IHE - Collaboration A framework for Success Christopher Lindop, MSEE GE Healthcare Interoperability & Standards IHE Radiology Co-Chair IHE Australia Board Member

Standards: Necessary…Not Sufficient Standards are Foundational - to interoperability and communications Broad - varying interpretations and implementations Narrow - may not consider relationships between standards domains Plentiful - often redundant or disjointed Focused - standards implementation guides focus only on a single standard

Integrating the Healthcare Enterprise Promotes standards-based integration and interoperability - accelerate the rate & quality of integration Focused on practical solutions to key user-identified integration problems Integration Profiles Connectathons Demonstrations Cooperative effort involving clinicians and professional societies, vendors and industrial associations, governments and health care organizations 3

IHE - 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 Drive industry to develop and make available standards-based solutions Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions A forum for agreeing on how to implement standards and processes for making it happen

IHE (International) Board Participating Vendors IHE Organizational Structure IHE (International) Board Regional Deployment Global Development IHE North America IHE Asia-Oceania China Japan Radiology IT Infrastructure Laboratory Canada USA Korea Taiwan Australia Cardiology Patient Care Coordination Pathology IHE Europe Radiation Oncology Patient Care Devices Pharmacy / Medication Admin France Germany Italy Netherlands Norway Spain Sweden UK Professional Societies / Sponsors Contributing & Participating Vendors ACC ACP HIMSS RSNA GMSIH SFR SFIL MSIA SIRM BIR EuroRec RANZCR COCIR EAR-ECR DRG HISA ESC JAHIS JIRA JRS ADIA METI-MLHW MEDIS-DC JAMI HIMAA

Leveraging the IHE Standards Adoption Process Document Use Case Requirements Public Interoperability Demonstrations Identify available standards Develop technical specifications Testing at Connectathons Deploy multi-vendor Integrated Solutions Develop Easy to integrate products

An integration profile … Describes actors and transactions allowing exchange to occur

Actor/Transaction Diagrams Detailed standards implementation guides IHE Profiles Actor/Transaction Diagrams Acquisition Modality Placer Order Management – New [RAD - 2] Patient Reconciliation Department System Scheduler/ Order Filler Schedule Procedure Scheduled [RAD 4] Modality Procedure Step Completed [RAD 7] J.Doe > J.Smith Patient Update/ Merge [RAD 12] Patient Registration [RAD 1] Merge [RAD Step In Progress [CARD Perform Filler Order Mgmt Status Update [RAD 3] Image Manager/ PPS Manager One or the other methods of creating an order is used Query Modality Worklist [RAD - 5] ADT Order Placer Register J.Doe Acquisition Modality Placer Order Management – New [RAD 2] Patient Reconciliation Department System Scheduler/ Order Filler Schedule Procedure Scheduled [RAD 4] Modality Procedure Step Completed [RAD 7] > J.Smith Patient Update/ Merge [RAD 12] Patient Registration [RAD 1] Merge [RAD Step In Progress [CARD Perform Filler Order Mgmt Status Update [RAD 3] Image Manager/ PPS Manager One or the other methods of creating an order is used Sequence Diagrams Detailed standards implementation guides Textual Description

A content profile … A sharable information component that can be exchanged… within a Health Information Community (XDS) via Media or USB Device (XDM) via Reliable Messages (XDR) Document content using standards HL7 CDA Release 2.0 HL7 Care Record Summary ASTM/HL7 Continuity of Care Document Library of Reusable Parts

Integration Statements

Connectathon

2009 Connectathon Status North American Connectathon February 23-27 77 companies, 126 systems Chicago, Ill European Connectathon April 23-27 73 companies, 94 systems Vienna, Austria Japan Connectathon October 26-30 40 vendors, 86 systems Tokyo, Japan Australia Connectathon Sydney, AU July 27 – 31 China Connectathon Shanghai, China Beijing, China May 25- May 29 Malaysia Connectathon Kuala Lumpur 12-14 January (80 tested an IT Profile)

IHE in Australia Australian IHE Member Organizations Clinicians & Professional Societies Health Informatics Society of Australia Royal Australian and New Zealand College of Radiologists Health Information Management Association of Australia 42 Organizations worldwide Trade Associations Medical Software Industry Australia Australian Diagnostic Imaging Association 6 organizations worldwide Government Agencies and Public-Private Partnerships 12 Organizations worldwide Standards Development Orgs (SDOs) HL7 (including HL7 Australia) 6 Organizations worldwide Vendors & consultants Over 177 vendors and consultant firms worldwide Australian IHE Supporters Government Agencies and Public-Private Partnerships NICTA DOHA Standards Development Orgs (SDOs) AHML

IHE (International) Board Participating Vendors IHE Organizational Structure IHE (International) Board Regional Deployment Global Development IHE North America IHE Asia-Oceania China Japan Radiology IT Infrastructure Laboratory Canada Patient Care Coordination USA Korea Taiwan Australia Cardiology Patient Care Coordination Pathology IHE Europe Radiation Oncology Patient Care Devices Pharmacy / Medication Admin France Germany Italy Netherlands Norway Spain Sweden UK Contributing & Participating Vendors Australia Professional Societies / Sponsors MSIA HISA HL7 Australia RANZCR ADIA HIMAA

IHE Profile Development : Chronic Care Coordination Problem to be solved To provide efficient support for planned care and follow-up in Chronic Disease Management (CDM) In CDM, guidelines are typically embodied in a simple care plan that specifies referrals to a care team. Tracking of referral with reporting by exception on clinical issues is an efficient way to support care management. Existing care planning and management systems are already implementing this functionality and would benefit from a standardised approach