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September, 2005 What IHE Delivers
Chris Lindop, Chris Lindop, GE healthcareGE healthcare
IHE Co-chair radiology PC,IHE Co-chair radiology PC,
IHE Australia-Asia/Pacific liaison IHE Australia-Asia/Pacific liaison
HIMSS Asia Pac 2008, Hong KongHIMSS Asia Pac 2008, Hong Kong
IHE AustraliaIHE Australia
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Presentation ObjectivesPresentation Objectives
IHE Australia, OverviewIHE Australia, Overview
HistoryHistory
2008 plans2008 plans
How to participateHow to participate
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International Adoption of IHEInternational Adoption of IHE
France
Local Deployment National Extensions (Local Adaptions) Promotional & Live Demonstration Events Conformance Testing
USA
Germany
Italy
JapanUK
Canada
Korea
Taiwan
Norway
Holland
SpainChina
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Pragmatic global standards harmonization + best practices sharing Pragmatic global standards harmonization + best practices sharing
Australia
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IHE Organizational StructureIHE Organizational Structure
ACCACPHIMSSRSNA
JAHISJIRAJRS
METI-MLHWMEDIS-DCJAMI
GMSIHSFRSFIL
SIRMBIREuroRec
COCIREAR-ECRDRG
ESC
Professional Societies / Sponsors Contributing &Participating
Vendors
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Eye care, Quality, etc.
RadiationOncology
IHE Pacific Australia
IHE International
IHE Europe
IHE North America
France
USACanada
IHE Asia
Japan
Korea Taiwan
Netherlands
Spain Sweden UK
ItalyGermany
Norway
Regional Deployment
China
The IHE Adoption ProcessThe IHE Adoption Process
Document UseDocument Use Case Requirements Case RequirementsDocument UseDocument Use Case Requirements Case Requirements
Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)
Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)
Develop Develop technical technical
specificationsspecifications
Develop Develop technical technical
specificationsspecifications
Testing at Testing at ConnectathonsConnectathonsTesting at Testing at ConnectathonsConnectathons IHE IHE
DemonstrationsDemonstrationsIHE IHE DemonstrationsDemonstrations
Products Products with IHEwith IHEProducts Products with IHEwith IHE
Timely access to Timely access to informationinformationTimely access to Timely access to informationinformation Easy to integrate Easy to integrate
productsproductsEasy to integrate Easy to integrate productsproducts
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Deployment – National InitiativesDeployment – National Initiatives
IHE National Initiatives are responsible, within their geographical region, for promotion and deployment of IHE.
The primary activities of IHE National Initiatives are: Selecting which Integration Profiles are appropriate for promotion in
their locale/region. Recruiting local/regional vendors and encouraging them to participate Organizing local/regional demonstrations & Connectathons Educating the local/regional healthcare community about IHE
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IHE AustraliaIHE AustraliaScope: Promoting IHE deployment with education, recruitment and organization in
Australia Incorporating other regional countries: NZ, Malaysia as they form to create a
sub-regional group IHE Asia-PacificKey Profile Deployment: PDI, SWF, XDS profiles
Supporting Events: IHE Participation and Educational Workshop, June 12-13 IHE Australia/Asia-Pacific Connectathon 2008, July 27-Aug 1 Interoperability Showcase, HIC 2008, Aug 31-Sept 3
Established in 2007 – undergoing IHE recognition process
Sponsors & Supporters: Health Informatics Society Australia (HISA) HL7 Australia Medical Software Industry Association (MSIA) Royal Australian and New Zealand College of Radiologists (RANZCR)
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Interoperability Australia
Showcase @ Med-Info 2007
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IHE Conference – Dec 10-12, 2007IHE Conference – Dec 10-12, 2007
3 day meeting (NICTA) Day 1 – Overview, more in depth discussion of
use cases, profiles, infrastructure and organisation, applicability to Australia, use of Australian standards & HL7 CDA
Day 2 - IHE Radiology profile and XDS profiles Day 3 – IHE Portable Data Imaging (CD)
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2008 Activities2008 Activities
Connectathon
Showcase
Radiology Conference – CD Challenge
Contact:
Peter MacIsaac: [email protected]
Klaus Veil: [email protected]
Brendan Lovelock: [email protected]
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Local implementation problems:Local implementation problems:
Portable Data for imaging 1st level film-less interoperability provided to referrer
Scheduled Workflow Top profile implemented by radiology vendors with over 200
Integration statements
XDS/XDS-I The emerging technology worldwide for Health information exchange
Deployment of HL7 v2 – lab, radiology orders and results using Australian Standard AS4700.2 & .7 Rigid adherence to local standards/implementation guide Appropriate use of message and application acknowledgements
Key IHE Profiles for AustraliaKey IHE Profiles for Australia
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PDI -The ProblemsPDI -The Problems
In the film world, looking at prior studies was easy. In the digital world, this has been complicated Can I read the CD? Can I read the Digital
Images? Can I process the Digital
Images I receive? How do I handle Studies from
other Institutions?
