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IHE - Collaboration A framework for Success. Christopher Lindop, MSEE GE Healthcare Interoperability & Standards IHE Radiology Co-Chair IHE Australia Board Member. Standards: Necessary … Not Sufficient. Standards are - PowerPoint PPT Presentation
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Slide 1
IHE - Collaboration A framework for SuccessChristopher Lindop,
MSEE GE Healthcare
Interoperability &
Standards
IHE Radiology Co-Chair
IHE Australia Board Member
Slide 2
Standards: Necessary…Not Sufficient
Standards are• Foundational - to interoperability and
communications• Broad - varying interpretations and
implementations• Narrow - may not consider relationships
between standards domains• Plentiful - often redundant or disjointed• Focused - standards implementation guides
focus only on a single standard
Slide 3
Integrating the Healthcare EnterprisePromotes standards-based integration and interoperability - accelerate the rate & quality of integration
Focused on practical solutions to key user-identified integration problems•Integration Profiles•Connectathons•Demonstrations
Cooperative effort involving clinicians and professional societies, vendors and industrial associations, governments and health care organizations
Slide 4
IHE - Connecting standards to care
Care providers work with vendors to coordinate the implementation of standards to meet their needs• Care providers identify the key
interoperability problems they face• Drive industry to develop and make
available standards-based solutions• Implementers follow common guidelines in
purchasing and integrating systems that deliver these solutions
A forum for agreeing on how to implement standards and processes for
making it happen
Slide 5
IHE Organizational Structure
ACCACPHIMSSRSNA
JAHISJIRAJRSADIA
METI-MLHWMEDIS-DCJAMIHIMAA
GMSIHSFRSFILMSIA
SIRMBIREuroRecRANZCR
COCIREAR-ECRDRGHISA
ESC
Professional Societies / Sponsors Contributing &Participating
Vendors
IHE (International) Board
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Pharmacy /Medication Admin
RadiationOncology
IHE Europe
IHE North America
France
USA
Canada
IHE Asia-Oceania
Japan
Korea Taiwan
Netherlands
Spain Sweden UK
ItalyGermany
Norway
China
Australia
Regional Deployment
Slide 6
Develop technical specificationsDevelop technical specifications
Leveraging the IHE Standards Adoption Process
Public Interoperability Demonstrations
Public Interoperability Demonstrations
Deploy multi-vendor Integrated SolutionsDeploy multi-vendor Integrated Solutions Develop
Easy to integrate products
Develop Easy to integrate products
Document Use Case RequirementsDocument Use Case Requirements
Identify available standardsIdentify available standards
Testing at ConnectathonsTesting at Connectathons
Slide 7
20092009--10 10 cyclecycle
IHE Domains Milestones – 20 month cycleDevelopment and Deployment
Proposed Scope
Approved Scope
Public Comment
Sponsors announce Connect-a-thon/Demos
with set of Implementation Profiles
Final Integration Profile
Trial Implementation
Connect-a-thon/Demo Vendor Participant
Registered
Vendor Participant passed Connectathon
Demo &Education Material
Vendors release products with IHE
Integration Statements
+ 9 ---
- 10 ---
- 7 ---
- 2 ---
0 ---
+ 2 ---
+ 5 ---
+ 6 ---
---
20102010--11 11 cyclecycle
Slide 8
An integration profile …Describes actors and transactions allowing exchange
to occur
Slide 9
IHE Profiles
Query Modality Worklist [RAD -5]
ADT Order Placer
Register J.Doe
AcquisitionModality
Placer OrderManagement –New [RAD -2]
Patient Reconciliation
Department System Scheduler/
Order Filler
Schedule Procedure
Procedure Scheduled [RAD -4]
Modality Procedure Step Completed [RAD -7]J.Doe ->
J.Smith
Patient Update/Merge [RAD -12]
Modality Procedure Step Completed [RAD -7]
Patient
Registration [RAD -1]
Patient Update/
Merge [RAD -12]
Modality Procedure Step In Progress [CARD -1]
Modality Procedure Step In Progress [CARD -1]
Perform Acquisition
Filler Order Mgmt - Status Update [RAD -3]
Filler Order Mgmt - Status Update [RAD -3]
ImageManager/
PPS Manager
Filler Order Management -New [RAD -3]
One or the other methods of creating an order is used
Query Modality Worklist [RAD -5]
ADT Order Placer
Register J.Doe
AcquisitionModality
Placer OrderManagement –New [RAD -2]
Patient Reconciliation
Department System Scheduler/
Order Filler
Schedule Procedure
Procedure Scheduled [RAD -4]
Modality Procedure Step Completed [RAD -7]J.Doe ->
J.Smith
Patient Update/Merge [RAD -12]
Modality Procedure Step Completed [RAD -7]
Patient
Registration [RAD -1]
Patient Update/
Merge [RAD -12]
Modality Procedure Step In Progress [CARD -1]
Modality Procedure Step In Progress [CARD -1]
Perform Acquisition
Filler Order Mgmt - Status Update [RAD -3]
Filler Order Mgmt - Status Update [RAD -3]
ImageManager/
PPS Manager
Filler Order Management -New [RAD -3]
One or the other methods of creating an order is used
Detailed standards implementation guides
Actor/Transaction Diagrams
Sequence Diagrams
Pt. Registration [RAD-1] Patient Update [RAD-12]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Placer Order Management [RAD-2] Filler Order Management [RAD-3]
