Upload
nicholas-spencer
View
214
Download
1
Tags:
Embed Size (px)
Citation preview
1WHIT Conference10-13 October 2006
What IHE Delivers
Peter Künecke / Dr. Nikolaus Wirsz
SIEMENS Medical Solutions
IHE Radiology – OverviewIHE Radiology – Overview
2WHIT Conference10-13 October 2006
Integration Solutions Available Today fromMedical Systems Vendors – BUT ...
Common Problems of Modern Healthcare Enterprises:(In Spite of IT Standards and Advanced Technology)
Lack of Access to Complete Medical Information Inconsistent Medical Information
Across Departments and Institutions Inadequate Communicating of Medical Data
Across Multiple Systems from Different Vendors Risky Investments in Proprietary Solutions
Challenges of Integration
3WHIT Conference10-13 October 2006
An Incremental Multi-Year ProjectLaunched in 1998 by RSNA & HIMSS
Enhance the Access to Clinical Information
Ensure Continuity and Integrity of Patient Information
Speed Up the Integration in Healthcare Environments
Foster Communication Between Vendors ofMedical Information Technology
Prove that Integration is Attainable Based on Standards
Participants:
Representatives of Healthcare Providers Information Systems Vendors Imaging Systems Vendors Standardization Groups
The IHE Initiative
4WHIT Conference10-13 October 2006
Evolution of IHE DomainsEvolution of IHE Domains
Radiology
IT Infrastructure for Healthcare
Cardiology
Laboratory
Radiation Oncology
Patient Care Coordination
Patient Care Devices
Pathology
Pharmacy
IHE Global Developments
Integration Profiles – Solutions to Real-World Needs & Problems:
Within Clinical Departments e.g.:o Radiologyo Cardiologyo Labo ...
Across Departmental &Institutional Boundaries – XDS
o RHIOs (Regional Healthcare Information Organizations)
o EHR Enablers
Veterinarian
Endoscopy
Eye Care / Ophthalmology
Yea
r 1
(199
9)
Yea
r 2
(200
0)
Yea
r 3
(200
1)
Yea
r 4
(200
2)
Yea
r 5
(200
3)
Yea
r 6
(200
4)
Yea
r 7
(200
5)
Yea
r 8
(200
6)Y
ear
8 (2
006)
5WHIT Conference10-13 October 2006
report
Examination
Ordered
Patient Registration
initial capture of
patient demographic information
Patient Informatio
n
HISHIS
Orders Placed
physician orders desired
procedure
RISRIS
Orders Filled
Break down entered order:
specific radiology procedure
steps to be
performed
procedurescheduledPrefetch any relevant prior
studies
PACSPACS
Image Manager
and Archive
modalit
yworklis
t
Patient and procedure
information retrieved by the
modalityPosition patient
and acquire images
storagecommitmen
tprint
images
Printer
Film Folder
acquisitioncompleted
acquisition
completed
Diagnostic image and demographic
info stored for network access
query/retriev
e images
Light Box
Diagnostic image and
demographic info for
radiologist
ReportRepository
report Radiologist report stored for network
access
Modality
* IHE = Integrating the Healthcare Enterprise
Workstation
IHE & the Radiology Workflow
6WHIT Conference10-13 October 2006
ADT Patient Registration
Image Archive
Image Manager
Image Display
Image Creator
AcquisitionModality
DepartmentSystem Scheduler– Order Filler –
Order Placer
Modality Worklist
Patient Registration
Patient Update
Procedure Scheduled
Images Availability QueryStorageCommit
StorageCommit
PPSIn-Progress/ Completed
Fil
ler
Ord
erM
anag
emen
t
Placer Order Management
Patient Update
Procedure Update
PerformedProcedure Step
Manager
PPSIn-Progress/ Completed
PPSIn-Progress/ Completed
Q /R KeyImage Note
Q /RPresentation
SatesQ /RImages
ImagesStored
Key Image Note
StoredPresent.State
Stored
ImagesStored
Present.State
Stored
Key Image Note
Stored
IHE Systems Transactions OverviewIHE Systems Transactions Overview
7WHIT Conference10-13 October 2006
ADT Patient Registration
Image Archive
Image Manager
Image Display
Image Creator
AcquisitionModality
DepartmentSystem Scheduler– Order Filler –
Order Placer
Modality Worklist
Patient Registration
Patient Update
Procedure Scheduled
Images Availability QueryStorageCommit
StorageCommit
PPSIn-Progress/ Completed
Fil
ler
Ord
erM
anag
emen
t
Placer Order Management
Patient Update
Procedure Update
PerformedProcedure Step
Manager
PPSIn-Progress/ Completed
PPSIn-Progress/ Completed
Q /R KeyImage Note
Q /RPresentation
SatesQ /RImages
ImagesStored
Key Image Note
StoredPresent.State
Stored
ImagesStored
Present.State
Stored
Key Image Note
Stored
IHE Systems Transactions OverviewIHE Systems Transactions Overview
