MIR IHE Session IHE in Europe Geert Claeys – Co-Chairman IHE Europe (Agfa Healthcare)

MIR IHE Session 2 IHE Integration Goals Improve the efficiency and effectiveness of clinical practice:  Improve Workflow within Radiology (and outside)  Improve Information Access (images, reports,..)  Enable Cross-System Functionality  Enable Cross-vendor environment

MIR IHE Session 3 IHE Approach Provide solutions for real-world integration problems (Integration Profiles)Provide solutions for real-world integration problems (Integration Profiles) Common technical framework, based on existing standards (e.g. DICOM, HL7, SSL)Common technical framework, based on existing standards (e.g. DICOM, HL7, SSL) Regular validation sessions (connectathon)Regular validation sessions (connectathon) –Validation on application level; not only on protocol level Demonstrate the results at yearly public demo’s (RSNA, HIMSS, European shows)Demonstrate the results at yearly public demo’s (RSNA, HIMSS, European shows)

MIR IHE Session 4 IHE History 1999(yr1) Start of IHE-USA Start of IHE-USA Mainly scheduled workflow Mainly scheduled workflow 2000(yr2) 7 Integration Profiles 7 Integration Profiles 2001(yr3) IHE USA : Consolidation year IHE USA : Consolidation year Start of IHE Europe and IHE Japan Start of IHE Europe and IHE Japan 2002(yr4) Adding new IHE Profiles Adding new IHE Profiles Internationalization of Technical Framework Internationalization of Technical Framework European Connectathon European Connectathon IHE demos in USA, EU, Japan IHE demos in USA, EU, Japan

MIR IHE Session 5 IHE Integration Profiles Access to Radiology Information Consistent access to images and reports Consistent Presentation of Images Hardcopy and softcopy grayscale presentation state Key Image Notes Flag significant images Simple Image and Numeric Reports Simple reports with image links and, optionally, measurements Basic Security Audit Trail Consolidation & Node Authentication Presentation of Grouped Procedures Subset of a single acquisition Post- Processing Workflow Schedule, perform, & notify image processing & CAD steps Charge Posting Collection of billable procedure details Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps Patient Information Reconciliation Unknown patients and unscheduled orders

MIR IHE Session 6 IHE in Europe - why Similar integration problems ask for similar (IHE) solutionsSimilar integration problems ask for similar (IHE) solutions Provide European vendors with a platform to develop and test world-class interoperabilityProvide European vendors with a platform to develop and test world-class interoperability Involve local vendors (RIS/HIS)Involve local vendors (RIS/HIS) Address European specific requirements :Address European specific requirements : –Multi-language aspect –Limited acceptance of HL7 –Country specific RIS vendors –Country specific congresses & exhibitions Facilitate communication between European vendors/users and IHE USAFacilitate communication between European vendors/users and IHE USA

MIR IHE Session 7 IHE France Committee IHE Germany Committee IHE xxx Committee Demonstrations Education National TF extensions Vendor Participation IHE Europe Organization IHE Europe Committee Strategic Development Connectathon New Integration Profiles Education and promotion IHE USA IHE Japan

MIR IHE Session 8 IHE Technical Framework IHE Integration Profiles National Extensions IHE Transactions (Existing) IHE Transactions (new)

MIR IHE Session 9 IHE Europe activities European ConnectathonEuropean Connectathon National IHE DemonstrationsNational IHE Demonstrations Extensions to Technical FrameworkExtensions to Technical Framework

MIR IHE Session 10 IHE Europe Connectathon 1 week validation session1 week validation session –Paris (April 2002) Multi-vendor implementation of different Integration Profiles (with national extensions)Multi-vendor implementation of different Integration Profiles (with national extensions) –33 vendors, 59 systems, 9 countries –HIS, RIS, PACS, Modality vendors –Vendors cover 80% of the market (per country) –More complex than connectathon USA Prerequisite to participate at IHE demoPrerequisite to participate at IHE demo All vendors successfully passed!All vendors successfully passed! Connectathon results are publicly availableConnectathon results are publicly available

MIR IHE Session 11

MIR IHE Session 12 IHE-Europe Demos Demos at France, Germany, Italy, UKDemos at France, Germany, Italy, UK Radiology centric demosRadiology centric demos –JFR2002 (Paris; )) –DRK2002 (Wiesbaden, 2002) –SIRM (Rimini, 2002) –UKRC (Birmingham, 2003) Hospital centric demosHospital centric demos –Hopital Expo2002 (Paris, May/2002) 400 visitors/demo (average)400 visitors/demo (average) 40% local vendors; 60% international vendors40% local vendors; 60% international vendors IHE Germany award (Germany)IHE Germany award (Germany) IHE-D IHE-F IHE-I IHE-UK

MIR IHE Session 13 European extensions to IHE TF Country specific extensions (2002)Country specific extensions (2002) –France, Germany –Mainly HL7 related E.g. : exclusion of race/religion message attributesE.g. : exclusion of race/religion message attributes New integration profiles (proposals for 2003)New integration profiles (proposals for 2003) –Operation theatre (Germany) –Clinical lab (France) –Master Patient Index (France) Global review&publication cycleGlobal review&publication cycle

MIR IHE Session 14 IHE Europe roadmap Organize IHE activities in other countriesOrganize IHE activities in other countries –Candidates : Spain, Scandinavia Actively explore domains, outside radiologyActively explore domains, outside radiology –Candidate domains : clinical labs –Establish a Strategic Development role within IHE Europe organization –Establish relations with other professional societies Streamline activities with IHE USA and IHE JapanStreamline activities with IHE USA and IHE Japan

MIR IHE Session 15 More Information IHE EuropeIHE Europe –Website : www. Ihe - europe. org –Mail : IHE USAIHE USA –Website :

MIR IHE Session 16 Questions & Answers