Building standards-based regional and national health information networks

Building standards-based regional and national health information networks with IHE e. Health World Interoperability Panel Malaga - May 2006 Charles Parisot GE Healthcare – IHE-Europe & IT Infrastructure Technical Co-chair 3/18/2018 1

Standards are critical but alone are not enough Standards offer generality, ambiguity and alternatives Standard Implementation Guides are focused on a single standard Increasing complexity IHE provides a standard process for implementing multiple standards! 2

Connecting standards to care Care providers work with vendors to coordinate the implementation of standards to meet their needs Ø Care providers identify the key interoperability problems they face Ø Drive industry to develop and make available standards-based solutions Ø Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions IHE the most successful way to establish those “standards” for how to implement standards ? 3

What is Integrating the Healthcare Enterprise? IHE provides a common framework for passing health information seamlessly: Ø within the healthcare enterprise Ø across multiple healthcare enterprises Ø for local, regional & national health information networks IHE is sponsored by healthcare professional associations: 20 across 14 countries (8 in Europe) endorsed by well over 100 Health IT vendors. IHE drives standards adoption to address specific clinical needs for interoperability 4

IHE Maturity and Acceptance Delivery of ready-to-integrate products to benefit healthcare delivery entities of all sizes In clinical use today in practices, enterprises Regional and national projects leveraging IHE Integration Profiles (e. g. XDS): Ø In clinical use: Italy, Spain, UK (radiology) Ø In deployment: Austria, France, Norway, Canada, USA IHE scope, today and expanding Ø Ø radiology, cardiology, laboratory, oncology, eye care, devices enterprise healthcare IT infrastructures cross-enterprise healthcare IT infrastructures Regional and national e. Health information networks 5

Proven Standards Adoption Process Develop technical specifications Testing at Connectathons IHE Demonstrations Products with IHE Identify available standards (e. g. HL 7, DICOM, IETF, OASIS) Document Use Case Requirements Timely access to information Easy to integrate products 6

Reality, IHE, in action, …. IHE Connectathon Video 7

Achievements and Expanding Scope Over 100 vendors involved world-wide, 5 Technical Frameworks 38 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide 8

IHE Organizational Structure IHE (International) Strategic Development Committee Sponsors Co-Chairs supervises reports Global IHE North America IHE Domain-related Planning Committee and Technical Committee IHE Europe IHE Asia/Oceania Regional & National Deployment Global Development: Radiology, IT Infrastructure, Cardiology, Lab, etc. Delegates Interoperability contribute Participants National Extensions 9

What is IHE NOT? Not a standard, although it leverages them A vendor initiative, although they participate Not a governmental certification authority, but IHE support them with compliance testing Not simply a demonstration project Ø Demos are only one means to the end: Adoption Ø Backed up by documentation, tools, testing, and publication of Technical Frameworks and Product Integration Statements. IHE, proven for standardizing interoperability 10

IHE Integration Profiles for Health Info Nets What is available and has been added in 2005 and is for 2006 Emergency Referrals Patient Created Summaries Format of the Document Content and associated coded vocabulary ECG Report Document Format of the Document Content and associated coded vocabulary Lab Results Document Format of the Document Content Scanned Documents and associated coded vocabulary Format of the Document Content Imaging Information and associated coded Content Format of the Documentvocabulary Medical Summary Format of the Document Content Meds, Allergies, Pbs) and(associated coded vocabulary Format of the Document Content and associated coded vocabulary Cross-Enterprise Document Sharing Cross-enterprise User Authentication & Auditing: Enhanced Access Control Document Digital Signature Patient Identifier Cross-referencing Map patient identifiers across independent identification domains Attesting “true-copy and origin Audit Trail & Node Authentication Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Centralized privacy audit trail and node to node authentication to create a secured domain. Cross-enterprise Document Interchange Consistent Time Media-CD/USB & e-mail push Patient Demographics Query Coordinate time across networked systems Notification of Document Availability Notification of a remote provider/ health enterprise 11

