September, 2005What IHE Delivers 1 Purchasing & Integrating Radiology Systems Using IHE: A Tutorial & A Real-world Case Kevin O’Donnell, Cor Loef, John Paganini, Chris Lindop, Ellie Avraham, Christoph Dickmann

2 Integrating the Healthcare Enterprise IHE facilitates integrating systems for efficient, accurate patient care Systems that support IHE Integration Profiles:  communicate better & integrate more easily  provide more complete and accurate information  better support care providers workflow Each IHE Profile  describes a clinical information need or workflow scenario  documents how to use standards (e.g. HL7, DICOM,...) to accomplish it Systems that implement the same Profile address a need in a mutually compatible way Hundreds of products support one or more IHE Profiles.

3 Your Three Step Program Select Specific IHE Profiles List those Profiles in your RFP Check Vendors IHE Integration Statements

4 Selecting IHE Profiles Review the Profiles : What they do Benefits for your situation Some Helpful Resources: IHE User’s Handbook - Radiology RSNA Demonstrations Educational Material (e.g. Workshop Presentations) IHE Technical Framework – Radiology Connectathon Results

5 RFPs Be Brief?  “The system must support DICOM” Be Effective?  “The system must support the following DICOM services according to the following 100 pages of specifications: …” Be Both:  “The system must support the IHE Scheduled Workflow Profile as the Acquisition Modality actor.” Vendor IHE Integration Statements  Version 2.1 of the CardioCT 5000 supports IHE Scheduled Workflow as an Acquisition Modality

6 IHE Integration Statements Explicit claim by the vendor, for a specific product version Lists profiles, actors, options Short & Sweet

7 IHE Integration Statement Date: 03/10/2006 VendorProduct NameVersion Acme Medical SystemsPACS-o-MaticV3.9 This product implements all transactions required to support the IHE Integration Profiles, Actors and Options listed below: Integration Profiles ImplementedActors ImplementedOptions Implemented Scheduled WorkflowImage Manager / Archive. PPS Exception Management Patient Information ReconciliationImage Manager / Archive. None Consistent Presentation of ImagesImage Manager / Archive Image Display None Portable Data for Imaging Media Creator Media Importer None Audit Trail and Node AuthenticationAudit Record RepositoryNone Internet address for vendor's IHE information : Links to Standards Conformance Statements for the implementation Dicom: Health Level 7: Links to general information on IHE In North America : In Europe : In Japan :

8 Lets look at an Example Excerpt from Handbook  Look at a goal, e.g. Increase Throughput  Look at benefits, pick a profile  Touch on a few workflow change details and legacy handling details from Part II  An example is combined with progressive implementation  Three Slides Added to show an example of progressive, phased implementation from RIS+Modality to RIS+Modality+PACS – the classic integration Diagram of a profile,  Scheduled Workflow. In this case, it is the fourth slide which continues and completes the phased implementation storyline – 3+1 slides total

9 IHE Evidence Documents [Would PDI be better?]

10 Modalities with RIS Connection, and PACS IHE Integration Profile: Scheduled Workflow (full) Patient Information Reconciliation Presentation of Grouped Procedures Access to Radiology Information I think we may keep this diagram, but it should be animated (to show integration steps as described before) and include relevant acronyms like MWL, MPPS

11 Dealing with Legacy Understand that you may have to deal with non-compliant devices and systems Make best effort to bring them “up- to-date” Initial implementations may provide partial support Incremental usage of IHE is fine  It’s DICOM and HL7 anyway Follow IHE’s yellow brick road...

12 Communicate Your Plans to Vendors Present IHE as integration priority to Vendors. A Business goal ! Ensure you specify Actors, Profiles, Options Ask for Integration Statements in RFP Ensure Project Manager and team are knowledgeable at implementing IHE

13 Getting Started Visit the IHE Profile Demonstrations  Cross-Enterprise Document Sharing of Imaging [XDS-I]  Teaching File & Clinical Trial Export [TCE]  Here in Inforad and in participating Vendor Booths Talk about an IHE strategy with your CIO / IT staff, and with your vendors Get further information at And Keep listening...

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