Cor Loef, Program Manager Interoperability

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Cor Loef, Program Manager Interoperability
SecurityPhilips Medical Systems
Bringing IHE to real life,where to start and how
to implement
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Content

• Objective Integrating (part of) the Healthcare
  Enterprise
• Approach
• How to specify and judge vendor offerings
• Examples of how to use IHE in practice
• Conclusion

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The objective

• Integrating (part of) the Healthcare Enterprise
• Optimal support for workflow
• Integrated IT solutions
• Seamless information flow

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The approach

• Focus on Operational Workflow analysis,
  information flow required for applications,
  current situation of products and transactions,
  desired situation, gap analysis, resulting in
  requirements for new products and upgrades
• Expectation management
• IHE supports this process with a common framework
  all involved parties can understand and commit to.

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Integration Profiles

• IHE is not a product itself.
• Set of Integration Profiles, Actors, and
  Transactions. Need to map requirements on these
  IHE concepts.
• Examples
• SWF(Scheduled WorkFlow),KIN(Key Image Note)
• Consistent presentation of images
• Scan lines
• Comprehensive profile table, and for a specific
  system an Integration Statement

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IHE Integration Profiles
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General Integration Profile table
Actor
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System Transactions Overview
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Vendor offerings

• Specific integration statement for 1 product,
  listing
• name of the product, and version
• what IHE actors this product provides
• what Integration Profiles each actor in this
  product supports

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Example PACS X, vendor Y
Actor
Image Display
Image Manager/ Archive
Report Creator
Secure Node
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Certification?

• Ask the vendor to specify and to be responsible
  for the stated IHE implementation of the
  products.
• Credible vendors will have participated in the
  IHE connectathon sessions.
• Ask the vendors to list IHE conformant systems on
  a web page, also RSNA will provide a link to this
  page for successful connectathon participants.
• Ask for the relationship between the connectathon
  participation and listed products.

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Example New Modality

• Standard
• Actors Acquisition Modality
• Integration Profiles Scheduled Workflow and
  Patient Information Reconciliation
• If theres a need for Procedure grouping
• Integration Profile Presentation of Grouped
  Procedures

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Example PACS

• Standard
• Actors Image Manager, Image Archive, and Image
  Display
• Integration Profiles Scheduled Workflow and
  Patient Information Reconciliation
• Display and Printing Quality
• Actors Image Display and Print Composer
• Integration Profile Consistent Presentation of
  Images

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Example PACS, part 2

• Modalities with Procedure grouping
• Actors Image Archive
• Integration Profile Presentation of Grouped
  Procedures
• Flagging specific images
• Actors Image Archive and/or Image Display
• Integration Profile Key Image Note

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Example RIS Upgrade

• Standard
• Actors Order Filler
• Integration Profiles Scheduled Workflow and
  Patient Information Reconciliation
• DICOM Structured Reporting
• Actors Report Manager, Report Repository, Report
  Creator and Report Reader
• Integration Profile Simple Image and Numerical
  Reports

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Will IHE do it all?

• A lot, but
• Current scope is Radiology, first step to CPR
• Need to address performance requirements
• Clinical applications required
• Services are needed
• Project management
• Training
• Implementation/transition management
• Operational support

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Conclusion

• Using IHE Integration Profiles when writing
  specifications will make systems integration
  faster, more efficient, less expensive and
  successful.
• Can go for a bigbang approach, but also for a
  focus on a specific smaller area.
• Standards-based integration solutions are more
  flexible and easier and less expensive to
  maintain than proprietary methods.
• Success stories will be presented at the RSNA

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Conclusion

• Ask your vendors about the IHE Actors and
  Profiles they support in their products.

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Example Modality Upgrade

• New Modality Requirements, or if not possible
• Individual Transactions
• Modality Image Stored
• Modality Worklist Provided
• Storage Commitment
• Procedure Step Complete
• Procedure Step in Progress