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IHE ITI & PCC Update to DICOM Committee

IHE ITI & PCC Update to DICOM Committee. DICOM Committee–Yokohama, April 10-11, 2006 IHE IT Infrastructure Technical Committee Co-chair Charles Parisot - GE Healthcare. Achievements and Expanding Scope. Over 100 vendors involved world-wide, 5 Technical Frameworks

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IHE ITI & PCC Update to DICOM Committee

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  1. IHE ITI & PCC Updateto DICOM Committee DICOM Committee–Yokohama, April 10-11, 2006 IHE IT Infrastructure Technical Committee Co-chair Charles Parisot - GE Healthcare

  2. Achievements and Expanding Scope Over 100 vendors involved world-wide,5 Technical Frameworks 38 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide

  3. HIMSS 2006 Interoperability Showcase • More than 3,000 attendees visited the 2006 HIMSS Interoperability Showcase. • 37 vendors demonstrated 48 health information technology (IT) systems. • 700 attendees created and tracked their own electronic health record (EHR). • 63 educational sessions presented. • 5 international delegations visited the interoperability showcase. • Three HIMSS 2006 keynote speakers toured the showcase. • 16 clinical scenarios demonstrated interoperability across multiple products, EHR and personal health record (PHR) systems, and care delivery settings.

  4. Interoperability Showcase Layout

  5. What has been shown in the HIMSS showcase • Real-world implementations. Effective IHE interoperability • 36 vendor products: EHR & Ancillary IT systems, PHR systems, Registries, Repositories, MPIs, etc. • 4 Federal entities or grantees (VA, DoD, NIST, CDC/UW) • All implementations passed IHE Connectathon tests • Scenario focused on health information exchange: • Within the enterprise (Cardiology, Radiology, etc.) • Across inpatient and physician offices care settings in a RHIO for health status information (meds, allergies, pbs, etc.), reports, images, legacy docs • Empowered with your own health record: • Show-wide record submission and access (11 vendor booths) • “HIMSS RHIO” Infrastructure: secured access and communications, distributed repositories, document registries, patient Id X-referencing

  6. 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 DMP–French Natl. Personal EHR Health Level 7 HTP IEEE Midmark Diagostics Group HIMSS RHIO Federation Liberty Alliance Univ. of Washington Supporter Level: Acuo Bond Carefx Clearcube Organizational participant: American Coll. of Clinical Eng. Catholic Healthcare West US Dept of Defense US Dept of Veterans Affairs Dairyland EMC Identrus Intel Mediserve Medkey Motion Comp. Picis Pulse Sentillion HIMSS IHE Interoperability ShowcaseFebruary 2006 Participants Leadership Level Blue Ware Cerner GE Healthcare +IDX IBM Initiate Systems InterSystems MiSys Healthcare Quovadx Siemens

  7. Allscripts CapMed CGI-AMS Eclipsys GE Healthcare +IDX InterSystems McKesson Medical Informatics MediNotes Misys Healthcare Siemens HIMSS 06 IHE Interoperability ShowcaseDistributed Demonstration Vendor Participants

  8. IHE Integration Profiles for Health Info NetsWhat is available and has been added in 2005 and is for 2006 Lab Results Document Content ECG Report Document Patient Created Summaries Emergency Referrals Scanned Documents Cross-enterprise User Authentication Format of the Document Content and associated coded vocabulary Format of the Document Content and associated coded vocabulary Format of the Document Content and associated coded vocabulary Format of the Document Content Format of the Document Content and associated coded vocabulary Patient Identifier Cross-referencing Authentication & Auditing: Enhanced Access Control Cross-Enterprise Document Sharing V3Option Map patient identifiers across independent identification domains Imaging Information Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Patient Demographics Query Medical Summary (Meds, Allergies, Pbs) Format of the Document Content and associated coded vocabulary Document Digital Signature Audit Trail & Node Authentication Format of the Document Content and associated coded vocabulary Attesting “true-copy and origin Request Formfor Data Capture Centralized privacy audit trail and node to node authentication to create a secured domain. External form with custom import/export scripting StoredQueries XDS/RLSFederation Consistent Time Notification of Document Availability Cross-enterpriseDocument Interchange Notification of a remote provider/ health enterprise Coordinate time across networked systems Media-CD/USB & e-mail push

