September, 2005What IHE Delivers 1 Building standards-based regional and national health information...

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



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


ECG Report Document


Lab Results Document Content


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


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

September, 2005What IHE Delivers 1 Building standards-based regional and national health information...

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