September, 2005What IHE Delivers 1 An Overview of the IHE IT Infrastructure IHE Vendors Workshop 2006 IHE IT Infrastructure Education Glen F. Marshall

1September, 2005 What IHE Delivers

An Overview of theAn Overview of the

IHE IT InfrastructureIHE IT Infrastructure

IHE Vendors Workshop 2006IHE Vendors Workshop 2006

IHE IT Infrastructure EducationIHE IT Infrastructure Education

Glen F. MarshallGlen F. Marshall

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What You Will LearnWhat You Will Learn

What is the IHE IT Infrastructure?What is the IHE IT Infrastructure?

Of what value is the IHE IT Infrastructure?Of what value is the IHE IT Infrastructure?

How do you get the IHE IT Infrastructure?How do you get the IHE IT Infrastructure?

How do you add to IHE IT Infrastructure?How do you add to IHE IT Infrastructure?

What comes next?What comes next?

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IT Infrastructure is...IT Infrastructure is... IT that enables computer applicationsIT that enables computer applications

• Operating platformsOperating platforms• Computer languagesComputer languages• Computing hardwareComputing hardware• NetworksNetworks

IT that serves multiple applications IT that serves multiple applications • SecuritySecurity• DatabasesDatabases• InterfacesInterfaces

Infrastructure

applicationapplication




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IHE IT Infrastructure is...IHE IT Infrastructure is... Standards-based IT infrastructure implementation Standards-based IT infrastructure implementation

guides, a/k/a the guides, a/k/a the Technical FrameworkTechnical Framework

A domain committeeA domain committee• Planning – approve the year’s work and future roadmapPlanning – approve the year’s work and future roadmap• Technical – author/maintain the Technical Framework Technical – author/maintain the Technical Framework

A service resourceA service resource• Provides stakeholder educationProvides stakeholder education• Collaborates with SDOs and consortiaCollaborates with SDOs and consortia• Collaborates within IHE clinical domain committeesCollaborates within IHE clinical domain committees

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IHE IT Infrastructure domain produces...IHE IT Infrastructure domain produces... Profiles that serve the purposes of clinical Profiles that serve the purposes of clinical

workflows, regardless of IHE clinical domainworkflows, regardless of IHE clinical domain• Examples: Security, Records Storage, Patient IdentifiersExamples: Security, Records Storage, Patient Identifiers

Basic implementation-specification foundations to Basic implementation-specification foundations to be extended by specific IHE clinical domainsbe extended by specific IHE clinical domains

• Examples: Retrieve Forms for Data Input, Basic Examples: Retrieve Forms for Data Input, Basic document content specificationsdocument content specifications

White papers for current work itemsWhite papers for current work items• Examples: Cross-enterprise user authentication, Web Examples: Cross-enterprise user authentication, Web

Services, Risk ManagementServices, Risk Management

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Profiles - Medical InformationProfiles - Medical Information Document SharingDocument Sharing

• XDS – Cross-Enterprise Document SharingXDS – Cross-Enterprise Document Sharing XDS Stored QueryXDS Stored Query XDS-SD – XDS Scanned DocumentsXDS-SD – XDS Scanned Documents XDP – Cross-Enterprise Document InterchangeXDP – Cross-Enterprise Document Interchange• NAV – Notification of Document AvailabilityNAV – Notification of Document Availability• RID – Retrieve Information for DisplayRID – Retrieve Information for Display

Patient ManagementPatient Management• PAM – Patient Administration ManagementPAM – Patient Administration Management• PDQ – Patient Demographics QueryPDQ – Patient Demographics Query• PIX – Patient Identifier Cross-referencingPIX – Patient Identifier Cross-referencing• PSA – Patient Synchronized ApplicationsPSA – Patient Synchronized Applications

RFD – Retrieve Form for Data CaptureRFD – Retrieve Form for Data Capture

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Profiles - SecurityProfiles - Security ATNA – Audit Trial and Node AuthenticationATNA – Audit Trial and Node Authentication CT – Consistent TimeCT – Consistent Time DSG – Document Digital SignatureDSG – Document Digital Signature EUA – Enterprise Use AuthenticationEUA – Enterprise Use Authentication PWP – Personnel White PagesPWP – Personnel White Pages

