Скачать презентацию Integrating the Healthcare Enterprise The IHE Initiative Worldwide Скачать презентацию Integrating the Healthcare Enterprise The IHE Initiative Worldwide

52a7db8bc992b79c89d38ae1ba0f3462.ppt

  • Количество слайдов: 118

Integrating the Healthcare Enterprise The IHE Initiative Worldwide • IHE Canada • IHE China Integrating the Healthcare Enterprise The IHE Initiative Worldwide • IHE Canada • IHE China • IHE Europe • IHE Japan • IHE Taiwan • IHE USA David Heaney Prof. Jianping Dai, MD Peter Kuenecke Michio Kimura, MD, Ph. D Yuh-Show Tsai, Ph. D Didi Davis • IHE International Nikolaus Wirsz, Ph. D RSNA 2008 1 The IHE Initiative Worldwide December 3 rd, 2008

The IHE Establishment An International Program to Advance Communication & Information Sharing in Healthcare The IHE Establishment An International Program to Advance Communication & Information Sharing in Healthcare q q Patient data scattered among several systems Consolidate fragmented data to a more Comprehensive view of patient information Enable access to patient data irrespective of its origin on-site (HIS, RIS, PACS, Modalities) or off-site Variety of disparate systems loosely coupled Enable systems connectivity and the Flow of information throughout the enterprise Avoid redundant (and erroneous) data capture Improve staff efficiency & reduce cycle time of care Ensure continuity & consistency of patient data The Healthcare Enterprise HIS Vendor A RIS Vendor B PACS Vendor C Modalities Vendors X / Y / Z IHE fills in the gaps Re-usability – define a common blueprint Leverage the use of healthcare IT standards (HL 7, DICOM) IHE = Solving the Integration “Puzzle” 2 The IHE Initiative Worldwide December 3 rd, 2008

The IHE Establishment 10 Years of Steady Evolution 1998 – 2008 3 The IHE The IHE Establishment 10 Years of Steady Evolution 1998 – 2008 3 The IHE Initiative Worldwide December 3 rd, 2008

The IHE Establishment 10 Years of Steady Evolution 1998 – 2008 Radiology since 1998 The IHE Establishment 10 Years of Steady Evolution 1998 – 2008 Radiology since 1998 Cardiology since 2004 Pathology since 2006 Laying the Groundwork 1998 Laboratory since 2004 Eye Care since 2006 Quality Research & Public Health since 2006 (Healthcare) IT Infrastructure since 2003 Patient Care Devices since 2005 4 Radiation Oncology since 2004 Patient Care Coordination since 2004 The IHE Initiative Worldwide December 3 rd, 2008

IHE = Workflow the Radiology Model Unobstructed Information Flow – Process Optimization Post – IHE = Workflow the Radiology Model Unobstructed Information Flow – Process Optimization Post – Processing • Registration • Referral • Order Entry • • Interpretation / Reviewing – Reporting CAD Processing Measurements 3 D Reconstruction Hospital Information System HIS • Patient Information • Clinical Data • Order Requests Post-Processing Results Reporting Results Images Reporting Evidences • Scheduling • Tracking • Management Departmental Information System RIS Modality Worklists • • Patient Data Order Details Procedure Parameters Schedules Image Management PACS Image Acquisition Modality 5 Images The IHE Initiative Worldwide December 3 rd, 2008

IHE = Leveraging the IT Standards HL 7 & DICOM The IHE Technical Framework IHE = Leveraging the IT Standards HL 7 & DICOM The IHE Technical Framework – The Standards “Cookbook” Post – Processing • Registration • Referral • Order Entry • • Interpretation / Reviewing – Reporting Hospital Information System HIS • Patient Information • Clinical Data • Order Requests DICOM Post-Processing Results Reporting Results HL 7 CAD Processing Measurements 3 D Reconstruction DICOM Images DICOM Reporting Evidences • Scheduling • Tracking • Management Departmental Information System RIS Modality Worklists • • Patient Data Order Details Procedure Parameters Schedules DICOM Image Management PACS Image Acquisition Modality 6 Images The IHE Initiative Worldwide December 3 rd, 2008

IHE = Sharing Patient Data Across Facilities IHE-Enabled Integrated Care Physician Practice Access to IHE = Sharing Patient Data Across Facilities IHE-Enabled Integrated Care Physician Practice Access to IHE IT Infrastructure s t en M ed m ic al u oc S D um m al ic lin ar C ie s Hospital A Intra-Enterprise Integration with IHE Shared IT Infrastructure XDS-I ts en um oc D Im ag al es ic lin C Imaging Center with IHE-based Systems Intra-Enterprise Integration with IHE Hospital B 7 The IHE Initiative Worldwide December 3 rd, 2008

IHE = Global Integration Framework Integration – Workflow – Information Sharing are Global Issues IHE = Global Integration Framework Integration – Workflow – Information Sharing are Global Issues NOT only Local Needs Integrating the Healthcare Enterprise International Integration Framework IHE Technical Framework Volume I Ø Identify Common Integration Requirements Integration Profiles Volume II Transactions Volume III Transactions (continued) Ø Define Universally Applicable Solutions – Integration Profiles to Resolve Real-World Problems Ø Specify the Details for Implementing the IHE Solutions Revision 8. 0 – Final Text August 30, 2007 Copyright © 1998 -2007: ACC/HIMSS/RSNA The IHE Global Technical Framework Ø Select the Appropriate Standards for Information Exchange: DICOM – HL 7 – W 3 C Ø Generic Specification to Address the Vast Majority of Implementation Issues 8 The IHE Initiative Worldwide December 3 rd, 2008

Deploying IHE on National / Regional Levels Leverage the Global IHE Integration Framework (Re-Usability) Deploying IHE on National / Regional Levels Leverage the Global IHE Integration Framework (Re-Usability) Extend / Specialize the IHE Framework to Address Specific Needs of National Healthcare Systems 9 Transactions Volume III Ø Adherence to Local Policies (Privacy, Confidentiality) Host Promotional and Educational Events to Raise Awareness and Acceptance of IHE Integration Profiles Volume II Ø Account for National Reimbursement Procedures Organize Demonstrations at National Venues IHE Technical Framework Volume I Ø Support for Native Languages (Character Sets) Manage Regional Cross-Vendor Tests (IHE Connectathons) Integrating the Healthcare Enterprise Transactions (continued) Revision 8. 0 – Final Text August 30, 2007 Copyright © 1998 -2007: ACC/HIMSS/RSNA Integrating the Healthcare Enterprise IHE Technical Framework Volume IV National Extensions Revision 8. 0 – Final Text August 30, 2007 Copyright © 1998 -2007: ACC/HIMSS/RSNA The IHE Initiative Worldwide December 3 rd, 2008

