Panel Session: Development in the IHE Domains

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Panel Session Development in the IHE Domains

• IHE Workshop 2006
• IHE Domain Co-chairs

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IT Infrastructure

• IHE Workshop 2006
• Glen Marshall, Siemens
• Co-chair ITI Technical Committee

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IHE IT Infrastructure

• IT Infrastructure is...
• IT that enables computer applications
• Operating platforms
• Computer languages
• Computing hardware
• Networks
• IT that serves multiple applications
• Security
• Databases
• Interfaces

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IHE IT Infrastructure
Emergency Referrals
Patient Created Summaries
Patient Demographics Query
Format of the Document Content and associated
coded vocabulary
ECG Report Document
Format of the Document Content and associated
coded vocabulary
Patient Consent
Lab Results Document Content
Format of the Document Content and associated
coded vocabulary
Scanned Documents
Patient Identifier Cross-referencing
Format of the Document Content and associated
coded vocabulary
Format of the Document Content
Map patient identifiers across independent
identification domains
Cross-Enterprise Document Sharing
Support for RHIOs
Registration, distribution and access across
health enterprises of clinical documents forming
a patient electronic health record
Cross-enterpriseDocument Point-to-Point
Interchange
Media-CD/USB e-mail push
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IHE IT Infrastructure

• Profiles - Medical Information
• Document Sharing
• XDS Cross-Enterprise Document Sharing
• XDS Stored Query
• XDS-SD XDS Scanned Documents
• XDP Cross-Enterprise Document Interchange
• NAV Notification of Document Availability
• RID Retrieve Information for Display
• Patient Management
• PAM Patient Administration Management
• PDQ Patient Demographics Query
• PIX Patient Identifier Cross-referencing
• PSA Patient Synchronized Applications
• RFD Retrieve Form for Data Capture

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IHE IT Infrastructure

• Profiles - Security
• ATNA Audit Trial and Node Authentication
• CT Consistent Time
• DSG Document Digital Signature
• EUA Enterprise Use Authentication
• PWP Personnel White Pages

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Patient Care Coordination

• IHE Workshop 2006
• John Donnelly, Intepro Solutions
• Co-chair, PCC Technical Committee

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Primary Membership

• Physician Associations Colleges
• ACP, AAP, AAFP, FACEP
• EMR Other Department System Vendors
• Ambulatory, Inpatient, Emergency Dept
• PHR Vendors
• PC-based systems, Portal solutions
• Other Stakeholders in HIT
• Clinical research initiatives, Public health
  agencies

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Profile Roadmap

• Year 2005-2006 (Trial Implementation)
• Medical Summary MS Acute Care Discharge to
  PCP, PCP Referral to Specialist
• Unstructured Document CDA-wrapped pdf
• Year 2006-2007 (Development Testing)
• Medical Summary MS ED Referral EDR
• Pre-procedure HP PPHP
• Basic Patient Privacy Consents BPPC
• Exchange Personal Health Record XPHR
  
• Future (Profile Document / White Paper)
  
• Medical Summary MS Discharge to LTC
• Forms Display for Data Capture (e.g. clinical
  research)

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Domain Visibility Support

• HIMSS Annual Conference
• 2006 HIMSS RHIO Showcase 30 vendors
  exchanged XDS-MS, XDS-pdf documents
• Informational Presentations from Providers HIT
  Vendors
• ACC Annual Conference
• 2006 ACC Interoperability Showcase vendors
  exchanged XDS-pdf documents
• Informational Presentations from HIT Vendors
• Physician Association Annual Meetings
• Informational Presentations Planned
• Real-world RHIO Participation
• NHIIN Pilot RHIOs
• Independent Community-sponsored RHIOs

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Cardiology

• IHE Workshop 2006
• Bob Baumgartner, McKesson
• Co-chair, IHE Cardiology Technical Committee

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Primary Membership Sponsors

• Physician Associations Colleges
• Primary ACC, ESC
• Specialty ASE, ASNC, HRS, SCAI, CTA
• Vendor Participation ACC Demonstrators 2006

• Leadership Level
• GE Healthcare
• Heartlab, An Agfa Company
• McKesson
• Implementer Level
• Camtronics An Emageon Company
• Cardiac Science Corporation
• Medical Informatics Engineering, Inc
• MediNotes Corporation
• Medis medical imaging systems, bv
• Philips Medical Systems