ADT
Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]
Image Display
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Procedure Scheduled [RAD-4]
Procedure Updated [RAD-13]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Order Placer
Acquisition Modality
ImageManager
ImageArchive
DSS/ Order Filler
Patient Update [RAD-12]
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Evidence Creator Modality PS in Progress [CARD-1]
Modality PS Completed [RAD-7]
Instance Availability Notification [RAD-49]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Placer Order Management [RAD-2] Filler Order Management [RAD-3]
ADT
Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]
Image Display
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Procedure Scheduled [RAD-4]
Procedure Updated [RAD-13]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Order Placer
Acquisition Modality
ImageManager
ImageArchive
DSS/ Order Filler
Patient Update [RAD-12]
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Evidence Creator Modality PS in Progress [CARD-1]
Modality PS Completed [RAD-7]
Instance Availability Notification [RAD-49]
Textual Description
Slide 10
A content profile …
A sharable information component that can be exchanged…• within a Health Information Community
(XDS)• via Media or USB Device (XDM)• via Reliable Messages (XDR)
Document content using standards• HL7 CDA Release 2.0• HL7 Care Record Summary• ASTM/HL7 Continuity of Care Document
Library of Reusable Parts
Slide 11
Integration StatementsIntegration Statements
Slide 12
ConnectathonConnectathon
Slide 13
2009 Connectathon StatusNorth American Connectathon
• February 23-27 7 • 77 companies, 126 systems• Chicago, Ill
European Connectathon• April 23-27• 73 companies, 94 systems• Vienna, Austria
Japan Connectathon• October 26-30• 40 vendors, 86 systems• Tokyo, Japan
Australia Connectathon• Sydney, AU• July 27 – 31
China Connectathon• Shanghai, China• Beijing, China May 25- May 29
Malaysia Connectathon• Kuala Lumpur 12-14 January
Slide 14
IHE in AustraliaAustralian IHE Member Organizations
Clinicians & Professional Societies
Health Informatics Society of AustraliaRoyal Australian and New Zealand College of RadiologistsHealth Information Management Association of Australia 42 Organizations worldwide
Trade Associations
Medical Software Industry AustraliaAustralian Diagnostic Imaging Association
6 organizations worldwide
Government Agencies and Public-Private Partnerships
12 Organizations worldwide
Standards Development Orgs (SDOs)
HL7 (including HL7 Australia)
6 Organizations worldwide
Vendors & consultants
Over 177 vendors and consultant firms worldwide
Australian IHE Supporters
Government Agencies and Public-Private Partnerships
NICTA
DOHA
Standards Development Orgs (SDOs)
AHML
www.ihe.netJ une - September 2009 333
IHE Organizational Structure
Contributing &Participating
Vendors
Regional Deployment
ACCACCEACEP
JAHISJIRAJRS
METI-MLHWMEDIS-DCJAMI
RSNA SFRSFIL
SIRMBIREuroRec
COCIREAR-ECRDRG
ESCMSCMDEC
Professional Societies / SponsorsACPGMSIHIMSS
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Eye CareRadiationOncology
Public Health, Quality and Research
IHE International Board
IHE Europe
IHE North America
France
USA
Canada
IHE Asia-Oceania
Japan
Korea
Taiwan
Netherlands
Spain Sweden UKItaly
Germany
Norway
China
Austria
Australia
Malaysia
Slide 15
IHE Organizational Structure
MSIA HISAHL7 Australia RANZCRADIA HIMAA
Australia Professional Societies / Sponsors Contributing &Participating
Vendors
IHE (International) Board
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Pharmacy /Medication Admin
RadiationOncology
IHE Europe
IHE North America
France
USA
Canada
IHE Asia-Oceania
Japan
Korea Taiwan
Netherlands
Spain Sweden UK
ItalyGermany
Norway
Regional Deployment
China
AustraliaPatient CareCoordination
Slide 16
IHE Profile Development : Chronic Care Coordination
Problem to be solved
To provide efficient support for planned care and follow-up in Chronic Disease Management (CDM)
In CDM, guidelines are typically embodied in a simple care plan that specifies referrals to a care team. Tracking of referral with reporting by exception on clinical issues is an efficient way to support care management.
Existing care planning and management systems are already implementing this functionality and would benefit from a standardised approach
Slide 17 33
Profile Development CycleProfile Development Cycle
SydneyIHE Australia
Supplement Development Workshop
Dec 9-10
AustraliaIHE Australia – ConnectathonTBD
WebRelease Trial Implementation SupplementsMay 2010
TeleconferenceTechnical Committee
Reconcile Public Comment Supplements
Mar/April 2010
WebTechnical Committee
Publish Public Comment Supplements
Feb 2010
TeleconferencePlanning Committee
Makes Final Decision on Profiles
TBD
Technical Committee
Finalize Supplements for public comment
Technical Committee
Develop Technical Framework Content
Technical Committee
Review Detailed Proposed Profiles
RSNA HeadquartersNov 10-11
TBDJan 2010
TeleconferenceTBD
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