The IHE Initiative Worldwide International Adoption Europe North America Asia – Oceania 10 The The IHE Initiative Worldwide International Adoption Europe North America Asia – Oceania 10 The IHE Initiative Worldwide December 3 rd, 2008

The IHE International Organization Established IHE as an International Organization (end of 2007) ~ The IHE International Organization Established IHE as an International Organization (end of 2007) ~ 200 Member Organizations Ø Healthcare Professional Associations Ø Healthcare Provider Organizations Ø Healthcare Education / Research Orgs Ø Trade Associations Ø Healthcare IT Companies Ø Government Agencies Ø Standards Organizations (SDOs) Ø Health Information Exchanges (HIEs) 11 The IHE Initiative Worldwide December 3 rd, 2008

Updates from National IHE Initiatives IHE Asia – Oceania q IHE China q IHE Updates from National IHE Initiatives IHE Asia – Oceania q IHE China q IHE Japan q IHE Taiwan IHE North America q IHE Canada q IHE USA IHE Europe 12 The IHE Initiative Worldwide December 3 rd, 2008

Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE China Prof. Jianping Dai, MD Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE China Prof. Jianping Dai, MD Past-Chairman of Chinese Society of Radiology (CSR) Executive Chairman of IHE China RSNA 2008 13 The IHE Initiative Worldwide December 3 rd, 2008

Agenda Motivation / rationale for adopting IHE Scope & domains of application Achievements (deployment, Agenda Motivation / rationale for adopting IHE Scope & domains of application Achievements (deployment, national health programs) Sponsors, members, participants Events (connectathons, demos) Future plans or other noteworthy aspects 14 The IHE Initiative Worldwide December 3 rd, 2008

Motivation/Rationale China is investing on healthcare infrastructure More and more multi-national companies are coming, Motivation/Rationale China is investing on healthcare infrastructure More and more multi-national companies are coming, more and more local companies are growing To help hospital to identify qualified product To help central and local government while they develop healthcare infrastructure solution 15 The IHE Initiative Worldwide December 3 rd, 2008

Scope & Domains of Application Radiology Domain 16 The IHE Initiative Worldwide December 3 Scope & Domains of Application Radiology Domain 16 The IHE Initiative Worldwide December 3 rd, 2008

Achievements Legally registering national level organizational First Connectathon Testing in Beijing First Confirmation to Achievements Legally registering national level organizational First Connectathon Testing in Beijing First Confirmation to companies who passed the testing First time have IHE connectathon testing result as part of bidding requirement for hospital healthcare IT 17 The IHE Initiative Worldwide December 3 rd, 2008

Sponsors, Members, Participants 18 The IHE Initiative Worldwide December 3 rd, 2008 Sponsors, Members, Participants 18 The IHE Initiative Worldwide December 3 rd, 2008

Sponsors, Members, Participants • Multinational Companies – – – – • Siemens Medical Philips Sponsors, Members, Participants • Multinational Companies – – – – • Siemens Medical Philips Medical GE Medical Agfa Medical Fuji Medical Carestream Health Toshiba Medical Local Companies – – – n n n n n NEUSoft Digital Medical n Beijing Wandong Medical Shezhen An-Ke High Tech Shenzhen Landwind High-Tech Shanghai Micro-inno Medical Xi’an Huahai Medical IT Ltd. Beijing Tianhuihua Digital Medical Chendu Asia Integrating Innovation Ltd. Shanghai Medwise IT Ltd. Nantong Kangshen Medical Shanghai Huayi Medical IT Ltd. Shenzhou Huanuo Medical Science and Technology Ltd. Zhuhai Ho. Kai Group Xin-ou-bo-wei High-Tech Shanghai New-Medical Ltd. 19 The IHE Initiative Worldwide December 3 rd, 2008

Events: Promotion Education and Promotion by Journals Education and Promotion by Workshop 20 The Events: Promotion Education and Promotion by Journals Education and Promotion by Workshop 20 The IHE Initiative Worldwide December 3 rd, 2008

Events: Connectathon Dr. Zhu, Chairman of IHE China, past vice Minister of Healthcare attended Events: Connectathon Dr. Zhu, Chairman of IHE China, past vice Minister of Healthcare attended There are 7 companies attended The IHE-C Connectathon was held at April 26, 2008 in Beijing Tiantan Hospital 21 The IHE Initiative Worldwide December 3 rd, 2008

Events: Connectathon The IHE-C Connectathon was held at April 26, 2008 in Beijing Tiantan Events: Connectathon The IHE-C Connectathon was held at April 26, 2008 in Beijing Tiantan Hospital 22 The IHE Initiative Worldwide December 3 rd, 2008

Events: Connectathon Domain Radiology Integration Profile SWF Actor MOD IM ID * * Huahai Events: Connectathon Domain Radiology Integration Profile SWF Actor MOD IM ID * * Huahai PACS V 3. 0 ZKML 1. 0 OF PPSM MOD OF RM ID Siemens * Syngo Imaging XS VA 70 GE * * RIS/PACS CE 1. 1 PMI PC * * * CR 5. 1 * * DR 3500 * * Digital Mammo CAD 1. 0. 1 * GC RIS 2. 0. 1 GC PACS 1. 5. 1 SP 2 * * QA Station v 10 SP 1 * * Neusoft PACS V 3. 1 * * Neusoft Vendor PMC * ZK-PACS 6. 0 Carestream Health IM PDI * Huahai EC PIR Product or System 23 * Pass Testing The IHE Initiative Worldwide December 3 rd, 2008

Events: Connectathon The Acknowledgment was presented by Dr. Zhu, past vice minister of healthcare Events: Connectathon The Acknowledgment was presented by Dr. Zhu, past vice minister of healthcare of China 24 The IHE Initiative Worldwide December 3 rd, 2008

Future Plans 1. Expand Domains To expand IHE coverage outside Radiology, such as IT Future Plans 1. Expand Domains To expand IHE coverage outside Radiology, such as IT Infrastructure, Laboratory, etc. 2. Build better mechanism, develop more members 3. To integrate the Chinese Standard with IHE, formalize IHE-C standard, which will benefit both vendors and enterprisers 25 The IHE Initiative Worldwide December 3 rd, 2008

IHE China: http: //www. ihe-c. org Thank You for Your Attention Prof. Jianping Dai, IHE China: http: //www. ihe-c. org Thank You for Your Attention Prof. Jianping Dai, MD 26 The IHE Initiative Worldwide December 3 rd, 2008

Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Japan Michio Kimura, MD, Ph. Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Japan Michio Kimura, MD, Ph. D Hamamatsu University – School of Medicine IHE Japan Board RSNA 2008 27 The IHE Initiative Worldwide December 3 rd, 2008

IHE Japan Connectathon 2008/10/27 -31 Ø 40 vendor, 81 systems tested Tested profiles Ø IHE Japan Connectathon 2008/10/27 -31 Ø 40 vendor, 81 systems tested Tested profiles Ø Radiology • SWF, PIR, CPI, KIN, MAMMO, PDI, IRWF, ARI, XDS-I Ø Cardiology • CATH, ECG, ECHO, ED Ø Laboratory • LTW, LBL, LDA, LTW-MB, LPOCT Ø IT Infrastructure • CT, ATNA, XDS. b, PDQ, PAM 28 The IHE Initiative Worldwide December 3 rd, 2008

IHE Japan Connectathon 2008 29 The IHE Initiative Worldwide December 3 rd, 2008 IHE Japan Connectathon 2008 29 The IHE Initiative Worldwide December 3 rd, 2008

Network Structure for Stroke Care in Nagoya 30 The IHE Initiative Worldwide December 3 Network Structure for Stroke Care in Nagoya 30 The IHE Initiative Worldwide December 3 rd, 2008

Nagoya IHE XDS project Ø Backed by Ministries Ø 4 Emergency hospitals, 3 Rehab Nagoya IHE XDS project Ø Backed by Ministries Ø 4 Emergency hospitals, 3 Rehab facilities(now) Ø Profiles and standards Ø Integrating XDS with PIX, PDQ and ATNA Ø Enhancing XUA, NAV with access control based on XACML Ø Excerpting XDS metadata from CDA header part Ø Based on eb. XML eb. RIM 3. 0/eb. RS 3. 0 (supporting XDS stored. Query), while XDS. a was specified on eb. XML 2. 1. (Being ahead of XDS. b. ) 31 The IHE Initiative Worldwide December 3 rd, 2008

Post Market Adverse Event Report in RFD Now paper-based report filled by busy doctors Post Market Adverse Event Report in RFD Now paper-based report filled by busy doctors Ø But, most items are in CPOE 32 The IHE Initiative Worldwide December 3 rd, 2008

… … Ø … 33 The IHE Initiative Worldwide December 3 rd, 2008 … … Ø … 33 The IHE Initiative Worldwide December 3 rd, 2008

34 The IHE Initiative Worldwide December 3 rd, 2008 34 The IHE Initiative Worldwide December 3 rd, 2008

35 The IHE Initiative Worldwide December 3 rd, 2008 35 The IHE Initiative Worldwide December 3 rd, 2008

36 The IHE Initiative Worldwide December 3 rd, 2008 36 The IHE Initiative Worldwide December 3 rd, 2008

37 The IHE Initiative Worldwide December 3 rd, 2008 37 The IHE Initiative Worldwide December 3 rd, 2008

PDI Agreement Images exchanged by CD started, but making some annoyance Ø Not conforming PDI Agreement Images exchanged by CD started, but making some annoyance Ø Not conforming PDI, DICOM Ø Too many slices, too many studies Ø Multiple patients in one CD Ø etc. By academic assoc. (JAMI, JRS, JSRT), vendor assoc. (JIRA, JAHIS), and IHE-J Ø 1 patient, 1 CD Ø Conform PDI Ø Conform DICOM Ø Reasonable amount of slices (no 1000+ MDCT), and studies Ø If include report, must be in "other files" position and note it 38 The IHE Initiative Worldwide December 3 rd, 2008

IHE Japan: http: //www. ihe-j. org/en Thank You for Your Attention Michio Kimura, MD, IHE Japan: http: //www. ihe-j. org/en Thank You for Your Attention Michio Kimura, MD, Ph. D 39 The IHE Initiative Worldwide December 3 rd, 2008

Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Taiwan Yuh-Show Tsai, Ph. D Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Taiwan Yuh-Show Tsai, Ph. D Medical Image Standards Association of Taiwan (MISAT) IHE Taiwan RSNA 2008 40 The IHE Initiative Worldwide December 3 rd, 2008

IHE – Taiwan IHE Activities in Taiwan IHE-TW roadmap 2007 -2009 IHE-TW 2008 connectathon IHE – Taiwan IHE Activities in Taiwan IHE-TW roadmap 2007 -2009 IHE-TW 2008 connectathon and demonstration Joint Conference on Medical Informatics in Taiwan 2008 41 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Taiwan Roadmap IHE Profiles RAD-SWF Year /Stages 2007 2008 2009 B, C C C IHE-Taiwan Roadmap IHE Profiles RAD-SWF Year /Stages 2007 2008 2009 B, C C C RAD-PWF、 RAD-NM、CARD-ECHO、 CARD-CATH、EYECARE-SWF… A B, C RO A B C LAB-SWF A B B, C PATH KIN Profile Status Revision 7. 0 Final Text, 2006 PWF: Revision 7. 0 Final Text , 2006 NM: Revision 7. 0 Final Text , 2006 Cardio: Revision 2. 1 Final Text, 2006 EYECARE: Revision 3. 1, Trial Implementation, 2007 V 1. 0 Draft for Public Comment, 2006 Revision 1. 1 Draft for Public Comment, 2004 A A B 2005 IHE-Europe demos and discussion, not specified in current IHE C  C C Revision 8. 0 final Text 42 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Taiwan Roadmap (cont. ) Year/Stage IHE Profiles Profile Status 2007 2008 2009 RAD-ARI、RAD-KIN、RAD-SINR、RADED A IHE-Taiwan Roadmap (cont. ) Year/Stage IHE Profiles Profile Status 2007 2008 2009 RAD-ARI、RAD-KIN、RAD-SINR、RADED A B B, C Revision 7. 0 Final Text, 200 CARD-Retrieve ECG for Display A B C Revision 2. 1, Final Text, 2006 LAB- order results Mgmt A B C Revision 1. 1 Draft for Public Comment, 2004 EYECARD-ECED, EYECARD-ECDR     A Revision 3. 1, Trial Implementation, 2007 C  C C Revision 8. 0 final Text CPI 43 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Taiwan Roadmap (cont. ) Year /Stage IHE Profiles Profile Status 2007 2008 2009 Identity IHE-Taiwan Roadmap (cont. ) Year /Stage IHE Profiles Profile Status 2007 2008 2009 Identity Recognition: ITI-PIX, ITI-ATNA, ITI-EUA, ITI-PWP A B C Version 3. 0 Final Text , 2006: Content Access Control : PCC-BPPC   A B PCC Supplement Trial Implementation 2005 -2006 Eelectronics Signature: ITI-DSG A B C V 3 Trial Implementation 2005 Data Encriptio   A B Not specified in current IHE ITI-XDS A B C Version 3. 0 Final Text , 2006 PCC-XDS-MS A A B Revision 1. 0 2006 RAD-XDS-I A B C Trial Implementation 2005 Emergency Department Referral (EDR) Integration Profile: PCC-EDR     A Trial Implementation 2006 -2007 Exchange of Personal Health Record Content Profile: PCC-XPHR   A A Trial Implementation 2006 -2007 Preprocedure History and Physical Integration Profile: PCC-PPHP     A Trial Implementation 2006 -2007 44 The IHE Initiative Worldwide December 3 rd, 2008