• Implementer Level (cont)
• ProSolv CardioVascular
• Siemens Medical Solutions
• Toshiba Medical Solutions
• Witt Biomedical Corporation
• Supporter Level
• Cerner Corporation
• GOODMAN Healthcare IT Solutions
• LUMEDX
• St. Jude Medical

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Profile Roadmap

• Year 2004-2006 (Final Text)
• Cath Workflow (Cath)
• Echo Workflow (Echo)
• Retrieve ECG for Display (ECG)
• Evidence Documents (ED) for Cath and Echo
• Displayable Reports (DRPT) ltltwithdrawn for
  modificationsgtgt
• Year 2006-2007 (Trial Implementation)
• Stress Test Workflow (STRESS)
• Implanted Device Cardiac Observations (IDCO)
• Nuclear Medicine (NM) Cardiology Option
• Cross Enterprise Document Sharing (XDS)
• Cross Enterprise Document Sharing Imaging
  (XDS-I)
• Cross Enterprise Document Sharing Medical
  Summary (XDS-MS)

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Profile Roadmap

• Future
• Finalize Displayable Reports (DRPT)
• Evidence Document Templates
• Stress Measurements
• Nuclear Cardiology Measurements
• Data Harvesting
• Portable Data for Imaging (PDI DVD Support)
• EP Urgent Implantable Device Cardiac
  Identification (PDQ-IDC)

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Domain Visibility Support

• ACC Annual Conference
• 2005 and 2006 ACC Interoperability Showcase
• Educational Workshops and Session
• ESC Annual Conference
• 2005 and 2006 ACC Interoperability Showcase
• Educational Workshops and Session
• Specialty Hands-On Demonstrations
• ASE 2006
• ASNC 2007 and 2008
• HRS 2007
• Additional Conference Representation
• CT Angiography
• SCAI
• Computers in Cardiology
• American College of Cardiology Administrators
  (ACCA)

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Eye Care

• IHE Workshop 2006
• Jim Riggi, Medflow, Inc.
• Co-Chair IHE Eye Care Technical Committee

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Introducing IHE Eye Care

• Targeting all eye care providers
• Ophthalmology and Optometry
• Roots in DICOM WG9 (Ophthalmology)
• OP and Stereo modules approved
• OTM and Refractive SR work items in progress
• AAO is the sponsoring organization
• Dr. Flora Lum, AAO, coordinator
• Don Van Syckle, DVS Consulting
• Planning Committee
• Mike Schmidt, Carl Zeiss Meditec
• Dr. Mark Horton, U.S. Indian Health Services
• Technical Committee co-chairs
• Jim Riggi, Medflow
• Peter Kuzmak, U.S. Dept. of Veteran Affairs

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IHE Eye Care Plan for 2006

• Informal Efforts 2005
• Participation at HIMSS IHE Showcase February
  2005
• Participation at VEHU Showcase May 2005
• AAO Showcase October 2005
• Development Schedule
• Planning Committee decision October 2005
• Issue Public Comment version March 2006
• Public Comment Due April 2006
• Issue Trial Implementation version May 2006
• Connectathon October 2006
• AAO Showcase November 2006
• Year 1 Profiles
• Eye Care Scheduled Workflow (EYECARE)
• Charge Posting (CHG)
• Eye Care Evidence Documents ECED

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IHE Eye Care Connectathon

• Open invitation to vendor community
• Week of October 9th
• RSNA headquarters, Chicago
• Prerequisite to participate in the AAO Annual
  Meeting Interoperability Showcase
• Application Contact Flora Lum, flum_at_aao.org,
  [phone]

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Laboratory

• IHE Workshop 2006

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Patient Care Devices

• IHE Workshop 2006
• Todd Cooper / Jack Harrington
• Co-chairs, PCD Technical Committee

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Primary Membership Sponsors

• Physician Associations Colleges
• ACCE
• Medical Device Vendors
• Physio Monitors, ventilators, pumps, home health
• Purchasers / Providers
• Acute care ED, ICU, OR
• Other Stakeholders in HIT
• Regulatory Public health agencies
• Over 100 PCD members in the first year!