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Next-step WorkNext-step Work XDS FederationXDS Federation PIX and PDQ using HL7 v3PIX and PDQ using HL7 v3 Web Services Transport for IHE TransactionsWeb Services Transport for IHE Transactions XUA – Cross-Enterprise User AuthenticationXUA – Cross-Enterprise User Authentication Risk Management Planning White PaperRisk Management Planning White Paper

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Consistent TimeCoordinate time across

networked systems

Audit Trail & Node Authentication

Centralized privacy audit trail and node to node authentication

to create a secured domain.

Patient Demographics Query

Cross-Enterprise Document Sharing

Registration, distribution and access across health enterprises of clinical

documents forming a patient electronic health record

Patient Identifier Cross-referencing

Map patient identifiers across independent identification

domains

Emergency Referrals

Format of the Document Content and associated coded vocabulary

Patient Created Summaries


ECG Report Document


Lab Results Document Content


Scanned Documents

Format of the Document Content

Cross-enterpriseDocument Point-to-Point

InterchangeMedia-CD/USB & e-mail push

Imaging Information


Medical Summary (Meds, Allergies, Pbs)

Format of the Document Contentand associated coded vocabulary

Document Digital Signature

Attesting “true-copy and origin

Notice of Document Availability

Know about new information

Support for Support for RHIOsRHIOs

Patient Consent

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Electronic Health Record

Cardiology

Laboratory

Radiology

Oncology

Future

Domains

IHE

IT Infrastructure

14 Integration Profiles



1133 IInntteeggrraattiioonn PPrrooffiilleess

Patient Care Coordination

1 Integration Profile

Patient Care

Devices

Pathology

Eye Care


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Discussion...Discussion...

Any new profiles that we need?Any new profiles that we need?

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StakeholdersStakeholders VendorsVendors Healthcare Providers – Institutions and CliniciansHealthcare Providers – Institutions and Clinicians Healthcare Consumers – People and EmployersHealthcare Consumers – People and Employers Healthcare payersHealthcare payers Public health agenciesPublic health agencies Safety net providersSafety net providers Clinical and health-services researchersClinical and health-services researchers

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Benefits for vendorsBenefits for vendors FreeFree shared expert intellectual property shared expert intellectual property Reduced development effortReduced development effort Quicker time-to-marketQuicker time-to-market Reduced implementation effort and negotiationReduced implementation effort and negotiation Greater collaboration among all stakeholdersGreater collaboration among all stakeholders Exposure in HIMSS Interoperability ShowcaseExposure in HIMSS Interoperability Showcase Simplified RFP responsesSimplified RFP responses Better sales results when standards are importantBetter sales results when standards are important Satisfied customersSatisfied customers

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Benefits for PurchasersBenefits for Purchasers Quicker realization of IT benefitsQuicker realization of IT benefits Fewer implementation fumblesFewer implementation fumbles Fewer multi-vendor coordination headachesFewer multi-vendor coordination headaches Lower implementation costLower implementation cost

Benefits for ConsumersBenefits for Consumers Less user time spent fumbling with infrastructureLess user time spent fumbling with infrastructure More time for clinical IT use More time for clinical IT use Better outcomes Better outcomes Potentially more funding for care-specific ITPotentially more funding for care-specific IT

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Benefits for PayersBenefits for Payers Less overhead in care-provision and interfacesLess overhead in care-provision and interfaces

Benefits for Public HealthBenefits for Public Health Better data collection Better data collection better population health better population health

Benefits for Benefits for Safety Net ProvidersSafety Net Providers EEasier access to patient data asier access to patient data less expense less expense

Benefits for Benefits for ResearchersResearchers Simpler data collection Simpler data collection less expense less expense

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What other values do you see?What other values do you see?

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How do you get the IHE IT Infrastructure?How do you get the IHE IT Infrastructure?