IHE Connectathon and Demonstration in RSROC Annual Symposium Landis Hotel, Tainan 3/28~30, 2008 45 IHE Connectathon and Demonstration in RSROC Annual Symposium Landis Hotel, Tainan 3/28~30, 2008 45 The IHE Initiative Worldwide December 3 rd, 2008

RSROC Connectathon and Demonstration Vendors Ø Total Health Engineering Service Corp. (HIS) Ø GE RSROC Connectathon and Demonstration Vendors Ø Total Health Engineering Service Corp. (HIS) Ø GE Medical System Taiwan, Ltd. (Modalities/PACS) Ø Taiwan Electronics Data Processing Corp. (PACS, Evidence Creator) Ø INFINITT Taiwan Co. Ltd. (PACS) Ø IEI Technology Corp. (Image Display) Ø Chi-Lin Technology Co. Ltd. (Image Display) 46 The IHE Initiative Worldwide December 3 rd, 2008

DICOM/IHE workshop/demonstration during RSROS Conference 47 The IHE Initiative Worldwide December 3 rd, 2008 DICOM/IHE workshop/demonstration during RSROS Conference 47 The IHE Initiative Worldwide December 3 rd, 2008

Joint Conference on Medical Informatics in Taiwan 2008 MIST 2008, NIST 2008, MISAT 2008 Joint Conference on Medical Informatics in Taiwan 2008 MIST 2008, NIST 2008, MISAT 2008 and the 7 th Asian-Pacific HL-7 conference Topic: Healthy Informatics Infrastructure 11/21~23, 2008 in National Yang Ming Medical University, Taipei Four tutorials, Seven Invited Talks, 36 Oral Presentations, and 48 Posters 300+ Attendees IHE related paper focus on XDS 48 The IHE Initiative Worldwide December 3 rd, 2008

Joint Conference on Medical Informatics in Taiwan 2008 49 The IHE Initiative Worldwide December Joint Conference on Medical Informatics in Taiwan 2008 49 The IHE Initiative Worldwide December 3 rd, 2008

IHE Taiwan: http: //www. ihe. net. tw Thank You for Your Attention Yuh-Show Tsai, IHE Taiwan: http: //www. ihe. net. tw Thank You for Your Attention Yuh-Show Tsai, Ph. D 50 The IHE Initiative Worldwide December 3 rd, 2008

Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Canada David Heaney Mc. Kesson Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Canada David Heaney Mc. Kesson Provider Technologies IHE Canada Steering Committee IHE Radiology Planning & Technical Committees RSNA 2008 51 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada - Mission Promote IHE goals for interoperability Align the goals of IHE IHE Canada - Mission Promote IHE goals for interoperability Align the goals of IHE with the Canadian EHR agenda Educate users and vendors on IHE solutions Assist in the adoption and implementation of IHE specifications in Canada Advance the development of IHE profiles Enable the creation of Canadian extensions 52 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada – A year in review Canadian Interoperability Showcase IHE Canada Governance Participation IHE Canada – A year in review Canadian Interoperability Showcase IHE Canada Governance Participation in the Standards Collaborative On-Going Activities Keeping in touch Ø IHE Canada website: //www. ihe-canada. com Ø IHE wiki site: //wiki. ihe. net/index. php? tite=Canada Ø IHE Canada Google groups: //groups. google. ca/group/ihe-canada-anouncemens 53 The IHE Initiative Worldwide December 3 rd, 2008

e. Health/08 Showcase Co-participant, with Coach, in the second Canadian Interoperability Showcase during e. e. Health/08 Showcase Co-participant, with Coach, in the second Canadian Interoperability Showcase during e. Health 2008 Organized as a smaller version of the HIMSS showcase Ø Same clinical scenarios Ø Same theater layout Demonstrated several IHE Profiles Ø PIX/PDQ – including Canadian-developed v 3 Ø XDS and XDS-I Ø ATNA, CT Excellent participation and very encouraging feedback Work has begun on the 2009 edition 54 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada Governance 1. IHE Canada Principles of Governance document was created and approved IHE Canada Governance 1. IHE Canada Principles of Governance document was created and approved 2. Establishes rules for: 1. Mission 2. Membership 3. Committee Procedures 4. Steering Committee 5. Executive Officers 6. Sponsors 3. Incorporation of IHE Canada currently underway 1. Jose Mussi – Executive Director 2. Rita Noumeir – Director of Finance 4. Pre-requisite for participation in: 1. IHE International 2. IHE North America (with IHE USA) 55 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada Organization 56 The IHE Initiative Worldwide December 3 rd, 2008 IHE Canada Organization 56 The IHE Initiative Worldwide December 3 rd, 2008

IHE and Standards Collaborative Focus of the Standards Collaborative is to bring under one IHE and Standards Collaborative Focus of the Standards Collaborative is to bring under one organization all standards development activities in Canada and promote the adoption of Pan. Canadian standards in healthcare Mandate is to: Ø Establish standards to support the Infoway EHR mandate Ø Provide services to support and maintain these standards Ø Act in formal liaison role to international SDOs (DICOM, HL 7, IHTSDO, ISO/TC 215, LOINC®) Current agreement between the two organizations: Ø IHE Canada has been given a seat in the SC Coordination Committee Ø The Standards Collaborative has appointed a representative to the IHE Canada Steering Committee IHE Canada and the Standards Collaborative are in discussions to have closer governance alignment: Ø IHE Canada having Full SDO integration to the Standards Collaborative as a “constituency” Ø Recognition of IHE Canada as an SDO in Canada (or equivalent) 57 The IHE Initiative Worldwide December 3 rd, 2008

