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1September, 2005 What IHE Delivers
Leveraging IHE Leveraging IHE for the Enterprise for the Enterprise
HIMSS Interoperability Showcase February 2006HIMSS Interoperability Showcase February 2006
IHE IT Infrastructure, Cardiology, Radiology, LaboratoryIHE IT Infrastructure, Cardiology, Radiology, Laboratory
Sanjay Jain (Cerner), John Moehrke (GE),Sanjay Jain (Cerner), John Moehrke (GE),John Paganin (D), Ellie Avraham (Kodak)John Paganin (D), Ellie Avraham (Kodak)
2
Standards are critical but alone are not enoughStandards are critical but alone are not enough
Standards offer generality, ambiguity and Standards offer generality, ambiguity and alternativesalternatives
Standard Implementation Guides are Standard Implementation Guides are focused on a single standardfocused on a single standard
Increasing complexityIncreasing complexity
IHE provides a standard process for IHE provides a standard process for
implementing multiple standards!implementing multiple standards!
3
Connecting standards to careConnecting standards to care
Care providers work with vendors to Care providers work with vendors to coordinate the implementation of standards coordinate the implementation of standards to meet their needsto meet their needs Care providers identify the key interoperability Care providers identify the key interoperability
problems they faceproblems they face Drive industry to develop and make available Drive industry to develop and make available
standards-based solutionsstandards-based solutions Implementers follow common guidelines in Implementers follow common guidelines in
purchasing and integrating systems that deliver these purchasing and integrating systems that deliver these solutionssolutions
What is the effective way to establish those What is the effective way to establish those
“standards” for how to implement standards ?“standards” for how to implement standards ?
4
Electronic Health Record
Cardiology
Laboratory
Radiology
Oncology
Future
Domains
IHE
IT Infrastructure
15 Integration Profiles
5 Integration Profiles
4 Integration Profiles
1133 IInntteeggrraattiioonn PPrrooffiilleess
Patient Care Coordination
1 Integration Profile
Patient Care
Devices
Pathology
Eye Care
IHE 2006 – Nine Active Domains IHE 2006 – Nine Active Domains Over 100 vendors involved world-wide,Over 100 vendors involved world-wide, 5 Technical Frameworks5 Technical Frameworks
38 Integration Profiles, Testing at Connectathons38 Integration Profiles, Testing at ConnectathonsDemonstrations at major conferences world-wideDemonstrations at major conferences world-wide
5
What is IHE NOT?What is IHE NOT?
Not a standard, Not a standard, although it leverages themalthough it leverages them
A vendor initiative, A vendor initiative, although they participatealthough they participate
Not a certifying authority, Not a certifying authority, although IHE provides although IHE provides testing that should be leveraged by certificationtesting that should be leveraged by certification
Not simply a demonstration projectNot simply a demonstration project Demos are only one means to the end: Demos are only one means to the end: AdoptionAdoption Backed up by documentation, tools, testing, and publication of Backed up by documentation, tools, testing, and publication of
Technical Frameworks and Product Integration Statements. Technical Frameworks and Product Integration Statements.
