Post on 27-Mar-2015
1September, 2005 What IHE Delivers
Building standards-basedBuilding standards-basedregional and nationalregional and national
health information networks with IHEhealth information networks with IHE
eHealth World Interoperability PaneleHealth World Interoperability PanelMalaga - May 2006Malaga - May 2006
Charles ParisotCharles ParisotGE Healthcare – IHE-Europe & IT Infrastructure Technical Co-chairGE Healthcare – IHE-Europe & IT Infrastructure Technical Co-chair
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Standards are critical but alone are not enoughStandards are critical but alone are not enough
Standards offer generality, ambiguity and Standards offer generality, ambiguity and alternativesalternatives
Standard Implementation Guides are Standard Implementation Guides are focused on a single standardfocused on a single standard
Increasing complexityIncreasing complexity
IHE provides a standard process for IHE provides a standard process for
implementing multiple standards!implementing multiple standards!
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Connecting standards to careConnecting standards to care
Care providers work with vendors to Care providers work with vendors to coordinate the implementation of standards coordinate the implementation of standards to meet their needsto meet their needs Care providers identify the key interoperability Care providers identify the key interoperability
problems they faceproblems they face Drive industry to develop and make available Drive industry to develop and make available
standards-based solutionsstandards-based solutions Implementers follow common guidelines in Implementers follow common guidelines in
purchasing and integrating systems that deliver these purchasing and integrating systems that deliver these solutionssolutions
IHE the most successful way to establish those IHE the most successful way to establish those
“standards” for how to implement standards ?“standards” for how to implement standards ?
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What is What is Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise??
IHE provides a IHE provides a common frameworkcommon framework for passing for passing health information seamlessly:health information seamlessly: withinwithin the healthcare enterprise the healthcare enterprise acrossacross multiple healthcare enterprises multiple healthcare enterprises for local, regional & nationalfor local, regional & national health information networkshealth information networks
IHE is sponsored by IHE is sponsored by healthcare professional healthcare professional associationsassociations: 20 across 14 countries (8 in Europe) : 20 across 14 countries (8 in Europe) endorsed by well over 100 Health IT vendors.endorsed by well over 100 Health IT vendors.
IHE IHE drives standards adoptiondrives standards adoption to address specific to address specific clinical needs for interoperabilityclinical needs for interoperability
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Delivery of ready-to-integrate products to benefit Delivery of ready-to-integrate products to benefit healthcare delivery entities of all sizeshealthcare delivery entities of all sizes
In clinical use today in practices, enterprisesIn clinical use today in practices, enterprises
Regional and national projects leveraging IHE Regional and national projects leveraging IHE Integration Profiles (e.g. XDS):Integration Profiles (e.g. XDS):
In clinical use: Italy, Spain, UK (radiology) In clinical use: Italy, Spain, UK (radiology)
In deployment: Austria, France, Norway, Canada, USAIn deployment: Austria, France, Norway, Canada, USA
IHE scope, today and expandingIHE scope, today and expanding radiology, cardiology, laboratory, oncology, eye care, devicesradiology, cardiology, laboratory, oncology, eye care, devices enterprise healthcare IT infrastructuresenterprise healthcare IT infrastructures cross-enterprise healthcare IT infrastructurescross-enterprise healthcare IT infrastructures Regional and national eHealth information networksRegional and national eHealth information networks
IHE Maturity and AcceptanceIHE Maturity and Acceptance
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Proven Standards Adoption ProcessProven Standards Adoption Process
Document Use Document Use Case Case RequirementsRequirements
Document Use Document Use Case Case RequirementsRequirements
Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)
Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)
Develop Develop technical technical
specificationsspecifications
Develop Develop technical technical
specificationsspecifications
Testing at Testing at ConnectathonsConnectathonsTesting at Testing at ConnectathonsConnectathons
IHE IHE DemonstrationsDemonstrationsIHE IHE DemonstrationsDemonstrations
Products Products with IHEwith IHEProducts Products with IHEwith IHE
Timely access to Timely access to informationinformationTimely access to Timely access to informationinformation
Easy to integrate Easy to integrate productsproductsEasy to integrate Easy to integrate productsproducts
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Reality, IHE, in action, ….Reality, IHE, in action, ….
