september, 2005what ihe delivers 1 chris lindop – ge healthcare ihe radiology planning/technical...
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1September, 2005 What IHE Delivers
Chris Lindop –Chris Lindop – GE Healthcare GE Healthcare
IHE Radiology Planning/Technical Committee Co-ChairIHE Radiology Planning/Technical Committee Co-Chair
IHE XDS-I: Planning for an Image IHE XDS-I: Planning for an Image Enabled EHR Enabled EHR
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Focus: Image-enabled EHRFocus: Image-enabled EHR
Non-imaging dataNon-imaging data Patient dataPatient data Clinical dataClinical data
• Laboratory resultsLaboratory results• Surgery reportsSurgery reports• Prescriptions, medsPrescriptions, meds• Letters or notesLetters or notes
Integrate with imaging Integrate with imaging data and processesdata and processes
Imaging dataImaging data Patient dataPatient data Images and evidenceImages and evidence
• RadiologyRadiology• CardiologyCardiology• Nuclear MedicineNuclear Medicine
Integrate with non-Integrate with non-imaging data and imaging data and processesprocesses
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Business need: share in the Care settingBusiness need: share in the Care settingRadiology Reports and ImagesRadiology Reports and Images
Between Care Providers:Between Care Providers: RadiologistsRadiologists Radiologists and TechnologistsRadiologists and Technologists Radiologists and SurgeonsRadiologists and Surgeons Radiologists and CliniciansRadiologists and Clinicians
Between Care Providers and PatientsBetween Care Providers and Patients
Within an enterpriseWithin an enterprise
Cross-enterprise in a healthcare regionCross-enterprise in a healthcare region
Cross-healthcare regionsCross-healthcare regions
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Potential use cases of an image-enabled EHRPotential use cases of an image-enabled EHR
Using imagesUsing images
NeurologistNeurologist: reviewing : reviewing stroke patient transfer to stroke patient transfer to wardward
NurseNurse: preparing GI ward : preparing GI ward round for Dr. Xround for Dr. X
GPGP: seeing a post-MI : seeing a post-MI patient after hospital patient after hospital dischargedischarge
PatientPatient: be prepared for an : be prepared for an obstetric visitobstetric visit
Producing images/ evidenceProducing images/ evidence
CardiologistCardiologist: during catheter : during catheter interventionintervention
RadiologistRadiologist: starting an : starting an abdomen CTabdomen CT
PhysicianPhysician: counseling at : counseling at diabetes outpatient clinicdiabetes outpatient clinic
OncologistOncologist: planning : planning radiotherapyradiotherapy
Technologist:Technologist: fulfilling an fulfilling an imaging orderimaging order
Information need may include current or longitudinal evidence
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IHEIHE - - Connecting standards to careConnecting standards to care
Care providers and IT professionals work with Care providers and IT professionals work with vendors to coordinate the implementation of vendors to coordinate the implementation of standards to meet their needsstandards to meet their needs Care providers identify the key interoperability problems Care providers identify the key interoperability problems
they facethey 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 purchasing Implementers follow common guidelines in purchasing
and integrating systems that deliver these solutionsand integrating systems that deliver these solutions
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IHE Participants and RelationshipsIHE Participants and RelationshipsParticipants include:Participants include: Users - Clinicians, Staff, Administrators, CIOs, Governments Users - Clinicians, Staff, Administrators, CIOs, Governments
• RSNA, HIMSS, etcRSNA, HIMSS, etc Vendors - Information Systems and EquipmentVendors - Information Systems and Equipment
• e.g., imaging, Clinical Information Systems, Consultantse.g., imaging, Clinical Information Systems, Consultants
Maintains formal liaison with Standards Development Organizations Maintains formal liaison with Standards Development Organizations (SDOs):(SDOs): HL7, DICOM, ISO (Liaison D)HL7, DICOM, ISO (Liaison D)
ISO TC215 (including ANSI) approved IHE Process and Profiles to ISO TC215 (including ANSI) approved IHE Process and Profiles to be published as technical reportsbe published as technical reports
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IHE Organizational StructureIHE Organizational Structure