6
IHE ModelIHE Model
Actors in precisely defined rolesActors in precisely defined roles Abstracts a specific function of information systemAbstracts a specific function of information system
……Executing precisely defined transactionsExecuting precisely defined transactions Using existing standardsUsing existing standards
…………To solve real world interoperabilityTo solve real world interoperability problems problems Specifying Integration ProfilesSpecifying Integration Profiles
7
IHE Technical FrameworksIHE Technical FrameworksImplementation Guide for each Integration ProfileImplementation Guide for each Integration Profile
An Integration Profile :An Integration Profile : A Set of A Set of ActorsActors Exchanging Exchanging TransactionsTransactions
Query Modality Worklist [RAD-5]
ADT Order Placer
Register J.Doe
AcquisitionModality
Placer OrderManagement –New [RAD-2]
Patient Reconciliation
Department System Scheduler/Order Filler
Schedule Procedure
Procedure Scheduled [RAD-4]
Modality Procedure Step Completed [RAD-7]J.Doe ->
J.Smith
Patient Update/Merge [RAD-12]
Modality Procedure Step Completed [RAD-7]
PatientRegistration [RAD-1]
Patient Update/
Merge [RAD-12]
Modality Procedure Step In Progress [CARD-1]
Modality Procedure Step In Progress [CARD-1]
Perform Acquisition
Filler Order Mgmt - Status Update [RAD-3]
Filler Order Mgmt - Status Update [RAD-3]
ImageManager/
PPS Manager
Filler Order Management -New [RAD-3]
One or the other methods of creating an order is used
Query Modality Worklist [RAD-5]
ADT Order Placer
Register J.Doe
AcquisitionModality
Placer OrderManagement –New [RAD-2]
Patient Reconciliation
Department System Scheduler/Order Filler
Schedule Procedure
Procedure Scheduled [RAD-4]
Modality Procedure Step Completed [RAD-7]J.Doe ->
J.Smith
Patient Update/Merge [RAD-12]
Modality Procedure Step Completed [RAD-7]
PatientRegistration [RAD-1]
Patient Update/
Merge [RAD-12]
Modality Procedure Step In Progress [CARD-1]
Modality Procedure Step In Progress [CARD-1]
Perform Acquisition
Filler Order Mgmt - Status Update [RAD-3]
Filler Order Mgmt - Status Update [RAD-3]
ImageManager/
PPS Manager
Filler Order Management -New [RAD-3]
One or the other methods of creating an order is used
Use casesUse casesProcess FlowsProcess Flows
For each transaction:For each transaction: Std referencedStd referenced Options specifiedOptions specified Mapping requiredMapping required
Pt. Registration [RAD-1] Patient Update [RAD-12]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Placer Order Management [RAD-2] Filler Order Management [RAD-3]
ADT
Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]
Image Display
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Procedure Scheduled [RAD-4]
Procedure Updated [RAD-13]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Order Placer
Acquisition Modality
ImageManager
ImageArchive
DSS/ Order Filler
Patient Update [RAD-12]
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Evidence Creator Modality PS in Progress [CARD-1]
Modality PS Completed [RAD-7]
Instance Availability Notification [RAD-49]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Placer Order Management [RAD-2] Filler Order Management [RAD-3]
ADT
Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]
Image Display
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Procedure Scheduled [RAD-4]
Procedure Updated [RAD-13]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Order Placer
Acquisition Modality
ImageManager
ImageArchive
DSS/ Order Filler
Patient Update [RAD-12]
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Evidence Creator Modality PS in Progress [CARD-1]
Modality PS Completed [RAD-7]
Instance Availability Notification [RAD-49]
ActorsActors TransactionsTransactions
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IHE Solutions within the EnterpriseIHE Solutions within the Enterprise
eMPIeMPIUser AuthUser Auth
EnterpriseEnterpriseIT InfrastructureIT Infrastructure
LaboratoryLaboratory
