Integrating the Healthcare Enterprise (IHE)

1. Integrating the Healthcare Enterprise (IHE) Charles Parisot, GE Nikolaus Wirsz, Siemens

2. A Framework for Interoperability • Integrating the Healthcare Enterprise: • An initiative that improves patient care by harmonizing healthcare information exchange • Provides a common standards-based framework for seamlessly passing health information among care providers, enabling local, regional and national health information networks • Promotes the coordinated use of established standards–Health Level 7, ASTM, DICOM, W3C, IEEE, etc.—to address specific clinical needs

3. Who is IHE? • IHE is a joint initiative among: • American College of Cardiology (ACC) • Radiological Society of North America (RSNA) • Healthcare Information Management Systems Society (HIMSS) • GMSIH, HPRIM, JAHIS (laboratory) • American Society of Ophthalmology • American College of Physicians (ACP) • American College of Clinical Engineering (ACCE) • And many more…. • Began in 1997 in Radiology (RSNA) and IT (HIMSS) • International effort: IHE- Europe and IHE-Asia • Additional sponsors for Cardiology including ASE, ESC, ASNC, SCA&I, HRS and more

4. 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 Multi-Domain & Multi-National IHE Domain-related Planning Committee and Technical Committee Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc. Participants contribute

5. IHE 2006 – Nine Active Domains Over 100 vendors involved world-wide,5 Technical Frameworks 37 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide 15 Active national chapters on 4 continents

6. 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 What is the effective way to establish “standards” for how to implement standards ?

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

8. Simple Image and Numeric Reports Integration Profile Defining Simple Reports that Include Measurements

9. SINR Value Proposition • Reports’ content is more than words… • Based on DICOM SR • Allows to include without transcription: • measurements • image links • structured content • Integrated with the imaging workflow • Friendly to XML implementations • Easy to export with HL7

10. Pattern – Simple Image Report • Minimal Structure : Coded Title and Headings • Full image links from specific sections of report • Observation Context (who, what, when) may be section specific

11. Simple Image and Numeric Report Simply adds Measurements to Image Reports

12. An illustration

13. IHE Strategy for Implementation • Leverages existing standards to allow rapid deployment, but plan for futurePragmatic Course and Ease of Evolution • Enables architectural freedom (centralized vs. decentralized, patient vs. provider centric) Flexibility of Configuration • Supports breadth of use cases: variety of care settings, care coordination, public health, PHR, EHR, researchInteroperability across spectrum of health system Offers consistent, standards-based and functional record sharing for imaging and information systems

14. IHE Connectathon, January 2006 300+ participants, 120+ systems 60+ vendors Four Domains: Cardiology, Radiology, IT Infrastructure, Patient Care Coordination

15. Connectathon 2007 Hyatt Regency Chicago151 East Wacker Drive January 15-19, 2007

16. IHE Connectathon North AmericaJanuary 2007 Participants NIST Open Text Orion Health Outcome Phase Forward Philips Medical Systems Practice Partner Prosolv CardioVascular ProtoLink QuadraMed QUOVADX RADinfo Systems SAIC SAS Sectra Imtec Ab Sentrx Softmedical, Inc. Spacelabs Medical Stryker Siemens Medical Solutions St. Jude Medical Tiani-Spirit, Gmbh Toshiba Medical Systems US Electronics, Inc. Vital Images Welch Allyn, Inc. Xwave and Bell Canada GE Healthcare Goodman Health Network Hitachi Medical Corp. Hologic, Inc. Hx Technologies IBM Healthcare Infinitt Co., Ltd. Initiate Systems Insiteone Intersystems Corp. Konica Minolta Medical Imaging Live Data Lumedx Corp. Mckesson Provider Technologies MedCommons MediMatic Srl MediNotes MedQuist Midmark Diagnostics Misys Healthcare Systems Mortara Instrument, Inc. Medicl Informatics Engineering NextGen Healthcare Novartis National Digital Medical Archive, Inc. Accenture Acuo Technologies Agfa Healthcare Alert Life Sciences Computing Allscripts Axolotl Corp. B. Braun Medical Blueware, Inc. Bridgeforward Software Brit Systems, Inc Biosense Webster Inc. Canon Medical Systems CapMed Capsule Technologies Carefx Cedara Software, Inc. Cerner CGI CPSI Digital Infuzion Draeger Medical Systems, Inc. Dynamic Imaging Eastman Kodak EBM Technologies EclinicalWorks, llc Eclipsys Emageon, Inc. Epic Systems, Inc. Fujifilm Medical Systems

17. Connectathon Tour • Luncheon Event: • Tuesday, Jan. 1610:00am-3:30pmPublic Health and Industry LeadersInvitation: www.ihe.net/connectathon

18. IHE Web site: http://www.ihe.net Technical Frameworks and Supplements 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 IHE Wiki RSNA staff contacts: ihe@rsna.org More information…. Questions?