IHE Connectathon VideoIHE Connectathon Video
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Electronic Health Record
Cardiology
Laboratory
Radiology
Oncology
Future
Domains
IHE
IT Infrastructure
15 Integration Profiles
5 Integration Profiles
4 Integration Profiles
1133 IInntteeggrraattiioonn PPrrooffiilleess
Patient Care Coordination
1 Integration Profile
Patient Care
Devices
Pathology
Eye Care
Achievements and Expanding ScopeAchievements and Expanding ScopeOver 100 vendors involved world-wide,Over 100 vendors involved world-wide, 5 Technical Frameworks5 Technical Frameworks
38 Integration Profiles, Testing at Connectathons38 Integration Profiles, Testing at ConnectathonsDemonstrations at major conferences world-wideDemonstrations at major conferences world-wide
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IHE Organizational StructureIHE Organizational Structure
Participants
contribute
Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc.
Delegates
IHE Europe
IHE North America
IHE Asia/Oceania
Regional &NationalDeployment
supervises reports
IHE (International) Strategic Development Committee
SponsorsCo-Chairs
Global
Interoperability
IHE Domain-related Planning Committee and
Technical Committee
National Extensions
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What is IHE NOT?What is IHE NOT?
Not a standard, Not a standard, although it leverages themalthough it leverages them
A vendor initiative, A vendor initiative, although they participatealthough they participate
Not a governmental certification authority, but Not a governmental certification authority, but IHE support them with compliance testingIHE support them with compliance testing
Not simply a demonstration projectNot simply a demonstration project Demos are only one means to the end: Demos are only one means to the end: AdoptionAdoption Backed up by documentation, tools, testing, and Backed up by documentation, tools, testing, and
publication of Technical Frameworks and Product publication of Technical Frameworks and Product Integration Statements. Integration Statements.
IHE, proven for standardizing interoperabilityIHE, proven for standardizing interoperability
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IHE Integration Profiles for Health Info NetsIHE Integration Profiles for Health Info NetsWhat What is availableis available and and has been addedhas been added in 2005 and in 2005 and is for 2006is for 2006
Consistent TimeCoordinate time across
networked systems
Audit Trail & Node Authentication
Centralized privacy audit trail and node to node authentication
to create a secured domain.
Patient Demographics Query
Cross-Enterprise Document Sharing
Registration, distribution and access across health enterprises of clinical
documents forming a patient electronic health record
Patient Identifier Cross-referencing
Map patient identifiers across independent identification
domains
Emergency Referrals
Format of the Document Content and associated coded vocabulary
Patient Created Summaries
Format of the Document Content and associated coded vocabulary
ECG Report Document
Format of the Document Content and associated coded vocabulary
Lab Results Document Content
Format of the Document Content and associated coded vocabulary
Scanned Documents
Format of the Document Content
Cross-enterprise User Authentication
Authentication & Auditing: Enhanced Access Control
Cross-enterpriseDocument InterchangeMedia-CD/USB & e-mail push
Notification of Document Availability
Notification of a remote provider/ health enterprise
Imaging Information
Format of the Document Content and associated coded vocabulary
Medical Summary (Meds, Allergies, Pbs)
Format of the Document Contentand associated coded vocabulary
Document Digital Signature
Attesting “true-copy and origin
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Participating and Contributing Vendors (America)Participating and Contributing Vendors (America)
Agfa HealthCareAgfa HealthCare
AlgotecAlgotec
Allscripts HealthcareAllscripts Healthcare
BerdyBerdy
BluewareBlueware
CamtronicsCamtronics
Canon Medical SystemsCanon Medical Systems
CapMedCapMed
Cardiac Science Corp.Cardiac Science Corp.
CarefxCarefx
Cedara Software Corp.Cedara Software Corp.