Value of Governance Alignment For IHE-Canada Ø Better integration to Canada’s EHR agenda Ø Value of Governance Alignment For IHE-Canada Ø Better integration to Canada’s EHR agenda Ø Better alignment with other SDO activities (HL 7 -Canada, ISO-CAC, IHTSDO, etc. ) Ø Improved organizational infrastructure, educational/conference alignment, etc. For the Standards Collaborative Ø Better able to embrace jurisdictional needs for IHE and vendor adoption of IHE Ø Alignment with IHE-Canada completes SC’s SDO mandate (IHE is considered an SDO in the US and in many other countries) Ø Improved opportunities for aligned education/demonstration opportunities (ie. Interoperability Showcase) 58 The IHE Initiative Worldwide December 3 rd, 2008

On-Going Activities New IHE PCC Profiles were proposed and developed XDS Implementation Group that On-Going Activities New IHE PCC Profiles were proposed and developed XDS Implementation Group that was created in the IHE Canada 2007 Workshop continued work in several key areas: Ø Implementing XDS in the real world (systems vs. actors, sharing data) Ø Synchronization of DICOM data stored on separate systems in both XDS and non-XDS enabled environments Ø Handling of foreign image import Coordinated with Canada Infoway on discussions concerning alignment of the Canadian HER blueprint with XDS Ø Recent Infoway workshop where issue was discussed Ø Draft document of EHR Index & Document Sharing Architecture (XDS/SHR Alignment) 59 The IHE Initiative Worldwide December 3 rd, 2008

wiki. ihe. net 60 The IHE Initiative Worldwide December 3 rd, 2008 wiki. ihe. net 60 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada Groups IHE Canada uses Googles groups for its discussion forums Current groups: IHE Canada Groups IHE Canada uses Googles groups for its discussion forums Current groups: Ø IHE Canada Steering Committee (restricted) Ø IHE Canada Announcements (public) New groups will be created: Ø Technical domains (i. e. radiology, ITI, etc. ) Ø Newbies Ø General members 61 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada Announcements 62 The IHE Initiative Worldwide December 3 rd, 2008 IHE Canada Announcements 62 The IHE Initiative Worldwide December 3 rd, 2008

You Can Help • Implement the profiles, and buy the products o Attend the You Can Help • Implement the profiles, and buy the products o Attend the Connectathon o Include IHE compliance into your RFP • Help plan the profiles o Propose use cases based on your healthcare experience o Propose interoperability problems based on your experience as input to new IHE profiles o Propose Canadian specialization for IHE profiles to be included in Canadian extensions • Help author the profiles o Use your technical or clinical expertise • Comment on the new profiles o Your knowledge and perceptions and real world healthcare experience 63 The IHE Initiative Worldwide December 3 rd, 2008

IHE Canada: http: //www. ihe-canada. com Thank You for Your Attention David Heaney 64 IHE Canada: http: //www. ihe-canada. com Thank You for Your Attention David Heaney 64 The IHE Initiative Worldwide December 3 rd, 2008

Integrating the Healthcare Enterprise The IHE Initiative Worldwide Leveraging IHE for Interoperability in the Integrating the Healthcare Enterprise The IHE Initiative Worldwide Leveraging IHE for Interoperability in the United States Didi Davis, Senior Director of IHE Healthcare Information Management Systems Society (HIMSS) RSNA 2008 65 The IHE Initiative Worldwide December 3 rd, 2008

In 2005, HHS Secretary Michael Leavitt chartered a public-private “Community” to serve as the In 2005, HHS Secretary Michael Leavitt chartered a public-private “Community” to serve as the focal point for America’s health information concerns and drive opportunities for increasing interoperability. Role of AHIC The Community provides input and recommendations to HHS on how to make health records digital and interoperable, and assure that the privacy and security of those records are protected, in a smooth, market- led way. Certification Commission for Healthcare Information Technology (CCHIT) Health Information Security and Privacy Collaboration (HISPC) American Health Information Community (AHIC) Healthcare Information Technology Standards Panel (HITSP) Nationwide Healthcare Information Network (NHIN) Architecture Projects Plans are now underway to transition the AHIC to a public-private partnership based in the private sector. 66 The IHE Initiative Worldwide December 3 rd, 2008

Overview Volunteer-driven, consensus-based organization that is funded through a contract from the Department of Overview Volunteer-driven, consensus-based organization that is funded through a contract from the Department of Health and Human Services The Panel brings together experts from across the healthcare community. . . Ø from consumers to doctors, nurses, and hospitals; Ø from those who develop healthcare IT products to those who use them; and Ø from the government agencies who monitor the U. S. healthcare system to those organizations that are actually writing healthcare IT standards. 67 The IHE Initiative Worldwide December 3 rd, 2008

HITSP Stakeholders § Patients § Specialists § Review Boards § Consumers § Payers § HITSP Stakeholders § Patients § Specialists § Review Boards § Consumers § Payers § Employers § Suppliers § Practice Guidelines § General Practitioners § Hospitals § Residential Care Providers 68 § Outpatient Healthcare Providers § Government Agencies The IHE Initiative Worldwide December 3 rd, 2008

Optimized Processes I II Receive Request to Harmonize III IV Identify Candidate Standards Conduct Optimized Processes I II Receive Request to Harmonize III IV Identify Candidate Standards Conduct Requirements Analysis V VI VII Begin Inspection Testing Select Standards Identify and Resolve Gaps, Duplications and Overlap VIII Develop Interoperability Specification IX Begin Support Release and Disseminate Interoperability Specification HITSP Program Management 69 The IHE Initiative Worldwide December 3 rd, 2008

AHIC Priorities and Use Case Roadmap 70 The IHE Initiative Worldwide December 3 rd, AHIC Priorities and Use Case Roadmap 70 The IHE Initiative Worldwide December 3 rd, 20080 7

Interoperability Specifications IS 01 Electronic Health Record (EHR) Laboratory Results Reporting IS 02 Biosurveillance Interoperability Specifications IS 01 Electronic Health Record (EHR) Laboratory Results Reporting IS 02 Biosurveillance IS 03 Consumer Empowerment IS 04 Emergency Responder Electronic Health Record (ER-EHR) IS 05 Consumer Empowerment and Access to Clinical Information via Media IS 06 Quality IS 07 Medication Management 71 The IHE Initiative Worldwide December 3 rd, 2008

Complete Set of HITSP Deliverables www. HITSP. org 72 The IHE Initiative Worldwide December Complete Set of HITSP Deliverables www. HITSP. org 72 The IHE Initiative Worldwide December 3 rd, 2008

NHIN Trial Implementations NHIN December Forum, Washington, DC December 15 -16, 2008 http: //www. NHIN Trial Implementations NHIN December Forum, Washington, DC December 15 -16, 2008 http: //www. hhs. gov/healthit/healthnetwork/background/ 73 The IHE Initiative Worldwide December 3 rd, 2008

