IHE-J 2005の概要＋αPresentation of Images Manage, retrieve & use objects for hardcopy and softcopy grayscale presentation states Key Image Notes Create, store, manage, retrieve

IHEIHE--J 2005J 2005の概要＋の概要＋αα

吉村　仁　吉村　仁　IHEIHE--J J 技術検討委員会技術検討委員会

22005/9/9 IHE-J2005ベンダワークショップ　概要

IHEIHE--J2005 J2005 ベンダーワークショップベンダーワークショップ

•• ９月８日（今日）９月８日（今日）–– IHEIHEおよびおよびIHEIHE--JJ

•• オリエンテーション、オリエンテーション、IHEIHE--J2005J2005概要概要•• IHEIHE入門入門•• IHEIHEに期待することに期待すること

–– コネクタソン、コネクタソン、MESAMESA、今後のスケジュール、今後のスケジュール

–– テクニカルフレームワーク解説テクニカルフレームワーク解説•• 臨床検査部門臨床検査部門•• 放射線部門放射線部門 PDIPDI•• ITITインフラストラクチャーインフラストラクチャー

•• ９月９日（明日）９月９日（明日）–– テクニカルフレームワーク解説テクニカルフレームワーク解説

•• 放射線部門　ワークフロー系、コンテンツ系、レポート系、放射線部門　ワークフロー系、コンテンツ系、レポート系、CPICPI•• 循環器部門循環器部門

–– 日本版拡張の解説日本版拡張の解説•• JAHISJAHISデータ交換規約データ交換規約•• JJ1017 V3.0JJ1017 V3.0


IHEIHE--J 2005 J 2005 の対象ドメインの対象ドメイン

•• RadiologyRadiology（放射線部門）（放射線部門）

–– １４統合プロファイル１４統合プロファイル

•• LaboratoryLaboratory（臨床検査部門）（臨床検査部門）

–– 55 統合プロファイル統合プロファイル

•• IT InfrastructureIT Infrastructure（（ITITインフラ）インフラ）

–– １３１３統合プロファイル統合プロファイル

•• CardiologyCardiology（循環器部門）（循環器部門）

–– ５５統合プロファイル統合プロファイル


Patient Information Reconciliat

ion

Reconcileworklists, status,

and data objects for unknown

patients and demographics

changes

Access to Radiology Information - Consistent access to images and reports

Consistent Presentation

of ImagesManage, retrieve &

use objects for hardcopy and

softcopy grayscale presentation states

Key Image Notes

Create, store, manage, retrieve & use objects to flag significant

images

Simple Image and Numeric

ReportsManage simple

diagnostic reports with

optional images, measurements

Scheduled Workflow

Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for

viewing & reporting

Charge Posting

Collect and post timely billable

procedure details

ITI ATNA – Radiology Option (Replaces Basic Security)

Reporting Workflow

Manageworklists, track status, perform

& notify diagnostic

reporting steps

Evidence Documents

Manage, retrieve & use

objects to record study

evidence

Manageworklists, track status, perform & notify image processing & CAD steps

Post-Processing Workflow

Manageworklists, track status, perform

& notify acquisition

related step,

create, store,

manage, retrieve &

use images

NM Image

Create, store, manage,

retrieve & use NM image

objects

Portable Data for Imaging - Consistent access to images and reports on CD Media

Admit, Order, Schedule

Teaching Files & Clinical

Trials Export

放射線部門の統合プロファイル放射線部門の統合プロファイル

XDS for Imaging - Sharing of Imaging Information across health enterprises

NEWNEW

NEWNEW

ModifiedModified


臨床検査部門の統合プロファイル臨床検査部門の統合プロファイル

•• ５つのプロファイル５つのプロファイル

–– Laboratory Scheduled Workflow (LSWF)Laboratory Scheduled Workflow (LSWF)–– Laboratory Information Reconciliation (LIR)Laboratory Information Reconciliation (LIR)–– Laboratory Point Of Care Testing (LPOCT)Laboratory Point Of Care Testing (LPOCT)–– Laboratory Device Automation (LDA)Laboratory Device Automation (LDA)–– Laboratory Code Set Distribution (LCSD)Laboratory Code Set Distribution (LCSD)