LISLIS
Auto MgrAuto Mgr AnalyzerAnalyzer
EMR - HISEMR - HISEMR - HISEMR - HIS
CardiologyCardiology
CISCIS
CathCath ECGECG
RadiologyRadiology
RISRIS
PACSPACSImg AcqImg Acq
-Radiation-Radiation Therapy Therapy
-Patient Care-Patient Care Devices Devices
-Pathology-Pathology
-Eye Care-Eye Care
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IHE Solutions within the Enterprise IHE Solutions within the Enterprise CardiologyCardiology
RadiologyRadiology CardiologyCardiology LaboratoryLaboratory
EnterpriseEnterpriseIT InfrastructureIT Infrastructure
EMR - HISEMR - HIS
RISRIS
PACSPACSImg AcqImg Acq
CISCIS
CathCath ECGECG
LISLIS
Auto MgrAuto Mgr AnalyzerAnalyzer
-Radiation-Radiation Therapy Therapy
-Patient Care-Patient Care Devices Devices
-Pathology-Pathology
-Eye Care-Eye Care
Cardiology Integration ProfilesCardiology Integration ProfilesCardiac Catheterization Lab Workflow
Echocardiography Lab Workflow
Retrieve ECG for Display
Displayable Reports
Cath and Echo Evidence Documents
eMPIeMPIUser AuthUser Auth
10
IHE Solutions within the Enterprise IHE Solutions within the Enterprise LaboratoryLaboratory
RadiologyRadiology CardiologyCardiology LaboratoryLaboratory
EnterpriseEnterpriseIT InfrastructureIT Infrastructure
EMR - HISEMR - HIS
RISRIS
PACSPACSImg AcqImg Acq
CISCIS
CathCath ECGECG
LISLIS
Auto MgrAuto Mgr AnalyzerAnalyzer
-Radiation-Radiation Therapy Therapy
-Patient Care-Patient Care Devices Devices
-Pathology-Pathology
-Eye Care-Eye Care
Laboratory Integration ProfilesLaboratory Integration ProfilesLaboratory Scheduled Workflow
Laboratory Information Reconciliation
Laboratory Point Of Care Testing
Laboratory Device Automation
Laboratory Code Set Distribution
eMPIeMPIUser AuthUser Auth
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IHE Solutions within the Enterprise IHE Solutions within the Enterprise RadiologyRadiology
RadiologyRadiology CardiologyCardiology LaboratoryLaboratory
EnterpriseEnterpriseIT InfrastructureIT Infrastructure
EMR - HISEMR - HIS
RISRIS
PACSPACSImg AcqImg Acq
CISCIS
CathCath ECGECG
LISLIS
Auto MgrAuto Mgr AnalyzerAnalyzer
-Radiation-Radiation Therapy Therapy
-Patient Care-Patient Care Devices Devices
-Pathology-Pathology
-Eye Care-Eye Care
eMPIeMPIUser AuthUser Auth
Radiology Integration ProfilesRadiology Integration ProfilesRadiology Scheduled Workflow
Patient Information Reconciliation
Access to Radiology Information
Portable Data for Imaging
Consistent Presentation of Images
Key Image Note
Presentation of Grouped Procedures
Evidence Documents
Audit trail and Node Authentication (Rad option)
Teaching Files and Clinical Trials Export
Post-processing Workflow
Reporting Workflow
Charge Posting
Simple Image and Numeric Reports
Cross-Enterprise Sharing of Imaging Information
How to use IHE ?How to use IHE ?
IHEIHE Radiology Radiology
HandbookHandbook
12
IHE Solutions within the EnterpriseIHE Solutions within the EnterpriseIT Infrastructure (Enterprise)IT Infrastructure (Enterprise)
RadiologyRadiology CardiologyCardiology LaboratoryLaboratory
RISRIS
PACSPACSImg AcqImg Acq
CISCIS
CathCath ECGECG
LISLIS
Auto MgrAuto Mgr AnalyzerAnalyzer
-Radiation-Radiation Therapy Therapy
-Patient Care-Patient Care Devices Devices
-Pathology-Pathology
-Eye Care-Eye Care
eMPIeMPIUser AuthUser Auth
EMR - HISEMR - HIS
IT Infrastructure Integration ProfilesIT Infrastructure Integration ProfilesPatient Administration Management
Patient Demographics Query
Patient Identifier Cross-referencing
Retrieve Information for Display
Enterprise User Authentication
Consistent Time
Patient Synchronized Applications
Audit Trail and Node Authentication
Personnel White Pages
+ 3 Cross-Enterprise IT Infrastructure Profiles not listed here: XDS, NAV, DSG.
EnterpriseEnterpriseIT InfrastructureIT Infrastructure
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Want to know what new integration Want to know what new integration profiles will be developed in 2006 ?profiles will be developed in 2006 ?