  9. Patient Identity XRef Mgr State RHIO Cross-state IDN Cancer Treatment A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 A87631 14355 14355 14355 14355 14355 14355 14355 14355 14355 14355 14355 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 M8354673993 RegistryLocator service Patient Identity XRef Mgr Patient Identity XRef Mgr Patient Identity XRef Mgr Patient Identity XRef Mgr Patient Identity XRef Mgr Patient Identity XRef Mgr Patient Identity XRef Mgr Patient Identity XRef Mgr Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source EHR System EHR System EHR System EHR System EHR System EHR System EHR System EHR System ED Application ED Application ED Application ED Application ED Application ED Application ED Application ED Application EHR System EHR System EHR System PatientIdentityFeed PatientIdentityFeed PatientIdentityFeed PatientIdentityFeed PatientIdentityFeed PatientIdentityFeed PatientIdentityFeed PatientIdentityFeed ED Application ED Application ED Application PACS PACS PACS PACS PACS PACS PACS PACS PIX Query PIX Query PIX Query PIX Query PIX Query PIX Query PIX Query PIX Query Physician Office Physician Office Physician Office RegistryLocator service RegistryLocator service NHIN Backbone EHR System EHR System EHR System EHR System EHR System EHR System EHR System EHR System PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS PACS Lab Info. System Lab Info. System Lab Info. System Lab Info. System Lab Info. System Lab Info. System Lab Info. System Lab Info. System PatientIdentityFeed Document Registry XDS Document Repository PACS PACS PACS RegistryLocator service XDS Document Repository State RHIO PIX Query EHR System EHR System EHR System Sub-Network Sub-Network Sub-Network PACS PACS PACS Patient Identity XRef Mgr Patient Identity XRef Mgr PACS Lab Info. System Lab Info. System Lab Info. System L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 L-716 Affinity Domain Patient Identity Source Affinity Domain Patient Identity Source Integrated Delivery Network Teaching Hospital Teaching Hospital Teaching Hospital PatientIdentityFeed PatientIdentityFeed Document Registry Document Registry XDS Document Repository XDS Document Repository Community Clinic Community Clinic Community Clinic XDS Document Repository XDS Document Repository ATNA Audit record repository ATNA Audit record repository ATNA Audit record repository PIX Query PIX Query CT Time server CT Time server CT Time server PACS PACS XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) Federation of XDS and non-XDS DomainsLeverage Connecting for Health RLS – 2006-2007 Development Which regisry holds records for a patient ? Sub-Network

  10. Cross-Enterprise Sharing of Medical Summaries (XDS-MS) Patient Examination or Discharge Discharge or Referral Document Created Referred Physician Notification Document Registry EMR EMR Review ofMedical Summary Report Repository MedicalSummary The Cross-Enterprise Sharing of Medical Summaries Integration Profile solves the problem of transferring summary patient information between providers in different clinical settings.

  11. Level 3 Text Structure Med, Problems and Allergies Entry required as highly structured Coded Section Coded Section Coded Section text. Text easy to import/parse Entry Entry Entry Level 3 Text Structure Entry Med Problems a nd Allergies have a required fine - grain structure with optional coding. Coding Scheme not standardized, Text Structure but explicitly identified. Entry XDS-MS Medical Summary Level 1 Structured and Coded Header Patient, A uthor, Authenticator, Institution, Header always structured and coded Time of Service, etc. Level 2 S t r u c t u r e d C o n t e n t w i t h c o d e d s e c t i o n s : S t r u c t u r e d C o n t e n t w i t h c o d e d s e c t i o n s : Title - coded sections with non - structured · Reason for Referral nor coded content (text, lists, tables). · · Vital Signs  Simple Viewing (XML Style sheet) · · M e d i c a t i o n M e d i c a t i o n · Studies · · A l l e r g i e s A l l e r g i e s · Social History · · P r o b l e m s P r o b l e m s XDS-MS enables both semantical interoperability and simple viewing ! · Care Plan

  12. Use of a shared XDS infrastructure to access Radiology Reports and Images (XDS-I) Between Radiology and : • Imaging specialists • Non-imaging clinicians Hospital PACS Y Radiology -to-Radiology Radiology -to-Physicians PACS Z Imaging Center Physician Practice Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information ! Demo at HIMSS Feb. 2006 and RSNA Dec. 2006

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