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Sept 13-15, 2004 IHE Interoperability Workshop1
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
IHE Tools for Users and Integrators:Connectathon, Integration Statements
and RFP Toolkit
Cor Loef
Co-chair IHE Radiology Technical Committee
Sept 13-15, 2004 IHE Interoperability Workshop2
ContentContent
Benefits for clinicians and administrators
IHE Process
Connectathon
Integration Statements
RFP approach
Sept 13-15, 2004 IHE Interoperability Workshop3
Benefits to IHE ParticipantsBenefits to IHE Participants
Clinicians Improved workflow Information when and where needed Fewer opportunities for errors Fewer tedious tasks/repeated work
Administrators Improved efficiency Best of breed opportunities Decreased cost and complexity of interface deployment and
management
Sept 13-15, 2004 IHE Interoperability Workshop4
Prof. Societies Sponsorship
Healthcare Providers & Vendors
Healthcare IT Standards HL7, DICOM, etc.
General IT Standards Internet, ISO, etc.
Interoperable Healthcare IT Solution Specifications
IHE Integration Profile Interoperable Healthcare IT
Solution Specifications IHE Integration Profile
Interoperable Healthcare IT Solution Specifications
IHE Integration Profile Interoperable Healthcare IT
Solution Specifications IHE Integration Profile
IHE Process
IHE drives healthcare standards based-integration IHE drives healthcare standards based-integration
Sept 13-15, 2004 IHE Interoperability Workshop5
Healthcare Integration Problem
Interoperable Healthcare IT
Solution Specifications IHE Integration Profile
IHE implementation
Testing
IHE Deployment
Interoperable Healthcare IT Practical Solution IHE Success Story
Valid IHE Healthcare IT Product Implementation IHE Integration Statement
IHE process steps
Sept 13-15, 2004 IHE Interoperability Workshop6
A Proven Standards Adoption ProcessA Proven Standards Adoption Process
Easy toIntegrateProducts
IHEConnectathon
ProductWith IHE
IHEDemonstration
User Site
RFPRFP
StandardsIHE
IntegrationProfiles B
IHEIntegrationProfile A
IHETechnical
Framework
Product IHE IntegrationStatement
IHE ConnectathonResults
IHE Integration Profiles at the heart of IHE : Detailed selection of standards and options each solving a specific integration problem A growing set of effective provider/vendor agreed solutions Vendors can implement with ROI Providers can deploy with stability
Sept 13-15, 2004 IHE Interoperability Workshop7
The Annual “Connectathon”The Annual “Connectathon” Unprecedented Cross-Vendor Testing Voluntary Participation
Designed End-to-End Scenarios
Advanced Testing Tools
Rich Pool of Technical Talent
Connectathon for IT Infrastructure San Diego - January 26 - 30, 2004Connectathon for IT Infrastructure San Diego - January 26 - 30, 2004
Connectathon for Radiology Tokyo – February 2004Connectathon for Radiology Tokyo – February 2004
Connectathon for IT Infrastructure, Laboratory & Radiology - Padova Connectathon for IT Infrastructure, Laboratory & Radiology - Padova (Italy) March 29 - April 2, 2004(Italy) March 29 - April 2, 2004
Connectathon for IT Infra, Lab, Cardiology, Radiology - Connectathon for IT Infra, Lab, Cardiology, Radiology - January 2005January 2005
Sept 13-15, 2004 IHE Interoperability Workshop8
IHE ConnectathonIHE ConnectathonManaged by the IHE Sponsors (Users)
Shortcut to rsna-connectivity2.lnk
Sept 13-15, 2004 IHE Interoperability Workshop9
Sept 13-15, 2004 IHE Interoperability Workshop10
Sept 13-15, 2004 IHE Interoperability Workshop11
Vendors publishVendors publish IHE Integration Statements IHE Integration Statements
Product UVW supports the
IHE K Actor with the
IHE X and Y Integration Profiles
IHE J Actor with the
IHE T Integration Profile
Sept 13-15, 2004 IHE Interoperability Workshop12
IHE Integration StatementIHE Integration Statement
Sept 13-15, 2004 IHE Interoperability Workshop13
Sept 13-15, 2004 IHE Interoperability Workshop14
Leveraging IHE Integration Leveraging IHE Integration StatementsStatements
Vendors Claim IHE Compliance in an explicit way Can rely on an objective and thorough specification (IHE Technical
Framework) Willing to accept contractual commitments Willing to correct “implementation errors”
Buyers Can compare product integration capabilities Simplify and strengthen their RFPs Can leverage a public and objective commitment Decreased cost and complexity of interface deployment and
management
Sept 13-15, 2004 IHE Interoperability Workshop15
Information Flow in HospitalInformation Flow in Hospital
MPI
ADT
RIS
PACSModality Display
HIS
Billing
Lab Cardio
Sept 13-15, 2004 IHE Interoperability Workshop16
The Product World…..The Product World…..
