1September, 2005 What IHE Delivers

Purchasing & IntegratingPurchasing & IntegratingRadiology SystemsRadiology Systems

Using IHE: Using IHE:

A Tutorial & A Real-world CaseA Tutorial & A Real-world Case

Kevin O’Donnell, Cor Loef, John Paganini,Kevin O’Donnell, Cor Loef, John Paganini,Chris Lindop, Christoph DickmannChris Lindop, Christoph Dickmann

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IIntegrating the ntegrating the HHealthcare ealthcare EEnterprisenterprise

IHE facilitates integrating systems for efficient, accurateIHE facilitates integrating systems for efficient, accuratepatient carepatient care

Systems that support IHE Integration Profiles:Systems that support IHE Integration Profiles: communicate better & integrate more easily communicate better & integrate more easily provide more complete and accurate informationprovide more complete and accurate information better support care providers workflow better support care providers workflow

Each IHE ProfileEach IHE Profile describes a clinical information need or workflow scenariodescribes a clinical information need or workflow scenario documents how to use standards (e.g. HL7, DICOM, ...) to accomplish itdocuments how to use standards (e.g. HL7, DICOM, ...) to accomplish it

Systems that implement the same Profile address a need in a mutually Systems that implement the same Profile address a need in a mutually compatible waycompatible way

Hundreds of products support one or more IHE Radiology Profiles. Hundreds of products support one or more IHE Radiology Profiles.

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Your Three Step ProgramYour Three Step Program

Select Specific IHE ProfilesSelect Specific IHE Profiles

List those Profiles in your RFPList those Profiles in your RFP

Check Vendors IHE Integration StatementsCheck Vendors IHE Integration Statements

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Selecting IHE ProfilesSelecting IHE Profiles

Review the Profiles :Review the Profiles :

What they doWhat they do

Benefits for your situationBenefits for your situation

Some Helpful Resources:Some Helpful Resources:

IHE User’s Handbook - RadiologyIHE User’s Handbook - Radiology

RSNA DemonstrationsRSNA Demonstrations

Educational Material (e.g. Workshop Presentations)Educational Material (e.g. Workshop Presentations)

IHE Technical Framework – RadiologyIHE Technical Framework – Radiology

Connectathon ResultsConnectathon Results

www.ihe.net

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RFPsRFPs

Be Brief?Be Brief? ““The system must support DICOM”The system must support DICOM”

Be Effective?Be Effective? ““The system must support the following DICOM services The system must support the following DICOM services

according to the following 100 pages of specifications: …”according to the following 100 pages of specifications: …”

Be Both:Be Both: ““The system must support the IHE Scheduled Workflow The system must support the IHE Scheduled Workflow

Profile as the Acquisition Modality actor.”Profile as the Acquisition Modality actor.”

Vendor IHE Integration StatementsVendor IHE Integration Statements Version 2.1 of the CardioCT 5000 supports IHE Scheduled Version 2.1 of the CardioCT 5000 supports IHE Scheduled

Workflow as an Acquisition ModalityWorkflow as an Acquisition Modality

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IHE Integration StatementsIHE Integration Statements

Explicit claim by the vendor,Explicit claim by the vendor, for a specific product version for a specific product version

Lists profiles, actors, optionsLists profiles, actors, options

Short & SweetShort & Sweet

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IHE Integration Statement Date: 03/10/2006

Vendor Product Name Version

Acme Medical Systems PACS-o-Matic V3.9

This product implements all transactions required to support the IHE Integration Profiles, Actors and Options listed below:

Integration Profiles Implemented Actors Implemented Options Implemented

Scheduled Workflow Image Manager / Archive .

PPS Exception Management

Patient Information Reconciliation Image Manager / Archive .

