September, 2005What IHE Delivers 1 Leveraging IHE for the Enterprise HIMSS Interoperability Showcase February 2006 IHE IT Infrastructure, Cardiology, Radiology,

1September, 2005 What IHE Delivers

Leveraging IHE Leveraging IHE for the Enterprise for the Enterprise

HIMSS Interoperability Showcase February 2006HIMSS Interoperability Showcase February 2006

IHE IT Infrastructure, Cardiology, Radiology, LaboratoryIHE IT Infrastructure, Cardiology, Radiology, Laboratory

Sanjay Jain (Cerner), John Moehrke (GE),Sanjay Jain (Cerner), John Moehrke (GE),John Paganin (D), Ellie Avraham (Kodak)John Paganin (D), Ellie Avraham (Kodak)

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Standards are critical but alone are not enoughStandards are critical but alone are not enough

Standards offer generality, ambiguity and Standards offer generality, ambiguity and alternativesalternatives

Standard Implementation Guides are Standard Implementation Guides are focused on a single standardfocused on a single standard

Increasing complexityIncreasing complexity

IHE provides a standard process for IHE provides a standard process for

implementing multiple standards!implementing multiple standards!

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Connecting standards to careConnecting standards to care

Care providers work with vendors to Care providers work with vendors to coordinate the implementation of standards coordinate the implementation of standards to meet their needsto meet their needs Care providers identify the key interoperability Care providers identify the key interoperability

problems they faceproblems they face Drive industry to develop and make available Drive industry to develop and make available

standards-based solutionsstandards-based solutions Implementers follow common guidelines in Implementers follow common guidelines in

purchasing and integrating systems that deliver these purchasing and integrating systems that deliver these solutionssolutions

What is the effective way to establish those What is the effective way to establish those

“standards” for how to implement standards ?“standards” for how to implement standards ?

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Electronic Health Record

Cardiology

Laboratory

Radiology

Oncology

Future

Domains

IHE

IT Infrastructure

15 Integration Profiles



1133 IInntteeggrraattiioonn PPrrooffiilleess

Patient Care Coordination

1 Integration Profile

Patient Care

Devices

Pathology

Eye Care

IHE 2006 – Nine Active Domains IHE 2006 – Nine Active Domains Over 100 vendors involved world-wide,Over 100 vendors involved world-wide, 5 Technical Frameworks5 Technical Frameworks

38 Integration Profiles, Testing at Connectathons38 Integration Profiles, Testing at ConnectathonsDemonstrations at major conferences world-wideDemonstrations at major conferences world-wide

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What is IHE NOT?What is IHE NOT?

Not a standard, Not a standard, although it leverages themalthough it leverages them

A vendor initiative, A vendor initiative, although they participatealthough they participate

Not a certifying authority, Not a certifying authority, although IHE provides although IHE provides testing that should be leveraged by certificationtesting that should be leveraged by certification

Not simply a demonstration projectNot simply a demonstration project Demos are only one means to the end: Demos are only one means to the end: AdoptionAdoption Backed up by documentation, tools, testing, and publication of Backed up by documentation, tools, testing, and publication of

Technical Frameworks and Product Integration Statements. Technical Frameworks and Product Integration Statements.

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IHE ModelIHE Model

Actors in precisely defined rolesActors in precisely defined roles Abstracts a specific function of information systemAbstracts a specific function of information system

……Executing precisely defined transactionsExecuting precisely defined transactions Using existing standardsUsing existing standards

…………To solve real world interoperabilityTo solve real world interoperability problems problems Specifying Integration ProfilesSpecifying Integration Profiles

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IHE Technical FrameworksIHE Technical FrameworksImplementation Guide for each Integration ProfileImplementation Guide for each Integration Profile

An Integration Profile :An Integration Profile : A Set of A Set of ActorsActors Exchanging Exchanging TransactionsTransactions

Query Modality Worklist [RAD-5]

ADT Order Placer

Register J.Doe

AcquisitionModality

Placer OrderManagement –New [RAD-2]

Patient Reconciliation

Department System Scheduler/Order Filler

Schedule Procedure

Procedure Scheduled [RAD-4]

Modality Procedure Step Completed [RAD-7]J.Doe ->

J.Smith

Patient Update/Merge [RAD-12]

Modality Procedure Step Completed [RAD-7]

PatientRegistration [RAD-1]

Patient Update/

Merge [RAD-12]

Modality Procedure Step In Progress [CARD-1]


