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Charles Parisot, Charles Parisot, GE Healthcare GE Healthcare
IHE IT Infrastructure Planning Committee Co-chairIHE IT Infrastructure Planning Committee Co-chair
IHE Update to DICOMIHE Update to DICOM
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Electronic Health Record
Cardiology
Laboratory
Radiology
Oncology
Future
Domains
IHE
IT Infrastructure
16 Integration Profiles
5 Integration Profiles
7 Integration Profiles
1177 IInntteeggrraattiioonn PPrrooffiilleess
Patient Care Coordination
5 Integration Profiles
Patient Care
Devices
Pathology
Eye Care
3 Integration Profiles
2 Integration Profiles
IHE 2006 – Nine Active Domains IHE 2006 – Nine Active Domains
Over 200 vendors involved world-wide,Over 200 vendors involved world-wide, 7 Technical Frameworks7 Technical Frameworks56 Integration Profiles, Testing at Connectathons56 Integration Profiles, Testing at ConnectathonsDemonstrations at major conferences world-wideDemonstrations at major conferences world-wide
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Retrieve Information for Display
Access a patient’s clinical information and documents in a format ready to be presented
to the requesting user
Laboratory Scheduled Workflow
Admit, Discharge, Transfer a patient, order lab tests, collect
specimen, perform tests, report results.
IHE Laboratory Integration Profiles IHE Laboratory Integration Profiles
Provide users a single nameand
centralized authentication process
across all systems
Point of Care Testing
Extend laboratory testing with bedside testing devices
Patient Synchronized Applications
Coordinated Order & Results Code Sets Mgt
Laboratory Code Set Distribution
Provide users a single nameand
centralized authentication process
across all systems
Laboratory Information Reconciliation
Updates resulting from unidentified or
misidentified Patient
Lab Analyzer Management
Extend laboratory testing with intra-lab testing devices
Patient Synchronized Applications
Document to capture a structured lab report for historical access
Cross-Enterprise Lab Reports Sharing
New
Laboratory Tests Terminology New
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Patient Care CoordinationPatient Care CoordinationSharing of Medical SummarySharing of Medical Summary
What is a Medical Summary ?
Summary of Care Provided to a Patient, part of :• Summary of Episode• Discharge Summary• Transfer Summary
Documents the health status of a patient a point in time
Includes information such as:• Problems• Meds• Allergies• Plus, past procedures, history, etc.
Leverages Standards: HL7 CDA rel 2
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Patient Care CoordinationPatient Care CoordinationMedical Summary (XDS-MS)
Summary of Care Provided to a Patient, part of a Summary of Episode, Discharge Summary, Transfer Summary
Documents the health status of a patient a point in time
Includes information such as:• Problems, Meds, Allergies, Plus, past procedures, history, etc.
Basic Patient Privacy Consents (BPPC)
Emergency Department Referral (EDR)
Exchange of Personal Health Record Content (XPHR)
Pre-procedure History and Physical (PPHP)
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Patient Care DevicesPatient Care Devices
Device Enterprise Communication (DCE)Supports consistent communication of vendor independent, multi-modality Patient Care Device data to Enterprise Applications using consistent semantics. Allow applications to filter particular PCD data of interest.
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Eye CareEye Care
Eye Care Workflow (EYECARE),
Charge Posting (CHG)
Eye Care Evidence Documents (ECED)
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IHE Cardiology Integration ProfilesIHE Cardiology Integration Profiles
Cath WorkflowManage multi-modality
synchronized procedure from admission to lab discharge
including unidentified patients
Echo Workflow
Manage echocardiography workflow
Retrieve ECG for Display
Distribute ECGs, including waveforms, measurements, and
interpretation, for enterprise-wide display
Displayable ReportsCreate, finalize, archive,
and distribute reportsready for display
Stress Testing Workflow
Urgent Implementable Device Identification
Query on patient demographics for cardiac
device info
New
New
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IHE IT Infrastructure 2005-2006IHE IT Infrastructure 2005-2006
Enterprise User Authentication
Single user logon& centralized authentication
Patient Identifier Cross-referencing for MPI
Map patient identifiers across independent identification
domains
Patient Synchronized Applications
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
Personnel White PageAccess to workforcecontact information
Cross-Enterprise Document Sharing
Registration, distribution and access across health enterprises of clinical
documents forming a patient electronic health record
Retrieve Information for Display
Document Digital Signatures
Notification of Document Availability
Patient Administration Management
Capture data in an application for external secondary use
Retrieve Form for Data Capture
Cross-entrpse reliable pt-pt interchange
Cross-entrpse media interchange
New
New
NewScanned Document
New
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IHE Radiology, what’s newIHE Radiology, what’s newNuclear Medicine Image Integration Profile (NMI) with Cardiac Option
Image Fusion (FUS) Integration Profile
Import Reconciliation Workflow (IRWF) Integration Profile
Mammography Image (MAMMO) Integration Profile
Radiology Audit Trail Option (ATNA-R)
Cross-enterprise Document Sharing for Imaging (XDS-I)
Teaching File and Clinical Trial Export (TCE)
White Paper: Departmental Workflow
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IHE at RSNA 2006IHE at RSNA 2006At RSNA 2006, successful Demonstration of:
Cross-Enterprise sharing of imaging information (XDS-I)
Clinical Trial and Teaching File Export
14 Companies participated plus one regional health information network.
Held both a centralized (InfoRad) and a decentralized (exhibit showfloor).
Many XDS-I projects around the world: Canada (Toronto, Quebec, Alberta, British Columbia) USA (Philadelphia Exchange, NY tender) Japan (Nagoya Region) Netherland (Amsterdam Region) China (Shangai Region)