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Oct, 2010IHE Orientation-TurMIA 1 INTEGRATING THE HEALTHCARE ENTERPISE (IHE) Orientation Workshop(2) TurkMIA Conference-10 Charles Parisot, IHE-Europe.

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Presentation on theme: "Oct, 2010IHE Orientation-TurMIA 1 INTEGRATING THE HEALTHCARE ENTERPISE (IHE) Orientation Workshop(2) TurkMIA Conference-10 Charles Parisot, IHE-Europe."— Presentation transcript:

1 Oct, 2010IHE Orientation-TurMIA 1 INTEGRATING THE HEALTHCARE ENTERPISE (IHE) Orientation Workshop(2) TurkMIA Conference-10 Charles Parisot, IHE-Europe Steering Committee & International Board member, GE healthcare

2 2 Agenda Part 1: THE IHE STANDARDS ADOPTION PROCESS: achieving practical interoperability This Afternoon: Part 2: USERS AND VENDORS WORKING TOGETHER: how can I contribute & benefit from IHE HOW TO USE IHE RESOURCES: hands on experience

3 3 Understanding the IHE Initiative IHE has a clear focus IHE is a healthcare domain-based initiative IHE creates synergies for interoperability testing across domains IHE addresses the standards adoption process IHE is both regional and multi-national IHE is both user lead and vendor driven

4 4 Standards Adoption Process Document Use Case Requirements Identify available standards ( e.g. HL7, DICOM, IETF, OASIS) Develop technical specifications Testing at Connectathons IHE Demonstrations Products with IHE Timely access to information Easy to integrate products

5 55 IHE Organizational Structure Contributing & Participating Vendors Regional Deployment ACC ACCE ACEP JAHIS JIRA JRS METI-MLHW MEDIS-DC JAMI RSNA SFR SFIL SIRM BIR EuroRec COCIR EAR-ECR DRG ESC Professional Societies / Sponsors ACP GMSI HIMSS Global Development Radiology Cardiology IT Infrastructure Patient Care Coordination Patient Care Devices Laboratory Pathology Eye CareRadiation Oncology Public Health, Quality and Research IHE International Board IHE Europe & Middle East IHE America France USA Canada IHE Asia-Oceania Japan KoreaTaiwan Netherlands Spain Sweden UK Italy Germany Israel China Austria Australia Turkey Swiss

6 6 IHE Sponsors Professional societies Healthcare Information Management Systems Society (HIMSS) Healthcare Information Management Systems Society (HIMSS) Radiological Society of North America (RSNA) Radiological Society of North America (RSNA) British Institute of Radiology (BIR), British Computer Society (BCS British Institute of Radiology (BIR), British Computer Society (BCS German Radiology Society (DRG) German Radiology Society (DRG) GMSIH (IT France), SFIL (laboratory), French National Project (DMP) GMSIH (IT France), SFIL (laboratory), French National Project (DMP) European Society of Cardiology……Many other European Societies European Society of Cardiology……Many other European Societies American College of Physicians (ACP), American College of Emergency Physicians (ACEP) …Many other American healthcare societies (ACCE), (AAO), (ASTRO), etc. American College of Physicians (ACP), American College of Emergency Physicians (ACEP) …Many other American healthcare societies (ACCE), (AAO), (ASTRO), etc. JAHIS (IT Japan), JIRA, JRS….Many other Japanese Societies JAHIS (IT Japan), JIRA, JRS….Many other Japanese Societies And many more…. And many more…. Health Authorities NICTIZ (Netherlands), ASIP (F), ELGA (Austria), Infoway (Canada), etc. NICTIZ (Netherlands), ASIP (F), ELGA (Austria), Infoway (Canada), etc.

7 7 IHE Participants and Relationships Participants include: Users - Clinicians, Staff, Administrators, CIOs, Governments Users - Clinicians, Staff, Administrators, CIOs, Governments Vendors of Information Systems and Equipment Vendors of Information Systems and Equipment Consultants Consultants Relationship with Standards Development Organizations (SDOs): HL7, DICOM, ISO, CDISC, IEEE and many others HL7, DICOM, ISO, CDISC, IEEE and many others Adoption process approved via ISO/TC 215, IHE profiles to be published as ISO Technical Reports Adoption process approved via ISO/TC 215, IHE profiles to be published as ISO Technical Reports Other Profiling Organizations such as Continua (Consumer Devices) Other Profiling Organizations such as Continua (Consumer Devices) National Adoption of IHE Profiles DMP(France), ELGA(Austria), HITSP (USA), Infoway (Canada), many others worldwide….. DMP(France), ELGA(Austria), HITSP (USA), Infoway (Canada), many others worldwide…..