Perform Acquisition

Filler Order Mgmt - Status Update [RAD-3]


ImageManager/

PPS Manager

Filler Order Management -New [RAD-3]

One or the other methods of creating an order is used


ADT Order Placer

Register J.Doe

AcquisitionModality

Placer OrderManagement –New [RAD-2]

Patient Reconciliation

Department System Scheduler/Order Filler

Schedule Procedure


Modality Procedure Step Completed [RAD-7]J.Doe ->

J.Smith

Patient Update/Merge [RAD-12]

Modality Procedure Step Completed [RAD-7]

PatientRegistration [RAD-1]

Patient Update/

Merge [RAD-12]



Perform Acquisition



ImageManager/

PPS Manager

Filler Order Management -New [RAD-3]

One or the other methods of creating an order is used

Use casesUse casesProcess FlowsProcess Flows

For each transaction:For each transaction: Std referencedStd referenced Options specifiedOptions specified Mapping requiredMapping required

Pt. Registration [RAD-1] Patient Update [RAD-12]


Placer Order Management [RAD-2] Filler Order Management [RAD-3]

ADT

Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]

Image Display

Modality Image/Evidence Stored [CARD-2]

Storage Commitment

[CARD-3]


Procedure Updated [RAD-13]


Performed Procedure

Step Manager

Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]



Order Placer

Acquisition Modality

ImageManager

ImageArchive

DSS/ Order Filler

Patient Update [RAD-12]


Storage Commitment

[CARD-3]

Evidence Creator Modality PS in Progress [CARD-1]

Modality PS Completed [RAD-7]

Instance Availability Notification [RAD-49]



Placer Order Management [RAD-2] Filler Order Management [RAD-3]

ADT

Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]

Image Display


Storage Commitment

[CARD-3]


Procedure Updated [RAD-13]


Performed Procedure

Step Manager




Order Placer

Acquisition Modality

ImageManager

ImageArchive

DSS/ Order Filler

Patient Update [RAD-12]


Storage Commitment

[CARD-3]

Evidence Creator Modality PS in Progress [CARD-1]

Modality PS Completed [RAD-7]

Instance Availability Notification [RAD-49]

ActorsActors TransactionsTransactions

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IHE Solutions within the EnterpriseIHE Solutions within the Enterprise

eMPIeMPIUser AuthUser Auth

EnterpriseEnterpriseIT InfrastructureIT Infrastructure

LaboratoryLaboratory

LISLIS

Auto MgrAuto Mgr AnalyzerAnalyzer

EMR - HISEMR - HISEMR - HISEMR - HIS

CardiologyCardiology

CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS

PACSPACSImg AcqImg Acq

-Radiation-Radiation Therapy Therapy

-Patient Care-Patient Care Devices Devices

-Pathology-Pathology

-Eye Care-Eye Care

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IHE Solutions within the Enterprise IHE Solutions within the Enterprise CardiologyCardiology

RadiologyRadiology CardiologyCardiology LaboratoryLaboratory


EMR - HISEMR - HIS

RISRIS


CISCIS

CathCath ECGECG

LISLIS





-Eye Care-Eye Care

Cardiology Integration ProfilesCardiology Integration ProfilesCardiac Catheterization Lab Workflow

Echocardiography Lab Workflow

Retrieve ECG for Display

Displayable Reports

Cath and Echo Evidence Documents


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IHE Solutions within the Enterprise IHE Solutions within the Enterprise LaboratoryLaboratory



EMR - HISEMR - HIS

RISRIS


CISCIS

CathCath ECGECG

LISLIS





-Eye Care-Eye Care

Laboratory Integration ProfilesLaboratory Integration ProfilesLaboratory Scheduled Workflow

Laboratory Information Reconciliation

Laboratory Point Of Care Testing

Laboratory Device Automation

Laboratory Code Set Distribution


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IHE Solutions within the Enterprise IHE Solutions within the Enterprise RadiologyRadiology



EMR - HISEMR - HIS

RISRIS


CISCIS

CathCath ECGECG

LISLIS





-Eye Care-Eye Care


Radiology Integration ProfilesRadiology Integration ProfilesRadiology Scheduled Workflow

Patient Information Reconciliation

Access to Radiology Information

Portable Data for Imaging

Consistent Presentation of Images

Key Image Note

Presentation of Grouped Procedures

Evidence Documents

Audit trail and Node Authentication (Rad option)

Teaching Files and Clinical Trials Export

Post-processing Workflow

Reporting Workflow

Charge Posting

Simple Image and Numeric Reports

Cross-Enterprise Sharing of Imaging Information

How to use IHE ?How to use IHE ?