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PDI – Actors and TransactionsPDI – Actors and Transactions
Portable MediaCreator
Print Composer
Report Reader
Image Display
Display
Distribute ImagingInformation on Media
Media Importer
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Import Reconciliation WorkflowImport Reconciliation WorkflowScheduled Import Transaction DiagramScheduled Import Transaction Diagram
Imported Objects Stored [RAD-61]
Storage Commitment [RAD-10]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Import PS in Progress [RAD-59] Import PS Completed [RAD-60]
Import PS in Progress [RAD-59] Import PS Completed [RAD-60]
Import PS in Progress [RAD-59] Import PS Completed [RAD-60]
Importer
Image Manager
Image Archive
DSS/Order Filler
DICOM Transactions
Modality Worklist (MWL)
Modality Performed Procedure Step (MPPS)
Object Storage
Storage Commitment
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Import Reconciliation WorkflowImport Reconciliation WorkflowUnscheduled Import Transaction DiagramUnscheduled Import Transaction Diagram
HL7 Transactions
Patient Demographics Query (QBP^22)
DICOM Transactions
Modality Performed Procedure Step (MPPS)
Object Storage
Storage Commitment
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imagesstored
patientinformation
RIS
examination orders
imagesretrieved
HIS
PACS
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
report
report
Radiology Scheduled Workflow: Use CaseRadiology Scheduled Workflow: Use Case
Registration
Orders Placed
Orders Filled
Film
FilmFolder
Image Manager& Archive
FilmLightbox
report ReportRepository
DiagnosticWorkstation
Modality
acquisitionacquisitionin-progressin-progressacquisitioncompleted
acquisitioncompleted
imagesprinted
AcquisitionModality
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IHE Integration Profiles for Health Info Nets What is available and has been added in 2006/07
Cross-Enterprise Document Sharing
Registration, distribution and access across health enterprises of clinical
documents forming a patient
electronic health record
Emergency Referrals Format of the Document Content
and associated coded vocabulary PHR Extracts/Updates
Format of the Document Content and associated coded vocabulary
ECG Report Document
Format of the Document Content and associated coded vocabulary
Lab Results Document Content
Format of the Document Content and associated coded vocabulary
Scanned Documents Format of the Document ContentImaging Information
Format of the Document Content and associated coded vocabulary
Medical Summary (Meds, Allergies, Pbs)
Format of the Document Contentand associated coded vocabulary
Consistent TimeCoordinate time across networked
systems
Audit Trail & Node Authentication
Centralized privacy audit trail and node to node authentication to create
a secured domain.
