1. September, 2005What IHE Delivers 1 Chris Lindop GE Healthcare Co-chair, IHE Radiology Planning Committee Chris Lindop, GE Healthcare Co-chair, IHE Radiology Planning Committee Radiology 2007 Update

2. 2 An Incremental Multi-Year Project Launched in 1998 Goal:  Enhance the Access to Clinical Information  Ensure Continuity and Integrity of Patient Information  Speed Up the Integration in Healthcare Environments  Fosters Communication Between Vendors of Medical Information Technology Prove that Integration is Attainable Based on Standards Participants:  Representatives of Healthcare Providers  Information Systems Vendors  Imaging Systems Vendors  Standardization Groups The IHE Initiative

3. 3 IHE Radiology Scope:  Radiology including Nuclear Medicine, Mammography Vendors  Acquisition Modalities, RIS, PACS, Workstations, Displays, Printers Established 1998 (first IHE domain) Sponsor: RSNA Supporters: COCIR, DRG, EAR, ECR, EuroPACS, GMSIH, JIRA, JAHIS, JRS, JSRT, METI, MEDIS-DC, SFR, SIRM

4. 4 IHE Radiology - Achievements Now entering 10th year  Robust Vendor Participation at Connectathons  Over 200 IHE Integration Statements published  Over 1000 Actors in Radiology implemented  IHE Profiles appearing in User Purchasing Processes Have addressed basic radiology workflows  Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials Have addressed imaging content handling  Measurements, CAD Results, NM, Mammo, Presentation States, Reports, Key Image Notes Have addressed distribution of imaging information  on CDs, to enterprise, to EHRs, keeping Audit Trails

5. 5 IHE Radiology – Recent Development Activities Expand focus to integration and workflow spanning departments/enterprises/regions  XDS-I **  Import Reconciliation Workflow ** Expand support for specialties  NM Image Cardiology Option *  Image Fusion *  Mammography ** International Focus - National Extensions  Spain **  Canada ** *Carried over for Trial Implementation in 2008 ** Approved for release in Technical Framework V8.0

6. 6 Strategic/Deployment Clinical deployment  Mammography Users Handbook (New for 2007)  RSNA 2007 Product Showcase (TCE)  RSNA 2007 Imaging Interoperability Demonstration (TCE & XDS-I)  HIMSS 2008 Interoperability Showcase Strategic  Cross-domain Integration Profile Review Adopted cross-domain extensions with CP process

7. 7 Connectathon Status North American  Jan 28 – Feb 1, Chicago, IL  70 Vendors, 136 products Japan  5-9 February 2007, Tokyo, Japan  36 Vendors, 60 systems Europe  20-26 April 2007, Berlin, Germany  72 Vendors, 120 products China  November 2007, Shanghai

8. 8 Radiology Profiles Access to Radiology Information - Consistent Presentation of Images Evidence Document Key Image Notes Simple Image & Numeric Reports Presentation of Grouped Procedures Post- Processing Workflow Reporting Workflow Charge Posting Patient Info. Reconciliation Scheduled Workflow Portable Data for Imaging NM Image Mammography Image Audit Trail & Node Authentication – Radiology Option Image Fusion Teaching Files & Clinical Export Import Reconciliation Workflow Cross-Enterprise Document Sharing for Imaging Card Option

9. 9 IHE Radiology – Integration Profiles Workflow Scheduled Workflow Patient Information Reconciliation Post-Processing Workflow Reporting Workflow Import Reconciliation Workflow Infrastructure Access to Radiology Information Portable Data for Imaging Cross-Enterprise Data Sharing for Images Security: Audit Trails & Node Authentication Charge Posting Teaching Files & Clinical Trials Export Presentation & Content Consistent Presentation of Images Key Image Notes Image Fusion ** Presentation of Grouped Procedure Evidence Documents Simple Image & Numeric Reports NM Image* Mammography Image * Cardiology Option – in Trial Implementation ** in Trial Implementation Publications Radiology Users Guide Mammography Users Guide

