Japan Update : Success Stories Shinya Oku IHE Japan Board Member.

Japan Update : Success Stories

Shinya Oku

IHE Japan Board Member

Presentation Outline

Characteristics of IHE Japan)

Introduction of Success Stories

Economical Consideration

Future Direction

- 8 Sites 120 profiles were implemented

-(21 in US, October 2007)

2 National University Hospitals

2 Private University Hospitals

3 Public or quasi-public Hospitals

1 Clinic (Imaging Centre)

IHE Japan

Activities initiated in 2001

Supported by METI and then MHWL

Established “IHE Japan Association” in March 2007

Success Stories: Comparison between Japan and US

Success Stories: Actors applied in SWF implementation

Three Stories en bref

Saitama Medical Centre 2003-2006

Okazaki City Hospital 2004-present

National Radiological Institute 2005-present

Case of Saitama Medical Centre




“First-in-Japan” Showcase of the Radiology

Department System Using Integrating the

Healthcare Enterprise-Japan (IHE-J ) Guideline,

supported by the Ministry of Economy, Trade and

Industry (METI).

“First-in-Japan” Showcase of the Radiology

Department System Using Integrating the

Healthcare Enterprise-Japan (IHE-J ) Guideline,

supported by the Ministry of Economy, Trade and

Industry (METI).

Saitama Medical CenterSaitama Medical Center

IHE User Success StoryIHE User Success Story

SAITAMA MEDICAL CENTRE

Saitama MedicalUniversity Hospital【 1483 Beds 】

Saitama MedicalCenter【 913 Beds 】

Saitama InternationalMedical Center【 600 Beds 】

Server System(Web Type)Saitama Medical Center

initiatedHER in March, 2005.

IHE-J ・ Showcase

Implemented for Radiology Order Placer in EHR

Pharmacy Order

Blood test order

Food Supply Order

Laboratory Order

Radiology Order

powered by AMI

System(actor)System(actor)Order Placer

DSS/Order Filler

Image Manager/Image ArchiveImage Display/Portable Media Importer

Report Manager/Report RepositoryReport Creator/Report Reader

Acquisition Modality

Portable Media Creator

Applied Integration Profiles

　　　　　

○SWF Integration Profile （ JJ1017 ）○PIR Integration Profile○CPI Integration Profile○PDI Integration Profile○WADO (Non XDS-I Integration Profile)

○SINR Integration Profile○RWF Integration Profile

Virtual Showcasehttp://www.saitama-ihe.jp/

IHE-J Official Site (including case presentation of SS)

Case of Hamamatsu University(Prof. Kimura)

Case of Okazaki City Hospital




ＰＩＲ

JJ1017 Ver.3

JJ1017 Ver.3

JLAC10

ＲＩＳ／ＬＩＳ

DSSDSS ／／ Order Filler Order Filler JJ1017 Ver.3

Patient registration

ADT ADT

EMR

Order Placer Order Placer Order Placer Order Placer Order Placer Order Placer

Rad Phy Lab Order ResultOrder Result

TrackerTracker

electrocardiogram

Order Filler Order Filler

MFER

ＰＡＣＳ

Image Archive Image Archive

Image Manager Image Manager

Print Server Print Server

ＩＭＡＧＥＲ

Acquisition Modality Acquisition Modality

QA System of Modality

栄養指導

Eye Care

Dialysis

Prepare

Laboratory System


AutomationAutomationManager Manager JLAC

10

ユヤマ

日機装

トプコン

グリーム

丸善

給食システム

CPI

LSWF ， LIR

PIR

SWF

SWF ， PIR ， LIR SWF ， PIR ， LIR

SWF ， PIR

SWF

SWF ， PIR

Reservation System

PDI

ATNA

Cardiology



SWF ， PIR ， PDI PIR

PIR

PIR

Print Composer Print Composer

Media CreatorMedia Creator

Media ImporterMedia Importer

Secure NodeSecure Node

Audit RepositoryAudit Repository

Monitor ：２００ CPI


Example of Okazaki(2008)

尾張

三河

Okazaki City Hospital

名古屋市

岡崎市

信長家康

秀吉

370 thousand habitants650 bedsRegional centre1,300 daily outpatients

Timeline of implementation・ FY 2005

Radiology SWF,PIR,CPILabo SWF,LIR

・ FY 2006Renewal of CT and US

・ FY 2007Radiology (Regional cooperation) PDIVirtual on-line reservation system 　 ATNARenewal of intervention imaging systemCardioloy PIRIntegration of patient care monitors and nursing system

