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2 MIR 2002 - IHE Session
IHE Integration GoalsIHE Integration Goals
Improve the efficiency and effectiveness of Improve the efficiency and effectiveness of clinical practice:clinical practice:
Improve Improve Workflow within Radiology (and outside) Workflow within Radiology (and outside) Improve Improve Information Access (images, reports,..)Information Access (images, reports,..) Enable Enable Cross-System Functionality Cross-System Functionality Enable Enable Cross-vendor environmentCross-vendor environment
3 MIR 2002 - IHE Session
IHE ApproachIHE Approach• Provide solutions for real-world integration Provide solutions for real-world integration
problems (Integration Profiles)problems (Integration Profiles)
• Common technical framework, based on Common technical framework, based on existing standards (e.g. DICOM, HL7existing standards (e.g. DICOM, HL7, SSL, SSL))
• Regular validation sessions (connectathon)Regular validation sessions (connectathon)– Validation on application level; not only on Validation on application level; not only on
protocol levelprotocol level
• Demonstrate the results at yearly public Demonstrate the results at yearly public demo’s (RSNA, HIMSS, European shows)demo’s (RSNA, HIMSS, European shows)
4 MIR 2002 - IHE Session
IHE HistoryIHE History19991999(yr1)(yr1)
• Start of IHE-USA Start of IHE-USA • Mainly scheduled workflowMainly scheduled workflow
20002000(yr2)(yr2)
• 7 Integration Profiles7 Integration Profiles
20012001(yr3)(yr3)
• IHE USA : Consolidation yearIHE USA : Consolidation year• Start of IHE Europe and IHE JapanStart of IHE Europe and IHE Japan
20022002(yr4)(yr4)
• Adding new IHE ProfilesAdding new IHE Profiles• Internationalization of Technical FrameworkInternationalization of Technical Framework• European Connectathon European Connectathon • IHE demos in USA, EIHE demos in USA, EUU, Japan, Japan
5 MIR 2002 - IHE Session
IHE Integration ProfilesIHE Integration Profiles
Access to Radiology InformationConsistent access to images and reports
Consistent Presentation of Images
Hardcopy and softcopy grayscale presentation state
Key ImageNotes
Flag significant images
Simple Image and Numeric Reports
Simple reports with image links and, optionally,
measurements
Basic SecurityAudit Trail Consolidation & Node Authentication
Presentation of Grouped Procedures
Subset of a single acquisition
Post- Processing Workflow
Schedule, perform, & notify image processing
& CAD steps
Charge Posting
Collection of billable procedure details
Scheduled Workflow
Admit, order, schedule, acquire images, notify of completed steps
Patient Information Reconciliation
Unknown patients and unscheduled orders
6 MIR 2002 - IHE Session
IHE in Europe - whyIHE in Europe - why• Similar integration problems ask for similar (IHE) Similar integration problems ask for similar (IHE)
solutionssolutions• Provide European vendors with a platform to develop Provide European vendors with a platform to develop
and test world-class interoperabilityand test world-class interoperability• Involve local vendors (RIS/HIS) Involve local vendors (RIS/HIS) • Address European specific requirements :Address European specific requirements :
– Multi-language aspectMulti-language aspect– Limited acceptance of HL7Limited acceptance of HL7– Country specific RIS vendorsCountry specific RIS vendors– Country specific congresses & exhibitionsCountry specific congresses & exhibitions
• Facilitate communication between European Facilitate communication between European vendors/users and IHE USAvendors/users and IHE USA
7 MIR 2002 - IHE Session
IHE France IHE France CommitteeCommittee
IHE Germany IHE Germany CommitteeCommittee
IHE xxx IHE xxx CommitteeCommitteeDemonstrations
Education
National TF extensions
Vendor Participation
IHE Europe OrganizationIHE Europe Organization