Attend the IHE Domain specific Attend the IHE Domain specific sessions in these Theaters during sessions in these Theaters during HIMSS 2006 (Orange sessions)HIMSS 2006 (Orange sessions)
Contact the IHE Domain SponsorsContact the IHE Domain Sponsors
Visit the IHE Web SiteVisit the IHE Web Site
HIMSS IHE Interoperability ShowcaseHIMSS IHE Interoperability ShowcaseFebruary 2006 ParticipantsFebruary 2006 Participants
Leadership Level
Blue Ware
Cerner
GE Healthcare +IDX
IBM
Initiate Systems
InterSystems
MiSys Healthcare
Quovadx
Siemens
Implementer Level
Allscripts
Canon
CapMed
Cardiac Science
CGI-AMS
CompassCare
CPSI
Dictaphone
DR Systems
Eastman Kodak
Eclipsys
Epic Systems
HIPAAT
HX Technologies
INFINITT Technology
Kryptiq
McKesson
MedAccess Plus
Medical Informatics
MediNotes
MNI
National Institute of Sci & Tech
NextGen Healthcare
Philips Medical
ScImage
Witt Biomedical
Supporter Level:
Acuo
Bond
Carefx
Clearcube
Dairyland
EMC
Identrus
Intel
Mediserve
Medkey
Motion Comp.
Picis
Pulse
Sentillion
Organizational participant:
American Coll. of Clinical Eng.
Catholic Healthcare West
US Dept of Defense
US Dept of Veterans Affairs
DMP–French Natl. Personal EHR
Health Level 7 HTP IEEE
Midmark Diagostics Group
HIMSS RHIO Federation
Liberty Alliance
Univ. of Washington
15
16
What can you do?What can you do?
Learn about IHELearn about IHE
Insist on IHE compliance in your RFPs and Insist on IHE compliance in your RFPs and contract documents:contract documents:
Select Integration Profiles, and Appropriate Actor(s) Select Integration Profiles, and Appropriate Actor(s)
Ask vendors for their products “IHE Integration Ask vendors for their products “IHE Integration Statements”.Statements”.
Need more interoperability ? Need more interoperability ?
Contribute to IHE CommitteesContribute to IHE Committees
17
Participating and Contributing Vendors (America)Participating and Contributing Vendors (America)
Agfa HealthCareAgfa HealthCare
AlgotecAlgotec
Allscripts HealthcareAllscripts Healthcare
BerdyBerdy
BluewareBlueware
CamtronicsCamtronics
Canon Medical SystemsCanon Medical Systems
CapMedCapMed
Cardiac Science Corp.Cardiac Science Corp.
CarefxCarefx
Cedara Software Corp.Cedara Software Corp.
Cerner CorporationCerner Corporation
CGI-AMSCGI-AMS
CSISTCSIST
DictaphoneDictaphone
DR SystemsDR Systems
Dynamic ImagingDynamic Imaging
Eastman Kodak CompanyEastman Kodak Company
EBM TechnologiesEBM Technologies
EclipsysEclipsys
EmageonEmageon
Raining DataRaining Data
RASNA Imaging Systems RASNA Imaging Systems
ScImage Inc.ScImage Inc.
Sectra ImtecSectra Imtec
SentillionSentillion
Shimadzu CorpShimadzu Corp
Siemens Medical Solutns’Siemens Medical Solutns’
SoftmedicalSoftmedical
Stentor, IncStentor, Inc
St. Jude MedicalSt. Jude Medical
StorCOMM, IncStorCOMM, Inc
Swissray International, IncSwissray International, Inc
Tiani-SpiritTiani-Spirit
Toshiba Medical SystemsToshiba Medical Systems
T-SystemsT-Systems
UltraVisual Medical Syst.UltraVisual Medical Syst.
Vital Images, Inc.Vital Images, Inc.
Voxar LimitedVoxar Limited
WebMD Practice ServicesWebMD Practice Services
Witt Biomedical Corp.Witt Biomedical Corp.
XIMISXIMIS
Epic Systems Corp.Epic Systems Corp.
ETIAMETIAM
FujifilmFujifilm
GE HealthcareGE Healthcare
HeartlabHeartlab
HIPAAT Inc.HIPAAT Inc.
Hitachi Medical Corp.Hitachi Medical Corp.