Cerner CorporationCerner Corporation
CGI-AMSCGI-AMS
CSISTCSIST
DictaphoneDictaphone
DR SystemsDR Systems
Dynamic ImagingDynamic Imaging
Eastman Kodak CompanyEastman Kodak Company
EBM TechnologiesEBM Technologies
EclipsysEclipsys
EmageonEmageon
Raining DataRaining Data
RASNA Imaging Systems RASNA Imaging Systems
ScImage Inc.ScImage Inc.
Sectra ImtecSectra Imtec
SentillionSentillion
Shimadzu CorpShimadzu Corp
Siemens Medical Solutns’Siemens Medical Solutns’
SoftmedicalSoftmedical
Stentor, IncStentor, Inc
St. Jude MedicalSt. Jude Medical
StorCOMM, IncStorCOMM, Inc
Swissray International, IncSwissray International, Inc
Tiani-SpiritTiani-Spirit
Toshiba Medical SystemsToshiba Medical Systems
T-SystemsT-Systems
UltraVisual Medical Syst.UltraVisual Medical Syst.
Vital Images, Inc.Vital Images, Inc.
Voxar LimitedVoxar Limited
WebMD Practice ServicesWebMD Practice Services
Witt Biomedical Corp.Witt Biomedical Corp.
XIMISXIMIS
Epic Systems Corp.Epic Systems Corp.
ETIAMETIAM
FujifilmFujifilm
GE HealthcareGE Healthcare
HeartlabHeartlab
HIPAAT Inc.HIPAAT Inc.
Hitachi Medical Corp.Hitachi Medical Corp.
HologicHologic
Hx TechnologiesHx Technologies
IDX Systems CorporationIDX Systems Corporation
Imco TechnologiesImco Technologies
INFINITTINFINITT
Initiate Systems Inc.Initiate Systems Inc.
InSiteOneInSiteOne
Intelerad Medical SystemsIntelerad Medical Systems
IBMIBM
Intersystems CorporationIntersystems Corporation
Konica Minolta Konica Minolta
KrypticKryptic
Marotech, Inc.Marotech, Inc.
McKessonMcKesson
In yellow, companies with IHE Committees Chairs (Spring 2006)
MedAccessPlus HealthMedAccessPlus Health
MedCommons IncMedCommons Inc
MedconMedcon
Medical Informatics Eng.Medical Informatics Eng.
Medical Manager Health Medical Manager Health
Mediface Co.Mediface Co.
MedinotesMedinotes
Medis Medical ImagingMedis Medical Imaging
Merge eFilmMerge eFilm
MisysMisys
MNI MedicosMNI Medicos
Mortara Mortara
NextGenNextGen
NovellNovell
Open Text Corp.Open Text Corp.
Philips Medical SystemsPhilips Medical Systems
Procom TechnologyProcom Technology
Prosolv CardiovascularProsolv Cardiovascular
QRS DiagnosticsQRS Diagnostics
QuovadxQuovadx
RADinfo SystemsRADinfo Systems
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Participating and Contributing Vendors (Europe)Participating and Contributing Vendors (Europe)
AGFA HealthcareAGFA Healthcare
AISoftw@re MedicalAISoftw@re Medical
Algotec Algotec
ARES SA ARES SA
aycan Digitalsysteme aycan Digitalsysteme
CEGEDIMCEGEDIM
Cerner Corp.Cerner Corp.
CHILICHILI
CMT Medical Tech.CMT Medical Tech.
Conto Corrente SaluteConto Corrente Salute
ConVisConVis
CTI Mirada SolutionsCTI Mirada Solutions
Data Processing SPAData Processing SPA
DEDALUSDEDALUS
DianoemaDianoema
Eastman Kodak Co. Eastman Kodak Co.
Ebit SanitaEbit Sanita
EDL EDL
ELFIN s.r.l. ELFIN s.r.l.
Engineering SanitàEngineering Sanità
ESAOTEESAOTE
MEDASYS SAMEDASYS SA
MedavisMedavis
Medical CommunicationsMedical Communications
Medigration GmbH Medigration GmbH MEDIMON Ltd. MEDIMON Ltd.