IHE Europe IHE Europe CommitteeCommittee
Strategic Development
Connectathon
New Integration Profiles
Education and promotion IHE
USA
IHEJapan
8 MIR 2002 - IHE Session
IHE Technical FrameworkIHE Technical Framework
IHE Integration Profiles
National Extensions National Extensions
IHE Transactions
(Existing)
IHE Transactions
(new)
9 MIR 2002 - IHE Session
IHE Europe activitiesIHE Europe activities
• European ConnectathonEuropean Connectathon
• National IHE DemonsNational IHE Demonstrationstrations
• Extensions to Extensions to TTechnical echnical FFrameworkramework
10 MIR 2002 - IHE Session
IHE Europe ConnectathonIHE Europe Connectathon• 1 week validation session1 week validation session
– Paris (April 2002)Paris (April 2002)
• Multi-vendor implementation of different Multi-vendor implementation of different Integration Profiles (with national extensions)Integration Profiles (with national extensions)– 33 vendors, 59 systems, 9 countries 33 vendors, 59 systems, 9 countries – HIS, RIS, PHIS, RIS, PACSACS, Modality vendors, Modality vendors– Vendors cover 80% of the market (per country)Vendors cover 80% of the market (per country)– More complex than connectathon USAMore complex than connectathon USA
• Prerequisite to participate at IHE demoPrerequisite to participate at IHE demo
• All vendors successfully passed!All vendors successfully passed!
• Connectathon results are publicly availableConnectathon results are publicly available
12 MIR 2002 - IHE Session
IHE-Europe DemosIHE-Europe Demos• Demos at France, Germany, Italy, UKDemos at France, Germany, Italy, UK• Radiology centric demosRadiology centric demos
– JFR2002 (Paris; 2001-2002))JFR2002 (Paris; 2001-2002))– DRK2002 (Wiesbaden, 2002)DRK2002 (Wiesbaden, 2002)– SIRM (Rimini, 2002)SIRM (Rimini, 2002)– UKRC (Birmingham, 2003)UKRC (Birmingham, 2003)
• Hospital centric demosHospital centric demos– Hopital Expo2002 (Paris, May/2002)Hopital Expo2002 (Paris, May/2002)
• 400 visitors/demo (average)400 visitors/demo (average)• 40% local vendors; 60% 40% local vendors; 60%
international vendorsinternational vendors• IHE Germany received IHE Germany received @roentgen@roentgen
award (Germany)award (Germany)
IHE-DIHE-D
IHE-FIHE-F
IHE-IIHE-I
IHE-UKIHE-UK
13 MIR 2002 - IHE Session
European extensions to IHE TFEuropean extensions to IHE TF• Country specific extensions (2002)Country specific extensions (2002)
– France, GermanyFrance, Germany
– Mainly HL7 relatedMainly HL7 related• E.g. : exclusion of race/religion message attributesE.g. : exclusion of race/religion message attributes
• New integration profiles (proposals for 2003)New integration profiles (proposals for 2003)– Operation theatre (Germany)Operation theatre (Germany)
– Clinical lab (France)Clinical lab (France)
– Master Patient Index (France)Master Patient Index (France)
• Global review&publication cycleGlobal review&publication cycle
14 MIR 2002 - IHE Session
IHE Europe roadmapIHE Europe roadmap• Organize IHE Organize IHE activitiesactivities in other countries in other countries
– Candidates : Spain, ScandinaviaCandidates : Spain, Scandinavia
• Actively explore domains, outside radiologyActively explore domains, outside radiology– Candidate domains : clinical labsCandidate domains : clinical labs
– Establish a Strategic Development role within IHE Establish a Strategic Development role within IHE Europe organizationEurope organization
– Establish relations with other professional Establish relations with other professional societiessocieties
• Streamline activities with IHE USA and IHE Streamline activities with IHE USA and IHE JapanJapan
15 MIR 2002 - IHE Session
More InformationMore Information
• IHE EuropeIHE Europe– Website : Website : wwwwww .. IheIhe -- europeeurope .. orgorg– MailMail : : [email protected]@rad.rwth-aachen.de
• IHE USAIHE USA– Website : Website : www.rsna.org/IHEwww.rsna.org/IHE