Jonathan L. Elion MD, FACC

Co-Chair, IHE Cardiology Planning Committee

Future Integration ProfilesFuture Integration Profiles(Cardiology)(Cardiology)

June 28-29, 2005 IHE Interoperability Worshop2

Cardiology – 5 Year RoadmapCardiology – 5 Year Roadmap

Year 1(2005)

Year 2(2006)

Year 3(2007)

Year 4(2008)

Year 5(2009)

Cath

Echo

ECG

Nuclear

EP

Ca

rdio

log

y T

ec

hn

ica

l Fra

me

wo

rk

Quality

General

Multi-modality workflow & imaging

Measurements &evidence

Procedure log,coded reports

Supplies, inventory,& charge capture

Workflow & imaging,stress protocols

Measurements

Retrieve ECGfor display

ECG/Stress/Holterorders

Workflow & stress protocols

Multi-modality labworkflow & reporting

Home healthmonitoring

Retrieve guidelinesfor display

Retrieve structuredguidelines

Registry dataharvesting

Reporting & reportdistribution

Precision timesynchronization

Implantable device parameters & events

PediatricCoded reports

ECG waveform interoperability

Stress testing workflow

June 28-29, 2005 IHE Interoperability Worshop3

Cardiac CatheterizationCardiac Catheterization

• Year 3 (2007): Procedure Log (structured data) Coded Reports (structured data)

• Year 4 (2008): Supplies, inventory, charge capture

• Year 5 (2009): Precision time synchronization

June 28-29, 2005 IHE Interoperability Worshop4

Stress TestingStress Testing

Stress Monitor System

Treadmill ECG Images

ExerciseAutomated w/ optional

manualAlways Always Optional

Pharma-cologic

Manual Rarely Usually Optional

June 28-29, 2005 IHE Interoperability Worshop5

Stress TestingStress Testing

Stress Monitor System

Treadmill ECG Images

ExerciseAutomated w/ optional

manualAlways Always Optional

Pharma-cologic

Manual Rarely Usually Optional

June 28-29, 2005 IHE Interoperability Worshop6

ECGECG

• Year 3 (2007): Stress Testing Workflow, Evidence and Reporting

• Year 4 (2008): ECG, Stress, Holter orders

• Year 5 (2009): ECG Waveform Interoperability

June 28-29, 2005 IHE Interoperability Worshop7

EchocardiographyEchocardiography

• Year 3 (2007): Coded Reports (structured data) Stress Echocardiography

• Year 4 (2008): Pediatric procedures and reporting (has implications for cardiac

catheterization as well

June 28-29, 2005 IHE Interoperability Worshop8

NuclearNuclear

• Year 3 (2007): Workflow Stress

June 28-29, 2005 IHE Interoperability Worshop9

ElectrophysiologyElectrophysiology

• Year 3 (2007): Multi-modality lab workflow Reporting

• Year 4 (2008): Implantable device parameters and events

• Year 5 (2009): Home monitoring

June 28-29, 2005 IHE Interoperability Worshop10

QualityQuality

• Year 3 (2007): Retrieve guidelines for display

• Year 4 (2008): Registry data harvesting

• Year 5 (2009): Retrieve structured guidelines

June 28-29, 2005 IHE Interoperability Worshop11

More information….More information….

• IHE Web site: http://www.ihe.nethttp://www.himss.org/IHE http://www.rsna.org/IHEhttp://www.acc.org/quality/ihe.htm

• Technical Frameworks• Technical Framework Supplements – Trial Implementation• Non-Technical Brochures :

– Calls for Participation– IHE Fact Sheet and FAQ– IHE Integration Profiles: Guidelines for Buyers– IHE Connect-a-thon Results– Vendor Products Integration Statements

Questions?

Questions?

June 28-29, 2005 IHE Interoperability Worshop12

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

Providers and VendorsWorking Together to Deliver

Interoperable Health Information SystemsIn the Enterprise

and Across Care Settings