Contributing &Participating
Vendors
IHE North America
USA
Canada
IHE Asia
Japan
Korea Taiwan
China
ACCACCEACEP
JAHISJIRAJRS
METI-MLHWMEDIS-DCJAMI
RSNA SFRSFIL
SIRMBIREuroRec
COCIREAR-ECRDRG
ESC
Professional Societies / SponsorsACPGMSIHIMSS
IHE International Board
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Eye CareRadiationOncology
Public Health, Quality and Research
IHE Asia-Pacific
New ZealandAustralia Malaysia
IHE Europe
France Netherlands
Spain Sweden UKItaly
Germany
Norway
Austria
Regional Deployment
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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-applicationApplication-to-application System-to-systemSystem-to-system Setting-to-settingSetting-to-setting
Enables seamless health information movement within Enables seamless health information movement within and between enterprises, regions, nationsand between enterprises, regions, nations
Promotes unbiased selection and coordinated use of Promotes unbiased selection and coordinated use of established healthcare established healthcare andand IT standards to address IT standards to address specific clinical needsspecific clinical needs
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IHE Technical FrameworksIHE Technical FrameworksImplementation Guide for each Integration ProfileImplementation Guide for each Integration Profile
An Integration Profile : A Set of Actors Exchanging Transactions
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 casesProcess Flows
For each transaction: Std referenced Options specified Mapping 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]
Actors Transactions
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Proven Standards Adoption ProcessProven Standards Adoption Process
IHEIntegrationProfiles B
IHEIntegrationProfile A
Easy toIntegrateProducts
IHEDemonstration
User Site
RFP
Standards
IHETechnical
Framework
Product IHE IntegrationStatement
IHE Integration Profiles at the heart of IHE :IHE Integration Profiles at the heart of IHE : Detailed selection of standards and options each solving a specific integration problemDetailed selection of standards and options each solving a specific integration problem A growing set of effective provider/A growing set of effective provider/software-developersoftware-developer agreed solutions agreed solutions Vendors can implement with ROIVendors can implement with ROI Providers can deploy with stabilityProviders can deploy with stability Process started in 1998; continuously improvedProcess started in 1998; continuously improved
IHEConnect-a-thon
ProductWith IHE
IHE Connect-a-thonResults
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RadiologyRadiology Profiles Profiles
Access to Radiology Information
ConsistentPresentation
of Images
EvidenceDocument
KeyImageNotes
Simple Image & Numeric Reports
Presentation of
Grouped Procedures
Post-Processing Workflow
Reporting Workflow
Charge Posting
Patien
t Info
. Reco
nciliatio
n
Scheduled Workflow
Portable Data for Imaging
Mammo-graphy
Image
Audit Trail & Node Authentication – Radiology
Image Fusion
Teaching Files & Clinical Export
Import Reconcil-
iation Workflow
Cross-Enterprise Document Sharing for Imaging
NMImageCard
Option
Radiation Exposure
Monitoring
Mammo-graphy
Acquisition Workflow
InfrastructureInfrastructure
Presentation & ContentPresentation & Content
WorkflowWorkflow
Users GuidesUsers Guides
Radiology Departmental Workflow Mammography Workflow
Trial ImplementationTrial Implementation ITI Profile(radiology option ITI Profile(radiology option
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IHE Integration Profiles for Health Info NetsIHE Integration Profiles for Health Info Nets What What is availableis available and and has been added in 2007has been added in 2007
Clinical and PHR ContentClinical and PHR Content
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
OtherOther
Final Text ApprovedFinal Text Approved
Trial Implementation-2007 Trial Implementation-2007 –– Final Txt 2008Final Txt 2008
Cross-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 Assertion
Provides Trusted Identity
Medical Summary (Meds, Allergies, Pbs)
Format of the Document Contentand associated coded vocabulary
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
(Images & Reports)Format of the Document Content
and associated coded vocabulary
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Categories of Healthcare Communication ServicesCategories of Healthcare Communication Services
Security
DocumentSharing
Patient and Provider ID Mgt