HIS
RIS
IMAGING:•PACS•Workstations•Modalities
8WHIT Conference10-13 October 2006
HIS
RIS
PACS
Modality
HIS
HL7
HL7
––
––
RIS
HL7
HL7
HL7 / DICOM
DICOM
PACS
––
HL7 / DICOM
DICOM
DICOM
Modality
––
DICOM
DICOM
DICOM
IHE Goes Beyond StandardsIHE =
+ Multi-Vendor+ Workflow-Driven+ INTEGRATION
based on established medical IT Standards
IHE = A Standards Harmonization ApproachIHE = A Standards Harmonization Approach
9WHIT Conference10-13 October 2006
Integration Profile
Actor
IntegrationProfile
Actors
Transactions
Actor
Tra
sact
ion
Tra
sact
ion
Tra
sact
ion
Actor
Tra
sact
ion
Tra
sact
ion
Tra
sact
ion
Tra
sact
ion
Tra
sact
ion
ReferencedStandards:
DICOM & HL7
Role
Detailed Messaging
Info
Tra
sact
ion
Integration Profiles Actors
Transactions Standards
User Focus:Solutions to Clinical Problems
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ion
Tra
nsa
ctio
nT
ran
sact
ionImplementation:
Technical Details (Standards)
10WHIT Conference10-13 October 2006
• Integration Profiles - Group related transactionsand associate them with real-world functions
• Integration Profiles allow the customer to focus onhigh-level integration while vendor products handle the details
• Reduce Ambiguities
• Manage Customer Expectations
IHE Integration Profiles: http://www.ihe.net/resources/ihe_integration_profiles.cfm
IHE FAQ: http://www.ihe.net/About/ihe_faq.cfm
IHE User’s Handbook:http://www.ihe.net/Resources/upload/ihe_radiology_users_handbook_2005edition.pdf
11WHIT Conference10-13 October 2006
IHE Radiology Integration Profiles – Solutions to Real-World Problems in RadiologyIHE Radiology Integration Profiles – Solutions to Real-World Problems in Radiology
Patient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Scheduled Workflow
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Admit, Order, Schedule
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
WorkflowsBilling
Teaching/Research
Contents & Display
Common Infrastructure
12WHIT Conference10-13 October 2006
Contents – Consistency – Presentation
Consistent Presentation of Images
Evidence Documents
Key Image Notes
Simple Image & Numeric Reports
NM Image
IHE Radiology – Integration ProfilesWorkflow Support:
Scheduled Workflow
Patient Information Reconciliation
Post-Processing Workflow
Reporting Workflow
Presentation of Grouped Procedure
Common IT Infrastructure & Data Sharing
Access to Radiology Information
Portable Data for Imaging
Cross-Enterprise Data & Image Sharing
Security: Audit Trails & Node Authentication
Others:
Billing / Charge Posting
Teaching Files & Clinical Trials
13WHIT Conference10-13 October 2006
Access to Radiology Information - Consistent access to images and reports
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Scheduled Workflow Charge Posting
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
Admit, Order, Schedule
Scheduled Workflow (SWF)Scheduled Workflow (SWF)
Patient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
14WHIT Conference10-13 October 2006
ADT Patient Registration
Image Archive
Image Manager
Image Display
Image Creator
AcquisitionModality
DepartmentSystem Scheduler– Order Filler –
Order Placer
Modality Worklist
Patient Registration
Patient Update
Procedure Scheduled
Images Availability QueryStorageCommit
StorageCommit
PPSIn-Progress/ Completed
Fil
ler
Ord
erM
anag
emen
t
Placer Order Management
Patient Update
Procedure Update
PerformedProcedure Step
Manager
PPSIn-Progress/ Completed
PPSIn-Progress/ Completed
Q /R KeyImage Note
Q /RPresentation
SatesQ /RImages
ImagesStored
Key Image Note
StoredPresent.State
Stored
ImagesStored
Present.State
Stored
Key Image Note
Stored
The IHE Benefits: Data Consistency & Process Optimization
Scheduled Workflow (SWF)Scheduled Workflow (SWF)
15WHIT Conference10-13 October 2006
Scheduled Workflow Charge Posting
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
Admit, Order, SchedulePatient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Reporting Workflow (RWF)Reporting Workflow (RWF)
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
16WHIT Conference10-13 October 2006
Reporting WorklistReporting Worklist
Work Item ClaimedWork Item Claimed
ReportingProcedure Step
STARTED
ReportingProcedure Step
STARTED
Store ReportsStore Reports
ReportingProcedure Step
COMPLETED
ReportingProcedure Step
COMPLETED
ReportManager
RIS
ImageManager/Archive
PACS & Archive
Report Reader/Creator