IHEIHE Radiology Radiology

HandbookHandbook

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IHE Solutions within the EnterpriseIHE Solutions within the EnterpriseIT Infrastructure (Enterprise)IT Infrastructure (Enterprise)


RISRIS


CISCIS

CathCath ECGECG

LISLIS





-Eye Care-Eye Care


EMR - HISEMR - HIS

IT Infrastructure Integration ProfilesIT Infrastructure Integration ProfilesPatient Administration Management

Patient Demographics Query

Patient Identifier Cross-referencing

Retrieve Information for Display

Enterprise User Authentication

Consistent Time

Patient Synchronized Applications

Audit Trail and Node Authentication

Personnel White Pages

+ 3 Cross-Enterprise IT Infrastructure Profiles not listed here: XDS, NAV, DSG.


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Want to know what new integration Want to know what new integration profiles will be developed in 2006 ?profiles will be developed in 2006 ?

Attend the IHE Domain specific Attend the IHE Domain specific sessions in these Theaters during sessions in these Theaters during HIMSS 2006 (Orange sessions)HIMSS 2006 (Orange sessions)

Contact the IHE Domain SponsorsContact the IHE Domain Sponsors

Visit the IHE Web SiteVisit the IHE Web Site

HIMSS IHE Interoperability ShowcaseHIMSS IHE Interoperability ShowcaseFebruary 2006 ParticipantsFebruary 2006 Participants

Leadership Level

Blue Ware

Cerner

GE Healthcare +IDX

IBM

Initiate Systems

InterSystems

MiSys Healthcare

Quovadx

Siemens

Implementer Level

Allscripts

Canon

CapMed

Cardiac Science

CGI-AMS

CompassCare

CPSI

Dictaphone

DR Systems

Eastman Kodak

Eclipsys

Epic Systems

HIPAAT

HX Technologies

INFINITT Technology

Kryptiq

McKesson

MedAccess Plus

Medical Informatics

MediNotes

MNI

National Institute of Sci & Tech

NextGen Healthcare

Philips Medical

ScImage

Witt Biomedical

Supporter Level:

Acuo

Bond

Carefx

Clearcube

Dairyland

EMC

Identrus

Intel

Mediserve

Medkey

Motion Comp.

Picis

Pulse

Sentillion

Organizational participant:

American Coll. of Clinical Eng.

Catholic Healthcare West

US Dept of Defense

US Dept of Veterans Affairs

DMP–French Natl. Personal EHR

Health Level 7 HTP IEEE

Midmark Diagostics Group

HIMSS RHIO Federation

Liberty Alliance

Univ. of Washington

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What can you do?What can you do?

Learn about IHELearn about IHE

Insist on IHE compliance in your RFPs and Insist on IHE compliance in your RFPs and contract documents:contract documents:

Select Integration Profiles, and Appropriate Actor(s) Select Integration Profiles, and Appropriate Actor(s)

Ask vendors for their products “IHE Integration Ask vendors for their products “IHE Integration Statements”.Statements”.

Need more interoperability ? Need more interoperability ?

Contribute to IHE CommitteesContribute to IHE Committees

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Participating and Contributing Vendors (America)Participating and Contributing Vendors (America)

Agfa HealthCareAgfa HealthCare

AlgotecAlgotec

Allscripts HealthcareAllscripts Healthcare

BerdyBerdy

BluewareBlueware

CamtronicsCamtronics

Canon Medical SystemsCanon Medical Systems

CapMedCapMed

Cardiac Science Corp.Cardiac Science Corp.

CarefxCarefx

Cedara Software Corp.Cedara Software Corp.

Cerner CorporationCerner Corporation

CGI-AMSCGI-AMS

CSISTCSIST

DictaphoneDictaphone

DR SystemsDR Systems

Dynamic ImagingDynamic Imaging

Eastman Kodak CompanyEastman Kodak Company

EBM TechnologiesEBM Technologies

EclipsysEclipsys

EmageonEmageon

Raining DataRaining Data

RASNA Imaging Systems RASNA Imaging Systems

ScImage Inc.ScImage Inc.