DynamicInformation
Access
WorkflowManagement
Source persisted and attested health
records
Specific info snapshot
provided on demand
2 or more entitiessynchronize
a task
e.g. access to last 6 months historical
labs and encounter summaries
e.g. order a lab test, track status and receive results
e.g. get a current list of allergies or med list from a source
HospitalsHIEs and RHIOs
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Combining IHE ProfilesCombining IHE ProfilesDocument Content & Modes of Document ExchangeDocument Content & Modes of Document Exchange
Document Exchange Integration ProfilesDocument Exchange Integration Profiles
DocumentDocument SharingSharing
XDSXDS
MediaMediaInterchangeInterchange
XDMXDM
Reliable Pt-PtReliable Pt-PtInterchangeInterchange
XDRXDR
Doc Content Profiles Doc Content Profiles (Semantics content)(Semantics content)
Scanned DocScanned Doc
XDS-SDXDS-SD
LaboratoryLaboratory
XD*-LabXD*-LabPHR PHR
ExchangeExchange
XPHRXPHR
Discharge &Discharge &ReferralsReferrals
XDS-MSXDS-MS
ImagingImaging
XDS-IXDS-I
ConsentConsent
BPPCBPPCEmergencyEmergency
EDREDRPre-Pre-
SurgerySurgery
PPHPPPHP
Functional Status Functional Status AssesmentAssesment
FSAFSA
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Use of a shared XDS infrastructure to access Use of a shared XDS infrastructure to access Radiology Reports and Images (XDS-I)Radiology Reports and Images (XDS-I)
HospitalHospital
Imaging CenterImaging CenterPhysician PracticePhysician Practice
Between Radiology and :Between Radiology and :• IImaging specialistsmaging specialists• Non-imaging cliniciansNon-imaging clinicians• PatientsPatients
PACS Y
PACS Z
Radiology -to-Radiology -to-RadiologyRadiology
Radiology -to- PhysiciansRadiology -to- Physicians
Same XDS InfrastructureSame XDS Infrastructure (Registry and Repositories) (Registry and Repositories) for medical for medical summaries and imaging information !summaries and imaging information !
Patient HomePatient Home
17Radiology Enterprise A
Radiology Enterprise B
Physician Office
Regional Health Regional Health Information Information NetworkNetwork
Cross-Cross-Enterprise Enterprise RegistryRegistry
Patient Id= 3547F45• Report 5/21/1998 : CT Head B• Study 5/21/1998 : CT Head B• Report 2/18/2005 : Chest Xray A• Study 2/18/2005 : Chest Xray A
PACS B
PACS A
Sharing Radiology Reports and ImagesSharing Radiology Reports and Imagesin a Regional Health Information Networkin a Regional Health Information Network
18Radiology Enterprise A
Radiology Enterprise B
Physician Office
Regional Health Regional Health Information Information NetworkNetwork
Query for Query for Documents Documents
Register Imaging Register Imaging Information for Information for
sharingsharing
Priorimaging
Reports & Studies
Cross-Cross-Enterprise Enterprise RegistryRegistry
Register Imaging Register Imaging Information for Information for sharingsharing
Patient Id= 3547F45• Report 5/21/1998 : CT Head B• Study 5/21/1998 : CT Head B
Physicians and Systems within a Regional Physicians and Systems within a Regional Health Network - Routine Imaging ReferralHealth Network - Routine Imaging Referral
19Radiology Enterprise A
Radiology Enterprise B
Physician Office
Regional Health Regional Health Information Information NetworkNetwork
Register Imaging Register Imaging Information for Information for
sharingsharing
Cross-Cross-Enterprise Enterprise RegistryRegistry
Notification of Notification of Doc AvailabilityDoc Availability
Register Imaging Register Imaging Information for Information for sharingsharing
Physicians and Systems within a Regional Physicians and Systems within a Regional Health Network - Routine Imaging ReferralHealth Network - Routine Imaging Referral
20Radiology Enterprise A
Radiology Enterprise B
Physician Office
Prior Imaging Report & Study
Regional Health Regional Health Information Information NetworkNetwork
Query for Query for documents documents
Imaging Report Imaging Report & Study& Study
Cross-Cross-Enterprise Enterprise RegistryRegistry
Patient Id= 3547F45• Report 5/21/1998 : CT Head B• Study 5/21/1998 : CT Head B• Report 2/18/2005 : Chest Xray A• Study 2/18/2005 : Chest Xray A
Notification of Notification of Doc AvailabilityDoc Availability
Physicians and Systems within a Regional Physicians and Systems within a Regional Health Network for a Routine Imaging ReferralHealth Network for a Routine Imaging Referral
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XDS-I DependenciesXDS-I Dependencies
XDS-I depends on IT Infrastructure Cross-Enterprise XDS-I depends on IT Infrastructure Cross-Enterprise Document Sharing (XDS)Document Sharing (XDS)
