to develop and make available standards-based solutions Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions What is the effective way to establish standards for how to implement standards ?

7 Standards Adoption Process Document Use Case Requirements Identify available standards ( e.g. HL7, DICOM, IETF, OASIS) Develop technical specifications Testing at Connectathons IHE Demonstrations Products with IHE Timely access to information Easy to integrate products

8 Simple Image and Numeric Reports Integration Profile Defining Simple Reports that Include Measurements

9 SINR Value Proposition Reports content is more than words… Based on DICOM SR Allows to include without transcription: measurements measurements image links image links structured content structured content Integrated with the imaging workflow Friendly to XML implementations Easy to export with HL7

10 Pattern – Simple Image Report Minimal Structure : Coded Title and HeadingsMinimal Structure : Coded Title and Headings Full image links from specific sections of reportFull image links from specific sections of report Observation Context (who, what, when) may be section specificObservation Context (who, what, when) may be section specific

11 Simple Image and Numeric Report Simply adds Measurements to Image Reports

12 An illustration

13 IHE Strategy for Implementation Leverages existing standards to allow rapid deployment, but plan for future Pragmatic Course and Ease of Evolution Enables architectural freedom (centralized vs. decentralized, patient vs. provider centric) Flexibility of Configuration Supports breadth of use cases: variety of care settings, care coordination, public health, PHR, EHR, research Interoperability across spectrum of health system Offers consistent, standards-based and functional record sharing for imaging and information systems

14 IHE Connectathon, January participants, 120+ systems 60+ vendors Four Domains: Cardiology, Radiology, IT Infrastructure, Patient Care Coordination

15 Connectathon 2007 Hyatt Regency Chicago 151 East Wacker Drive January 15-19, 2007

Accenture Acuo Technologies Agfa Healthcare Alert Life Sciences Computing Allscripts Axolotl Corp. B. Braun Medical Blueware, Inc. Bridgeforward Software Brit Systems, Inc Biosense Webster Inc. Canon Medical Systems CapMed Capsule Technologies Carefx Cedara Software, Inc. CernerCGICPSI Digital Infuzion Draeger Medical Systems, Inc. Dynamic Imaging Eastman Kodak EBM Technologies EclinicalWorks, llc Eclipsys Emageon, Inc. Epic Systems, Inc. Fujifilm Medical Systems IHE Connectathon North America January 2007 Participants GE Healthcare Goodman Health Network Hitachi Medical Corp. Hologic, Inc. Hx Technologies IBM Healthcare Infinitt Co., Ltd. Initiate Systems Insiteone Intersystems Corp. Konica Minolta Medical Imaging Live Data Lumedx Corp. Mckesson Provider Technologies MedCommons MediMatic Srl MediNotesMedQuist Midmark Diagnostics Misys Healthcare Systems Mortara Instrument, Inc. Medicl Informatics Engineering NextGen Healthcare Novartis National Digital Medical Archive, Inc. NIST Open Text Orion Health Outcome Phase Forward Philips Medical Systems Practice Partner Prosolv CardioVascular ProtoLinkQuadraMedQUOVADX RADinfo Systems SAICSAS Sectra Imtec Ab Sentrx Softmedical, Inc. Spacelabs Medical Stryker Siemens Medical Solutions St. Jude Medical Tiani-Spirit, Gmbh Toshiba Medical Systems US Electronics, Inc. Vital Images Welch Allyn, Inc. Xwave and Bell Canada

17 Connectathon Tour Luncheon Event: Tuesday, Jan :00am-3:30pm Public Health and Industry Leaders Invitation: Tuesday, Jan :00am-3:30pm Public Health and Industry Leaders Invitation:

18 More information…. IHE Web site: Technical Frameworks and Supplements Non-Technical Brochures : Calls for Participation Calls for Participation IHE Fact Sheet and FAQ IHE Fact Sheet and FAQ IHE Integration Profiles: Guidelines for Buyers IHE Integration Profiles: Guidelines for Buyers IHE Connect-a-thon Results IHE Connect-a-thon Results Vendor Products Integration Statements Vendor Products Integration Statements IHE Wiki RSNA staff contacts: Questions?