Study: Technical Framework Study: Technical Framework www.ihe.net/Technical_Framework/index.cfmwww.ihe.net/Technical_Framework/index.cfm

• Volume 1 – ProfilesVolume 1 – Profiles• Volume 2 – TransactionVolume 2 – Transaction

www.ihe.net – New profiles and transactionswww.ihe.net – New profiles and transactions

Practice: Connectathon TestingPractice: Connectathon Testing www.ihe.net www.ihe.net and and www.connectathon.net www.connectathon.net

Buy it:Buy it: Healthcare IT vendors’ infrastructure-specialistsHealthcare IT vendors’ infrastructure-specialists Partnership with other healthcare IT vendors Partnership with other healthcare IT vendors

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Implement the profilesImplement the profiles Your experience adds to the shared knowledge.Your experience adds to the shared knowledge. Based on experience, you can make Change Based on experience, you can make Change

Proposals to update the framework.Proposals to update the framework. Your participation in the Connectathon adds to the Your participation in the Connectathon adds to the

collective IHE experience.collective IHE experience.

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Comment on the new profilesComment on the new profiles Your knowledge and perceptions adds to the Your knowledge and perceptions adds to the

quality of the Technical Framework.quality of the Technical Framework. It is better to discover and correct problems in the It is better to discover and correct problems in the

design phase than in the coding phase.design phase than in the coding phase. Your good ideas will be folded-into the final work.Your good ideas will be folded-into the final work.

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Help author the profilesHelp author the profiles(Technical Committee)(Technical Committee) Your Your technical technical expertise contributes to – and is expertise contributes to – and is

honed by – the collaborative experiencehoned by – the collaborative experience Your ideas will be consolidated and improved-Your ideas will be consolidated and improved-

upon by working with expert peers.upon by working with expert peers. ““Many hands make light work.”Many hands make light work.”

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Help plan the profilesHelp plan the profiles(Planning Committee)(Planning Committee) Your Your marketmarket expertise contributes to – and is expertise contributes to – and is

honed by – the collaborative experiencehoned by – the collaborative experience Your ideas will be consolidated and improved-Your ideas will be consolidated and improved-

upon by working with expert peers.upon by working with expert peers. ““Many hands make light work.”Many hands make light work.”

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How else can you add to theHow else can you add to theIT Infrastructure?IT Infrastructure?

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What comes next?What comes next?

Education at this conferenceEducation at this conference

Comments for the new IT Infrastructure profiles – due by Comments for the new IT Infrastructure profiles – due by July 5July 5

Publication of the new IT Infrastructure profiles for trial Publication of the new IT Infrastructure profiles for trial implementation – early Augustimplementation – early August

Publication of IHE IT Infrastructure Roadmap update – early Publication of IHE IT Infrastructure Roadmap update – early AugustAugust

Sign-up for the 2007 Connectathon and HIMSS Sign-up for the 2007 Connectathon and HIMSS Interoperability Showcase – September 15Interoperability Showcase – September 15

Implement and test for 2007 Connectathon, per scheduleImplement and test for 2007 Connectathon, per schedule

Connectathon - January 15-19, 2007Connectathon - January 15-19, 2007

HIMSS Interoperability Showcase - February 28 – March 1, HIMSS Interoperability Showcase - February 28 – March 1, 20072007

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IHE Web Site - http://www.ihe.netIHE Web Site - http://www.ihe.net Technical FrameworksTechnical Frameworks Technical Framework Supplements – Trial ImplementationTechnical Framework Supplements – Trial Implementation Calls for ParticipationCalls for Participation IHE Fact Sheet and FAQIHE Fact Sheet and FAQ IHE Integration Profiles: Guidelines for BuyersIHE Integration Profiles: Guidelines for Buyers IHE Connectathon ResultsIHE Connectathon Results Vendors’ Product Integration StatementsVendors’ Product Integration Statements

Sponsors’ IHE sitesSponsors’ IHE sites http://www.himss.org/IHE http://www.himss.org/IHE http://www.rsna.org/IHEhttp://www.rsna.org/IHE http://www.acc.org/quality/ihe.htmhttp://www.acc.org/quality/ihe.htm

More InformationMore Information


Questions?Questions?


Thank You.Thank You.