3. ntegrating the ealthcare nterprise

5. seamlessly across entire continuum of care across entire continuum of care Exchange and access information

6. Seamless

7. Quick access to patient information

8. Continuum of Care

9. Access to information during patient care process across the enterprise

10. Electronic Health Record Electronic Health Record Requirements defined Implementation hindered

11. expense frustration delay

16. Johannes Gutenberg University Hospital Johannes Gutenberg University Hospital

17. How has IHE succeeded in making this vision REAL?

18. Support from multiple constituencies Healthcare Professionals 1

19. Support from multiple constituencies 1 Industry Agfa Healthcare Algotech Systems, Ltd. Canon Medical Systems Cedara Software Corporation Cerner Corporation CSIST Eastman Kodak Company Emageon

20. Support from multiple constituencies Industry Fujifilm Medical Systems USA IMCO Technologies GE Medical Systems Instrumentarium Imaging Konica Medical Imaging, Inc. IDX Systems Corporation Marotech, Inc. Hitachi Medical Corporation Hologic, Inc. 1

21. Support from multiple constituencies Industry Siemens Medical Solutions Merge eFilm Medical Manager Health Systems Mitra Imaging, Inc. Philips Medical Systems Mediface Co., Ltd. McKesson Information Solutions Medcon RASNA Imaging Systems 1

22. Support from multiple constituencies Industry Tiani Medgraph AG Voxar Limited StorCOMM, Inc. Toshiba America Medical Systems Ultravisual Medical Systems Swissray International, Inc. Softmedical Stentor, Inc. Vital Images, Inc. 1

23. IHE Integration Profiles Scheduled Workflow Consistent Presentation of Images Patient Information Reconciliation Post-Processing Workflow Charge Posting Presentation of Grouped Procedures Key Image Notes Simple Image and Numeric Reports Access to Radiology Information Basic Security 2

24. IHE Technical Framework IHE Technical Framework 3 Based on established standards such as DICOM and HL7

25. Order Placer Department System Scheduler/Order Filler Image Manager Acquisition Modality Image Archive Modality Worklist Provided [5] Modality Procedure Step In Progress [6] Modality Procedure Step In Progress [6] Modality Images Stored [8] Modality Presentation State Stored [9] Perform Acquisition (PPS Discontinued) Modality Procedure Step Completed [7] Modality Procedure Step Completed [7] Reason for Discontinue Select MWL Entry (SPS)

26. 14: Query Images 16: Retrieve Images 8: Modality Image Stored 43: Evidence Documents Stored 6: Modality PPS in Progress 7: Modality PPS Completed 20: Creator PPS in Progress 21: Creator PPS Completed 6: Modality PPS in Progress 7: Modality PPS Completed Storage Commitment: 10 5: Modality Worklist Provided 20: Creator PPS in Progress 21: Creator PPS Completed 6: Modality PPS in Progress 7: Modality PPS Completed 20: Creator PPS in Progress 21: Creator PPS Completed 2: Placer Order Management 3: Filler Order Management 1: Pt registration 12: Pt Update 4: Procedure Scheduled 11: Image Availability Query 12: Patient Update Storage Commitment: 10 18: Creator Image Stored Pt registration: 1 Pt Update: 12 ADT Order Filler Order Placer Image Creator Image Manager Image Archive Performed Procedure Step Manager Image Display Acquisition Modality

27. IHE Integration Profiles Scheduled Workflow Consistent Presentation of Images Patient Information Reconciliation Post-Processing Workflow Charge Posting Presentation of Grouped Procedures Key Image Notes Simple Image and Numeric Reports Access to Radiology Information Basic Security

29. (Scroll questions as they are read) Registration Diagnostic Workstation Film Lightbox Report Repository Emergency Registration report Update patient info Update patient images Images stored Images printed Images retrieved Modality worklist Acquisition completed

30. What the Radiologist DisplaysWhat the Reviewing Physician Sees Original Image Window Level Flip Zoom Area of Interest Annotate With Presentation State The Radiologist’s Transformations Are Saved Area of Interest Consistent Presentation Of Images on a Calibrated Display Without Presentation State The Radiologist’s Transformations Are Lost Inconsistent Presentation On an Uncalibrated Display X

31. Report Repository Report Verification Preliminary Report Images Retrieved Image Manager & Archive Report Repository Report & Images Retrieved HL7 Report Export Signed Report

32. BENEFITS Redundancy Eliminated Maximum Data Integrity Billing Available ASAP All Systems Updated Redundancy Eliminated Maximum Data Integrity Billing Available ASAP All Systems Updated Procedure Information Modality Worklist Initial capture of patient demographics Acquisition Completed Referring physician orders desired radiology procedure Patient and procedure information retrieved by the modality Patient Information Account Complete

33. Unique process for implementation IHE Technical Framework Software testing tools “The Connectathon” IHE Technical Framework Software testing tools “The Connectathon” For Vendors: 4

35. Unique process for implementation IHE Technical Framework Software testing tools “The Connectathon” IHE Technical Framework Software testing tools “The Connectathon” For Vendors: 4

36. Guide to components and capabilities required to achieve desired goal Links to vendor-published information on integration capabilities via RSNA and HIMSS websites Guide to components and capabilities required to achieve desired goal Links to vendor-published information on integration capabilities via RSNA and HIMSS websites For Users: Unique process for implementation 4

37. For Users: Unique process for implementation 4