1. CARS 2002 - Special Session on IHE Integrating the Healthcare Enterprise – An Industry Perspective – Frequently Asked Questions Geert Claeys– AGFA (Co-Chairman IHE Europe) Cor Loef– Philips Medical Systems (IHE North America & Europe) Charles Parisot– GE Medical Systems (IHE North America & Europe) Nikolaus Wirsz– Siemens Medical Solutions (IHE North America & Europe)

2. CARS 2002 - Special Session on IHE 2 Is IHE a radiology only initiative ? In the past : yes ; now and future : noIn the past : yes ; now and future : no IHE approach works for other departmentsIHE approach works for other departments –Interoperability problems are the same –IHE is not a standard but a profile of existing standards (e.g. HL7) IHE Integration ProfilesIHE Integration Profiles –Existing Integration Profiles addresses cross-departmental needs (e.g. report viewing) –New proposed Integration Profiles will address non-radiology needs (e.g. ordering lab results, cardiology) IHE Demo ParticipantsIHE Demo Participants –At least one HIS vendor participate at every IHE demo –IHE France : participating HIS vendors represented 80% of French HIS market IHE stimulates the adoption of “localised” HL7 in FranceIHE stimulates the adoption of “localised” HL7 in France

3. CARS 2002 - Special Session on IHE 3 How successful is IHE? Connectathon (IHE Europe)Connectathon (IHE Europe) –33 vendors, 59 products, 9 countries –Larger and more complex than IHE USA –Participating vendors cover 80% of the market (per country) –All vendors successfully passed the tests Demos (IHE Europe)Demos (IHE Europe) –Demos in France, Germany, Italy, UK –Vendors : 40% local vendors; 60% international vendors –Visitors : 300-400 –IHE Germany received @roentgen award (Germany) Products :Products : –IHE in products = 1-2 years after IHE in prototypes –Implementations in commercial products since 2001

4. CARS 2002 - Special Session on IHE 4 Main message: IHE moves into the real world !Main message: IHE moves into the real world ! Posting user success stories instead of live demos – visibility for both institutions and vendors:Posting user success stories instead of live demos – visibility for both institutions and vendors: –Showcase progress users and vendors have made in implementing IHE functionality –Publicize the successes of institutions using IHE to integrate imaging and information systems to improve clinical practice –How was IHE used ? –What were the benefits of using IHE ? –What are the products and IHE features ? Selling the value of the connect-a-thon (“deeper” testing)Selling the value of the connect-a-thon (“deeper” testing) User Success Stories at RSNA 2002 (IHE Year 4)

5. CARS 2002 - Special Session on IHE 5 How Are IHE Products Validated? IHE stimulates auto-validation; IHE is not a certification authorityIHE stimulates auto-validation; IHE is not a certification authority Conformance statementConformance statement –Document the supported actors and integration profile –Support validation of multi-vendor solutions on paper Validation tools : MESA toolkitValidation tools : MESA toolkit –Emulate the various actors in the different implementation profiles –Implementers submit test logs prior to connectathon Connect-a-thon :Connect-a-thon : –1 week validation session in Europe and USA –Validate the integration profiles for a particular IHE demo –Connectahton results are publicly available Success storiesSuccess stories

6. CARS 2002 - Special Session on IHE 6 Do I need IHE to build an EPR system? IHE focuses on the back-office activities not on front-office applicationsIHE focuses on the back-office activities not on front-office applications IHE provides (parts of) infrastructure to build EPR systemsIHE provides (parts of) infrastructure to build EPR systems –Data model Definition of identifiers (patient Id, accession nr)Definition of identifiers (patient Id, accession nr) –Communication protocol DICOM, HL7,..DICOM, HL7,.. –Interoperability scenarios : Simple Image and Numeric Report Integration ProfileSimple Image and Numeric Report Integration Profile

7. CARS 2002 - Special Session on IHE 7 Why do competitors cooperate in IHE? Cooperate and compete at the same time. “Co-opetition” [Brandenburger, Nalebuff, 1996]Cooperate and compete at the same time. “Co-opetition” [Brandenburger, Nalebuff, 1996] Cooperation on infrastructureCooperation on infrastructure –Create an infrastructure, based on on open standards Open systems are essential for market growthOpen systems are essential for market growth Everyone benefits from a growing marketEveryone benefits from a growing market Standards, Technical Framework, connectathon.Standards, Technical Framework, connectathon. Defined and supported by multiple vendorsDefined and supported by multiple vendors –Marketing the IHE concept: Demos, presentations, mult-media shows, brochures, etc.Demos, presentations, mult-media shows, brochures, etc. Competition on productsCompetition on products –Products contain unique features on top of the IHE foundation services.

8. CARS 2002 - Special Session on IHE 8 XML Master Patient Index Security What is in the IHE pipeline? Infrastructure Departmental IS Order placer/filler Patient ADT Image Content Information & Workflow Application domain Clinical Lab OphtamologyRadiologyCardiology

9. CARS 2002 - Special Session on IHE 9 IHE Europe:http://www.ihe-europe.org IHE North America:http://www.rsna.org/IHE More Information

10. CARS 2002 - Special Session on IHE 10 Questions & Answers