・ FY 2008Administrative management system

・ FY 2009 and later (planned)Extension of regional cooperation XDSRenewal of MR

Integration over 15 companies and 44 departments based on EHR＜

Dialysis日機装（株）

Pharmacy（株）ユヤマ

Food Supply Nutrition System（株）グリーム

ADT

Nurse assistance

Nurses’ shift assistance

EHR system Radiology Laboratory

Ophtalmology（株）トプコン

SPD system京丸善ｾﾗ

（株）ｼｽﾃﾑｲﾝﾃｸﾞﾚｰｼｮﾝ

ECG System日本光電（株）

Test tube preparation

( 株 ) 日立情報制御ｿﾘｭｰｼｮﾝｽﾞDrug Information

（株）スズケン

Endoscpyオリンパス（株）

Lung Functionフクダ電子（株）

System Overview(as of January 2006)

MFER(ECG)

EHR Radiology/Physiology

PACS

Images WS

Image WS

Ordered Information

Images

情報連携の共通化（ワークフローの共通化）

モダリティ→モダリティ→　仕様書の共通化　仕様書の共通化

MFER(ECG)

Arrival of unknown patient

EHR Radiology/Phisiology

Registered as Mr. Ambulance 1

PHILIPS

Reconcilliation after exam.

EHR

Radiology /Physiology

Immediate one-stop correction to the patient’s real

name

医事システム

Dept. of Nutrition

Ophtalmology

Dialysis

Food Supply

PharmacyEHR

PACS

Labo system

Radiology/ Physiology

Images(movies)

CommonCommon 仕様書仕様書 over depts.over depts.

○ オーダあり

◇ 実施済み

▲ 画像到着

● レポート到着

取得画像表示プリント

画像提供： David Clunie

• GSPS– LUT,Shutter,Area,Annotation,Transformation

• GSDF　　 ---JIRJESRA X-0093-2005

(http://www.jiranet.or.jp/commission/system/04_information/files/JESRAX-0093.pdf)

– Managed Monitors• ２ M- Colour LCD monitor １１４ sets ）• ２ M-Monocolour LCD monitor （４９ sets ）• ３ M-Monocolour LCDmonitor （３３ sets ）• ５ M-Monocolour LCDmonitor （２ sets ）• ５Ｍ -Monocolour ＣＲＴ monitor ２　 sets ）

total 　２００ sets 　

CPI（ Consistent Presentation of Image ）

Physicians in thec ity

Approx. 230 clinicsOur hospital

Off-line information sharingUsecase of PDI

(Portable Data for Imaging)

予約サーバ

VPN

EHRＬＡＮ

Our hospital

予約情報

Virtually on-line reservation Usecase of ATNA

(Audit Trail and Node Authentication)

Physicians in the city

Approx. 230 clinics

ＰＩＲのみ対応

JJ1017 Ver.3

JJ1017 Ver.3

JLAC10

ＲＩＳ／　生理検査システム

DSSDSS ／／ Order Filler Order Filler JJ1017 Ver.3

Patient registration

ADT ADT

EHR

Order Placer Order Placer Order Placer Order Placer Order Placer Order Placer

画像検査生理検査検体検査

Order ResultOrder ResultTrackerTracker

心電図システム


MFER 規格

ＰＡＣＳ



Print Server Print Server

ＩＭＡＧＥＲ

モダリティ群

Acquisition Modality Acquisition Modality

検像システム

栄養指導

眼科システム

透析システム

調剤支援

検体検査システム


AutomationAutomationManager Manager JLAC

10

ユヤマ

日機装

トプコン

グリーム

丸善

給食システム

CPI

LSWF ， LIR

PIR

SWF

SWF ， PIR ， LIR SWF ， PIR ， LIR

SWF ， PIR

SWF

SWF ， PIR

バーチャルオンライン予約

PDI

ATNA

循環器 ( 動画 ) システム



SWF ， PIR ， PDI PIR

PIR

PIR

Print Composer Print Composer


Media ImporterMedia Importer

Secure NodeSecure Node

Audit RepositoryAudit Repository

CPI


IHEImplemenation (as of April 2008)

Case of National Radiological Institute




Economical Aspect

Case of HamamatsuSaved connection expenditure

From 1000USD to 120 USD

Future Direction

-Initial Implementations of IHE have been performed successfully.

- Information integration in regions (Japanese RHIO-like direction) is a part

of governmental policy to enhance national medical system reform initiated this year

Economical Aspect 2

Case of SaitamaSaved total system integration cost

for dept. of radiology

From 1,300,000 to 500, 000 USD*

(* contains some “first implementation” effect” and other effects)

Japan Update : Success Stories Shinya Oku IHE Japan Board Member.

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Transcript of Japan Update : Success Stories Shinya Oku IHE Japan Board Member.