the ihe initiative worldwide december 3 rd, 2008 rsna 2008 1 michio kimura, md, phd hamamatsu...
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1 The IHE Initiative WorldwideDecember 3rd, 2008
RSNA 2008
Michio Kimura, MD, PhD Hamamatsu University / IHE Japan
IHE JapanIHE Japan& Asia-Oceania& Asia-Oceania
Integrating the Healthcare Enterprise
2 The IHE Initiative WorldwideDecember 3rd, 2008
2008/10/27-31 40 vendor, 81 systems tested
Tested profiles Radiology
• SWF, PIR, CPI, KIN, MAMMO, PDI, IRWF, ARI Cardiology
• CATH, ECG, ECHO, ED Laboratory
• LTW, LBL, LDA, LTW-MB, LPOCT IT Infrastructure
• CT, ATNA, XDS, XDS.b, XDS-I, PDQ, PAM
IHE Japan Connectathon 2008
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IHE Japan Connectathon 2008
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Network Structure for Stroke Care in Network Structure for Stroke Care in NagoyaNagoya
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Nagoya IHE XDS-I projectNagoya IHE XDS-I project
Backed by Ministries
4 Emergency hospitals, 3 Rehab facilities(now)
Profiles and standards Integrating XDS with PIX, PDQ and ATNA Enhancing XUA, NAV with access control based on XACML Excerpting XDS metadata from CDA header part Based on ebXML ebRIM3.0/ebRS3.0 (supporting XDS
storedQuery), while XDS.a was specified on ebXML2.1. (Being ahead of XDS.b.)
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EUA & PSA Working at EUA & PSA Working at NIRSNIRS
NIRS users appreciate EUA
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Demo at JAMI ConferenceDemo at JAMI Conference
Japan Assoc. for Medical Informatics Participants: 2500
Ministries-Vendors-Academia Stroke patient’s ECG(Fukuda) on ambulance sent to
ER and viewed by Nihon Koden viewer (MFER, waveform standard)
Lab exam at ER, LSWF(now LTW), LDA(Lab automation), LBL(Barcode labeling)
Referral documents CD to clinic (SS-MIX, CD based PDI with lab, Px, and referral document of CDA)
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9 The IHE Initiative WorldwideDecember 3rd, 2008
Now paper-based report filled by busy doctors But, most items are in CPOE
Post Market Adverse Event Report in RFD
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Images exchanged by CD started, but making some annoyance Not conforming PDI, DICOM Too many slices, too many studies Multiple patients in one CD etc.
By academic assoc.(JAMI, JRS, JSRT), vendor assoc. (JIRA, JAHIS), and IHE-J 1 patient, 1 CD Conform PDI Conform DICOM Reasonable amount of slices (no 1000+ MDCT), and studies If include report, must be in "other files" position and note it
PDI Agreement
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IHE-J HP http://www.ihe-j.org/en/IHE-J HP http://www.ihe-j.org/en/
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1515
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
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Pragmatic global standards harmonization + best practices sharing Pragmatic global standards harmonization + best practices sharing
Australia
16 The IHE Initiative WorldwideDecember 3rd, 2008
IHE, Global Standards-Based Profiles IHE, Global Standards-Based Profiles Adopted in National & Regional ProjectsAdopted in National & Regional Projects
Quebec, Toronto,Alberta, British Columbia
Canada Infoway
THINC- New YorkNCHICA – N. Carolina
Italy (Conto Corrente
Salute)
Boston Medical
Center - MA
Philadelphia HIE
CHINA-MoHLab results sharing
KeyHIE Pennsylvani
a
CHINA-ShanghaiImaging Info Sharing
JAPAN-NagoyaImaging Info Sharing,
Nationwide PDI guideline
South Africa
Malaysia
VITL-Vermont
CareSpark – TN & VA
NETHERLANDSFriesland
LowerAustria
Austria
FranceDMP
UK CfH(Radiology WF)
SuisseSt Gallen
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Our neighborsOur neighbors
Korea High rate of e-claim and PACS Mainly radiology based connections since 2005
Taiwan Connect-a-thon around HIS-RIS since 2005 Citizen’s health IC card since 2003, now upgrading to have templated
documents
Malaysia 400 government officials attended HIMSS AsiaPAC in Kuala Lumpur,
Feb 2009 7 national hospitals has paperless EMR
Australia XDS lab demo at MEDINFO 2007 Brisbane.
18 The IHE Initiative WorldwideDecember 3rd, 2008
Questions ?