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IHE Japan & Asia-Oceania

Integrating the Healthcare Enterprise. IHE Japan & Asia-Oceania. Michio Kimura, MD, PhD Hamamatsu University / IHE Japan. IHE Japan Connectathon 2008. 2008/10/27-31 40 vendor, 81 systems tested Tested profiles Radiology SWF, PIR, CPI, KIN, MAMMO, PDI, IRWF, ARI Cardiology

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IHE Japan & Asia-Oceania

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  1. Integrating the Healthcare Enterprise IHE Japan& Asia-Oceania Michio Kimura, MD, PhD Hamamatsu University / IHE Japan

  2. IHE Japan Connectathon 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

  3. IHE Japan Connectathon 2008 • … • …

  4. Network Structure for Stroke Care in Nagoya

  5. Nagoya 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.)

  6. EUA & PSA Working at NIRS • NIRS users appreciate EUA

  7. Demo 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)

  8. Post Market Adverse Event Report in RFD • Now paper-based report filled by busy doctors • But, most items are in CPOE

  9. … • … • …

  10. PDI Agreement • 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

  11. IHE-J HP http://www.ihe-j.org/en/

  12. International Growth of IHE Australia Netherlands Germany Norway Canada Austria Taiwan France Japan Korea China USA Italy UK Spain 2005 2006 2000 2007 1999 2001 2002 2003 2004 2008 • Local Deployment • National Extensions • Promotional & Live Demonstration Events • Funding Pragmatic global standards harmonization + best practices sharing 15

  13. Austria IHE, Global Standards-Based Profiles Adopted in National & Regional Projects Lower Austria NETHERLANDS Friesland Italy (Conto Corrente Salute) VITL-Vermont FranceDMP UK CfH (Radiology WF) Quebec, Toronto,Alberta, British ColumbiaCanada Infoway SuisseSt Gallen Boston Medical Center - MA Philadelphia HIE KeyHIE Pennsylvania CareSpark – TN & VA South Africa THINC- New York NCHICA – N. Carolina CHINA-Shanghai Imaging Info Sharing CHINA-MoH Lab results sharing JAPAN-Nagoya Imaging Info Sharing, Nationwide PDI guideline Malaysia

  14. Our 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.

  15. Questions ?

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