Mission and Goals Accelerate the adoption of robust, interoperable health IT by creating an Mission and Goals Accelerate the adoption of robust, interoperable health IT by creating an efficient, credible certification process. • Reduce the risks of investing in health IT • Facilitate interoperability of health IT • Unlock adoption incentives and regulatory relief • Protect the privacy of health information CCHIT is an independent, nonprofit 501(c)3 organization 74 The IHE Initiative Worldwide December 3 rd, 2008

Health Information Security and Privacy Collaboration - HISPC In May 2006, RTI International established Health Information Security and Privacy Collaboration - HISPC In May 2006, RTI International established the National Health Information Security and Privacy Collaboration by announcing the 34 states and U. S. territories who signed agreements to join this project. The project is a national collaboration created to address privacy and security policy questions affecting the exchange of health information. In the last 18 months participating state teams have: Ø Completed an assessment of the variation among business practices, policies, and laws to gain a better understanding of the privacy and security landscape. Ø The state teams also identified practices, policies, and laws that create barriers to electronic health information exchange and have worked to develop possible solutions to these barriers that both preserve and protect privacy and security and promote interoperable electronic health information exchange. 75 The IHE Initiative Worldwide December 3 rd, 2008

Presidents Executive Order For Immediate Release Office of the Press Secretary August 22, 2006 Presidents Executive Order For Immediate Release Office of the Press Secretary August 22, 2006 Executive Order: Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs Sec. 3. Directives for Agencies shall perform the following functions: (a) Health Information Technology. (1) For Federal Agencies. As each agency implements, acquires, or upgrades health information technology systems used for the direct exchange of health information between agencies and with non-Federal entities, it shall utilize, where available, health information technology systems and products that meet recognized interoperability standards. (2) For Contracting Purposes. Each agency shall require in contracts or agreements with health care providers, health plans, or health insurance issuers that as each provider, plan, or issuer implements, acquires, or upgrades health information technology systems, it shall utilize, where available, health information technology systems and products that meet recognized interoperability standards. 76 The IHE Initiative Worldwide December 3 rd, 2008

IHE USA Incorporation expected by July 2009 Ø HIMSS/RSNA Project Cypress – Collaboration of IHE USA Incorporation expected by July 2009 Ø HIMSS/RSNA Project Cypress – Collaboration of CCHIT/NIST/IHE NHIN Testing – August 2008 – Collaboration with IHE USA at RSNA 2008 Webinar Education Series 2009 North American Connectathon Ø February 23 – 27, 2008 Ø http: //www. ihe. net/north_america/connectathon 2009. cfm Ø 80 vendors Ø 144 systems 77 The IHE Initiative Worldwide December 3 rd, 2008

The Role of IHE - US Models for Harmonization Ø Mapping of standards which The Role of IHE - US Models for Harmonization Ø Mapping of standards which have different levels of granularity Ø Preferred standards and evolution over time Ø Unification Building Blocks Implementation Guides/Interoperability Specifications Architecture and Context Process Expertise Ø Standard v. Implementation Guide Ø Testing Pilots such as those in NHIN Contracts 78 The IHE Initiative Worldwide December 3 rd, 2008

IHE USA Thank You for Your Attention Didi Davis, Senior Director of IHE at IHE USA Thank You for Your Attention Didi Davis, Senior Director of IHE at HIMSS 79 The IHE Initiative Worldwide December 3 rd, 2008

Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Europe Peter Kuenecke Siemens AG Integrating the Healthcare Enterprise The IHE Initiative Worldwide IHE Europe Peter Kuenecke Siemens AG – Healthcare Sector IHE Europe Vendor Co-Chairman RSNA 2008 80 The IHE Initiative Worldwide December 3 rd, 2008

Agenda Ø Introduction Ø National IHE initiatives : Ø Who are they ? Ø Agenda Ø Introduction Ø National IHE initiatives : Ø Who are they ? Ø Projects in Europe : Ø Ø IHE-Europe Governance Certification Study Connect-a-thon New Internet pages 81 The IHE Initiative Worldwide December 3 rd, 2008

Introduction IHE-Europe is now 11 IHE national initiatives : Ø Denmark, Finland, France, Germany, Introduction IHE-Europe is now 11 IHE national initiatives : Ø Denmark, Finland, France, Germany, Israel, Italy, Norway, Spain, Sweden, The Netherlands, United Kingdom Ø Poland; Turkey to be seen on the horizon IHE-Europe is also Ø Organizer of the European Connectathon At last IHE-Europe is now the first regional formal organization for helping countries to deploy IHE 82 The IHE Initiative Worldwide December 3 rd, 2008

IHE in Finland 83 The IHE Initiative Worldwide December 83 , 2008 3 rd IHE in Finland 83 The IHE Initiative Worldwide December 83 , 2008 3 rd

Overview wide utilization of systems in healthcare facilities, NHIN project progressing on national EPR, Overview wide utilization of systems in healthcare facilities, NHIN project progressing on national EPR, e. Prescription previous interest in IHE revitalized in 2006 -2007 IHE special interest group formed in HL 7 Finland in June 2008 Ø the charter of the HL 7 association in Finland is wider than HL 7 standards Ø utilization of existing membership base and communication channels Ø co-chairs • • • Juha Mykkänen, University of Kuopio Seija Viinikka, Hospital district of Helsinki and Uusimaa Arto Holopainen, e. Hit Ltd Not yet officially chartered as a national initiative ~ 20 attendees in regular meetings, ~ 60 included in mailing list 84 The IHE Initiative Worldwide December 84 , 2008 3 rd

Key activities A project by University of Kuopio, Finnish agency for Technology and Innovation Key activities A project by University of Kuopio, Finnish agency for Technology and Innovation TEKES and Finnish health technology association Ø expert interviews on interoperability and IHE Ø web survey on current interest and activities on IHE domain / framework topics, focused on user communities Ø support for IHE group activation and events Education and outreach Ø National seminar ”Interoperability and IHE in practice” in November 2008 Ø various presentations in industry and user events Most current interest in frameworks / profiles Ø radiology, laboratory + pathology, IT infrastructure, patient care devices, patient care coordination 85 The IHE Initiative Worldwide December 85 , 2008 3 rd

IHE-France 86 The IHE Initiative Worldwide December 3 rd, 2008 IHE-France 86 The IHE Initiative Worldwide December 3 rd, 2008

