1. Integrating the Healthcare Enterprise Stephen G Davies Royal Glamorgan Hospital

2. What is IHE? It is an initiative promoting and supporting the integration of IT systems in the healthcare enterprise. It is an initiative promoting and supporting the integration of IT systems in the healthcare enterprise. Integration Goal: Improve the efficiency and effectiveness of clinical practice by: Integration Goal: Improve the efficiency and effectiveness of clinical practice by: ● Improved Information Flow ● Advanced Multi-System Functions

3. Is IHE another term for EPR? It provides a framework for systems integration which will assist the development of the EPR It provides a framework for systems integration which will assist the development of the EPR Currently limited to radiology Currently limited to radiology

4. What is IHE? Currently we have: Currently we have: DICOM to exchange imaging data DICOM to exchange imaging data HL7 to exchange order and lab results data HL7 to exchange order and lab results data IHE aims to facilitate the integration of data between systems IHE aims to facilitate the integration of data between systems IHE defines the use of subsets of DICOM and HL7 standards – it is not a standard itself IHE defines the use of subsets of DICOM and HL7 standards – it is not a standard itself

5. How does this help? Improves integration and interoperability Improves integration and interoperability Integration – disparate systems share info. reducing multiple data entry Integration – disparate systems share info. reducing multiple data entry Interoperability – two systems can carry out a task effectively e.g. both systems have two fields for first and second name Interoperability – two systems can carry out a task effectively e.g. both systems have two fields for first and second name Simplifies workflow Simplifies workflow Purchasers and vendors have confidence that systems will work together Purchasers and vendors have confidence that systems will work together

6. Presentation of Grouped Procedures Subset a single acquisition IHE Integration Profiles Integration profile = integrated work flow process Integration profile = integrated work flow process Patient Information Reconciliation Unknown patients and unscheduled orders Consistent Presentation of Images Hardcopy and softcopy grayscale and presentation state Access to Radiology Information Consistent access to images and reports Key Image Notes Exchange flagging significant images Simple Image and Numeric Reports Exchange simple reports with image links and, optionally, measurements Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps

7. Scheduled Workflow Profile Registration Orders Placed Orders Filled Film Folder Image Manager & Archive Film Lightbox report Report Repository Diagnostic Workstation Modality acquisition in-progress acquisition completed images printed Acquisition Modality

8. IHE Documentation IHE Technical framework IHE Technical framework IHE Scenarios IHE Scenarios IHE Technical implementation guide IHE Technical implementation guide Provides a guide to buyers and implementers of IT systems to explain the IHE documents Provides a guide to buyers and implementers of IT systems to explain the IHE documents Facilitates specification in the procurement process Facilitates specification in the procurement process Resources Resources www.rsna/IHE www.rsna/IHE www.rsna/IHE www.IHE-uk.org www.IHE-uk.org www.IHE-uk.org

9. The structure of IHE Joint initiative RSNA and HIMMS based on success of DICOM and recognising the need to look wider than radiology Joint initiative RSNA and HIMMS based on success of DICOM and recognising the need to look wider than radiology Year 4: national profiles for IHE Year 4: national profiles for IHE IHE in the UK IHE in the UK

10. IHE Scenarios and UK Clinical Radiology Working party including practising radiologists and radiographers Working party including practising radiologists and radiographers RCR guidance RCR guidance IRMER IRMER Generic approach rather than reflecting every local variation Generic approach rather than reflecting every local variation Terminology still in IHE speak Terminology still in IHE speak

11. IHE the future UK initiative consolidated UK initiative consolidated UK-IHE UK-IHE UK IHE Demonstration at UKRC 2003 planned UK IHE Demonstration at UKRC 2003 planned More integration profiles More integration profiles More countries involved More countries involved Outside radiology Outside radiology Framework for EPR Framework for EPR

12. Thank you