None

Consistent Presentation of Images Image Manager / Archive Image Display

None

Portable Data for Imaging Media Creator Media Importer

None

Audit Trail and Node Authentication Audit Record Repository None

Internet address for vendor's IHE information : http://www.acme-medical.com/IHE

Links to Standards Conformance Statements for the implementation

Dicom: http://www.acme-medical.com/DICOM

Health Level 7: http://www.acme-medical.com/HL7

Links to general information on IHE

In North America : http://www.ihe.net

In Europe : http://www.ihe-europe.org

In Japan : http://www.jira-net.or.jp/ihe-j

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Let’s look at an ExampleLet’s look at an Example

From the From the IHE Radiology User’s HandbookIHE Radiology User’s Handbook

Suppose you’re buying a modality (Suppose you’re buying a modality (Chapter 1Chapter 1))

Suppose your integration plan has identified two key targets:Suppose your integration plan has identified two key targets: Reducing/Preventing ErrorsReducing/Preventing Errors Improving Throughput/TurnaroundImproving Throughput/Turnaround

Reviewing the Profile Benefits (Reviewing the Profile Benefits (Section 1.1.1Section 1.1.1):): Scheduled Workflow Profile has a significant impact on both targets:Scheduled Workflow Profile has a significant impact on both targets:

Prevents manual data entry errors & also saves time at the modality console by Prevents manual data entry errors & also saves time at the modality console by downloading patient demographics and study details from the RIS (MWL)downloading patient demographics and study details from the RIS (MWL)

Prevents lost studies and time wasted re-scanning by confirming PACS receipt of images to avoid accidental deletion;

And saves time spent doing it manually by doing it automatically and electronically (Storage Commitment)

Reduces missing or irrelevant priors by storing a full set of accurate patient and study identifiers and details in each study object (Store)

Reduces delays in the review/reporting process by notifying the RIS of exams in progress and completed (MPPS)

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imagesstored

patientinformation

RIS

examination orders

imagesretrieved

HIS

PACS

procedurescheduled

Prefetch any relevantprior studies

modalityworklist

report

report

IHE Scheduled Workflow ProfileIHE Scheduled Workflow Profile

Registration

Orders Placed

Orders Filled

Film

FilmFolder

Image Manager& Archive

FilmLightbox

report ReportRepository

DiagnosticWorkstation

Modality

acquisitionacquisitionin-progressin-progressacquisitioncompleted

acquisitioncompleted

imagesprinted

AcquisitionModality

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Using IHEUsing IHE

You present IHE as an integration priority to your You present IHE as an integration priority to your vendors. A Business goal ! vendors. A Business goal !

You specify appropriate Profiles, Actors, Options in You specify appropriate Profiles, Actors, Options in your RFPyour RFP ““The system must support the IHE Scheduled Workflow Profile The system must support the IHE Scheduled Workflow Profile

as the Acquisition Modality actor and support the Exception as the Acquisition Modality actor and support the Exception Management Option.”Management Option.”

You request Integration Statements from your You request Integration Statements from your vendorsvendors

You plan acceptance testing (You plan acceptance testing (Section 1.2.2Section 1.2.2))

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Dealing with LegacyDealing with Legacy

Prepare to identify and address any legacy system Prepare to identify and address any legacy system issues (issues (Section 1.2.4Section 1.2.4))

Maximum benefit when all systems are IHEMaximum benefit when all systems are IHE Most of you will have some non-compliant devices and systemsMost of you will have some non-compliant devices and systems Make best effort to bring them “up-to-date”Make best effort to bring them “up-to-date”

Incremental usage of IHE provides incremental benefitIncremental usage of IHE provides incremental benefit It’s just clean DICOM and HL7It’s just clean DICOM and HL7

Get on the Yellow Brick Road...Get on the Yellow Brick Road... No sense buying No sense buying NewNew legacy equipment legacy equipment

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First StepsFirst Steps

Visit IHE Profile DemonstrationsVisit IHE Profile Demonstrations Cross-Enterprise Document Sharing for Imaging [XDS-I]Cross-Enterprise Document Sharing for Imaging [XDS-I] Teaching File & Clinical Trial Export [TCE]Teaching File & Clinical Trial Export [TCE] Here in Inforad and in participating Vendor BoothsHere in Inforad and in participating Vendor Booths Interoperability Showcase at HIMSS 2007Interoperability Showcase at HIMSS 2007

Visit Visit www.ihe.netwww.ihe.net - start learning about Profiles- start learning about Profiles

Talk about an IHE strategy with your CIO / IT staff, Talk about an IHE strategy with your CIO / IT staff, and with your vendorsand with your vendors

Now, lets look at a Real-world ExperienceNow, lets look at a Real-world Experience

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