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IHE at EuroPACS. History, aim, organization, events Charles Parisot, GE Medical Systems The radiology workflow and representations in IHE and present and future extensions Nikolaus Wirsz, Siemens Medical Solutions
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IHE at EuroPACS • History, aim, organization, events Charles Parisot, GE Medical Systems • The radiology workflow and representations in IHE and present and future extensions Nikolaus Wirsz, Siemens Medical Solutions • Clinical usage of IHE and Integration Integration Teri Sippel Schmidt, Mitra/Agfa • Presentation of IHE-Demonstrations activities Berthold Wein, Department of Diagnostic Radiology Aachen • Bringing IHE to real life, where to start and how to implement Cor Loef, Philips Medical Systems IHE-Europe
Charles ParisotGE Medical Systems - Information Technologies IHE, A Novel ApproachHistory, Aims, Organization, Achievements
IHE Fundamentals • Who is IHE? • What is it about? • Why is it needed? • What’s wrong with DICOM? • How does it work? • How do I get it? • What do they do? • What comes out of it? • What do I get out of it? • Where can I learn more? IHE-Europe
What is IHE about? • It’s an initiative promoting and supporting the integration of systems in the healthcare enterprise. • Integration Goal: Improve the efficiency and effectiveness of clinical practice by: • Improved Information Flow • Advanced Multi-System Functions IHE-Europe
Why is IHE needed? • Serious Integration Challenges in Healthcare: • Systems need Information other systems have • But, systems communicate poorly or not at all • Result: - tedious, inefficient workflows - data that is inconsistent or unavailable • Responsibility for information flow between systems, and between departments, is often unclear. IHE-Europe
Who is IHE? • Participants: • Professional Societies (EAR/ECR/RSNA/HIMSS/…) • Vendors (over 30 companies) • Users sponsor IHE to provide a neutral forum for working on the Big Picture IHE-Europe
What Does IHE Do? • Users and vendors work together to identify and design solutions for integration problems • Intensive process with annual cycles: • Identify key healthcare workflows and integration problems • Research & select standards to specify a solution • Write, review and publish IHE Technical Framework • Perform cross-testing at “Connectathon” • Demonstrations at tradeshows (DRG, JFR, SIRM, RSNA, HIMSS) IHE-Europe
Aren’t DICOM / HL7 Sufficient? • Standards are vital (HL7, DICOM, ICD, …) • They provide tools & technologies • But Standards alone are not sufficient • They allow for optional variations • They avoid specifying how to apply them to particular real world scenarios • They each focus on one transaction. When chaining transactions between multiple systems gaps appear. IHE-Europe
How Established is IHE? • Year 1 (1999): Proof of Concept (Basic Scheduled Workflow) • Year 2 (2000): Introduction of the 7 Profiles (Full Featured) • Year 3 (2001): Consolidation, Catch-up (Real Products) Expansion to France • Year 4 (2002): 3 New Profiles Expansion to Japan, Germany • Year 5 (2003): New Profiles Expansion to Lab, Pathology, Cardiology…? IHE-Europe
IHE in Europe – Why ? • To address european based information systems vendors (RIS, HIS) • To provide information to and get feedback from European healthcare providers. • To facilitate european influence in the IHE and avoid local european solutions if global solutions are adequate • European market is different, national focus, country specifics IHE-Europe
IHE in Europe – How? • Sponsors: • EAR/ECR • DRG/SFR/SIRM/BIR/RCR • COCIR (Vendors) • IHE-Europe Committee operational since may 2000 • National chapters in France, Germany, Italy, UK. • 5 demonstrations in 2001-2002, 33 vendors. IHE-Europe
What does IHE cover? • Currently focused in Radiology • A robust technical output, a dynamic process, now adopted world-wide. • Systems include: • HIS, RIS • Modalities: MR, CT, US, CR, DX, … • PACS, Review Stations, Reporting Systems • Hardcopy Printers IHE-Europe
How do I benefit? • Clinical Users • Greater access to more consistent information • Fewer errors, fewer tedious tasks • Buyers • Specify/purchase integration capabilities easily • Freedom to acquire “Best of Breed” systems • IT Professionals • Faster, more predictable integration projects • Administrators • Increased throughput • Better scheduling and tracking IHE-Europe
How Do I Get IHE? • IHE is not a product;it is a software feature or upgrade • Talk to your vendors; ask what IHE Actors and Integration Profiles they support • Request support of specific Actors/Integration Profiles in RFPs for clinical systems IHE-Europe
IHE, A culture change…. A new dimension in the relationshipbetween users and vendors This is what it takes to turn Healthcare IT standards in reality ! IHE-Europe
Where can I learn more? • www.ihe-europe.org • www.rsna.org/IHE • Brochures and reprints: • IHE Integration Profiles; The IHE FAQ • IHE Fundamentals, Purchasing Strategies, IHE Primer • IHE Integration Checklist, Connectathon Results • IHE Technical Framework (V 5.3) IHE-Europe
Questions? IHE-Europe