10. 10 Radiology – Demonstrated @ HIMSS 2008  Scheduled Workflow – Additional Clinical Information at Modality Order Contact information (who and how) Order Contact information (who and how) Pregnancy Alert Pregnancy Alert Specified Contrast Instructions Specified Contrast Instructions  Scheduled Workflow – Assisted Protocol Option RIS-driven Protocol selection using common protocol codes RIS-driven Protocol selection using common protocol codes  Scheduled Workflow – Image availability Notification Auto-verify of images from Modality to PACS and to RIS Auto-verify of images from Modality to PACS and to RIS  Consistent Presentation of Images Modality defined text annotation displayed on PACS Modality defined text annotation displayed on PACS  Portable Data for Imaging – Web Option Image Presentation for Clinicians (Outpatient EMR) Image Presentation for Clinicians (Outpatient EMR)  Cross-Enterprise Document Sharing for Imaging - WADO Image Presentation for Clinicians (Outpatient EMR) Image Presentation for Clinicians (Outpatient EMR)

11. 11 New Profile Development for 2008 PDI – DVD/USB Option Dose Reporting Mammography Acquisition Workflow Scheduled Workflow II (Volume 1 only)

12. 12 Media Creator Printer [Media Reader] Image Display [Media Reader] PACS [Media Importer] CD DVD* USB* John Doe DICOM Data Web Data (Optional) DICOM PC Browser Web Data Required to cleanup Patient ID, Acc#, etc. Portable Data for Imaging * New Option

13. 13 Dose Reporting Facilitates the collection and distribution of reports detailing patient radiation exposure resulting from imaging procedures. Retrieve Dose Information Query Dose Information Perform Study Submit Dose Information Prepare Monthly Submission Store Dose Information (CT) Store Dose Information (XR) Retrieve Dose Information Query Dose Information Generate Weekly Reports... Acquisition Modality 1 (XR) Image Archive Dose Information Monitor Dose Registry Acquisition Modality 2 (CT)... Initiate Weekly Report Task

14. 14 Mammography Image

15. 15 Scheduled Workflow II Scheduled Workflow Scope  Volume 1 only  PAM Adoption  Use of Current HL-7 Version (v 2.5)  Options Review Incorporate, remove or maintain status Incorporate, remove or maintain status  Actor Evaluation Examples Examples –MPPS Mgr – is it needed –Image Archive/Manager should they be grouped?  Transactions Examples Examples –Image availability Query  Profile Grouping Incorporate PIR Incorporate PIR

16. 16 2008 Development Schedule TimeframeActivityScheduledLocation 2007 Aug.Submit Brief Profile Proposals to Planning Committee (PC)Brief Profile ProposalsPlanning Committeeby Aug 31E-mail Sept.PC Selects "Short List" of ProposalsSept 4T-Con Sept.PC Drafts Detailed Profile Proposals for "Short Listed" ProposalsDetailed Profile Proposalsby Sept 14E-mail Oct.TC Completes technical review of Detailed ProposalsT-Con Oct.PC makes Final Selection of Proposals for this yearFinal Selection of ProposalsOct 24T-Con Nov.TC Profile development kickoff meetingNov. 5-7Chicago 2008 Jan.TC Finalizes profile supplements for public commentFeb 4-7Chicago Feb.Publication of Public Comment Supplementsapprox. Feb 27www.ihe.net Mar.Deadline for submission of public comments on profile supplementsapprox. Mar 27www.ihe.net Mar./Apr.TC reconciles public commentsMar 31-Apr 2Chicago Apr.Publication of Trial Implementation Supplementswww.ihe.net Jun.Publication of Final Text Technical Framework (if appropriate)www.ihe.net 2009 Jan.First Test implementations at ConnectathonChicago

17. 17 Participating Vendors  Implement IHE Profiles in your products  Test your products at the IHE Connectathon  Publish IHE Integration Statements Users  Learn about the IHE Profiles  Include specific IHE Profiles in your RFPs IHE Process  Review Draft Profiles during Public Comment phase  Participate on Committees Radiology Planning Committee: Radiology Planning Committee: –Kevin O’Donnell (Toshiba) & Chris Lindop (GE Healthcare) Radiology Technical Committee: Radiology Technical Committee: –Cindy Levy ( Cedara) Chris Carr (RSNA) – ihe@rsna.org Chris Carr (RSNA) – ihe@rsna.org

18. September, 2005What IHE Delivers 18