Cor Loef, Philips Medical Systems Implementation of IHE in a Radiology Department

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA2 Content: Objective: Integrating (part of) the Healthcare EnterpriseObjective: Integrating (part of) the Healthcare Enterprise ApproachApproach How to specify and judge vendor offeringsHow to specify and judge vendor offerings Examples of how to use IHE in practiceExamples of how to use IHE in practice ConclusionConclusion

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA3 The objective Integrating (part of) the Healthcare EnterpriseIntegrating (part of) the Healthcare Enterprise Optimal support for workflowOptimal support for workflow Integrated IT solutionsIntegrated IT solutions Seamless information flowSeamless information flow Enable the EPREnable the EPR

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA4 The Healthcare Information System Complex MPI ADT RIS PACS Modality Display HIS

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA5 The approach Focus on Operational Workflow analysis, information flow required for applications, current situation of products and transactions, desired situation, gap analysis, resulting in requirements for new products and upgradesFocus on Operational Workflow analysis, information flow required for applications, current situation of products and transactions, desired situation, gap analysis, resulting in requirements for new products and upgrades Expectation managementExpectation management IHE supports this process with a common framework all involved parties can understand and commit to.IHE supports this process with a common framework all involved parties can understand and commit to.

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA6 Integration Profiles IHE is not a product itself. Functions are grouped in a set of Integration Profiles, Actors, and Transactions. Need to map integration solution requirements on these IHE concepts.

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA7 The Product World….. Poduct XYZ from Vendor T ADT MPI HIS

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA8 The IHE World…. IHE Actor Actor IHE Transaction IHE Actor

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA9 ADT MPI HIS Mapping IHE to Products Poduct XYZ from Vendor T IHE Actor Actor IHE Transaction IHE Actor

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA10 Integration Profiles Examples: – –SWF(Scheduled WorkFlow),KIN(Key Image Note) – –Consistent presentation of images

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA11 IHE : An Integration Profile  24: Report Submission Structured Report Export: 28   25: Report Issuing Report Creator  26: Query Reports  27: Retrieve Reports Report Repository Report Reader External Report Repository Access Report Manager Enterprise Report Repository Transactions A set of Actors cooperating through Transactions to perform a specific task

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA12 Integration profiles, the easy way to deal with transactions easy-to-understand, coherent functional sets andeasy-to-understand, coherent functional sets and a convenient way for users and vendors to communicatea convenient way for users and vendors to communicate about integration requirements and needed functionality in daily life.about integration requirements and needed functionality in daily life.

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA13 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 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA14 General Integration Profile table General Integration Profile table Actor Integration Profile Modality Image Creator Image Display Image Manager/ Archive DSS/Order Filler ADT Report Creator

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA15 Vendor should provide IHE Claims Product UVW supports the IHE K Actor with the IHE X and Y Integration Profiles IHE J Actor with the IHE J Actor with the IHE T Integration Profile

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA16 Example: PACS X, vendor Y Actor Image Display Image Manager/ Archive Report Creator Secure Node

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA17 Example: PACS Standard :Standard : –Actors: Image Manager, Image Archive, and Image Display –Integration Profiles: Scheduled Workflow and Patient Information Reconciliation Display and Printing Quality:Display and Printing Quality: –Actors: Image Display and Print Composer –Integration Profile: Consistent Presentation of Images

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA18 Example: PACS, part 2 Modalities with Procedure grouping:Modalities with Procedure grouping: –Actors: Image Archive –Integration Profile: Presentation of Grouped Procedures Flagging specific images:Flagging specific images: –Actors: Image Archive and/or Image Display –Integration Profile: Key Image Note

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA19 Example: RIS Upgrade Standard:Standard: –Actors: Order Filler –Integration Profiles: Scheduled Workflow and Patient Information Reconciliation DICOM Structured ReportingDICOM Structured Reporting –Actors: Report Manager, Report Repository, Report Creator and Report Reader –Integration Profile: Simple Image and Numerical Reports

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA20 Example: other systems: - Workstations - Modalities - Printers - Patient Registration - Order Entry Just think about Actors Just think about Actors and Integration Profiles and Integration Profiles

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA21 Will IHE do it all? A lot, but: Current scope is Radiology, first important step towards EPRCurrent scope is Radiology, first important step towards EPR Need to address performance requirementsNeed to address performance requirements Clinical applications requiredClinical applications required Services are neededServices are needed –Project management –Training –Implementation/transition management –Operational support

MIR 2002 Implementation of IHE in a Radiology Department HIMSS / RSNA22 Conclusion Using IHE Integration Profiles when writing specifications will make systems integration faster, more efficient, less expensive and successful.Using IHE Integration Profiles when writing specifications will make systems integration faster, more efficient, less expensive and successful. Can go for a bigbang approach, but also for a focus on a specific smaller area.Can go for a bigbang approach, but also for a focus on a specific smaller area. Ask your vendors about the IHE Actors and Profiles they support in their products.Ask your vendors about the IHE Actors and Profiles they support in their products. Success stories will be presented at the RSNASuccess stories will be presented at the RSNA