brought to you bybrought to you by

IHE Sponsors and Committee MembersIHE Sponsors and Committee Members

Welcome to theWelcome to theInteroperability ShowcaseInteroperability Showcase

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IHE: A Framework for InteroperabilityIHE: A Framework for Interoperability

A common framework for harmonizing and A common framework for harmonizing and implementing multiple standardsimplementing multiple standards Application-to-application System-to-system Setting-to-setting

Enables seamless health information movement Enables seamless health information movement within and between enterprises, regions, nationswithin and between enterprises, regions, nations

Promotes unbiased selection and coordinated use Promotes unbiased selection and coordinated use of established healthcare of established healthcare andand IT standards to IT standards to address specific clinical needsaddress specific clinical needs

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Standards: Necessary…Not SufficientStandards: Necessary…Not Sufficient

Standards areStandards are Foundational - interoperability and communicationsFoundational - interoperability and communications Broad - varying interpretations and implementationsBroad - varying interpretations and implementations Narrow - may not consider relationships between Narrow - may not consider relationships between

standards domainsstandards domains Plentiful - often redundant or disjointedPlentiful - often redundant or disjointed Focused - standards implementation guides typically Focused - standards implementation guides typically

focus on a single standardfocus on a single standard

IHE provides a standard process for implementing IHE provides a standard process for implementing multiple standardsmultiple standards

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IHE: Connecting Standards to CareIHE: Connecting Standards to Care

Coordinate implementation of standards to meet Coordinate implementation of standards to meet clinical and administrative needsclinical and administrative needs Clinicians and HIT professionals identify the key Clinicians and HIT professionals identify the key

interoperability problems they faceinteroperability problems they face Providers and industry work together to develop and Providers and industry work together to develop and

make available standards-based solutionsmake available standards-based solutions Implementers are able to follow common guidelines in Implementers are able to follow common guidelines in

purchasing and integrating effective systemspurchasing and integrating effective systems

IHE: A forum for agreeing on how to implement standards and IHE: A forum for agreeing on how to implement standards and processes for making it happenprocesses for making it happen

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IHE SponsorsIHE Sponsors1997: Founded in Radiology (RSNA) and IT (HIMSS)1997: Founded in Radiology (RSNA) and IT (HIMSS)

Many professional societies (stakeholder representation)Many professional societies (stakeholder representation)

American Academy of Ophthalmology (AAO)American Academy of Ophthalmology (AAO) American College of Physicians (ACP)American College of Physicians (ACP) American College of Clinical Engineering (ACCE) American College of Clinical Engineering (ACCE) American College of Emergency Physicians (ACEP) American College of Emergency Physicians (ACEP) American Society for Therapeutic Radiation Oncology American Society for Therapeutic Radiation Oncology

(ASTRO)(ASTRO) GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory)GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory) Healthcare Information Management Systems Society Healthcare Information Management Systems Society

(HIMSS)(HIMSS) Radiological Society of North America (RSNA)Radiological Society of North America (RSNA) And many more….And many more….

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IHE Participants and RelationshipsIHE Participants and RelationshipsParticipants include:Participants include: Users - Clinicians, Staff, Administrators, CIOs, GovernmentsUsers - Clinicians, Staff, Administrators, CIOs, Governments Vendors of Information Systems and EquipmentVendors of Information Systems and Equipment ConsultantsConsultants

Relationship with Standards Development Relationship with Standards Development Organizations (SDOs):Organizations (SDOs): HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and

many othersmany others Approved via ISO/TC 215 allowing for IHE profiles to be Approved via ISO/TC 215 allowing for IHE profiles to be

published as ISO deliverablespublished as ISO deliverables

National Adoption of Healthcare IT StandardsNational Adoption of Healthcare IT Standards HITSP, Infoway, many others worldwideHITSP, Infoway, many others worldwide

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IHE Organizational StructureIHE Organizational Structure

Contributing &Participating

Vendors

Regional Deployment

IHE Europe

IHE North America

France

USA

Canada

IHE Asia-Oceania

Japan

Korea Taiwan

Netherlands

Spain Sweden UKItaly

Germany

Norway

China

Austria

ACCACCEACEP

JAHISJIRAJRS

METI-MLHWMEDIS-DCJAMI

RSNA SFRSFIL

SIRMBIREuroRec

COCIREAR-ECRDRG

ESC

Professional Societies / SponsorsACPGMSIHIMSS

Global Development

Radiology

Cardiology

ITInfrastructure

Patient CareCoordination

Patient CareDevices

Laboratory

Pathology

Eye CareRadiationOncology

Public Health, Quality and Research

IHE International Board

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International Growth of IHEInternational Growth of IHE