Product XYZfrom Vendor T
Sept 13-15, 2004 IHE Interoperability Workshop17
The IHE The IHE WWorld….orld….
IHE ActorIHE Actor
ActorActorActorActor
ActorActor
IHEIHETransactionTransactionIHEIHE
TransactionTransaction
IHEIHETransactionTransaction
IHE ActorIHE Actor
Sept 13-15, 2004 IHE Interoperability Workshop18
Mapping IHE to ProductsMapping IHE to Products
Poduct XYZfrom Vendor T
IHE ActorIHE Actor
ActorActorActorActor
ActorActor
IHEIHETransactionTransactionIHEIHE
TransactionTransaction
IHEIHETransactionTransaction
IHE ActorIHE Actor
Sept 13-15, 2004 IHE Interoperability Workshop19
Phase 1: Modalities with RIS ConnectionPhase 1: Modalities with RIS Connection
IHE Integration Profile:Scheduled Workflow
(DICOM Modality Worklist)
Sept 13-15, 2004 IHE Interoperability Workshop20
RISRIS
Scheduled Workflow (Modality Worklist)Scheduled Workflow (Modality Worklist)
Modality Modality WorklistWorklist
Proposed Protocols
Loaded and Reviewed
WorklistWorklistPatient Name, IDPatient Name, ID
Requested ProcedureRequested Procedure
Examination TypeExamination Type
Scheduled Date, TimeScheduled Date, Time
Sept 13-15, 2004 IHE Interoperability Workshop21
Phase 2: Modalities with RIS Connection & PACSPhase 2: Modalities with RIS Connection & PACS
IHE Integration Profiles:•Scheduled Workflow (full)•Patient Information Reconciliation•Presentation of Grouped Procedures•Access to Radiology Information
Sept 13-15, 2004 IHE Interoperability Workshop22
Patient Registration/UpdatePatient Registration/UpdateOrder ManagementOrder Management
Order Order Protocol Protocol DefinedDefinedStore ImagesStore Images
Storage CommitmentStorage CommitmentStorageStorage
CommitmentCommitment
List of ImagesList of Images
PACS &PACS &ArchiveArchive
RISRIS
A Closed LoopA Closed Loop•Update Scheduling ISUpdate Scheduling IS
•Match Procedure with OrderMatch Procedure with Order•Support Billing Based on MPPSSupport Billing Based on MPPS
•Avoid Reading incomplete ProceduresAvoid Reading incomplete Procedures
Scheduled WorkflowScheduled Workflow
Modality Modality WorklistWorklist
Procedure Scheduled Procedure Scheduled
Proposed Protocols
Loaded and Reviewed
WorklistWorklistPt A, …, Pt A, …, SPS=P1, P4SPS=P1, P4
Pt C, …, Pt C, …, SPS=P1, P5SPS=P1, P5
Pt B, …, Pt B, …, SPS=P2SPS=P2
Pt E, …, Pt E, …, SPS=P4SPS=P4
ModalityModalityPerformedPerformedProcedure Procedure StepStep
With Performed With Performed Acquisition Acquisition ProtocolsProtocolsPerformed Step:Performed Step:
Status = CompletedStatus = CompletedPerformed Procedure: CT HeadPerformed Procedure: CT Head Performed Protocol Code=P1Performed Protocol Code=P1
Pat Name/ID, Dose, Pat Name/ID, Dose, Accession #, Study UIDAccession #, Study UIDComplete List of ImagesComplete List of Images
Scheduled Protocol Code=P1, PScheduled Protocol Code=P1, P55
Sept 13-15, 2004 IHE Interoperability Workshop23
IHE – Driving Market Adoption
IHE User Success Stories – Submitted since RSNA 2002(IHE Becomes Reality)
Provider Demonstration of their IHE Success – Planned for RSNA 2004.
IHE measures success on:
Compliant products availability
Provider deployed integrated systems
Sept 13-15, 2004 IHE Interoperability Workshop24
More information….More information….IHE Web sites:
http://www.himss.org/IHEhttp://www.rsna.org/IHEhttp://www.acc.org/quality/ihe.htm.
Technical Frameworks:• ITI V1.0, RAD V5.5, LAB V1.0
Technical Framework Supplements - Trial Implementation• May 2004: Radiology• August 2004: Cardiology, IT Infrastructure
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