8 8 IHE International Governance - Membership Membership: Members are Organizations–Sign Governance & IP once. Members are Organizations–Sign Governance & IP once. Three Organizational Categories: User, Developer, General Interest Three Organizational Categories: User, Developer, General Interest Member designates a primary/alternate representatives to one of more Committees (Domains, Test& Tools, MarCom). Member designates a primary/alternate representatives to one of more Committees (Domains, Test& Tools, MarCom). Elect Committee co-chairs. One User & one vendor recommended for Planning Committees Elect Committee co-chairs. One User & one vendor recommended for Planning Committees Regional and National IHE Committee members required to become members of IHE International. Regional and National IHE Committee members required to become members of IHE International. Over 300 Member organizations. About half users/half Vendors Over 300 Member organizations. About half users/half Vendors

9 9 IHE International Governance – Others Committees IHE Regional or National Deployment Committees are independent entities with their own governance but close collaborative relationship with IHE International. IHE International Board empowers Regional and National Committee. 3 year commitment, renewable. Oversees Testing and Tools Committee Coordinates the various Regional and National Committees. Coordinates the various Regional and National Committees. Oversees Marketing & Communication Committee Consistency of communication among Domains within IHE International and various Regional and National Committees. Consistency of communication among Domains within IHE International and various Regional and National Committees.

10 10 All Participants: Become a member of relevant domains Planning or Technical Committees Become a member of relevant Regional/National Committees Help to shape IHEs future direction Offer Clinical Use Case Input to Drive IHE Profile Development Respond to Public Comments of Domain Supplements Attend Educational Workshops/Webminars As a Vendor Participant Participate in Connect-a-thons and Demonstrations As a Provider/Consultant Participant Attend Demonstrations and include IHE Integration Profiles in your RFPs and Integration Projects. How can I participate?

11 11 What can you do? Learn about IHE, Insist on relevant IHE profiles compliance in your RFPs and contract documents: Select Integration Profiles, and Appropriate Actor(s) Select Integration Profiles, and Appropriate Actor(s) Ask vendors for their products IHE Integration Statements Ask vendors for their products IHE Integration Statements Need more interoperability ? Contribute to IHE Committees Contribute to IHE Committees

12 12 Agenda Part 2: USERS AND VENDORS WORKING TOGETHER: how can I contribute & benefit from IHE HOW TO USE IHE RESOURCES: hands on experience

13 Agenda From IHE Profiles to conformance testing, closing the implementation gap Helping the implementers, testing tools, connectathons How to use other IHE resources: hands on experience Technical Frameworks: navigating, Q&A Test tools: finding, using, configuring Participating in the testing process 13

14 Connectathon 14

15 Connectathon Started in 1998 in the USA Europe started in 2001 Japan in 2003 China and Australia have now joined 15

16 Purpose Test implementation of the IHE integration and content profiles within product/open source Verify that the vendors did a good job Verify that what the committees specified is clear ! Verify that the Technical Frameworks are not ambiguous Verify that that the Technical Committee did not miss anything Build a community of computer geeks who loves local brewed beers and have fun working together to connect healthcare 16

17 From the vendor perspective Unique Opportunity for vendors to test their implementations of the IHE integration profiles Controlled environment Customer is not present ! Not in a clinical production environment Specialists available From SDO From the peer companies Bugs are identified and most of the time fixed !!!! Connectathon Results 17

18 From the user perspective Unique Opportunity to engage potential vendors and user own implementation tested for conformance to IHE integration and content profiles Controlled environment User community in IHE designate the Connectathon Monitors ! Not in a clinical production environment Specialists available From SDO From the vendor companies Bugs are identified and most of the time fixed, before the product is installed !!!! Connectathon Results 18

19 But… Testing in interoperability is (always) sub- optimal Only a part of all the possible tests are performed A system successful at the connectathon is not guaranteed to be error free !!!! But, …. it is the most thorough interoperability conformance widely available 19

20 From the IHE perspective Feedback from the vendor community Did the profile development committee do a good job ? Did the developed integration or content profile responds to the expectations of the vendors and meets the intended user need ? 20

21 Maturity of IHE Connectathons We have reached now our cruising speed NA and EU Connectathon are very alike. Japanese Connectathon is now mature. Connectathon also used as an IHE promoting tool Workshop in parallel to the Connectathon VIP visits Visitors are truly impressed !! 21

22 The IHE testing process Users Sponsors: Project ManagementTeam Vendors/ Implementers UsersDemonstrations Develop Testing Tools Implement Profile Actors In-HouseTesting Connectathon Demonstration DeployedSystems Testing Results Approves Test Logs IHE Technical Framework (Profiles Specification) Product + Integration Statement 22

23 Unit Testing & Peer Testing 22/05/08Projet IHE-Dev Inria Rennes Specifications/Standards Implementation A Vendor A Implementation B Vendor B Unit testing Peer Testing 23