France

Local Deployment National Extensions Promotional & Live Demonstration Events Funding

USA

Germany

Italy

JapanUK

Canada

Korea

Taiwan

Norway

Netherlands

SpainChina

Austria

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Pragmatic global standards harmonization + best practices sharing Pragmatic global standards harmonization + best practices sharing

Australia

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National and Regional Projects Using IHE ProfilesNational and Regional Projects Using IHE Profiles

Quebec, Ontario,Alberta, British ColumbiaCanada Health Infoway

Denmark (Funen)Italy (Veneto)Spain (Aragon)

THINC- New YorkNCHICA – N. Carolina

Italy (Conto Corrente

Salute)

Boston Medical

Center - MA

FranceDMP

UK CfH(Radiology WF)

Philadelphia HIE

CHINA-MoHLab results sharing

CPHIC – Pennsylvani

a

CHINA-ShanghaiImaging Info Sharing

JAPAN-NagoyaImaging Info Sharing

South Africa

Malaysia

VITL-Vermont

CareSpark – TN & VA

NetherlandAmsterdam

LowerAustria

Austria

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Proven Standards Adoption ProcessProven Standards Adoption Process

Document Use Case Document Use Case RequirementsRequirementsDocument Use Case Document Use Case RequirementsRequirements

Identify available standards Identify available standards (e.g. HL7, DICOM, IETF, (e.g. HL7, DICOM, IETF, OASIS)OASIS)

Identify available standards Identify available standards (e.g. HL7, DICOM, IETF, (e.g. HL7, DICOM, IETF, OASIS)OASIS)

Develop technical Develop technical specificationsspecifications

Develop technical Develop technical specificationsspecifications

Testing at Testing at ConnectathonsConnectathonsTesting at Testing at ConnectathonsConnectathons

Products with Products with IHEIHEProducts with Products with IHEIHE

Timely access to Timely access to informationinformationTimely access to Timely access to informationinformation

Easy to integrate productsEasy to integrate productsEasy to integrate productsEasy to integrate products

IHEIHEDemonstrationsDemonstrationsIHEIHEDemonstrationsDemonstrations

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Growth in IHE DomainsGrowth in IHE Domains

Radiology (18 profiles)

IT Infrastructure for Healthcare (20 profiles)

Cardiology (7 profiles)

Laboratory (6 profiles)

Radiation Oncology (3 profiles)

Patient Care Coord. (5 profiles)

Patient Care Devices (3 profiles)

Pathology

Eye Care (4 profiles)

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• Over 200 vendors involved world-wideOver 200 vendors involved world-wide• 8 Technical Frameworks8 Technical Frameworks• 64 Integration Profiles64 Integration Profiles

• Testing at “Connectathons” world-wideTesting at “Connectathons” world-wide• Demonstrations at major conferences Demonstrations at major conferences

world-wideworld-wide

VeterinaryEndoscopyPharmacy

Public Health, Quality and Research

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Emergency Referrals Format of the Document Content

and associated coded vocabulary PHR Extracts/Updates

Format of the Document Content and associated coded vocabulary

ECG Report Document

Format of the Document Content and associated coded vocabulary

Lab Results Document Content

Format of the Document Content and associated coded vocabulary

Scanned Documents Format of the Document ContentImaging Information

Format of the Document Content and associated coded vocabulary

Medical Summary (Meds, Allergies, Pbs)

Format of the Document Contentand associated coded vocabulary

Health Data ExchangeHealth Data Exchange

Patient Demographics Query

Patient Identifier Cross-referencing

Map patient identifiers across independent identification

domains

Notification of Document Availability

Notification of a remote provider/ health enterprise

Request Formfor Data Capture

External form with custom import/export scripting

Patient ID MgmtPatient ID Mgmt

OtherOtherCross-Enterprise Document Sharing

Registration, distribution and access across health enterprises of clinical

documents forming a longitudinal record

Cross-Enterprise Document Pt-Pt Reliable InterchangeCross-Enterprise Document

Media InterchangeCross-Community Access

Security & PrivacySecurity & Privacy

Consistent TimeCoordinate time across networked

systems

Audit Trail & Node Authentication

Centralized privacy audit trail and node to node authentication to create

a secured domain.

