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Building standards-based regional and national health information networks with IHE

Building standards-based regional and national health information networks with IHE. eHealth World Interoperability Panel Malaga - May 2006 Charles Parisot GE Healthcare – IHE-Europe & IT Infrastructure Technical Co-chair. Standards are critical but alone are not enough.

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Building standards-based regional and national health information networks with IHE

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  1. Building standards-basedregional and nationalhealth information networks with IHE eHealth World Interoperability PanelMalaga - May 2006 Charles ParisotGE Healthcare – IHE-Europe & IT Infrastructure Technical Co-chair

  2. Standards are critical but alone are not enough • Standards offer generality, ambiguity and alternatives • Standard Implementation Guides are focused on a single standard • Increasing complexity IHE provides a standard process for implementing multiple standards!

  3. Connecting standards to care • Care providers work with vendors to coordinate the implementation of standards to meet their needs • Care providers identify the key interoperability problems they face • Drive industry to develop and make available standards-based solutions • Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions IHE the most successful way to establish those “standards” for how to implement standards ?

  4. What is Integrating the Healthcare Enterprise? • IHE provides a common framework for passing health information seamlessly: • within the healthcare enterprise • across multiple healthcare enterprises • for local, regional & nationalhealth information networks • IHE is sponsored by healthcare professional associations: 20 across 14 countries (8 in Europe) endorsed by well over 100 Health IT vendors. • IHE drives standards adoption to address specific clinical needs for interoperability

  5. IHE Maturity and Acceptance • Delivery of ready-to-integrate products to benefit healthcare delivery entities of all sizes • In clinical use today in practices, enterprises • Regional and national projects leveraging IHE Integration Profiles (e.g. XDS): • In clinical use: Italy, Spain, UK (radiology) • In deployment: Austria, France, Norway, Canada, USA • IHE scope, today and expanding • radiology, cardiology, laboratory, oncology, eye care, devices • enterprise healthcare IT infrastructures • cross-enterprise healthcare IT infrastructures • Regional and national eHealth information networks

  6. Testing at Connectathons IHE Demonstrations Develop technical specifications Products with IHE Identify available standards (e.g. HL7, DICOM, IETF, OASIS) Document Use Case Requirements Easy to integrate products Timely access to information Proven Standards Adoption Process

  7. Reality, IHE, in action, …. IHE Connectathon Video

  8. 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

  9. IHE (International) Strategic Development Committee SponsorsCo-Chairs reports supervises Global IHE North America IHE Europe IHE Asia/Oceania Regional &NationalDeployment Interoperability Delegates National Extensions IHE Organizational Structure IHE Domain-related Planning Committee and Technical Committee Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc. contribute Participants

  10. What is IHE NOT? • Not a standard, although it leverages them • A vendor initiative, although they participate • Not a governmental certification authority, but IHE support them with compliance testing • Not simply a demonstration project • Demos are only one means to the end: Adoption • Backed up by documentation, tools, testing, and publication of Technical Frameworks and Product Integration Statements. IHE, proven for standardizing interoperability

  11. Scanned Documents Lab Results Document Content ECG Report Document Patient Created Summaries Emergency Referrals Cross-enterprise User Authentication Format of the Document Content and associated coded vocabulary Format of the Document Content 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 Patient Identifier Cross-referencing Authentication & Auditing: Enhanced Access Control Cross-Enterprise Document Sharing 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 Centralized privacy audit trail and node to node authentication to create a secured domain. 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 IHE Integration Profiles for Health Info NetsWhat is available and has been added in 2005 and is for 2006

