IHE Radiology Kevin O’Donnell Toshiba Medical Systems June 28 -29, 2005 Co-chair, IHE Radiology Planning Cmte. Interoperability Strategy Workshop
IHE Radiology Achievements Status: • Now finishing 7 th year – Robust Vendor Participation at Connectathons – IHE Profiles appearing in User Purchasing Processes • Have addressed basic workflows – Acquisition, Post-Processing, Reporting, Routing Teaching Files/Clinical Trials • Have addressed imaging content handling – Measurements, CAD Results, NM, Presentation States, Reports, Key Image Notes • Have addressed distribution of imaging info – on CDs, to EHRs, keeping Audit Trails June 28 -29, 2005 2 Interoperability Strategy Workshop
IHE Radiology Current Activities/Direction • Facilitate deployment of IHE Profiles in the Market – Users Handbook (2005 Edition) – Considering more depth to Connectathon tests • Start addressing integration and workflow spanning departments/enterprises/regions – XDS-I • Expand support for specialties – Address Mammography – Support Radiation Oncology Domain June 28 -29, 2005 3 Interoperability Strategy Workshop
IHE Radiation Oncology Bruce Curran University of Michigan Co-chair, IHE-RO Technical Committee June 28 -29, 2005 Interoperability Strategy Workshop
IHE-RO June 28 -29, 2005 5 Interoperability Strategy Workshop
IHE-RO June 28 -29, 2005 6 Interoperability Strategy Workshop
IHE-RO • ASTRO Leadership – Prabhakar Tripuranemi, IHE Co-chair Scripps Clinic – Jatindar Palta, IHE Co-chair U Florida – Jennifer Padberg, Staff Liaison ASTRO • Planning Committee • Technical Committee – Jay Cooper, Co-chair NYU – Keith La. Plain, Co-chair Varian Medical Systems June 28 -29, 2005 – Bruce Curran, Co-chair U Michigan – Stuart Swerdloff, Co-chair IMPAC 7 Interoperability Strategy Workshop
IHE-RO Basic Interoperability Contouring System Imaging Study Simulation System Imaging Study Rad Onc IMS Treatment Verification June 28 -29, 2005 Planning Workstation Treatment Delivery 8 Interoperability Strategy Workshop
IHE-RO Standards Used • DICOM – Significant interoperability issues • Un-equally spaced Image Sets • 3 D Contouring – Bifurcations – Auto-segmentation ‘leftovers’ • Limits on Size of Structure Set / Dose Objects – Workflow issues to be addressed in 2007 • Query/Retrieve for RT Objects • General Purpose / Modality Worklists June 28 -29, 2005 9 Interoperability Strategy Workshop
IHE-RO Actors • Proposals circulating between Planning Committee and Technical Committee – Many applications combine actors Planning Application DICOM Image Archive RT Plan G RT SSet RT Dose RT Archive June 28 -29, 2005 Patient Registrar Multi-Media Registration Contouring Reference Point Generation Prescription Entry Beam Placer / Shaper Dose Calculator Plan Evaluator Fractionator Reference Image Creator RT SSet RT Plan RT Dose Reference Images 10 Interoperability Strategy Workshop
More information…. • IHE Web site: http: //www. ihe. net s? on ti es u Technical Frameworks Q – Trial Implementation Technical Framework Supplements http: //www. himss. org/IHE http: //www. rsna. org/IHE http: //www. acc. org/quality/ihe. htm • • • Non-Technical Brochures : – Calls for Participation – IHE Fact Sheet and FAQ – IHE Integration Profiles: Guidelines for Buyers – IHE Connect-a-thon Results – 28 -29, 2005 June Vendor Products Integration Statements 11 Interoperability Strategy Workshop
IHE Cardiology Harry Solomon GE Medical Systems June 28 -29, 2005 Co-chair, IHE Cardiology Technical Cmte. Interoperability Strategy Workshop
IHE Cardiology Roadmap • 2004 -5 – three profiles with “success path”, addressing broad range of integration problems – Cath Lab Workflow management, including angio, hemo, and IVUS, especially for emergent cases – Echocardiography Workflow management, including mobile echo – Ability to view an ECG from any location - quickly and easily integrated into other applications • 2005 -6 – focus on reporting – Evidence Documents specialized for cardiology logs and measurements – Displayable Reports for PDF-based clinical reports, RID and XDS for report distribution • 2006 -9 – additional subspecialties, focus on quality initiatives June 28 -29, 2005 13 Interoperability Strategy Workshop
