Integrating%20the%20Healthcare%20Enterprise

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Integrating the Healthcare Enterprise

• Stephen G Davies
• Royal Glamorgan Hospital

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What is IHE?

• It is an initiative promoting and supporting the
  integration of IT systems in the healthcare
  enterprise.
• Integration Goal Improve the efficiency and
  effectiveness of clinical practice by
• Improved Information Flow
• Advanced Multi-System Functions

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Is IHE another term for EPR?

• It provides a framework for systems integration
  which will assist the development of the EPR
• Currently limited to radiology

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What is IHE?

• Currently we have
• DICOM to exchange imaging data
• HL7 to exchange order and lab results data
• IHE aims to facilitate the integration of data
  between systems
• IHE defines the use of subsets of DICOM and HL7
  standards it is not a standard itself

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How does this help?

• Improves integration and interoperability
• Integration disparate systems share info.
  reducing multiple data entry
• Interoperability two systems can carry out a
  task effectively e.g. both systems have two
  fields for first and second name
• Simplifies workflow
• Purchasers and vendors have confidence that
  systems will work together

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IHE Integration Profiles

• Integration profile integrated work flow process

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Scheduled Workflow Profile
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IHE Documentation

• IHE Technical framework
• IHE Scenarios
• IHE Technical implementation guide
• Provides a guide to buyers and implementers of IT
  systems to explain the IHE documents
• Facilitates specification in the procurement
  process
• Resources
• www.rsna/IHE
• www.IHE-uk.org

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The structure of IHE

• Joint initiative RSNA and HIMMS based on success
  of DICOM and recognising the need to look wider
  than radiology
• Year 4 national profiles for IHE
• IHE in the UK

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IHE Scenarios and UK Clinical Radiology

• Working party including practising radiologists
  and radiographers
• RCR guidance
• IRMER
• Generic approach rather than reflecting every
  local variation
• Terminology still in IHE speak

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IHE the future

• UK initiative consolidated
• UK-IHE
• UK IHE Demonstration at UKRC 2003 planned
• More integration profiles
• More countries involved
• Outside radiology
• Framework for EPR

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Thank you
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