Retrieve Images &Retrieve Images &Evidence DocumentsEvidence Documents
MeasurementsCAD Reports…………………
Released (Completed)Released (Completed)
Reporting Workflow (RWF)Reporting Workflow (RWF)The IHE Benefits: Manage Reporting Tasks & Improve Workflow Efficiency
17WHIT Conference10-13 October 2006
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Scheduled Workflow Charge Posting
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
Admit, Order, SchedulePatient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
Consistent Presentation of Images (CPI)Consistent Presentation of Images (CPI)
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
18WHIT Conference10-13 October 2006
Reporting Radiologist Referring Physician orReviewing Radiologist
Original Image
Window Level
Flip
WithoutConsistent Presentation
Area Of
Interest
AchievingConsistent Presentation
Presentation StatePresentation StatePresentation LUTPresentation LUT
Grayscale StandardGrayscale Standard
Zoom
Area Of
Interest
Annotate
The IHE Benefits: Enhancing & Preserving Image Quality
Consistent Presentation of Images (CPI)Consistent Presentation of Images (CPI)
19WHIT Conference10-13 October 2006
XDS for Imaging - Sharing of Imaging Information across health enterprises
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Scheduled Workflow Charge Posting
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
Admit, Order, SchedulePatient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
Key Image Notes (KIN)Key Image Notes (KIN)
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
20WHIT Conference10-13 October 2006
RadiologistFlags Images:
Referring PhysicianSees Key Images First:
Study Including Key Image Notes
Note 1For referring physician:
This image showsthe renal rupture.
Key Image Notes (KIN)Key Image Notes (KIN)
Note 2For referring physician:
This image hasthe hematoma.
Note 1For referring physician:
This image showsthe renal rupture.
Note 2For referring physician:
This image hasthe hematoma.
Note 1For referring physician:
This image showsthe renal rupture.
Note 2For referring physician:
This image hasthe hematoma.
The IHE Benefits: Enhancing Communication Among Medical Specialties
21WHIT Conference10-13 October 2006 ITI ATNA – Radiology Option (Replaces Basic Security)
XDS for Imaging - Sharing of Imaging Information across health enterprises
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Scheduled Workflow Charge Posting
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
Admit, Order, SchedulePatient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
NM Image
Create, store, manage,
retrieve & use NM image objects
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
Portable Data for Imaging (PDI)Portable Data for Imaging (PDI)
Portable Data for Imaging - Consistent access to images and reports on CD Media
22WHIT Conference10-13 October 2006
What Is the IHE PDI Integration Profile?What Is the IHE PDI Integration Profile?
Images
Evidence Objects
Diagnostic Reports
for:
ImportStorageDisplayPrinting
Enables the Reliable Interchange ofPatient Records on CD including:
CDs that Work !
23WHIT Conference10-13 October 2006
Distribution of Imaging Information on CD MediaDistribution of Imaging Information on CD Media
CDCreator
Printer
Image / Report Display
Media Importer
John Doe
CD
For use in other departments, e.g. surgery For enterprise data interchange For referral For printing For patient personal records
24WHIT Conference10-13 October 2006
IHE PDI – Media CreatorIHE PDI – Media CreatorCreate DICOM Compliant CDROM media
Create web content (optional)DICOMDIR
INDEX.HTM
README.TXT
Directory of DICOM files
IHE_PDIDirectory of web files
Other optional content
Web content (optional)
CDROM Structure:
25WHIT Conference10-13 October 2006
IHE PDI – Value PropositionIHE PDI – Value Proposition
Get CDs that can be Created and Read Anywhere
Media Interoperability Validation:– Eliminate Sources of Problems & Incompatibilities
Support for Exchange of DICOM Data
Optional Support for Web Data: – View of Images and Reports in a Browser
Allow Import of Patient Data into theLocal Information Base
26WHIT Conference10-13 October 2006
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Scheduled Workflow Charge Posting
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
Admit, Order, SchedulePatient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