  12. Participating and Contributing Vendors (America) Epic Systems Corp. ETIAM Fujifilm GE Healthcare Heartlab HIPAAT Inc. Hitachi Medical Corp. Hologic Hx Technologies IDX Systems Corporation Imco Technologies INFINITT Initiate Systems Inc. InSiteOne Intelerad Medical Systems IBM Intersystems Corporation Konica Minolta Kryptic Marotech, Inc. McKesson MedAccessPlus Health MedCommons Inc Medcon Medical Informatics Eng. Medical Manager Health Mediface Co. Medinotes Medis Medical Imaging Merge eFilm Misys MNI Medicos Mortara NextGen Novell Open Text Corp. Philips Medical Systems Procom Technology Prosolv Cardiovascular QRS Diagnostics Quovadx RADinfo Systems Raining Data RASNA Imaging Systems ScImage Inc. Sectra Imtec Sentillion Shimadzu Corp Siemens Medical Solutns’ Softmedical Stentor, Inc St. Jude Medical StorCOMM, Inc Swissray International, Inc Tiani-Spirit Toshiba Medical Systems T-Systems UltraVisual Medical Syst. Vital Images, Inc. Voxar Limited WebMD Practice Services Witt Biomedical Corp. XIMIS Agfa HealthCare Algotec Allscripts Healthcare Berdy Blueware Camtronics Canon Medical Systems CapMed Cardiac Science Corp. Carefx Cedara Software Corp. Cerner Corporation CGI-AMS CSIST Dictaphone DR Systems Dynamic Imaging Eastman Kodak Company EBM Technologies Eclipsys Emageon In yellow, companies with IHE Committees Chairs (Spring 2006)

  13. Participating and Contributing Vendors (Europe) AGFA Healthcare AISoftw@re Medical Algotec ARES SA aycan Digitalsysteme CEGEDIM Cerner Corp. CHILI CMT Medical Tech. Conto Corrente Salute ConVis CTI Mirada Solutions Data Processing SPA DEDALUS Dianoema Eastman Kodak Co. Ebit Sanita EDL ELFIN s.r.l. Engineering Sanità ESAOTE ETIAM Ferrania Fujifilm GE Healthcare GIE Convergence-Profils Global Imaging Online GWI Research Hi. tech IASI Srl IdeoPass INFINITT INFOPATIENT INOVIT INSIEL Intersystems Corp. Invita ITZ Medicom iSoft McKesson MED2RAD MEDarchiver MEDASYS SA Medavis Medical Communications Medigration GmbH MEDIMON Ltd. MEDIWARE MEDOS AG Merge eFilm METAFORA Mevis Diagnostics Konica Minolta Omnilab Philips Medical Systems POLYMEDIS Rasna Imaging Systems RAYPAX INC. REM Rogan-Delft Sago spa Sectra Imtec AB SeeBeyond Technology Siemens Medical Soluzioni Informatiche srl Stentor Inc. St. Jude Swissray Medical AG Symphonie On Line Synapsis Synchro-Med TECHNIDATA TELEMIS S.A. Tiani-Sprit Tomtec Imaging TOREX GAP Medical Toshiba Medical Systems TSI groupe europMedica T-Systems Uni-medicine VEPRO AG VISUS Technology Transfer WAID XR PARTNER In yellow, companies with IHE Committees Chairs (Winter 2005)

  14. Participating and Contributing Vendors (Asia) Taiwan INFINITT Shing Shian INQ GEN TEP Tah Ya Japan EBMJ PSP PANASONIC ALOKA KONICA MINOLTA Hitachi Medical Co. KODAK HITACHI SBS INFOCOM CLIMBMS TECHMATRIX CANON VIEWSEND Japan ITEC WINTCS NEC AGFA JMAC GEYMS AJS TOSHIBA YOKOGAWA GOODMAN FUJITSU AANDT FUJIFILM Korea AGFA Korea GE Healthcare Korea INFINITT LG CNS Marotech, Inc. Medical Standard Peoplenet Communications Samsung SDS

  15. IHE Web site:www.IHE .net • Frequently AskedQuestions • Integration Profiles in Technical Frameworks: See Volume 1 for Use cases • Cardiology • IT Infrastructure • Laboratory • Patient Care Coordination • Radiology • Connectathon Result: www.ihe.net/Events/connectathon_results.cfm • Vendor Products Integration Statements • Participation in Committees & Connectathons

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