MIR 2002 - IHE Session IHE in Europe Geert Claeys – Co-Chairman IHE Europe (Agfa Healthcare)

MIR 2002 - IHE Session

IHE in Europe

Geert Claeys – Co-Chairman IHE Europe (Agfa Healthcare)

2 MIR 2002 - IHE Session

IHE Integration GoalsIHE Integration Goals

Improve the efficiency and effectiveness of Improve the efficiency and effectiveness of clinical practice:clinical practice:

Improve Improve Workflow within Radiology (and outside) Workflow within Radiology (and outside) Improve Improve Information Access (images, reports,..)Information Access (images, reports,..) Enable Enable Cross-System Functionality Cross-System Functionality Enable Enable Cross-vendor environmentCross-vendor environment


IHE ApproachIHE Approach• Provide solutions for real-world integration Provide solutions for real-world integration

problems (Integration Profiles)problems (Integration Profiles)

• Common technical framework, based on Common technical framework, based on existing standards (e.g. DICOM, HL7existing standards (e.g. DICOM, HL7, SSL, SSL))

• Regular validation sessions (connectathon)Regular validation sessions (connectathon)– Validation on application level; not only on Validation on application level; not only on

protocol levelprotocol level

• Demonstrate the results at yearly public Demonstrate the results at yearly public demo’s (RSNA, HIMSS, European shows)demo’s (RSNA, HIMSS, European shows)


IHE HistoryIHE History19991999(yr1)(yr1)

• Start of IHE-USA Start of IHE-USA • Mainly scheduled workflowMainly scheduled workflow

20002000(yr2)(yr2)

• 7 Integration Profiles7 Integration Profiles

20012001(yr3)(yr3)

• IHE USA : Consolidation yearIHE USA : Consolidation year• Start of IHE Europe and IHE JapanStart of IHE Europe and IHE Japan

20022002(yr4)(yr4)

• Adding new IHE ProfilesAdding new IHE Profiles• Internationalization of Technical FrameworkInternationalization of Technical Framework• European Connectathon European Connectathon • IHE demos in USA, EIHE demos in USA, EUU, Japan, Japan


IHE Integration ProfilesIHE Integration Profiles

Access to Radiology InformationConsistent access to images and reports

Consistent Presentation of Images

Hardcopy and softcopy grayscale presentation state

Key ImageNotes

Flag significant images

Simple Image and Numeric Reports

Simple reports with image links and, optionally,

measurements

Basic SecurityAudit Trail Consolidation & Node Authentication

Presentation of Grouped Procedures

Subset of a single acquisition

Post- Processing Workflow

Schedule, perform, & notify image processing

& CAD steps

Charge Posting

Collection of billable procedure details

Scheduled Workflow

Admit, order, schedule, acquire images, notify of completed steps

Patient Information Reconciliation

Unknown patients and unscheduled orders


IHE in Europe - whyIHE in Europe - why• Similar integration problems ask for similar (IHE) Similar integration problems ask for similar (IHE)

solutionssolutions• Provide European vendors with a platform to develop Provide European vendors with a platform to develop

and test world-class interoperabilityand test world-class interoperability• Involve local vendors (RIS/HIS) Involve local vendors (RIS/HIS) • Address European specific requirements :Address European specific requirements :

– Multi-language aspectMulti-language aspect– Limited acceptance of HL7Limited acceptance of HL7– Country specific RIS vendorsCountry specific RIS vendors– Country specific congresses & exhibitionsCountry specific congresses & exhibitions

• Facilitate communication between European Facilitate communication between European vendors/users and IHE USAvendors/users and IHE USA


IHE France IHE France CommitteeCommittee

IHE Germany IHE Germany CommitteeCommittee

IHE xxx IHE xxx CommitteeCommitteeDemonstrations

Education

National TF extensions

Vendor Participation

IHE Europe OrganizationIHE Europe Organization

IHE Europe IHE Europe CommitteeCommittee

Strategic Development

Connectathon

New Integration Profiles

Education and promotion IHE

USA

IHEJapan


IHE Technical FrameworkIHE Technical Framework

IHE Integration Profiles

National Extensions National Extensions

IHE Transactions

(Existing)