Cross-Enterprise Image & Data Sharing (XDS-I)Cross-Enterprise Image & Data Sharing (XDS-I)
XDS for Imaging - Sharing of Imaging Information across health enterprises
27WHIT Conference10-13 October 2006
Enterprise A
Enterprise B
Physician Office
• Between Radiology ando Imaging Specialistso Non-imaging Professionals
• Between EnterprisesPACS B
PACS A
Radiology -to-Radiology
Radiology -to-Physicians
PACS C
• Within an Enterprise
Cross-Enterprise Image & Data Sharing (XDS-I)Cross-Enterprise Image & Data Sharing (XDS-I)
Business Need: Share Radiology Reports & ImageBusiness Need: Share Radiology Reports & Image
28WHIT Conference10-13 October 2006
Image-Enabled EHRImage-Enabled EHRPregnancy Outpatient Clinics EncounterPregnancy Outpatient Clinics Encounter
acquireevaluate
index
Image/ ReportRepository
storenew data
Ultrasound reportand images
DocumentRegistry
register
(XDS architecture)
29WHIT Conference10-13 October 2006
registerindex
evaluate
DocumentRegistry
Image/ Report/ Document
Repositories
index
query
retrieve
DocumentRepository
storenew data
Report, letters(incl. images)
(XDS architecture)
Image-Enabled EHRImage-Enabled EHR Childbirth Inpatient Stay Childbirth Inpatient Stay
30WHIT Conference10-13 October 2006
IHE Radiology – Integration ProfilesNewest Additions in 2006
Workflow Extensions
Import Reconciliation Workflow (IRWF)
Describes workflow details for the import of “external” data: Evidence Objects e.g. DICOM images (on a CD) and Non-Digital Data e.g. scanned films, documents
into the EnterpriseExtends the PDI profile (interchange of CDs) with
workflow integration capabilities
Content Profiles
Nuclear Medicine Image with Cardiac Option
Addition of a Cardiac NM option to the existing NM Image Profile –improve functionality for nuclear medicine cardiac image viewing
synchronous viewing of gated images or projections of tomographic images ability to display myocardial perfusion data
31WHIT Conference10-13 October 2006
IHE Radiology – Integration ProfilesNewest Additions in 2006 (continued)
Content Profiles (continued)
Image Fusion (FUS)
Specifies communications between systems creating and registeringimage sets and systems displaying fused images
Defines how DICOM objects for spatial registration, blended presentation and the images themselves are created, stored, queried, retrieved, processed and displayed
Mammography Image (MAMMO)
Specifies how DICOM Mammography images & evidence objectsare created, exchanged & used
Full Field Digital Mammography (FFDM) Images on Acquisition Modalities CAD Systems acting as Evidence Creators Attributes & Capabilities for Image Displays
IHE Brochure “Going Digital: An IHE Guide for Mammography”http://www.ihe.net/Mammo/going_digital_mammography.cfm
32WHIT Conference10-13 October 2006
IHE Radiology – Integration ProfilesAn Outlook for 2007 (Year 9)
Incremental Developments ~2 New Integration Profiles / Year
Work Item Proposals for 2007
Mammography Workflow
Enhanced CT / MR Image
Reporting Strategy / Improvements / Workflow Considerations
DICOM SR HL7 CDA PDF
Multi-Study Acquisition
Local „hard split“ on Acquisition Modalitiesan „easy entry“ alternative to PGP (Presentation of Grouped Procedures)
… others …
Selection / priorities to be determined in October 2006
33WHIT Conference10-13 October 2006
International Adoption of IHEInternational Adoption of IHEY
ear
1 (1
999)
Yea
r 2
(200
0)
Yea
r 3
(200
1)
Yea
r 4
(200
2)
Yea
r 5
(200
3)
Yea
r 6
(200
4)
Yea
r 7
(200
5)
France
Local Deployment National Extensions (Local Adaptions) Promotional & Live Demonstration Events Funding
USA
Germany
Italy
JapanUK
Canada
Korea
TaiwanNorway
Holland
SpainChina
34WHIT Conference10-13 October 2006
IHE Organizational Structure
ACCHIMSSRSNA
JAHISJIRAJRS
METI-MLHWMEDIS-DCJAMI
GMSIHSFRSFIL
SIRMBIREuroRec
COCIREAR-ECRDRG
ESCProfessional Societies / Sponsors Contributing &
ParticipatingVendors
IHE (International) Strategic Development Committee
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Pharmacy /Medication Admin
RadiationOncology
Ne
w
Ne
w
Ne
w
Ne
w
IHE Europe
IHE North America
France
USA
Canada
IHE Asia-Oceania
Japan
Korea Taiwan
Netherlands
Spain Sweden UK
ItalyGermany
Norway
Regional Deployment
ChinaNe
w
35WHIT Conference10-13 October 2006
IHE Europe: http://www.IHE-Europe.org
IHE Main Web Site: http://www.IHE.net
Questions ?