HologicHologic
Hx TechnologiesHx Technologies
IDX Systems CorporationIDX Systems Corporation
Imco TechnologiesImco Technologies
INFINITTINFINITT
Initiate Systems Inc.Initiate Systems Inc.
InSiteOneInSiteOne
Intelerad Medical SystemsIntelerad Medical Systems
IBMIBM
Intersystems CorporationIntersystems Corporation
Konica Minolta Konica Minolta
KrypticKryptic
Marotech, Inc.Marotech, Inc.
McKessonMcKesson
In yellow, companies with IHE Committees Chairs (Spring 2006)
MedAccessPlus HealthMedAccessPlus Health
MedCommons IncMedCommons Inc
MedconMedcon
Medical Informatics Eng.Medical Informatics Eng.
Medical Manager Health Medical Manager Health
Mediface Co.Mediface Co.
MedinotesMedinotes
Medis Medical ImagingMedis Medical Imaging
Merge eFilmMerge eFilm
MisysMisys
MNI MedicosMNI Medicos
Mortara Mortara
NextGenNextGen
NovellNovell
Open Text Corp.Open Text Corp.
Philips Medical SystemsPhilips Medical Systems
Procom TechnologyProcom Technology
Prosolv CardiovascularProsolv Cardiovascular
QRS DiagnosticsQRS Diagnostics
QuovadxQuovadx
RADinfo SystemsRADinfo Systems
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Participating and Contributing Vendors (Europe)Participating and Contributing Vendors (Europe)
AGFA HealthcareAGFA Healthcare
AISoftw@re MedicalAISoftw@re Medical
Algotec Algotec
ARES SA ARES SA
aycan Digitalsysteme aycan Digitalsysteme
CEGEDIMCEGEDIM
Cerner Corp.Cerner Corp.
CHILICHILI
CMT Medical Tech.CMT Medical Tech.
Conto Corrente SaluteConto Corrente Salute
ConVisConVis
CTI Mirada SolutionsCTI Mirada Solutions
Data Processing SPAData Processing SPA
DEDALUSDEDALUS
DianoemaDianoema
Eastman Kodak Co. Eastman Kodak Co.
Ebit SanitaEbit Sanita
EDL EDL
ELFIN s.r.l. ELFIN s.r.l.
Engineering SanitàEngineering Sanità
ESAOTEESAOTE
MEDASYS SAMEDASYS SA
MedavisMedavis
Medical CommunicationsMedical Communications
Medigration GmbH Medigration GmbH MEDIMON Ltd. MEDIMON Ltd.
MEDIWAREMEDIWARE
MEDOS AG MEDOS AG
Merge eFilm Merge eFilm
METAFORA METAFORA
Mevis Diagnostics Mevis Diagnostics
Konica Minolta Konica Minolta
Omnilab Omnilab
Philips Medical SystemsPhilips Medical Systems
POLYMEDISPOLYMEDIS
Rasna Imaging SystemsRasna Imaging Systems
RAYPAX INC. RAYPAX INC.
REMREM
Rogan-DelftRogan-Delft
Sago spa Sago spa
Sectra Imtec AB Sectra Imtec AB
SeeBeyond TechnologySeeBeyond Technology
ETIAMETIAM
Ferrania Ferrania
Fujifilm Fujifilm
GE HealthcareGE Healthcare
GIE Convergence-Profils GIE Convergence-Profils
Global Imaging Online Global Imaging Online
GWI Research GWI Research
Hi. techHi. tech
IASI Srl IASI Srl
IdeoPass IdeoPass
INFINITT INFINITT
INFOPATIENTINFOPATIENT
INOVITINOVIT
INSIELINSIEL
Intersystems Corp.Intersystems Corp.
InvitaInvita
ITZ MedicomITZ Medicom
iSoftiSoft
McKesson McKesson
MED2RAD MED2RAD
MEDarchiverMEDarchiver
In yellow, companies with IHE Committees Chairs (Winter 2005)
Siemens MedicalSiemens Medical
Soluzioni Informatiche srl Soluzioni Informatiche srl
Stentor Inc. Stentor Inc.