MEDIWAREMEDIWARE
MEDOS AG MEDOS AG
Merge eFilm Merge eFilm
METAFORA METAFORA
Mevis Diagnostics Mevis Diagnostics
Konica Minolta Konica Minolta
Omnilab Omnilab
Philips Medical SystemsPhilips Medical Systems
POLYMEDISPOLYMEDIS
Rasna Imaging SystemsRasna Imaging Systems
RAYPAX INC. RAYPAX INC.
REMREM
Rogan-DelftRogan-Delft
Sago spa Sago spa
Sectra Imtec AB Sectra Imtec AB
SeeBeyond TechnologySeeBeyond Technology
ETIAMETIAM
Ferrania Ferrania
Fujifilm Fujifilm
GE HealthcareGE Healthcare
GIE Convergence-Profils GIE Convergence-Profils
Global Imaging Online Global Imaging Online
GWI Research GWI Research
Hi. techHi. tech
IASI Srl IASI Srl
IdeoPass IdeoPass
INFINITT INFINITT
INFOPATIENTINFOPATIENT
INOVITINOVIT
INSIELINSIEL
Intersystems Corp.Intersystems Corp.
InvitaInvita
ITZ MedicomITZ Medicom
iSoftiSoft
McKesson McKesson
MED2RAD MED2RAD
MEDarchiverMEDarchiver
In yellow, companies with IHE Committees Chairs (Winter 2005)
Siemens MedicalSiemens Medical
Soluzioni Informatiche srl Soluzioni Informatiche srl
Stentor Inc. Stentor Inc.
St. JudeSt. Jude
Swissray Medical AG Swissray Medical AG
Symphonie On LineSymphonie On Line
Synapsis Synapsis
Synchro-MedSynchro-Med
TECHNIDATATECHNIDATA
TELEMIS S.A. TELEMIS S.A.
Tiani-SpritTiani-Sprit
Tomtec Imaging Tomtec Imaging
TOREX GAP MedicalTOREX GAP Medical
Toshiba Medical SystemsToshiba Medical Systems
TSI groupe europMedica TSI groupe europMedica
T-SystemsT-Systems
Uni-medicineUni-medicine
VEPRO AG VEPRO AG
VISUS Technology VISUS Technology Transfer Transfer
WAIDWAID
XR PARTNERXR PARTNER
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Participating and Contributing Vendors (Asia)Participating and Contributing Vendors (Asia)
JapanJapanEBMJEBMJPSPPSPPANASONICPANASONICALOKAALOKAKONICA MINOLTAKONICA MINOLTAHitachi Medical Co.Hitachi Medical Co.KODAKKODAKHITACHIHITACHISBSSBSINFOCOMINFOCOMCLIMBMSCLIMBMSTECHMATRIXTECHMATRIXCANONCANONVIEWSENDVIEWSEND
TaiwanTaiwanINFINITTINFINITTShing ShianShing ShianINQ GENINQ GENTEPTEPTah YaTah Ya
KoreaKoreaAGFA KoreaAGFA Korea GE Healthcare GE Healthcare KoreaKoreaINFINITTINFINITTLG CNS LG CNS Marotech, Inc.Marotech, Inc.Medical StandardMedical StandardPeoplenet CommunicationsPeoplenet CommunicationsSamsung SDSSamsung SDS
JapanJapanITECITECWINTCSWINTCSNECNECAGFAAGFAJMACJMACGEYMSGEYMSAJSAJSTOSHIBATOSHIBAYOKOGAWAYOKOGAWAGOODMANGOODMANFUJITSUFUJITSUAANDTAANDTFUJIFILMFUJIFILM
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IHE Web site:IHE Web site: www.IHE .netwww.IHE .net Frequently AskedFrequently Asked QuestionsQuestions
Integration Profiles in Technical Frameworks: Integration Profiles in Technical Frameworks: See Volume 1 for Use casesSee Volume 1 for Use cases
CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination RadiologyRadiology
Connectathon Result: Connectathon Result: www.ihe.net/Events/connectathon_results.cfmwww.ihe.net/Events/connectathon_results.cfm
Vendor Products Integration StatementsVendor Products Integration Statements
Participation in Committees & ConnectathonsParticipation in Committees & Connectathons
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