Overview Active since 2000 Members Working groups • • • Sponsors of IHE-lab committees, Overview Active since 2000 Members Working groups • • • Sponsors of IHE-lab committees, IHE-Pathology Committees, IHE-ITI planning committee WG on National extension of Profiles in ITI Contributor several profiles in ITI and Radiology 87 The IHE Initiative Worldwide December 3 rd, 2008

Key Activities Strategic WG : future of IHE-F French National Extension published June 2008 Key Activities Strategic WG : future of IHE-F French National Extension published June 2008 on PAM profiles Guidelines for RFP (user side) White paper IHE/EAI Web renewal Ø New design in www. gmsih. fr Ø More sections, including practical information Collaboration with HL 7 -France Ø Guideline CDA/IHE document content Demonstration and booth Ø HIT 2008 Ø JFR 2008 Education 88 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Germany 89 The IHE Initiative Worldwide December 3 rd, 2008 IHE-Germany 89 The IHE Initiative Worldwide December 3 rd, 2008

Overview Active since April 2004 Members Ø Ø 25 Vendors (most of them international) Overview Active since April 2004 Members Ø Ø 25 Vendors (most of them international) 5 societies 12 individual users Addresses public societies in 2009 Formal organization (not-for-profit foundation) Working groups • • IT-I: 5 international proposals New Domain “Caretaker”: IT-I (very active, lot of resources), Lab, Pharmacy, Medical Devices, Radiology, Cardiology, Oncology, PCC 90 The IHE Initiative Worldwide December 3 rd, 2008

Key Activities New IT-I proposals by Consortium of private an public hospitals (and hospital Key Activities New IT-I proposals by Consortium of private an public hospitals (and hospital chains) and industry Ø Plans for nation wide roll out for regional concepts Ø 2 of 5 proposals were accepted by IHE IT-I group Ø Small German “Connectathon” by Fraunhofer Oncology profile in planning (based on pathology) Web renewal Ø New design, More sections Ø Wiki-concept in planning Collaboration with HL 7 -Germany Ø Ø “Personnel union” of most of IHE and HL 7 members Cooperation in congresses, Technical Working group etc. Common focus: acceptance of standards per se Trainee for HL 7 AND IHE 3 IHE-D Publications plus individual Publications Participation in many congresses and conventions Ø conh. IT, Medica, Röntgen Kongress, Telemed, DICOM-Treffen, KIS-Tagung, epa. NRW, … 91 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Israel 92 The IHE Initiative Worldwide December 92 , 2008 3 rd IHE-Israel 92 The IHE Initiative Worldwide December 92 , 2008 3 rd

Overview Active since May 2006 Members Ø Ø 60 Vendors 1 Scientific society 4 Overview Active since May 2006 Members Ø Ø 60 Vendors 1 Scientific society 4 Public regional health services About 110 individual users Formal organization (Israel Radiological Association (ISRA) Current Plans Ø National level XDS-I Demonstration 93 The IHE Initiative Worldwide December 93 , 2008 3 rd

IHE-Netherlands 94 The IHE Initiative Worldwide December 3 rd, 2008 IHE-Netherlands 94 The IHE Initiative Worldwide December 3 rd, 2008

Update (1) Membership Ø 57 organizations (paying. . . ), 20% increase PR Ø Update (1) Membership Ø 57 organizations (paying. . . ), 20% increase PR Ø Success Stories 95 The IHE Initiative Worldwide December 3 rd, 2008

Success Stories 96 The IHE Initiative Worldwide December 3 rd, 2008 Success Stories 96 The IHE Initiative Worldwide December 3 rd, 2008

Success Stories (2) 97 The IHE Initiative Worldwide December 3 rd, 2008 Success Stories (2) 97 The IHE Initiative Worldwide December 3 rd, 2008

Update (1) Membership Ø 57 organizations (paying. . . ), 20% increase PR Ø Update (1) Membership Ø 57 organizations (paying. . . ), 20% increase PR Ø Success Stories IHE Training Ø Separate sessions + “in company” training Lab Ø Signed contract with NICTIZ; supporting “project chair” Ø Phased activities (18 months, 3 phases of 6 months) • Developing use cases for e. Lab • Developing technical solutions (based on IHE profiles) • Cooperating on implementation (considering “mini connectathons”) Ø Status • First phase completed (almost on time) • In phase 2 – making good progress • Challenge: Fit into existing NICTIZ infrastructure 98 The IHE Initiative Worldwide December 3 rd, 2008

Update (2) Dutch “e-Radiology” project Ø NICTIZ adding “XDS” capability to national infrastructure Ø Update (2) Dutch “e-Radiology” project Ø NICTIZ adding “XDS” capability to national infrastructure Ø XDS-I first application: focus on Radiology Ø Needs IHE’s help • XCA, bridging to HL 7 Ø IHE Netherlands project partner – NICTIZ sponsoring Technical Manager Ø Plan to arrange “permanent” resource Ø Want to ensure continuity and “point-person” for user-side membership Extending IHE’s reach and network Ø Dutch Patient Federation Tomorrow: IHE Netherlands Annual Conference Ø 5 th conference Ø Full day, 200+ visitors, 10 exhibitors (including NICTIZ and HL 7) 99 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Poland 100 The IHE Initiative Worldwide December 3 rd, 2008 IHE-Poland 100 The IHE Initiative Worldwide December 3 rd, 2008

Current situation in Poland Systems HIS 4 local vendors RIS PACS 8 local vendors Current situation in Poland Systems HIS 4 local vendors RIS PACS 8 local vendors 6 local vendors 2 international vendors 101 The IHE Initiative Worldwide December 3 rd, 2008

Current situation in Poland Standards „JUST ENTERED” THE MARKET – PRACTICALLY AVAILABLE SINCE 3 Current situation in Poland Standards „JUST ENTERED” THE MARKET – PRACTICALLY AVAILABLE SINCE 3 -4 YEARS Since the ’ 90 - on modalities level Since year 2000 –in local PACS systems on moderate level HIS RIS HIS-RIS-PACS integrations – not existing or existing on poor level between different vendors PACS 102 The IHE Initiative Worldwide December 3 rd, 2008

Need for IHE For the beginning IHE Poland wants to focus on radiology profiles Need for IHE For the beginning IHE Poland wants to focus on radiology profiles Improve customer integration awareness Open the market (local vendors) for advanced integrations Standardize integrations Beginning of e-health initiatives – IHE Poland wants to keep them on good level 103 The IHE Initiative Worldwide December 3 rd, 2008