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Profile Roadmap

• Year 0 2005 (Domain Created)
• Organizational meeting 2006-Sept in D.C.
• Charter Use Cases w/at least one regulated
  medical device
• Year 1 2006-2007 (Development Testing)
• Enterprise communication of PCD data ECPCDD
• Filter PCD Data FPCDD
• Patient Identification Association PIDA
• Content Profile Monitors, ventilators, infusion
  pumps
• Public comment starts end 2006 June
  
• Future
• PCD Plug-n-Play Interoperability
• Real-time data archiving communication
• Alarm management wireless/mobile teledevices
  !

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Domain Visibility Support

• HIMSS Annual Conference
• 2005 2006 Booth in IHE Showcase
• 2006 Showcase presentation standing room
  only
• Industry Survey
• 2005 Survey within HIMSS / IHE re. PCD
  priorities
• 2006 Survey widened to include many other
  groups
• Presentations at Conferences
• IHE PCD Presentations at conferences such as AAMI
  APSF

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Radiology

• Kevin ODonnell, Toshiba Medical Systems
  Co-chair, IHE Radiology Planning Cmte

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IHE Radiology

• Scope
• Radiology including Nuclear Medicine, Mammography
• Vendors
• Acquisition Modalities, RIS, PACS, Workstations,
  Displays, Printers
• Established 1998 (first IHE domain)
• Sponsor RSNA
• Supporters COCIR, DRG, EAR, ECR, EuroPACS,
  GMSIH, JIRA, JAHIS, JRS, JSRT, METI, MEDIS-DC,
  SFR, SIRM

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IHE Radiology - Deployment

• In active use
• Robust Vendor Participation at Connectathons (78
  of 150 Systems in Chicago)
• Over 200 IHE Integration Statements published
• IHE Profiles appearing in User Purchasing
  Processes
• Most implemented Profiles
• Scheduled Workflow
• Patient Information Reconciliation
• Consistent Presentation of Images
• Portable Data for Imaging

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IHE Radiology - Achievements

• Year 1998-2006
• Basic radiology workflows
• Acquisition, Post-Processing, Reporting, Teaching
  Files/Clinical Trials, CD/Hardcopy Import
• Handling imaging content
• Measurements, CAD Results, NM, Mammo, Fusion,
  Presentation States, Reports, Key Image Notes
• Distribution of imaging information
• on CDs, to EHRs, keeping Audit Trails

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IHE Radiology Recent Direction

• Facilitate deployment of IHE Profiles in the
  Market
• Users Handbook (2005 Edition)
• PDI Demo at RSNA 2005
• XDS-I Demo at RSNA 2006
• Expand focus to integration and workflow spanning
  departments/enterprises/regions
• XDS-I
• Importation Workflow
• Expand support for specialties
• Address NM, Mammography and others
• Planning/Roadmap Discussions underway

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IHE Radiology Users Handbook

• Using IHE for purchasers, system integrators
  users
• Real-world scenarios acquiring a modality, RIS
  or PACS
• Selecting IHE Profiles Making the Business Case
• Based on goals (e.g. reducing errors increasing
  throughput)
• Identify Profiles that contribute to each goal
• Find products that support those Profiles
• Specify Profiles in an RFP
• Installing Operating IHE Systems
• Leverage electronic workflows
• Install Configure the systems
• Do Acceptance Testing
• Interface with non-IHE systems

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Radiation Oncology

• IHE Workshop 2006
• Keith La Plain, Varian Medical Systems
• Co-Chair, IHE-RO Planning Committee

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Primary Membership Sponsors

• Radiation Oncology Vendors
• Delivery Devices Linacs, Cobalt, Brachytherapy
• Simulators
• Treatment Planning Systems
• Oncology Information Systems
• Physician Associations Colleges
• ASTRO
• AAPM (American Association of Physicists in
  Medicine)
• ATC (Advanced Technology Consortium)

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Profile Roadmap

• Year 2005-2006 (Initial Implementation)
• Image Set Contouring
• Storage Retrieval
• Structure Set
• Geometric Plan
• Dosimetric Plan
• Dose
• Multi Series Image Review
• Combined CT Storage
• Year 2006-2007
• RT Plan enlarging scope of objects wedges,
  arcs
• Scheduling of Treatment Delivery - GPWL
• Fusion (Multi-modality)
• Query / Retrieve
• Future
• Further RT Plan enlargement
• 4D Support for gating, breath-hold, adaptive
  therapy

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Domain Visibility Support

• ASTRO Annual Conference
• 2006 ASTRO Inaugural IHE-RO Showcase
• Other Potential Conferences
• AAPM
• HIMSS
• RSNA

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Questions?