24 Both Unit Testing & Peer Testing Need to have unit testing in the IHE Testing process Important to perform unit testing in advance of the peer testing Peer testing takes place during the testing event (connectathon). Need to perform unit testing as well during the connectathon. 24

25 Pre- connectathon 25

26 Pre-connectathon Registration Open to all, even non IHE members Choice of what can be tested Actors for a Profile Exchange of configuration parameters IP addresses Assigning authorities, Addresses, AE Title OID Certificates Affinity domain specification (e.g. XDS Meta-data) 26

27 Pre-connectathon Unit testing using Gazelle test tools In-house testing for vendors to get ready Vendors return Gazelle tool logs Upon log return, and positive analysis, participation to Connectathon event is accepted by IHE Technical Project Mgr 27

28 At connectathon 28

29 Connectathon Testing 3 types of test to be performed No-peer tests Peer to peer tests Workflow tests (multi peers) 29

30 5 days Configured up and running by Monday morning 11 am Set up time Till Friday noon : Free peer to peer and no peer testing From Wednesday till Friday noon : Directed workflow testing Enough time to test 4-6 solid profiles and 1-2 new profiles per participating system 30

31 Monitors Report to IHE Technical Project Mgr Volunteers, trained and screened Independent from vendors. Selected by IHE Countries users. Standard knowledegeable Verify tests Act as moderator between vendors 31

32 Results To be successful Pre-connectathon test validated Each peer to peer test needs to be verified with at least 3 peers A vendor may fail for an actor in a profile but pass for the others IHE does not report failure. Vendors have access to their own detailed test results (track issues). Vendors shall publish their products integration statements Market/Contractual sanction 32

33 Connect-a-thon Results Browser 33

34 Connectathon Results Browser 34

35 35 Connectathon Results Browser 35

36 What does it mean ? The Company was successful at the connectathon for an actor/integration profile combination Results express a company maturity and willingness to collaborate. Does not guaranty product conformity, but enables market/contractual commitments by vendors to their customers Product conformity commitment: This is the role of the « IHE integration statements » 36

37 IHE Integration Statement Product vendors take the next step 37

38 Technical Frameworks One per Domain They are the reference, the tools are not ! Written and reviewed by Vendors and Users Freely available on 38

39 Organization of the TF Volume 1 Description of the Integration/content profiles and actors Dependencies between actors and profiles Use cases Volume 2 and followings Description of the transactions with reference to used standards 39

40 TF Life Cycle Every year : New integration profiles Change Proposal Integration Profile proposed as Supplements Public Comment Trial Implementation Final Text Once in Final Text integration into the main document. No concept of profile version (Corrections are applied). Non backward changes result in a new profile. 40

41 IHE Wiki A lot of information. Used for supporting on-going work by Committees Committee planning / minutes /in development documents General membership/Chairs Wiki for connectathon organization and management Code exchange XDS implementation page … 41

42 Gazelle Objectives 42

43 Objectives Improve the overall quality of testing Conformance and Interoperability Broaden the use of the application. Open Source Licence (Apache). Build a framework for Healthcare interoperability testing Synchronous testing of multiple systems Multilingual Scalable 43

44 5 Context of Use Connectathon Virtual Connectathon Company Internal Testing tool Healthcare Enterprise Testing tool Governmental/Certification organizations 44

45 Gazelle Architecture 45

46 Gazelle Architecture Proxy System Under Test Network Gazelle Test Engine Control Configuration Info Feedback External Validation Services Tests Scenario Gazelle Actor (Simulators) Gazelle Control System External Validation Services External Validation Services External Validation Services Gazelle Actor (Simulators) Gazelle Actor (Simulators) Gazelle Actor (Simulators) Gazelle Actor (Simulators) System Under Test System Under Test Database 22/05/08Projet IHE-Dev Inria Rennes 46

47 System under test More than one system can be tested at the same time Management of System Under Test Web application to provide instructions 47

48 Participants 3 IHE Regions North America : MIR Europe : INRIA Japan : Shizuoka University DVTK NIST Tiani-Spirit David Clunie Offis Open to more participants 48

49 Project Management Testing and Tool Committee Overview of IHE testing activities Choice of the license Approve Connectathon Organizers Testing Management Group Project Management Eric and Steve 49

50 50 More Resources - Frequently Asked Questions Integration Profiles in Technical Frameworks: Cardiology Cardiology IT Infrastructure IT Infrastructure Laboratory Laboratory Patient Care Coordination Patient Care Coordination Patient Care Devices Patient Care Devices Radiation Oncology Radiation Oncology Radiology Radiology Connectathon Results Vendor Products Integration Statements Participation in Committees and Connectathons

51 Oct, 2010IHE Orientation-TurMIA 51


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