St. JudeSt. Jude
Swissray Medical AG Swissray Medical AG
Symphonie On LineSymphonie On Line
Synapsis Synapsis
Synchro-MedSynchro-Med
TECHNIDATATECHNIDATA
TELEMIS S.A. TELEMIS S.A.
Tiani-SpritTiani-Sprit
Tomtec Imaging Tomtec Imaging
TOREX GAP MedicalTOREX GAP Medical
Toshiba Medical SystemsToshiba Medical Systems
TSI groupe europMedica TSI groupe europMedica
T-SystemsT-Systems
Uni-medicineUni-medicine
VEPRO AG VEPRO AG
VISUS Technology VISUS Technology Transfer Transfer
WAIDWAID
XR PARTNERXR PARTNER
19
Participating and Contributing Vendors (Asia)Participating and Contributing Vendors (Asia)
JapanJapanEBMJEBMJPSPPSPPANASONICPANASONICALOKAALOKAKONICA MINOLTAKONICA MINOLTAHitachi Medical Co.Hitachi Medical Co.KODAKKODAKHITACHIHITACHISBSSBSINFOCOMINFOCOMCLIMBMSCLIMBMSTECHMATRIXTECHMATRIXCANONCANONVIEWSENDVIEWSEND
TaiwanTaiwanINFINITTINFINITTShing ShianShing ShianINQ GENINQ GENTEPTEPTah YaTah Ya
KoreaKoreaAGFA KoreaAGFA Korea GE Healthcare GE Healthcare KoreaKoreaINFINITTINFINITTLG CNS LG CNS Marotech, Inc.Marotech, Inc.Medical StandardMedical StandardPeoplenet CommunicationsPeoplenet CommunicationsSamsung SDSSamsung SDS
JapanJapanITECITECWINTCSWINTCSNECNECAGFAAGFAJMACJMACGEYMSGEYMSAJSAJSTOSHIBATOSHIBAYOKOGAWAYOKOGAWAGOODMANGOODMANFUJITSUFUJITSUAANDTAANDTFUJIFILMFUJIFILM
20
As a Provider or Vendor ContributorAs a Provider or Vendor Contributor
Offer Clinical Use Case Input to Drive IHE Profile DevelopmentOffer Clinical Use Case Input to Drive IHE Profile Development
Become a member of relevant domain’s Planning or Technical Become a member of relevant domain’s Planning or Technical CommitteesCommittees
Become a member of relevant Regional/National CommitteesBecome a member of relevant Regional/National Committees
Help to shape IHE’s future directionHelp to shape IHE’s future direction
As a Vendor ParticipantAs a Vendor Participant
Respond to Public Comments of Domain SupplementsRespond to Public Comments of Domain Supplements
Attend the June Educational WorkshopAttend the June Educational Workshop
Participate in Connect-a-thons and DemonstrationsParticipate in Connect-a-thons and Demonstrations
As a Provider/Consultant ParticipantAs a Provider/Consultant Participant
Respond to Public Comments of Domain SupplementsRespond to Public Comments of Domain Supplements
Attend the June Educational Workshop Attend the June Educational Workshop
Attend Demonstrations and include IHE Integration Profiles in your RFPs Attend Demonstrations and include IHE Integration Profiles in your RFPs and Integration Projects.and Integration Projects.
How can I participate?How can I participate?
21
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IHE Web site:IHE Web site: www.IHE .netwww.IHE .net Frequently AskedFrequently Asked QuestionsQuestions
Integration Profiles in Technical Frameworks: Integration Profiles in Technical Frameworks: See Volume 1 of each TF for Use casesSee Volume 1 of each TF for Use cases
Cardiology IT Infrastructure Laboratory Patient Care Coordination Radiology
Connectathon Result: Connectathon Result: www.ihe.net/Events/connectathon_results.cfmwww.ihe.net/Events/connectathon_results.cfm
Vendor Products Integration StatementsVendor Products Integration Statements
Participation in Committees & ConnectathonsParticipation in Committees & Connectathons