Sectra ImtecSectra Imtec

SentillionSentillion

Shimadzu CorpShimadzu Corp

Siemens Medical Solutns’Siemens Medical Solutns’

SoftmedicalSoftmedical

Stentor, IncStentor, Inc

St. Jude MedicalSt. Jude Medical

StorCOMM, IncStorCOMM, Inc

Swissray International, IncSwissray International, Inc

Tiani-SpiritTiani-Spirit

Toshiba Medical SystemsToshiba Medical Systems

T-SystemsT-Systems

UltraVisual Medical Syst.UltraVisual Medical Syst.

Vital Images, Inc.Vital Images, Inc.

Voxar LimitedVoxar Limited

WebMD Practice ServicesWebMD Practice Services

Witt Biomedical Corp.Witt Biomedical Corp.

XIMISXIMIS

Epic Systems Corp.Epic Systems Corp.

ETIAMETIAM

FujifilmFujifilm

GE HealthcareGE Healthcare

HeartlabHeartlab

HIPAAT Inc.HIPAAT Inc.

Hitachi Medical Corp.Hitachi Medical Corp.

HologicHologic

Hx TechnologiesHx Technologies

IDX Systems CorporationIDX Systems Corporation

Imco TechnologiesImco Technologies

INFINITTINFINITT

Initiate Systems Inc.Initiate Systems Inc.

InSiteOneInSiteOne

Intelerad Medical SystemsIntelerad Medical Systems

IBMIBM

Intersystems CorporationIntersystems Corporation

Konica Minolta Konica Minolta

KrypticKryptic

Marotech, Inc.Marotech, Inc.

McKessonMcKesson

In yellow, companies with IHE Committees Chairs (Spring 2006)

MedAccessPlus HealthMedAccessPlus Health

MedCommons IncMedCommons Inc

MedconMedcon

Medical Informatics Eng.Medical Informatics Eng.

Medical Manager Health Medical Manager Health

Mediface Co.Mediface Co.

MedinotesMedinotes

Medis Medical ImagingMedis Medical Imaging

Merge eFilmMerge eFilm

MisysMisys

MNI MedicosMNI Medicos

Mortara Mortara

NextGenNextGen

NovellNovell

Open Text Corp.Open Text Corp.

Philips Medical SystemsPhilips Medical Systems

Procom TechnologyProcom Technology

Prosolv CardiovascularProsolv Cardiovascular

QRS DiagnosticsQRS Diagnostics

QuovadxQuovadx

RADinfo SystemsRADinfo Systems

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Participating and Contributing Vendors (Europe)Participating and Contributing Vendors (Europe)

AGFA HealthcareAGFA Healthcare

AISoftw@re MedicalAISoftw@re Medical

Algotec Algotec

ARES SA ARES SA

aycan Digitalsysteme aycan Digitalsysteme

CEGEDIMCEGEDIM

Cerner Corp.Cerner Corp.

CHILICHILI

CMT Medical Tech.CMT Medical Tech.

Conto Corrente SaluteConto Corrente Salute

ConVisConVis

CTI Mirada SolutionsCTI Mirada Solutions

Data Processing SPAData Processing SPA

DEDALUSDEDALUS

DianoemaDianoema

Eastman Kodak Co. Eastman Kodak Co.

Ebit SanitaEbit Sanita

EDL EDL

ELFIN s.r.l. ELFIN s.r.l.

Engineering SanitàEngineering Sanità

ESAOTEESAOTE

MEDASYS SAMEDASYS SA

MedavisMedavis

Medical CommunicationsMedical Communications

Medigration GmbH Medigration GmbH MEDIMON Ltd. MEDIMON Ltd.

MEDIWAREMEDIWARE

MEDOS AG MEDOS AG

Merge eFilm Merge eFilm

METAFORA METAFORA

Mevis Diagnostics Mevis Diagnostics

Konica Minolta Konica Minolta

Omnilab Omnilab

Philips Medical SystemsPhilips Medical Systems

POLYMEDISPOLYMEDIS

Rasna Imaging SystemsRasna Imaging Systems

RAYPAX INC. RAYPAX INC.

REMREM

Rogan-DelftRogan-Delft

Sago spa Sago spa

Sectra Imtec AB Sectra Imtec AB

SeeBeyond TechnologySeeBeyond Technology

ETIAMETIAM

Ferrania Ferrania

Fujifilm Fujifilm

GE HealthcareGE Healthcare

GIE Convergence-Profils GIE Convergence-Profils

Global Imaging Online Global Imaging Online

GWI Research GWI Research

Hi. techHi. tech

IASI Srl IASI Srl

IdeoPass IdeoPass

INFINITT INFINITT

INFOPATIENTINFOPATIENT

INOVITINOVIT

INSIELINSIEL

Intersystems Corp.Intersystems Corp.