12

Participating and Contributing Vendors (America) Agfa Health. Care Epic Systems Corp. Med. Access. Plus Health Raining Data Algotec ETIAM Med. Commons Inc RASNA Imaging Systems Allscripts Healthcare Fujifilm Medcon Sc. Image Inc. Berdy GE Healthcare Medical Informatics Eng. Sectra Imtec Blueware Heartlab Medical Manager Health Sentillion Camtronics HIPAAT Inc. Mediface Co. Shimadzu Corp Canon Medical Systems Hitachi Medical Corp. Medinotes Siemens Medical Solutns’ Cap. Med Hologic Medis Medical Imaging Softmedical Cardiac Science Corp. Hx Technologies Merge e. Film Stentor, Inc Stentor, Carefx IDX Systems Corporation Misys St. Jude Medical Cedara Software Corp. Imco Technologies MNI Medicos Stor. COMM, Inc Stor. COMM, Cerner Corporation INFINITT Mortara Swissray International, Inc CGI-AMS Initiate Systems Inc. Next. Gen Tiani-Spirit CSIST In. Site. One Novell Toshiba Medical Systems Dictaphone Intelerad Medical Systems Open Text Corp. T-Systems DR Systems IBM Philips Medical Systems Ultra. Visual Medical Syst. Dynamic Imaging Intersystems Corporation Procom Technology Vital Images, Inc. Eastman Kodak Company Konica Minolta Prosolv Cardiovascular Voxar Limited EBM Technologies Kryptic QRS Diagnostics Web. MD Practice Services Eclipsys Marotech, Inc. Marotech, Quovadx Witt Biomedical Corp. Emageon Mc. Kesson RADinfo Systems XIMIS In yellow, companies with IHE Committees Chairs (Spring 2006) 13

Participating and Contributing Vendors (Europe) AGFA Healthcare AISoftw@re Medical AISoftw@re Algotec ARES SA aycan Digitalsysteme CEGEDIM Cerner Corp. ETIAM Ferrania Fujifilm GE Healthcare GIE Convergence-Profils Global Imaging Online GWI Research CHILI CMT Medical Tech. Conto Corrente Salute Con. Vis CTI Mirada Solutions Data Processing SPA DEDALUS Dianoema Eastman Kodak Co. Ebit Sanita EDL ELFIN s. r. l. Engineering Sanità ESAOTE Hi. tech IASI Srl Ideo. Pass INFINITT INFOPATIENT INOVIT INSIEL Intersystems Corp. Invita ITZ Medicom i. Soft Mc. Kesson MED 2 RAD MEDarchiver MEDASYS SA Medavis Medical Communications Medigration Gmb. H MEDIMON Ltd. MEDIWARE MEDOS AG Merge e. Film METAFORA Mevis Diagnostics Konica Minolta Omnilab Philips Medical Systems POLYMEDIS Rasna Imaging Systems RAYPAX INC. REM Rogan-Delft Sago spa Sectra Imtec AB See. Beyond Technology Siemens Medical Soluzioni Informatiche srl Stentor Inc. St. Jude Swissray Medical AG Symphonie On Line Synapsis Synchro-Med TECHNIDATA TELEMIS S. A. Tiani-Sprit Tomtec Imaging TOREX GAP Medical Toshiba Medical Systems TSI groupe europ. Medica T-Systems Uni-medicine VEPRO AG VISUS Technology Transfer WAID XR PARTNER In yellow, companies with IHE Committees Chairs (Winter 2005) 14

Participating and Contributing Vendors (Asia) Japan EBMJ PSP PANASONIC ALOKA KONICA MINOLTA Hitachi Medical Co. KODAK HITACHI SBS INFOCOM CLIMBMS TECHMATRIX CANON VIEWSEND Japan ITEC WINTCS NEC AGFA JMAC GEYMS AJS TOSHIBA YOKOGAWA GOODMAN FUJITSU AANDT FUJIFILM Taiwan INFINITT Shing Shian INQ GEN TEP Tah Ya Korea AGFA Korea GE Healthcare Korea INFINITT LG CNS Marotech, Inc. Medical Standard Peoplenet Communications Samsung SDS 15

IHE Web site: www. IHE. net l Frequently Asked Questions l Integration Profiles in Technical Frameworks: See Volume 1 for Use cases Ø Cardiology Ø IT Infrastructure Ø Laboratory Ø Patient Care Coordination Ø Radiology l Connectathon Result: www. ihe. net/Events/connectathon_results. cfm l Vendor Products Integration Statements l Participation in Committees & Connectathons 16

17