New ActorsNew Actors Imaging Document SourceImaging Document Source Imaging Document Consumer (should be grouped with Document Imaging Document Consumer (should be grouped with Document
Consumer)Consumer)
Same Actors as in XDSSame Actors as in XDS Document ConsumerDocument Consumer Document RegistryDocument Registry Document Repository Document Repository
Added extension to support imaging data (images and Added extension to support imaging data (images and reports)reports)
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Document Consumer
Retrieve Document
Query Documents
Patient Identity Source
Patient Identity Feed
Imaging Document Source
Document Registry
Document Repository
Provide & Register Document Set
Register Document Set
Imaging Document Consumer
Retrieve Images
Retrieve Presentation StatesRetrieve Key Image NoteRetrieve Evidence DocumentsWADO Retrieve
XDS-I Actors and TransactionsXDS-I Actors and Transactions
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XDS-I Transaction requirementsXDS-I Transaction requirements
XDS-I Actors:XDS-I Actors: Imaging Document ConsumerImaging Document Consumer
• at least one Retrieve ( [RAD-55], [RAD-16], [RAD-17], [RAD-27], [RAD-31] [RAD-at least one Retrieve ( [RAD-55], [RAD-16], [RAD-17], [RAD-27], [RAD-31] [RAD-35])35])
Imaging Document SourceImaging Document Source• Provide and Register Document Set [RAD-54]Provide and Register Document Set [RAD-54]• WADO Retrieve [RAD-55]WADO Retrieve [RAD-55]• Retrieve Images [RAD-16], Retrieve Presentation States [RAD-17] Retrieve Retrieve Images [RAD-16], Retrieve Presentation States [RAD-17] Retrieve
Reports [RAD-27], Retrieve Key Image Note [RAD-31], Retrieve Evidence Reports [RAD-27], Retrieve Key Image Note [RAD-31], Retrieve Evidence Documents [RAD-45]Documents [RAD-45]
XDS ActorsXDS Actors Document RepositoryDocument Repository
• Provide and Register Document Set [RAD-54]Provide and Register Document Set [RAD-54]
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OptionsOptions
Imaging Document Source must support at least one of the Imaging Document Source must support at least one of the following options:following options:
Extensive Set of DICOM Instances Extensive Set of DICOM Instances PDF Report PDF Report Text Report wrapped in a CDA DocumentText Report wrapped in a CDA Document
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Sharing of Sharing of Extensive DICOM Extensive DICOM
Instance SetInstance Set
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Document Registry
Document Repository
Manifest
Reference to image 1
DICOM Manifest
Reference to image 2
Reference to image 3Manifest Manifest
Clinical Encounter
Clinical IT System
Query Registry
Manifest
Retrieve Manifest
Reference to image 1
DICOM Manifest
Reference to image 2
Reference to image 3
Retrieve Images
Register Manifest
Manifest
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Sharing of Sharing of Extensive DICOM Instance SetExtensive DICOM Instance Set
The shared Document is a manifest The shared Document is a manifest
a Key Object Selection DICOM Instance a Key Object Selection DICOM Instance • title : manifesttitle : manifest
Imaging Document Source is required Imaging Document Source is required
to ensure that the referenced images from within a published to ensure that the referenced images from within a published manifest are available to be retrievedmanifest are available to be retrieved
Imaging Document Source is responsible Imaging Document Source is responsible
for replacing a previously submitted manifest Document for replacing a previously submitted manifest Document when a change occurs to the manifest content (eg. Change when a change occurs to the manifest content (eg. Change of the DICOM SOP instances referenced within the of the DICOM SOP instances referenced within the manifest)manifest)
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Sharing of Sharing of Imaging ReportImaging Report
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Radiology systemReport Source
…..
Findings:
Header:
Report Type: OB / Gyn
BPD ...…..
Radiology Report
Impressions: GestationalAge
...
Text wrapped into CDA Report
PDF Report
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Radiology systemReport Source
Document Registry
Document Repository
Report Report
Clinical Encounter
Clinical IT System
Query Registry
Retrieve Report
Register Report
Report
…..
Findings:
Header:
Report Type: OB / Gyn
BPD ...…..
Radiology Report
Impressions: GestationalAge
...