Cardiology – 5 Year Roadmap Year 2 (2006) Year 3 (2007) Year 4 (2008) Cath Cardiology Technical Framework Year 1 (2005) Multi-modality workflow & imaging Measurements & evidence Procedure log, coded reports Supplies, inventory, & charge capture Echo Workflow & imaging, stress protocols Measurements Coded reports Pediatric ECG Retrieve ECG for display Stress testing workflow Multi-modality lab Implantable device workflow & reporting parameters & events EP Quality June 28 -29, 2005 Precision time synchronization ECG waveform interoperability Workflow & stress protocols Nuclear General ECG/Stress/Holter orders Year 5 (2009) Home health monitoring Reporting & report distribution Retrieve guidelines for display 14 Registry data harvesting Retrieve structured guidelines Interoperability Strategy Workshop
Clinical Laboratory Domain Charles Parisot GE Healthcare IHE IT Technical Committee Co-chair François Macary AGFA Healthcare IT IHE Laboratory Committee Co-chair June 28 -29, 2005 Interoperability Strategy Workshop
The IHE Laboratory Committee Cochairs: Francois Macary - Agfa Healthcare IT Yoshimitsu Takagi - Hitachi • Development started in 2003 • First profile published in November 2003 • 10 systems validated in 2004 • 12 systems validated in 2005 • Four new profiles currently published for public comment Contributing countries – – – – France Japan Germany Italy The Netherlands UK US (CLSI - ex NCCLS) June 28 -29, 2005 16 Interoperability Strategy Workshop
IHE Lab today and to-morrow • Ordering, placing, scheduling and performing clinical laboratory tests both for Hospital and Ambulatory. • Microbiology included. Anatomic pathology and blood bank excluded • Five profiles: – Laboratory Scheduled Workflow (LSWF) – Laboratory Point Of Care Testing (LPOCT) – Laboratory Device Automation (LDA) – Laboratory Code Set Distribution (LCSD) – Laboratory Information Reconciliation (LIR) • Future plans – Incorporate analyzer images in the result workflow – Cross-enterprise sharing of lab reports, using CDA-R 2 – Specimen labels workflow 17 June 28 -29, 2005 Interoperability Strategy Workshop
IT Infrastructure Glen Marshall Siemens Health Solutions June IT 2005 IHE 28 -29, Infrastructure Committee Co-chair Interoperability Strategy Workshop
IHE IT Infrastructure Roadmap Stage 0 – 2003 profile development for 2004 Connectathon EHR Security Profiles Retrieve Information for Display (RID) Patient Identifier Cross-Referencing (PIX) Patient Synchronized Applications (PSA) Standards & Prerequisites CCOW v 1. 4 Patient Context HL 7 v 2. 3. 1 HL 7 v 2. 4 HTTP WSDL 1. 1 XHTML 1. 0 XML 1. 0 June 28 -29, 2005 Enterprise User Authentication (EUA) Consistent Time (CT) Standards & Prerequisites 19 CCOW v 1. 4 User Context Kerberos NTP SNTP Interoperability Strategy Workshop
IHE IT Infrastructure Roadmap Stage 1 – 2004 profile development for 2005 Connectathon EHR Support Security Profiles Standards & Prerequisites Cross-enterprise Document Sharing (XDS) Patient Demographics Query (PDQ) Stage 0 IHE ITI profiles CDA r 1 HL 7 v 2. 5 eb. XML Registry HTTP June 28 -29, 2005 Audit Trail and Node Authentication (ATNA) Personnel White Pages (PWP) IHE Radiology Basic Security Stage 0 IHE ITI security profiles RFC 3881 (Audit record schema) LDAP (RFC 2251 -2256) RFC 2798 (inet. Org. Person schema) 20 Interoperability Strategy Workshop
IHE IT Infrastructure Roadmap Stage 2 – 2005 profile development for 2006 Connectathon EHR Support Security Profiles Standards & Prerequisites Notification of Document Availability (NAV) Patient Management (PAM Stage 1 IHE ITI profiles IETF SMTP / MIME HL 7 v 2. 5 June 28 -29, 2005 Cross-Enterprise User Authentication (XUA) Document Digital Signature (DSG) Stage 1 IHE ITI security profiles OASIS SAML 2. 0 HL 7 v 2. 6 UAC segment W 3 C XML Digital Signature ITU X. 509 ISO/TS 17090 21 Interoperability Strategy Workshop
