1. Jonathan L. Elion MD, FACC Co-Chair, IHE Cardiology Planning Committee Future Integration Profiles (Cardiology)

2. June 28-29, 2005IHE Interoperability Worshop1 Cardiology – 5 Year Roadmap Year 1 (2005) Year 2 (2006) Year 3 (2007) Year 4 (2008) Year 5 (2009) Cath Echo ECG Nuclear EP Cardiology Technical Framework Quality General Multi-modality workflow & imaging Measurements & evidence Procedure log, coded reports Supplies, inventory, & charge capture Workflow & imaging, stress protocols Measurements Retrieve ECG for display ECG/Stress/Holter orders Workflow & stress protocols Multi-modality lab workflow & reporting Home health monitoring Retrieve guidelines for display Retrieve structured guidelines Registry data harvesting Reporting & report distribution Precision time synchronization Implantable device parameters & events PediatricCoded reports ECG waveform interoperability Stress testing workflow

3. June 28-29, 2005IHE Interoperability Worshop2 Cardiac Catheterization Year 3 (2007):  Procedure Log (structured data)  Coded Reports (structured data) Year 4 (2008):  Supplies, inventory, charge capture Year 5 (2009):  Precision time synchronization

4. June 28-29, 2005IHE Interoperability Worshop3 Stress Testing Stress Monitor System TreadmillECGImages Exercise Automated w/ optional manual Always Optional Pharma- cologic ManualRarelyUsuallyOptional

5. June 28-29, 2005IHE Interoperability Worshop4 Stress Testing Stress Monitor System TreadmillECGImages Exercise Automated w/ optional manual Always Optional Pharma- cologic ManualRarelyUsuallyOptional

6. June 28-29, 2005IHE Interoperability Worshop5 ECG Year 3 (2007):  Stress Testing Workflow, Evidence and Reporting Year 4 (2008):  ECG, Stress, Holter orders Year 5 (2009):  ECG Waveform Interoperability

7. June 28-29, 2005IHE Interoperability Worshop6 Echocardiography Year 3 (2007):  Coded Reports (structured data)  Stress Echocardiography Year 4 (2008):  Pediatric procedures and reporting (has implications for cardiac catheterization as well

8. June 28-29, 2005IHE Interoperability Worshop7 Nuclear Year 3 (2007):  Workflow  Stress

9. June 28-29, 2005IHE Interoperability Worshop8 Electrophysiology Year 3 (2007):  Multi-modality lab workflow  Reporting Year 4 (2008):  Implantable device parameters and events Year 5 (2009):  Home monitoring

10. June 28-29, 2005IHE Interoperability Worshop9 Quality Year 3 (2007):  Retrieve guidelines for display Year 4 (2008):  Registry data harvesting Year 5 (2009):  Retrieve structured guidelines

11. June 28-29, 2005IHE Interoperability Worshop10 More information…. IHE Web site: http://www.ihe.net http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm Technical Frameworks Technical Framework Supplements – Trial Implementation Non-Technical Brochures : –Calls for Participation –IHE Fact Sheet and FAQ –IHE Integration Profiles: Guidelines for Buyers –IHE Connect-a-thon Results –Vendor Products Integration Statements Questions?

12. June 28-29, 2005IHE Interoperability Worshop11 W W W. I H E. N E T Providers and Vendors Working Together to Deliver Interoperable Health Information Systems In the Enterprise and Across Care Settings