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Cor Loef, Philips Medical Systems

Cor Loef, Philips Medical Systems. Implementation of IHE in a Radiology Department. Content:. Objective: Integrating (part of) the Healthcare Enterprise Approach How to specify and judge vendor offerings Examples of how to use IHE in practice Conclusion. The objective.

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Cor Loef, Philips Medical Systems

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  1. Cor Loef, Philips Medical Systems Implementation of IHE in a Radiology Department

  2. Content: • Objective: Integrating (part of) the Healthcare Enterprise • Approach • How to specify and judge vendor offerings • Examples of how to use IHE in practice • Conclusion HIMSS / RSNA

  3. The objective • Integrating (part of) the Healthcare Enterprise • Optimal support for workflow • Integrated IT solutions • Seamless information flow • Enable the EPR HIMSS / RSNA

  4. The Healthcare Information System Complex ADT RIS MPI HIS PACS Display Modality HIMSS / RSNA

  5. The approach • Focus on Operational Workflow analysis, information flow required for applications, current situation of products and transactions, desired situation, gap analysis, resulting in requirements for new products and upgrades • Expectation management • IHE supports this process with a common framework all involved parties can understand and commit to. HIMSS / RSNA

  6. Integration Profiles • IHE is not a product itself. • Functions are grouped in a set of Integration Profiles, Actors, and Transactions. Need to map integration solution requirements on these IHE concepts. HIMSS / RSNA

  7. The Product World….. HIS ADT Poduct XYZfrom Vendor T MPI HIMSS / RSNA

  8. Actor Actor Actor The IHE World…. IHETransaction IHETransaction IHE Actor IHE Actor IHETransaction HIMSS / RSNA

  9. Actor Actor Actor Mapping IHE to Products HIS ADT Poduct XYZfrom Vendor T IHETransaction IHETransaction IHE Actor MPI IHE Actor IHETransaction HIMSS / RSNA

  10. Integration Profiles • Examples: • SWF(Scheduled WorkFlow),KIN(Key Image Note) • Consistent presentation of images HIMSS / RSNA

  11. Report Creator 24: Report Submission Structured Report Export: 28  Report Manager Enterprise Report Repository 25: Report Issuing Report Repository External Report Repository Access 26: Query Reports 27: Retrieve Reports Report Reader IHE : An Integration Profile A set of Actors cooperating through Transactionsto perform a specific task HIMSS / RSNA

  12. Integration profiles, the easy way to deal with transactions • easy-to-understand, coherent functional sets and • a convenient way for users and vendors to communicate • about integration requirements and needed functionality in daily life. HIMSS / RSNA

  13. Scheduled Workflow Post- Processing Workflow Patient Information Reconciliation ChargePosting Admit, order, schedule, acquire images, notify of completed steps Schedule, perform, & notify image processing & CAD steps Collection of billable procedure details Unknown patients and unscheduled orders Consistent Presentation of Images Key ImageNotes Simple Image and Numeric Reports Simple reports with image links and, optionally, measurements Hardcopy and softcopy grayscale presentation state Flag significant images Presentation of Grouped Procedures Subset of a single acquisition Access to Radiology Information Consistent access to images and reports Basic Security Audit Trail Consolidation & Node Authentication IHE Integration Profiles HIMSS / RSNA

  14. Integration Profile Modality Image Creator Image Display Image Manager/ Archive DSS/Order Filler ADT Report Creator General Integration Profile table Actor HIMSS / RSNA

  15. Vendor should provide IHE Claims Product UVW supports the IHE K Actorwiththe IHE X and Y Integration Profiles IHE JActor with the IHE TIntegration Profile HIMSS / RSNA

  16. Example: PACS X, vendor Y Actor Image Display Image Manager/ Archive Report Creator Secure Node HIMSS / RSNA

  17. Example: PACS • Standard: • Actors: Image Manager, Image Archive, and Image Display • Integration Profiles: Scheduled Workflow and Patient Information Reconciliation • Display and Printing Quality: • Actors: Image Display and Print Composer • Integration Profile: Consistent Presentation of Images HIMSS / RSNA

  18. Example: PACS, part 2 • Modalities with Procedure grouping: • Actors: Image Archive • Integration Profile: Presentation of Grouped Procedures • Flagging specific images: • Actors: Image Archive and/or Image Display • Integration Profile: Key Image Note HIMSS / RSNA

  19. Example: RIS Upgrade • Standard: • Actors: Order Filler • Integration Profiles: Scheduled Workflow and Patient Information Reconciliation • DICOM Structured Reporting • Actors: Report Manager, Report Repository, Report Creator and Report Reader • Integration Profile: Simple Image and Numerical Reports HIMSS / RSNA

  20. Example: other systems: - Workstations - Modalities - Printers - Patient Registration - Order Entry • Just think about Actors and Integration Profiles HIMSS / RSNA

  21. Will IHE do it all? A lot, but: • Current scope is Radiology, first important step towards EPR • Need to address performance requirements • Clinical applications required • Services are needed • Project management • Training • Implementation/transition management • Operational support HIMSS / RSNA

  22. Conclusion • Using IHE Integration Profiles when writing specifications will make systems integration faster, more efficient, less expensive and successful. • Can go for a bigbang approach, but also for a focus on a specific smaller area. • Ask your vendors about the IHE Actors and Profiles they support in their products. • Success stories will be presented at the RSNA HIMSS / RSNA

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