IHE Update IT Infrastructure, Radiology, Laboratory and Cardiology

1. IHE UpdateIT Infrastructure, Radiology, Laboratoryand Cardiology IHE Update to December 2003 DICOM Committee Charles Parisot, GE Medical Systems Information Technologies

2. Scheduled Workflow Patient Informa-tion Reconci-liation Charge Posting Presentation of Grouped Procedures Reporting Workflow Post-Processing Workflow , Simple Image and Numeric Reports Consistent Presentation of Images Evidence Documents Key Image Notes IHE Integration profiles - Access to Radiology Information Basic Security IHE IT Infrastructure

3. NM Imaging Profile • Done so far • NM group organized • Initial draft NM Image Profile created • Desired end results • NM Imaging Profile or options in IHE RAD TF, with NM specific attribute support in storage SOPs, and required use of these for defined display purposes • Secondary Capture of post-processing display (single and multiframe). • Risks/issues • Get consensus on defined display purposes IHE IT Infrastructure

4. Media Distribution Profile • Done so far • Use cases and objectives defined: • Import for reading or use as relevant prior study • Import for review/ viewing by patient or patient’s primary care physician or other GP. • List of issues for further discussion • Desired end results • Goal is to have a single export format be capable of supporting all import use cases. • Risks/issues • Support for non-DICOM objects • Assumptions about capabilities reading device • Manual steps in IHE transaction, how to define • Lots of detail IHE IT Infrastructure

5. Departmental workflow • Done so far • Consensus on what the scope and approach is, assigned owners for parts. • Desired end results • Publish as a single supplement. • Large portion of overall departmental workflow will be described in an Appendix to Vol I. • Sections on SWF, PWF, RWF (/SINR) will each require ~1 page description of their relationship to DWF. • Appointment Notification transaction(s) [from IHE-F] • Order Filler in SINR (report export) [from IHE-F] • Issue • Instance Availability Notification. IHE Tech Committee reviewed WG6 progress and would like to recommend the GP-PPS approach. Joint IHE Rad Tech/DICOM WG6 t-con desired urgently for coordination. IHE IT Infrastructure

6. Retrieve Information for Display Retrieve Information for Display Enterprise User Authentication Enterprise User Authentication Patient Synchronized Applications Patient Synchronized Applications Access a patient’s clinical information and documents in a format ready to be presentedto the requesting user Access a patient’s clinical information and documents in a format ready to be presentedto the requesting user Synchronize multiple applications on a desktop to the same patient Synchronize multiple applications on a desktop to the same patient Provide users a single nameandcentralized authentication processacross all systems Provide users a single nameandcentralized authentication processacross all systems Patient Identifier Cross-referencing for MPI Patient Identifier Cross-referencing for MPI Consistent Time Consistent Time Coordinate time across networked systems Coordinate time across networked systems Map patient identifiers across independent identification domains Map patient identifiers across independent identification domains IHE IT Infrastructure5 Integration Profiles IHE IT Infrastructure

7. IHE Growth • Radiology • Successful connectathon October 6-10, 2003. • IT Infrastructure • Critical infrastructure issues addressed: authentication, linking patient ids, CCOW, retrieve info for display. • HIMSS 2004 HL7-IHE Joint Connectathon (Jan) & Demo (Feb). • Laboratory • Quick progress: Lab Scheduled Workflow passed public comment. Trial Implementation Version issued Nov 15th for demos mid 2004. • Cardiology • ACC & ESC launch Dec. 8-9th – Goal ACC march 2005 IHE has now clearly expanded beyond radiology IHE IT Infrastructure

8. Where Is More Information Available? • IHE: • http://www.rsna.org/IHE • http://www.himss.org/IHE IHE IT Infrastructure