IHE Transactions

(new)


IHE Europe activitiesIHE Europe activities

• European ConnectathonEuropean Connectathon

• National IHE DemonsNational IHE Demonstrationstrations

• Extensions to Extensions to TTechnical echnical FFrameworkramework


IHE Europe ConnectathonIHE Europe Connectathon• 1 week validation session1 week validation session

– Paris (April 2002)Paris (April 2002)

• Multi-vendor implementation of different Multi-vendor implementation of different Integration Profiles (with national extensions)Integration Profiles (with national extensions)– 33 vendors, 59 systems, 9 countries 33 vendors, 59 systems, 9 countries – HIS, RIS, PHIS, RIS, PACSACS, Modality vendors, Modality vendors– Vendors cover 80% of the market (per country)Vendors cover 80% of the market (per country)– More complex than connectathon USAMore complex than connectathon USA

• Prerequisite to participate at IHE demoPrerequisite to participate at IHE demo

• All vendors successfully passed!All vendors successfully passed!

• Connectathon results are publicly availableConnectathon results are publicly available



IHE-Europe DemosIHE-Europe Demos• Demos at France, Germany, Italy, UKDemos at France, Germany, Italy, UK• Radiology centric demosRadiology centric demos

– JFR2002 (Paris; 2001-2002))JFR2002 (Paris; 2001-2002))– DRK2002 (Wiesbaden, 2002)DRK2002 (Wiesbaden, 2002)– SIRM (Rimini, 2002)SIRM (Rimini, 2002)– UKRC (Birmingham, 2003)UKRC (Birmingham, 2003)

• Hospital centric demosHospital centric demos– Hopital Expo2002 (Paris, May/2002)Hopital Expo2002 (Paris, May/2002)

• 400 visitors/demo (average)400 visitors/demo (average)• 40% local vendors; 60% 40% local vendors; 60%

international vendorsinternational vendors• IHE Germany received IHE Germany received @roentgen@roentgen

award (Germany)award (Germany)

IHE-DIHE-D

IHE-FIHE-F

IHE-IIHE-I

IHE-UKIHE-UK


European extensions to IHE TFEuropean extensions to IHE TF• Country specific extensions (2002)Country specific extensions (2002)

– France, GermanyFrance, Germany

– Mainly HL7 relatedMainly HL7 related• E.g. : exclusion of race/religion message attributesE.g. : exclusion of race/religion message attributes

• New integration profiles (proposals for 2003)New integration profiles (proposals for 2003)– Operation theatre (Germany)Operation theatre (Germany)

– Clinical lab (France)Clinical lab (France)

– Master Patient Index (France)Master Patient Index (France)

• Global review&publication cycleGlobal review&publication cycle


IHE Europe roadmapIHE Europe roadmap• Organize IHE Organize IHE activitiesactivities in other countries in other countries

– Candidates : Spain, ScandinaviaCandidates : Spain, Scandinavia

• Actively explore domains, outside radiologyActively explore domains, outside radiology– Candidate domains : clinical labsCandidate domains : clinical labs

– Establish a Strategic Development role within IHE Establish a Strategic Development role within IHE Europe organizationEurope organization

– Establish relations with other professional Establish relations with other professional societiessocieties

• Streamline activities with IHE USA and IHE Streamline activities with IHE USA and IHE JapanJapan


More InformationMore Information

• IHE EuropeIHE Europe– Website : Website : wwwwww .. IheIhe -- europeeurope .. orgorg– MailMail : : [email protected]@rad.rwth-aachen.de

• IHE USAIHE USA– Website : Website : www.rsna.org/IHEwww.rsna.org/IHE


Questions & AnswersQuestions & Answers

MIR 2002 - IHE Session IHE in Europe Geert Claeys – Co-Chairman IHE Europe (Agfa Healthcare)

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