ITITインフラストラクチャの統合プロファイルインフラストラクチャの統合プロファイル

Notification of Document Availability

(NAV)

Patient Administration Management

(PAM)Document

Digital Signature

Cross-Enterprise User Authentication

（XUA)

Personnel White Pages (PWP)

Patient Demographics Query (PDQ)

Audit Trail and Node Authentication Profile (ATNA)

Cross-EnterpriseDocument Sharing

(XDS)

RIDRID PSAPSA EUAEUA

CTCTPIXPIX


循環器部門の統合プロファイル循環器部門の統合プロファイル


IHE IHE の歴史の歴史 –– そのルーツはそのルーツは

•• 19821982--1992: ACR1992: ACR--NEMA Image StandardsNEMA Image Standards–– Despite ten years of developments, standards Despite ten years of developments, standards

were not widely implementedwere not widely implemented

•• 1992: Birth of DICOM marked with public 1992: Birth of DICOM marked with public demonstration at RSNA annual meetingdemonstration at RSNA annual meeting–– Galvanizes imaging community and industry Galvanizes imaging community and industry

support of standardsupport of standard


DICOM DICOM デモデモ, RSNA , RSNA ‘‘9292


DICOM DICOM デモンストレーションの結果デモンストレーションの結果

•• Prove that public demonstrations can drive Prove that public demonstrations can drive adoption of standardsadoption of standards

•• Establish an alliance between medical Establish an alliance between medical professionals, research community and professionals, research community and industryindustry

•• Set precedent for substantive cooperation Set precedent for substantive cooperation on standards adoptionon standards adoption–– ConnectathonConnectathon, Central Test Node, Central Test Node


画像だけでは十分ではない画像だけでは十分ではない

•• Several years of DICOM demonstrations help Several years of DICOM demonstrations help make it worldwide imaging standardmake it worldwide imaging standard

•• MidMid--1990s: awareness grows that exchanging 1990s: awareness grows that exchanging images is not enoughimages is not enough

•• Need to manage patient information effectively, Need to manage patient information effectively, streamline workflows, provide access to prior streamline workflows, provide access to prior studies, etc.studies, etc.

•• Need to exchange information effectively Need to exchange information effectively throughout the enterprisethroughout the enterprise


標準規格の動き標準規格の動き

•• DICOM adding workflow services (MWL, DICOM adding workflow services (MWL, MPPS), new objects (SR)MPPS), new objects (SR)

•• HL7 releasing successive 2.x versionsHL7 releasing successive 2.x versions•• Coalitions to implement: Andover Working Coalitions to implement: Andover Working

Group, Group, CorbaMedCorbaMed•• Adoption spotty, inconsistentAdoption spotty, inconsistent•• Cost of integration high, expectations of Cost of integration high, expectations of

success lowsuccess low


19971997--1998: 1998: なにをすべきかなにをすべきか

•• RSNA calls together industry and SDO RSNA calls together industry and SDO leaders for a series of meetings to try to leaders for a series of meetings to try to establish momentum and directionestablish momentum and direction

•• Limited success in getting a coalition to Limited success in getting a coalition to stick: Too big a problem to get arms stick: Too big a problem to get arms around?around?


““SkyBirdSkyBird”” MeetingsMeetings


IHE IHE のはじまりのはじまり

•• Alliance formed between RSNA and HIMSSAlliance formed between RSNA and HIMSS–– Work together toward coordinated Work together toward coordinated

implementation of standards in our domainsimplementation of standards in our domains–– Text and images working togetherText and images working together