InvitaInvita

ITZ MedicomITZ Medicom

iSoftiSoft

McKesson McKesson

MED2RAD MED2RAD

MEDarchiverMEDarchiver

In yellow, companies with IHE Committees Chairs (Winter 2005)

Siemens MedicalSiemens Medical

Soluzioni Informatiche srl Soluzioni Informatiche srl

Stentor Inc. Stentor Inc.

St. JudeSt. Jude

Swissray Medical AG Swissray Medical AG

Symphonie On LineSymphonie On Line

Synapsis Synapsis

Synchro-MedSynchro-Med

TECHNIDATATECHNIDATA

TELEMIS S.A. TELEMIS S.A.

Tiani-SpritTiani-Sprit

Tomtec Imaging Tomtec Imaging

TOREX GAP MedicalTOREX GAP Medical

Toshiba Medical SystemsToshiba Medical Systems

TSI groupe europMedica TSI groupe europMedica

T-SystemsT-Systems

Uni-medicineUni-medicine

VEPRO AG VEPRO AG

VISUS Technology VISUS Technology Transfer Transfer

WAIDWAID

XR PARTNERXR PARTNER

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Participating and Contributing Vendors (Asia)Participating and Contributing Vendors (Asia)

JapanJapanEBMJEBMJPSPPSPPANASONICPANASONICALOKAALOKAKONICA MINOLTAKONICA MINOLTAHitachi Medical Co.Hitachi Medical Co.KODAKKODAKHITACHIHITACHISBSSBSINFOCOMINFOCOMCLIMBMSCLIMBMSTECHMATRIXTECHMATRIXCANONCANONVIEWSENDVIEWSEND

TaiwanTaiwanINFINITTINFINITTShing ShianShing ShianINQ GENINQ GENTEPTEPTah YaTah Ya

KoreaKoreaAGFA KoreaAGFA Korea GE Healthcare GE Healthcare KoreaKoreaINFINITTINFINITTLG CNS LG CNS Marotech, Inc.Marotech, Inc.Medical StandardMedical StandardPeoplenet CommunicationsPeoplenet CommunicationsSamsung SDSSamsung SDS

JapanJapanITECITECWINTCSWINTCSNECNECAGFAAGFAJMACJMACGEYMSGEYMSAJSAJSTOSHIBATOSHIBAYOKOGAWAYOKOGAWAGOODMANGOODMANFUJITSUFUJITSUAANDTAANDTFUJIFILMFUJIFILM

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As a Provider or Vendor ContributorAs a Provider or Vendor Contributor

Offer Clinical Use Case Input to Drive IHE Profile DevelopmentOffer Clinical Use Case Input to Drive IHE Profile Development

Become a member of relevant domain’s Planning or Technical Become a member of relevant domain’s Planning or Technical CommitteesCommittees

Become a member of relevant Regional/National CommitteesBecome a member of relevant Regional/National Committees

Help to shape IHE’s future directionHelp to shape IHE’s future direction

As a Vendor ParticipantAs a Vendor Participant

Respond to Public Comments of Domain SupplementsRespond to Public Comments of Domain Supplements

Attend the June Educational WorkshopAttend the June Educational Workshop

Participate in Connect-a-thons and DemonstrationsParticipate in Connect-a-thons and Demonstrations

As a Provider/Consultant ParticipantAs a Provider/Consultant Participant

Respond to Public Comments of Domain SupplementsRespond to Public Comments of Domain Supplements

Attend the June Educational Workshop Attend the June Educational Workshop

Attend Demonstrations and include IHE Integration Profiles in your RFPs Attend Demonstrations and include IHE Integration Profiles in your RFPs and Integration Projects.and Integration Projects.

How can I participate?How can I participate?

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IHE Web site:IHE Web site: www.IHE .netwww.IHE .net Frequently AskedFrequently Asked QuestionsQuestions

Integration Profiles in Technical Frameworks: Integration Profiles in Technical Frameworks: See Volume 1 of each TF for Use casesSee Volume 1 of each TF for Use cases

Cardiology IT Infrastructure Laboratory Patient Care Coordination Radiology

Connectathon Result: Connectathon Result: www.ihe.net/Events/connectathon_results.cfmwww.ihe.net/Events/connectathon_results.cfm

Vendor Products Integration StatementsVendor Products Integration Statements

Participation in Committees & ConnectathonsParticipation in Committees & Connectathons