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Sharing of ReportsSharing of Reports
The shared Report Document format is The shared Report Document format is
PDF, Text wrapped in a CDAPDF, Text wrapped in a CDAA report can A report can
embed selected images in its PDF format embed selected images in its PDF format include fully resolved hyperlinks (interactively clickable) that include fully resolved hyperlinks (interactively clickable) that
point to the selected imagespoint to the selected imagesImaging Document Source is responsible Imaging Document Source is responsible
for formatting the hyperlink to reference relevant images as for formatting the hyperlink to reference relevant images as a DICOM WADO URI or as IHE RID Request for Documenta DICOM WADO URI or as IHE RID Request for Document
Imaging Document Source is required Imaging Document Source is required
to ensure that image references are valid linksto ensure that image references are valid links
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Linking Report to Complete Set of ImagesLinking Report to Complete Set of Images
Document RepositoryDocument Repository
Document RegistryDocument Registry
Study
Manifest
Report
DocumentEntry
DocumentEntry
SubmissionSet
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Linking Report to Complete Set of ImagesLinking Report to Complete Set of Images
Document RepositoryDocument Repository
Document RegistryDocument Registry
DocumentEntry
SubmissionSet 1
Report
DocumentEntry
SubmissionSet 2
Study
Manifest
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Linking Report to Prior Images and Prior ReportLinking Report to Prior Images and Prior Report
Document RepositoryDocument Repository
Document RegistryDocument Registry
DocumentEntry
SubmissionSet 3
Prior Study
Manifest
DocumentEntry
SubmissionSet 1
Prior
Report
DocumentEntry
SubmissionSet 2
Report
DocumentEntry
SubmissionSet 4
Study
Manifest
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Linking Report to Selected ImagesLinking Report to Selected Images
Radiology systemReport Source
…..
Findings:
Header:
Report Type: OB / Gyn
BPD ...…..
Radiology Report
Relevant Image
GestationalAge
...WADO URI
Link to image
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XDS-I MetadataXDS-I Metadata
Radiology specificRadiology specific
Acquisition Modality (e.g. CT, MR)Acquisition Modality (e.g. CT, MR) Anatomic Region (e.g. Arm, Elbow, Hand)Anatomic Region (e.g. Arm, Elbow, Hand) Requested procedure (e.g. MRI Knee with contrast)Requested procedure (e.g. MRI Knee with contrast)
Query example Query example
find all “find all “CT of the HeadCT of the Head” of patient John Doe for the last 2 ” of patient John Doe for the last 2 yearsyears
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Sharing Imaging Documents (XDS-I)Sharing Imaging Documents (XDS-I)
Document Registry
Register report & image references
Retrieve selected imaging report references
Radiologydepartment
patient
Query for re-ports
Documentavailability
Shared re- pository
Onco-logist
GP(follow-up)
Images, report(PACS, RIS) report
Longitudinal record system: across encounters
Care record sys-tems: specific care deliveryRetrieve
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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 relevant Domains Planning Become a member of relevant Domains Planning or Technical Committeesor Technical Committees
As a User, Consultant or Vendor Interested As a User, Consultant or Vendor Interested ObserverObserver
Provide Public Comments on Technical Provide Public Comments on Technical Framework SupplementsFramework Supplements
Attend Demonstrations, Educational Events and Attend Demonstrations, Educational Events and WorkshopsWorkshops
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How to Use IHEHow to Use IHE
As a Vendor ImplementerAs a Vendor ImplementerImplement 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 ConsultantUse IHE Integration Profiles to develop Use IHE Integration Profiles to develop interoperability strategyinteroperability strategy
Use Connectathon Results and Integration Use Connectathon Results and Integration Statements to evaluate vendorsStatements to evaluate vendors
Demand IHE Integration Profile compliance in RFPsDemand IHE Integration Profile compliance in RFPs
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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
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More Resources - More Resources - www.www.iheihe.net.net
Frequently Asked QuestionsFrequently Asked Questions
Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks: CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination Patient Care DevicesPatient Care Devices Radiation OncologyRadiation Oncology RadiologyRadiology
Connectathon ResultsConnectathon Results
Vendor Products Integration StatementsVendor Products Integration Statements
Participation in Committees and ConnectathonsParticipation in Committees and Connectathons
42September, 2005 What IHE Delivers