1. Integrating the Healthcare Enterprise Examples of real implementations Some examples from France Eric Poiseau Laboratoire IDM Faculté de Médecine Université de Rennes 1

2. Success Story An IHE Success Story An IHE Success Story –two different vendors –one complete IHE integration profile. –all non-optional transactions from this integration profile need to be implemented between the products of the two vendors. It is not required that this specific combination has been tested at a "Connect- A-Thon". It is not required that this specific combination has been tested at a "Connect- A-Thon". However, the compliance with the integration profile needs to be demonstrated without doubt. However, the compliance with the integration profile needs to be demonstrated without doubt.

3. List of success stories Mid-range hospitals Mid-range hospitals Implemented profiles : SWF, PIR, CPI Implemented profiles : SWF, PIR, CPI Ales : 1 ADT, OP, OF Ales : 1 ADT, OP, OF Arras : 1 ADT,OP, 2 OF, 4 MOD Arras : 1 ADT,OP, 2 OF, 4 MOD Cahors : 1 ADT, OP, OF Cahors : 1 ADT, OP, OF Beauvais : 1ADT, OF Beauvais : 1ADT, OF Saint Benoît : 1ADT, OF, IM/IA, ID Saint Benoît : 1ADT, OF, IM/IA, ID Val d’or : 1OF, 3 MOD, 1 PS, 1 IM/IA Val d’or : 1OF, 3 MOD, 1 PS, 1 IM/IA

4. Centre Hospitalier d’Ales ADT HEXAGONE Symphonie-On-Line Order Placer Dx CARE Medasys SA Order Filler SIRILOG Medasys SA Orders Patient Identities

5. Centre Hospitalier d’Arras Sirilog RIS Patient registration, Patient update, Placer order management, Clinicom HIS 4 Modalités Blocs XRPArtner Procedure scheduled * Procedure scheduled, Modality worklist* Patient registration, Patient update Procedure scheduled * Modality Performed Procedure Step * Siemens Medasys Siemens Philips GE Healthcare

6. Centre Hospitalier de Beauvais Patient registration Patient Update Radiology Hospital Information System GIE Convergence Profils EDL

7. Centre Hospitalier de Cahors Patient registration and update Orders Charge posting Hprim 2.1 ADT Symphonie On Line Order Placer Medasys Order Filler RIS Waid Reports

8. Centre Hospitalier de Saint Benoît ADT HEXAGONE Symphonie-On-Line Order Placer Dx SPRA Medasys SA Order Filler SIRILOG Medasys SA Patient Registration Patient Update Placer Order Mgmt Image ArchiveImage Manager Procedure Scheduled Patient Update Procedure Update SOMATOM AR/SP Siemens Image Display Dx MM Medasys SA Image Availability Query Query Images Retrieve Images Dx Server, Medasys SA Modality Worklist Provided Modality Image Stored

9. Clinique du Val d’or AGFA Print Server Algotec PACS Image Archive Algotec PACS Image Manager Modalités imagerie SIEMENS EDL Explore Order Filler Algotec PACS Image Display Dicom print presentation LUT Q/R images Dicom Modality Worklist Dicom send C_store Q/R images Dicom print Mpps

10. Conclusion Shows that IHE is real : Shows that IHE is real : –IHE started in France in 2001 –6 success stories in 2003 Shows that “every one” can access it : Shows that “every one” can access it : –Not reserved to the “big enterprises” Common Eased the RFP process Common Eased the RFP process –Common vocabulary Between vendor and user Between vendor and user Between vendors Between vendors Reduced the deployment period Reduced the deployment period Improved workflow Improved workflow Security Security –Reduces the risk for future integration in the enterprise