1. IHE Cardiology Year 2 Profiles Harry Solomon Co-chair, Technical Committee

2. Cardiology Planning Committee 7 March 2005 page 2 Process Planning Committee developed Profile Proposals (Sept-Nov) Technical Committee evaluated proposals for feasibility (Dec-Feb) Planning Committee confirms Year 2 scope and begins work on demo and marketing (now) Technical Committee publishes Tech Framework Supplements (Apr-Jun) Call for Year 2 participation (Jun) – sign-up by end of Aug

3. Cardiology Planning Committee 7 March 2005 page 3 Planning Cttee Profile Proposals 1.Cath lab workflow enhancement – build out from Year 1 (pre-cath, procedure log, reporting) 2.Echo workflow enhancement – build out from Year 1 (measurements, reporting) 3.Stress testing workflow – manage stress test w/wo imaging, integrate all results for reporting 4.Nuclear cardiology – integrate all stress test results for reporting 5.Registry data harvesting – gather and integrate information from disparate sources for outcomes research registries 6.Cross-enterprise document sharing – share data between clinician offices and in-patient environments

4. Cardiology Planning Committee 7 March 2005 page 4 Tech Cttee Evaluation Criteria Encourage additional participants through new profiles Balance against resources for Technical Framework and MESA Test Tools development Leverage existing profiles to extent possible Consolidate common processes from multiple sub-domains - may refactor proposals (mix and match) Avoid political battles

5. Cardiology Planning Committee 7 March 2005 page 5 Tech Cttee Proposed Profiles 1.Enhance existing Cath and Echo profiles with logs and measurements (“evidence documents”) 2.New Stress Workflow Profile leveraging actors and transaction concepts from Cath and Echo profiles 3.Include Simple Image and Numeric Report Profile (by reference to Radiology) for DICOM SR-based reporting 4.New Displayable Report Profile (based on SINR) for PDF- based reporting 5.Include Retrieve Information for Display Profile (by reference to IT Infrastructure) for intra-enterprise report distribution and access to non-cardiology reports 6.Include Cross-enterprise Document Sharing Profile (by reference to IT Infrastructure) for cross-enterprise report distribution

6. Cardiology Planning Committee 7 March 2005 page 6 Existing Cath* Echo* ECG *enhanced New Displayable Report Stress Reference SINR RID XDS

7. Cardiology Planning Committee 7 March 2005 page 7 Correspondence between Planning and Tech Cttee Proposals (1) Cath lab workflow enhancement –Pre-cath data: Retrieve Info for Display –Procedure log, Measurements: Evidence documents in Cath Profile –Reporting: Simple Image and Numeric Reports and Displayable Reports –Report distribution: Retrieve Info for Display and Cross- enterprise Document Sharing Echo workflow enhancement –Measurements: Evidence documents in Echo Profile –Reporting: Simple Image and Numeric Reports and Displayable Reports –Report distribution: Retrieve Info for Display and Cross- enterprise Document Sharing

8. Cardiology Planning Committee 7 March 2005 page 8 Correspondence between Planning and Tech Cttee Proposals (2) Stress workflow –Workflow: Stress Profile –Reporting: Displayable Reports –Report distribution: Retrieve Info for Display and Cross- enterprise Document Sharing Nuclear cardiology –Workflow: Scheduled Workflow Profile (Rad) –Measurements: Evidence Documents Profile (Rad) –Display: Nuclear Medicine Content Profile (Rad) –Reporting: Simple Image and Numeric Reports and Displayable Reports –Report distribution: Retrieve Info for Display and Cross- enterprise Document Sharing

9. Cardiology Planning Committee 7 March 2005 page 9 Correspondence between Planning and Tech Cttee Proposals (3) Registry data harvesting –Data production: Evidence documents in Cath, Echo, and Stress Profiles (enabler – no specific templates) –Data collection: deferred from Year 2 Cross-enterprise document sharing –Cross-enterprise Document Sharing

10. Cardiology Planning Committee 7 March 2005 page 10 Potential New Participants Measurement/analysis application vendors (echo, cath) Reporting system vendors (echo, cath) Stress system vendors –Already participating in Tech Cttee EMR vendors –May need incentives to participate in ACC as well as HIMSS demos Additional “Year 1” capability vendors Potentially doubling size of Demonstration