Basic Patients Privacy Consents
Establish Consents & Enable Access Control
Document Digital Signature
Attesting “true-copy and origin
SecuritySecurityClinical and PHR ContentClinical and PHR Content
Health Data ExchangeHealth Data Exchange
Patient Demographics Query
Patient Identifier Cross-referencing
Map patient identifiers across independent identification
domains
Notification of Document Availability
Notification of a remote provider/ health enterprise
Request Formfor Data Capture
External form with custom import/export scripting
Patient ID MgmtPatient ID Mgmt
OtherOther
Cross-Enterprise Document Pt-Pt Reliable Interchange
Final Text ApprovedFinal Text Approved
Trial Implementation-2006 Trial Implementation-2006 –– Final Txt 2007Final Txt 2007
Cross-Enterprise Document Media Interchange
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DocumentDocumentSourceSource
DocumentDocumentSourceSource
Document Registry/Repository Model:Document Registry/Repository Model:
DocumentDocumentRepositoryRepository Submit
Doc Meta-data+ References
SubmitDocuments
DocumentDocumentRepositoryRepository
SubmitDoc Meta-data+ References
DocumentDocumentRegistryRegistry
RetrieveDocuments
Query for DocsReferences
DocumentDocumentConsumerConsumer
RetrieveDocuments
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Example: Example: Providing Access to Prior Health InformationProviding Access to Prior Health Information
Acute Care (Inpatient)
PCPs and Clinics (Ambulatory)
Long Term Care
Other Specialized Careor Diagnostics Services
Shared DocumentRepository
Longitudinal Record as usedacross-encounters
Encounter Medical Summary (med-prescribed & dispensed, allergies, pbs, etc)Lab Report (structured & coded tests results)
Radiology Report and Images Links
EKG Report
PublicHealth
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To find IHE Profiles:To find IHE Profiles:www.ihe.net /technical_frameworkswww.ihe.net /technical_frameworks
Radiology (18)
IT Infrastructure for Healthcare (17)
Cardiology (7)
Laboratory (6)
Radiation Oncology (1)
Patient Care Coordination (5)
Patient Care Devices (1)
Quality
Eye Care (3)
Veterinary
EndoscopyPharmacy
IHE Global DevelopmentsIHE Global DevelopmentsOver 60 Integration and content Profiles (# X)Over 60 Integration and content Profiles (# X)Solutions to Real-World Interoperability Solutions to Real-World Interoperability
Needs & Problems:Needs & Problems:
Within Clinical Departments e.g.:Within Clinical Departments e.g.: RadiologyRadiology CardiologyCardiology LabLab ......
Across Departmental &Across Departmental &Institutional Boundaries – XDSInstitutional Boundaries – XDS
RHIOsRHIOs (Regional Healthcare Information Organizations) (Regional Healthcare Information Organizations)
EHR EnablersEHR Enablers
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Pathology (1)
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How to ParticipateHow to Participate
As a Committee MemberAs a Committee Member
Become a member of relevant Domains Planning or Become a member of relevant Domains Planning or Technical CommitteesTechnical Committees
As as Interested ObserverAs as Interested Observer
Provide Public Comments on Technical Framework Provide Public Comments on Technical Framework SupplementsSupplements
Attend Demonstrations, Educational Events and WorkshopsAttend Demonstrations, Educational Events and Workshops
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How to Use IHEHow to Use IHE
As a Vendor ImplementerAs a Vendor ImplementerImplement IHE Integration ProfilesImplement IHE Integration Profiles
Test systems through Connectathon processTest systems through Connectathon process
Publish an IHE Integration Statement for productsPublish an IHE Integration Statement for products
As a User Implementer or ConsultantAs a User Implementer or ConsultantUse IHE Integration Profiles to develop interoperability strategyUse IHE Integration Profiles to develop interoperability strategy
Use Connectathon Results and Integration Statements to Use Connectathon Results and Integration Statements to evaluate vendorsevaluate vendors
Demand IHE Integration Profile compliance in RFPsDemand IHE Integration Profile compliance in RFPs
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StakeholdersStakeholders
Working Together to DeliverWorking Together to Deliver
Interoperable Health Information SystemsInteroperable Health Information Systems
in the Enterprisein the Enterprise
and Across Care Settingsand Across Care Settings
http://www.ihe.net
http://www.ihe.net.au
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More Resources - More Resources - www.ihe.netwww.ihe.net Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks:
CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination Patient Care DevicesPatient Care Devices Radiation OncologyRadiation Oncology RadiologyRadiology
Connectathon Results – world-wideConnectathon Results – world-wide
Vendor Products Integration StatementsVendor Products Integration Statements
Participation in Domain CommitteesParticipation in Domain Committees
Participation in IHE Australia Participation in IHE Australia www.ihe.net.auwww.ihe.net.au
Connectathon Interoperability showcase
September, 2005 What IHE Delivers