IHE Update to DICOM

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Charles Parisot, Charles Parisot, GE Healthcare GE Healthcare

IHE IT Infrastructure Planning Committee Co-chairIHE IT Infrastructure Planning Committee Co-chair

IHE Update to DICOMIHE Update to DICOM

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Electronic Health Record

Cardiology

Laboratory

Radiology

Oncology

Future

Domains

IHE

IT Infrastructure

16 Integration Profiles



1177 IInntteeggrraattiioonn PPrrooffiilleess

Patient Care Coordination


Patient Care

Devices

Pathology

Eye Care



IHE 2006 – Nine Active Domains IHE 2006 – Nine Active Domains

Over 200 vendors involved world-wide,Over 200 vendors involved world-wide, 7 Technical Frameworks7 Technical Frameworks56 Integration Profiles, Testing at Connectathons56 Integration Profiles, Testing at ConnectathonsDemonstrations at major conferences world-wideDemonstrations at major conferences world-wide

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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 IHE Laboratory Integration Profiles

Provide users a single nameand

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 nameand

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


Document to capture a structured lab report for historical access

Cross-Enterprise Lab Reports Sharing

New

Laboratory Tests Terminology New

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Patient Care CoordinationPatient Care CoordinationSharing of Medical SummarySharing 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

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Patient Care CoordinationPatient Care CoordinationMedical 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)

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Patient Care DevicesPatient 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.

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Eye CareEye Care

Eye Care Workflow (EYECARE),

Charge Posting (CHG)

Eye Care Evidence Documents (ECED)

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IHE Cardiology Integration ProfilesIHE Cardiology Integration Profiles

Cath WorkflowManage 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 ReportsCreate, finalize, archive,

and distribute reportsready for display

Stress Testing Workflow

Urgent Implementable Device Identification

Query on patient demographics for cardiac

device info

New

New

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IHE IT Infrastructure 2005-2006IHE IT Infrastructure 2005-2006

Enterprise User Authentication

Single user logon& centralized authentication

Patient Identifier Cross-referencing for MPI

Map patient identifiers across independent identification

domains


Consistent TimeCoordinate 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 PageAccess to workforcecontact 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

New

NewScanned Document

New

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IHE Radiology, what’s newIHE Radiology, what’s newNuclear 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

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IHE at RSNA 2006IHE at RSNA 2006At 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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