IHE IT Infrastructure Roadmap Stage 3 – 2006 profile candidates for 2007 Connectathon EHR Security Common Data Profiles – to be decided in Nov. 2005 Templates registry Patient Demographics Query - multienterprise Federated XDS registries Harmonize XDS and RID document retrieval capabilities RBAC – enterprise scope Referred to IHE PCC domain Patient consents Depends on other IHE domains’ needs Referred to IHE PCC domain Masterfile Maintenance Reference code set maintenance Scheduling – enterprise scope Dynamic data for EHR Standards & Prerequisites Stage 2 IHE ITI profiles HL 7 templates standards W 3 standards for XML schemas and XSL HL 7 scheduling messages W 3 C Semantic Web (interoperability and clinical vocabulary standards for assembling dynamic data sources into documents) June 28 -29, 2005 LDAP information sources Transaction Failure Management (TFM) RID configurability directory Service discovery Standards & Prerequisites Stage 2 IHE ITI security profiles ISO/TS 21547 -1 for certificate archiving ISO/TS 22600 parts 1 & 2 ISO/TS 21298 for function & structural roles ASTM E 31. 20 Privilege Management Infrastructure Stable HL 7 standards for communicating patient consents 22 Standards & Prerequisites Stage 2 IHE ITI Patient Management profile HL 7 v 2 Masterfile maintenance Mature/stable standards for selected masterfile information sources Suitable LDAP schema definitions Web services standards IETF infrastructure W 3 C infrastructure Interoperability Strategy Workshop
IHE IT Infrastructure Roadmap Stage 4 – 2007 profile candidates for 2008 Connectathon EHR Security Common Data Profiles Standards & Prerequisites Scheduling Respond to national/regional EHR mandates and initiatives, TBD HL 7 scheduling messages EHR-related standards, TBD June 28 -29, 2005 RBAC – multi-enterprise scope Wide-area patient access Mobile applications Patient identification based security Stage 3 IHE ITI security profiles Stable standards for crossenterprise RBAC Stable standards for mobile access security Stable standards for patient identification 23 Workflow management preferences SNMP MIBS LDAP equipment directory support Stable workflow management standards for healthcare use cases Suitable LDAP schema definitions IETF MIB standards Interoperability Strategy Workshop
IHE IT Infrastructure Roadmap Stage 5 – 2008+ profile candidates for 2009+ Connectathon EHR Security Common Data Profiles Standards & Prerequisites June 28 -29, 2005 24 XDS composite documents from multiple clinical domains. Stage 3 IHE ITI profiles Clinical domains’ XDS document profiles Remote service access Anonymization Pseudoanonymization Patient-controlled access Stage 4 IHE ITI security profiles Stable healthcare data model standards Stable standards for labeled data access rules Equipment discovery and automatic provisioning RID and XDS configurability Stage 3 IHE ITI common data profiles Stable standards for user interface optimization, e. g. , DICOM “hanging protocols” XDS clinical application domains’ content profiles Interoperability Strategy Workshop
Patient Care Coordination John Donnelly Inte. Pro Solutions, Inc. IHE IT Infrastructure Committee and Co-chair, IHE Patient June 28 -29, 2005 Interoperability Strategy Workshop Care Coordination Committee
Patient Care Coordination Domain Scope • Facilitate the use of EHR content standards for the transferring or sharing of patient care services via the development of medical summary (MS) content profiles • Specify appropriate “transfer packages” of clinical information for specific transfer of care use cases via the development of integration profiles. • Optimize the use of the IHE ITI profiles (e. g. XDS) in delivering healthcare in “communities” of patient care settings June 28 -29, 2005 26 Interoperability Strategy Workshop
Patient Care Coordination Current Accomplishments • Issued Call for Participation to vendor community and medical societies for Planning and Technical Committee formation – 2 t-cons and 1 Fto. F meeting • Finalized a Medical Summary Content Proposal highlighting two key transfer of care use cases • Conducted high-level content standards evaluation exercise • Promoted content standard education initiative June 28 -29, 2005 27 Interoperability Strategy Workshop
Скачать презентацию IHE Radiology Kevin O Donnell Toshiba Medical Systems June
8f0a844354fff4b2a2ec5ea89ab9efd5.ppt