1 Charles Parisot, GE Healthcare IHE IT Infrastructure Planning Committee Co-chair IHE Update to DICOM

2 IHE 2006 – Nine Active Domains Over 200 vendors involved world-wide, 7 Technical Frameworks 56 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide

3 Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Laboratory Scheduled Workflow Admit, Discharge, Transfer a patient, order lab tests, collect specimen, perform tests, report results. IHE Laboratory Integration Profiles Provide users a single name and centralized authentication process across all systems Point of Care Testing Extend laboratory testing with bedside testing devices Patient Synchronized Applications Coordinated Order & Results Code Sets Mgt Laboratory Code Set Distribution Provide users a single name and centralized authentication process across all systems Laboratory Information Reconciliation Updates resulting from unidentified or misidentified Patient Lab Analyzer Management Extend laboratory testing with intra-lab testing devices Patient Synchronized Applications Document to capture a structured lab report for historical access Cross-Enterprise Lab Reports Sharing New Laboratory Tests Terminology New

4 Patient Care Coordination Sharing of Medical Summary What is a Medical Summary ?  Summary of Care Provided to a Patient, part of : Summary of Episode Discharge Summary Transfer Summary  Documents the health status of a patient a point in time  Includes information such as: Problems Meds Allergies Plus, past procedures, history, etc.  Leverages Standards: HL7 CDA rel 2

5 Patient Care Coordination Medical Summary (XDS-MS)  Summary of Care Provided to a Patient, part of a Summary of Episode, Discharge Summary, Transfer Summary  Documents the health status of a patient a point in time  Includes information such as: Problems, Meds, Allergies, Plus, past procedures, history, etc. Basic Patient Privacy Consents (BPPC) Emergency Department Referral (EDR) Exchange of Personal Health Record Content (XPHR) Pre-procedure History and Physical (PPHP)

6 Patient Care Devices Device Enterprise Communication (DCE) Supports consistent communication of vendor independent, multi-modality Patient Care Device data to Enterprise Applications using consistent semantics. Allow applications to filter particular PCD data of interest.

7 Eye Care Eye Care Workflow (EYECARE), Charge Posting (CHG) Eye Care Evidence Documents (ECED)

8 IHE Cardiology Integration Profiles Cath Workflow Manage multi-modality synchronized procedure from admission to lab discharge including unidentified patients Echo Workflow Manage echocardiography workflow Retrieve ECG for Display Distribute ECGs, including waveforms, measurements, and interpretation, for enterprise- wide display Displayable Reports Create, finalize, archive, and distribute reports ready for display Stress Testing Workflow Urgent Implementable Device Identification Query on patient demographics for cardiac device info New

9 IHE IT Infrastructure Enterprise User Authentication Single user logon & centralized authentication Patient Identifier Cross- referencing for MPI Map patient identifiers across independent identification domains Patient Synchronized Applications Consistent Time Coordinate time across networked systems Audit Trail & Node Authentication Centralized privacy audit trail and node to node authentication to create a secured domain. Patient Demographics Query Personnel White Page Access to workforce contact information Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Retrieve Information for Display Document Digital Signatures Notification of Document Availability Patient Administration Management Capture data in an application for external secondary use Retrieve Form for Data Capture Cross-entrpse reliable pt-pt interchange Cross-entrpse media interchange New Scanned Document New

10 IHE Radiology, what’s new Nuclear Medicine Image Integration Profile (NMI) with Cardiac Option Image Fusion (FUS) Integration Profile Import Reconciliation Workflow (IRWF) Integration Profile Mammography Image (MAMMO) Integration Profile Radiology Audit Trail Option (ATNA-R) Cross-enterprise Document Sharing for Imaging (XDS-I) Teaching File and Clinical Trial Export (TCE) White Paper: Departmental Workflow

11 IHE at RSNA 2006 At RSNA 2006, successful Demonstration of:  Cross-Enterprise sharing of imaging information (XDS-I)  Clinical Trial and Teaching File Export 14 Companies participated plus one regional health information network. Held both a centralized (InfoRad) and a decentralized (exhibit showfloor). Many XDS-I projects around the world:  Canada (Toronto, Quebec, Alberta, British Columbia)  USA (Philadelphia Exchange, NY tender)  Japan (Nagoya Region)  Netherland (Amsterdam Region)  China (Shangai Region)

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