Need for IHE 8 October 2008 – Meeting with PLTR (Polish Medical Society of Need for IHE 8 October 2008 – Meeting with PLTR (Polish Medical Society of Radiology ) Ø PLTR decided to start IHE Poland 25 October 2008 – IHE Poland Initiative meeting: Ø Ø Ø Ø Polish Medical Society of Radiology National Centre of Health Information System Polish Society of Telemedicine Alteris (local vendor) AGFA Poland Carestream Health Poland Technical University of Warsaw, Medical University of Warsaw Holycross Cancer Center, SPSK nr. 4 in Lublin AGFA Poland Polish Medical Society of Radiology will meet IHE board during RSNA 104 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Spain 105 The IHE Initiative Worldwide December 3 rd, 2008 IHE-Spain 105 The IHE Initiative Worldwide December 3 rd, 2008

Overview Active since April 2005 Members Ø Ø 24 Vendors 4 Scientific societies 8 Overview Active since April 2005 Members Ø Ø 24 Vendors 4 Scientific societies 8 Public regional health services About 200 individual users Formal organisation (not-for-profit foundation) Working groups • • Public Relations: Dissemination of technical framework IHE Radiation Oncology IHE Pathology (very active in international committees) IHE laboratory 106 The IHE Initiative Worldwide December 3 rd, 2008

Key Activities Deployment activities: Ø Three IHE-HL 7 joint workshops, in different locations: May Key Activities Deployment activities: Ø Three IHE-HL 7 joint workshops, in different locations: May 6 -9, June 9 -13, June 16 -20 • IHE and HL 7 basics. This year, focused on CDA and XDS Ø III Normalization Forum (beginning March) • National event, with participation of Regional Health Services, Ministry of Health, SEIS, HL 7, IHE, AENOR and vendors Ø Short Course of IHE-Pathology (inside 9 th European Congress of Telepathology), (May 16) and meeting of IHE-E pathology workgroup (May 17) Ø IHE session on SERAM congress (May 23 -28) Shared Electronic Clinical History Project: Ø Promoted by the Ministry of Health Ø With the participation of all Regional Health Services Ø Working groups created • • Clinical WG (definition of shared documents/information) Technical WG. The model defined is XDS-like. Some of the IHE-España members are included. We negotiate the participation of our Technical Manager, as IHE official representative. Ø EHR National Meeting. Dec 3 -4, Madrid 107 The IHE Initiative Worldwide December 3 rd, 2008

IHE-U. K 108 The IHE Initiative Worldwide December 3 rd, 2008 IHE-U. K 108 The IHE Initiative Worldwide December 3 rd, 2008

Activities IHE-Demo HC 2008 Harrogate IHE-Demo UKRC June 2008 BCS IHE-UK Stand at Healthcare Activities IHE-Demo HC 2008 Harrogate IHE-Demo UKRC June 2008 BCS IHE-UK Stand at Healthcare Interoperability – Birmingham October 2008 IHE-UK ITI TC now up and running Formation of IHE-UK not for profit 109 The IHE Initiative Worldwide December 3 rd, 2008

IHE-UK not-for-profit company Independent legal entity To be registered this year To be associated IHE-UK not-for-profit company Independent legal entity To be registered this year To be associated with BCS HIF To still have access to BCS resources Similar arrangement to Pro. Rec UK company just created by BCSHIF Will provide easier access to funding from some sources 110 The IHE Initiative Worldwide December 3 rd, 2008

Work program Research re Document Class code sets Demo HC 2009 Demo UKRC 2009 Work program Research re Document Class code sets Demo HC 2009 Demo UKRC 2009 Guidance notes for implementers Guidance notes for commissioners 111 The IHE Initiative Worldwide December 3 rd, 2008

IHE-Europe is a legal entity since 4 -2008 Ø Location: Brussels Ø Form: International IHE-Europe is a legal entity since 4 -2008 Ø Location: Brussels Ø Form: International non for profit organization IHE-Europe has the responsibility of Ø The contact with the European Commission organization of the European Connect-a-thon development towards Europe recruitment of the European User and Vendor associations Ø The strong involvement in the development of future tools of IHE (Gazelle) 112 The IHE Initiative Worldwide December 3 rd, 2008

Activities in 2008 Participation to European Projects: Ø Support of the Industry Team of Activities in 2008 Participation to European Projects: Ø Support of the Industry Team of the project ep. SOS Ø Calliope Ø The Mandate M 403 With these three projects launched by the European Commission, IHE-Europe will contribute to the development of e. Health in Europe 113 The IHE Initiative Worldwide December 3 rd, 2008

European Projects Ep. SOS project : Ø Managed by 12 European countries Ø Industry European Projects Ep. SOS project : Ø Managed by 12 European countries Ø Industry Team coordinated by a project manager of IHE-Europe Based on specification of Ø Use cases (Patient Summary and e prescription) Ø Technical framework based on profiles Ø Test Ø Pilot sites Calliope Project : Ø Forum of government, industry and users 114 The IHE Initiative Worldwide December 3 rd, 2008

Development of new domains Creation of the IHE Pharmacy Domain: Ø Community Pharmacy Ø Development of new domains Creation of the IHE Pharmacy Domain: Ø Community Pharmacy Ø Hospital Workflow The scope : Ø Information exchanges within hospital boundaries Ø Information exchanges between community pharmacies Ø Community and hospital pharmacy relationship, with a focus on outpatient delivery 115 The IHE Initiative Worldwide December 3 rd, 2008

Web site of IHE-Europe t e New Web Presence. n e 2008 p launched Web site of IHE-Europe t e New Web Presence. n e 2008 p launched in ro u -e e ih. w w w 116 The IHE Initiative Worldwide December 3 rd, 2008

IHE Europe: http: //www. ihe-europe. net Thank You for Your Attention Peter Kuenecke 117 IHE Europe: http: //www. ihe-europe. net Thank You for Your Attention Peter Kuenecke 117 The IHE Initiative Worldwide December 3 rd, 2008

The IHE Initiative Worldwide • • § § § IHE International IHE Canada IHE The IHE Initiative Worldwide • • § § § IHE International IHE Canada IHE China IHE Europe IHE Japan IHE Taiwan Prof. Jianping Dai, MD (IHE China) Didi Davis (IHE USA) Michio Kimura, MD, Ph. D (IHE Japan) David Heaney (IHE Canada) Peter Kuenecke (IHE Europe) Yuh-Show Tsai, Ph. D (IHE Taiwan) Nikolaus Wirsz, Ph. D (IHE International) www. ihe. net & http: //wiki. ihe. net www. ihe-canada. com www. ihe-c. org www. ihe-europe. net www. ihe-j. org/en www. ihe. net. tw 118 The IHE Initiative Worldwide December 3 rd, 2008