•• 33--5 year project5 year project–– Develop specs for demonstrations and put in Develop specs for demonstrations and put in

public domainpublic domain


IHE Comes TogetherIHE Comes Together

•• Oct. Oct. ‘‘98: Discussion gels into industry 98: Discussion gels into industry committee to prepare spec for democommittee to prepare spec for demo–– Start planning forStart planning for ConnectathonConnectathon in Oct. in Oct. ‘‘99 99

and Demos at RSNA and Demos at RSNA ‘‘99 and HIMSS 200099 and HIMSS 2000–– Demonstration to show what could be done Demonstration to show what could be done

with established standardswith established standards–– Begin by agreeing upon process steps in a Begin by agreeing upon process steps in a

typical patient encountertypical patient encounter


IHE Comes TogetherIHE Comes Together


最初の最初のIHEIHEデモンストレーションデモンストレーション

•• Based on one protoBased on one proto--Integration Profile: Integration Profile: Radiology Scheduled WorkflowRadiology Scheduled Workflow

•• 24 vendors demonstrating 47 systems24 vendors demonstrating 47 systems•• Oct. Oct. ’’99 first99 first ConnectathonConnectathon•• RSNA RSNA ’’99 first IHE demo99 first IHE demo


デモンストレーションデモンストレーション RSNA RSNA ‘‘9999


最初の統合プロファイル最初の統合プロファイル→→SWFSWF


IHE IHE の成長の成長

•• ParticipationParticipation–– Year 1: 24 vendors, 47 systemsYear 1: 24 vendors, 47 systems–– Year 2: 33 vendors, 68 systems . . . Year 2: 33 vendors, 68 systems . . . –– Year 6: 43 vendors, 110 systemsYear 6: 43 vendors, 110 systems

•• Technical ScopeTechnical Scope–– Year 1: One Integration ProfileYear 1: One Integration Profile–– Year 2: Seven Integration ProfilesYear 2: Seven Integration Profiles–– Year 6: 36 Integration ProfilesYear 6: 36 Integration Profiles



DO

MA

INS

REGIONSRADIOLOGY: 1998

IT INFRASTRUCTURE: 2002

LABORATORY: 2003

CARDIOLOGY: 2004

NUCLEAR MEDICINE: 2004

EYECARE: 2005

RADIATION ONCOLOGY: 2005

PATIENT CARE COORD: 2005



REGIONSNorth

America1998

Canada

Europe 2000

France

Italy

Norway

Spain

Nether-lands

UK

Asia-Oceania

2001

Japan

KoreaTaiwan

China


HIMSS 2005HIMSS 2005


IHEIHEの組織構造の組織構造

IHE Europe

IHE North America

France

USA Canada

IHE Asia-Oceania

Japan

KoreaTaiwan

Netherlands Spain Sweden

UKItalyGermany

Norway

Regional Deployment

RadiologyPlanning Committee

RadiologyTechnical Committee

IT InfrastructurePlanning Committee

IT InfrastructureTechnical Committee

Global Development

CardiologyPlanning Committee

CardiologyTechnical Committee

LaboratoryPlanning and Technical

Committee

IHE (International) Strategic Development Committee

PCCPlanning and Technical

Committee

ACCHIMSSRSNA

JAHISJIRAJRS

METI-MLHWMEDIS-DCJAMI

GMSIHSFRSFIL

SIRMBIREuroRec

COCIREAR-ECRDRG

ESCProfessional Societies / SponsorsProfessional Societies / Sponsors Contributing and participatingContributing and participating

VendorsVendors


IHEIHE--J 2005 J 2005 の日程の日程

•• 9/8,99/8,9 ベンダワークショップベンダワークショップ

•• 9/209/20 米米MESAMESAツールリリースツールリリース

•• 10/1510/15 申し込み締め切り申し込み締め切り

•• 11/?11/? 日本版日本版MESAMESA？ツールリリース？ツールリリース

•• 11/1611/16 参加ベンダワークショップ参加ベンダワークショップ

•• 12/2512/25 MESAMESAログ提出締め切りログ提出締め切り

•• 1/30~2/31/30~2/3 コネクタソン（場所未定）コネクタソン（場所未定）

•• 4/4/ JRC2006 JRC2006 デモンストレーションデモンストレーション


W W W . I H E . N E TW W W . I H E . N E T

Providers and VendorsProviders and VendorsWorking Together to DeliverWorking Together to Deliver

Interoperable Health Information SystemsInteroperable Health Information Systemsin the Enterprisein the Enterprise

and Across Care Settingsand Across Care Settings

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