Basic Patients Privacy Consents

Establish Consents & Enable Access Control

Document Digital Signature

Attesting “true-copy and origin

Cross-Enterprise User Attestation

User Attributes fro Access Control

IHE Integration Profiles for Health Info Nets IHE Integration Profiles for Health Info Nets What What is availableis available and and has been added this cyclehas been added this cycle

Clinical and PHR ContentClinical and PHR Content

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IHE andIHE andUS Healthcare IT Standards HarmonizationUS Healthcare IT Standards Harmonization

Healthcare Information Technology

Standards Panel (HITSP)

Nationwide Health

Information Network

Architecture Projects (NHIN)

The Health Information Security and

Privacy Collaboration

(HISPC)

The Certification Commission for

Healthcare Information Technology

(CCHIT)American

Health Information Community

(AHIC)

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IHE contributes to

HITSP’s success

IHE contributes to

HITSP’s success

18 IHE Profiles 18 IHE Profiles adopted byadopted by

HITSP HITSP Interoperability Interoperability SpecificationsSpecifications

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How to ParticipateHow to Participate

As a User or Vendor Committee MemberAs a User or Vendor Committee Member

Become a member of a Domain’s Planning or Technical Become a member of a Domain’s Planning or Technical CommitteesCommittees

As a User, Consultant or Vendor Interested ObserverAs a User, Consultant or Vendor Interested Observer

Provide Public Comments on Technical Framework Provide Public Comments on Technical Framework SupplementsSupplements

Attend Demonstrations, Educational Events and WorkshopsAttend Demonstrations, Educational Events and Workshops

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How to Use IHEHow to Use IHE

As a Vendor ImplementerAs a Vendor Implementer

Implement IHE Integration ProfilesImplement IHE Integration Profiles

Test systems through Connectathon processTest systems through Connectathon process

Publish an IHE Integration Statement for productsPublish an IHE Integration Statement for products

As a User Implementer or ConsultantAs a User Implementer or Consultant

Use IHE Integration Profiles to develop interoperability Use IHE Integration Profiles to develop interoperability strategystrategy

Use Connectathon Results and Integration Statements to Use Connectathon Results and Integration Statements to evaluate vendorsevaluate vendors

Demand IHE Integration Profile compliance in RFPsDemand IHE Integration Profile compliance in RFPs

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2008 HIMSS Interoperability Showcase2008 HIMSS Interoperability Showcase

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Featured this year in the Showcase…Featured this year in the Showcase…76 connected applications, 32 IHE profiles76 connected applications, 32 IHE profiles

Secured Health Information Exchange with Secured Health Information Exchange with broad contentbroad content

Clinical Scenarios, focusing on clinician and Clinical Scenarios, focusing on clinician and patient access and information sharing patient access and information sharing across the continuum of careacross the continuum of care

Population Health, Quality and ResearchPopulation Health, Quality and Research

Privacy and SecurityPrivacy and Security

HITSP Interoperability SpecificationsHITSP Interoperability Specifications

Vendors Vendors ConnectedConnected 5151

SupportersSupporters 2222

TotalTotal 7373

Health information exchange with patient care devicesHealth information exchange with patient care devices

Personal health record solutionsPersonal health record solutions

Financial and administrative systems for billing and claims attachments Financial and administrative systems for billing and claims attachments (CAQH/CORE)(CAQH/CORE)

Expanded distributed demonstration in an HIE format showing connectivity Expanded distributed demonstration in an HIE format showing connectivity with vendor boothswith vendor booths

The 2008 Cast:The 2008 Cast:

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Your Guide to the ShowcaseYour Guide to the Showcase

Tower

Pod

2020

supported by: supported by: Infrastructure Infrastructure

Patient Identity ManagementPatient Identity Management

XDS Document RegistriesXDS Document Registries

XDS Document RepositoriesXDS Document Repositories

Audit RepositoryAudit Repository

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Showcase PartnersShowcase Partners

HITSPHITSP Interoperability to support HITSP Use CasesInteroperability to support HITSP Use Cases

CAQHCAQH Interoperability between Provider & Health PlanInteroperability between Provider & Health Plan

Clinical ResearchClinical Research Bridging Healthcare Data to Clinical ResearchBridging Healthcare Data to Clinical Research

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The Distributed Demo… win an IPOD!The Distributed Demo… win an IPOD!

3 Stickers enters you3 Stickers enters youin the daily draw!!in the daily draw!!

Get your badge scanned, Get your badge scanned, and be entered for and be entered for Thursday’s draw!!!Thursday’s draw!!!

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What happens next?What happens next?

Docents are standing by to guide you to through a Docents are standing by to guide you to through a clinical story demonstrating IHE interoperabilityclinical story demonstrating IHE interoperability

OROR

A presentation begins immediately in this theatreA presentation begins immediately in this theatre

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Providers and VendorsProviders and Vendors

Working Together to DeliverWorking Together to Deliver

Interoperable Health Information SystemsInteroperable Health Information Systems

in the Enterprisein the Enterprise

and Across Care Settingsand Across Care Settings

http://www.ihe.net