IHE USA Presents the North American IHE Connectathon 17-21 January, 2011 Chicago The first formal...
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Transcript of IHE USA Presents the North American IHE Connectathon 17-21 January, 2011 Chicago The first formal...
IHE USAPresents the North American
IHE Connectathon17-21 January, 2011 Chicago
The first formal activity of the newly incorporated non-profit IHE USA, the official IHE International National Deployment Committee for the United
States!
Please set your cell phones on “stun!”
Elliot B. Sloane, PhD, CCE, FHIMSS Drexel University, Health Systems Engineering Director Founder, Center for Healthcare Information Research and Policy Board of Directors, IHE-USA Co-Chair, IHE International Board of Directors, Delaware Valley HIMSS Past Chair, HIMSS Security and Privacy Steering Committee Sponsor, IEEE 11073 Medical Informatics Standards
Interoperability,Health Information Security,
and Medical Devices,
IHE USA• Incorporated in 2010 as an independent non-profit
agency in the state of Illinois, and is filing with the IRS as a 501(c)(3) educational foundation
• Legally independent, and separate Board of Directors, from HIMSS, RSNA, and IHE International
• Receives donations, tuition, membership and Connectathon fees, and grant funding
• Provides educational, teaching, and research grants and scholarships, and
• Pays for the development and dissemination of critical Open Source, free testing and implementation tools for hospitals, government agencies, and manufacturers
• The first IHE USA membership drive is just starting!– Small and large institutions, plus individuals
IHE International oversees the creation of detailed guidelines that use multiple standards to build interoperable health IT systems.
IHE International also coordinates the activities of national and regional deployment committees worldwide, such as IHE USA.
IHE USA is recognized by IHE International as the national deployment committee for the United States.
IHE USA's role is to serve as the voice for US health IT interests and foster national adoption of information standards to enable interoperability
IHE USA supports HHS & ONC
IHE USA exists to serve America’s healthcare needs.
It does its very best to discover and support synergies and efficiencies in HIT standards
development and deployment, and to eliminate waste, redundancy, and unnecessary and
wasteful conflict.
IHE USA is NOT the same as IHE Europe or IHE Oceania-Asia
The US healthcare market uses different coding standards, is based on a privatized business and insurance models, has very different clinical delivery processes, and has its own unique legal and regulatory
framework.e.g., IHE USA still supports ICD-9 coding because that
is stipulated in the HIPAA 4010 standards.
US laws and practices drive IHE USA, not IHE International or other National Domains
IHE USA adapts well developed global standards to solve US
challenges where efficient and appropriate
• e.g., DICOM, IEEE 11073, HL-7, ICD-9, ICD-10 are all well-recognized international standards.
• CPT, LOINC, SNOMED, and UMLS are US-centric• Though many countries have national patient
identifiers, but IHE USA supports the US patient-matching model using multi-factor patient identification
IHE USA leverages well-tested modular core IHE services to meet US needs
• e.g., IHE’s “Consistent Time” Integration Profile assures that all records in and from all computer systems inside and outside of the hospital can synchronize the timestamps each clinical and business document
• IHE’s XDS (Cross Enterprise Document Sharing) Integration Profile allows documents to be reliably and securely shared anywhere in the healthcare enterprise.
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Our testing results are public and Our testing results are public and IHE-Profile-specificIHE-Profile-specific
www.ihe.net/Connectathonwww.ihe.net/Connectathon
Examples of Integration Profiles that were tested and verified in the 2010 Connectathon
Companies that tested the IHE Integration Profiles in the 2010 Connectathon
Pathologysince 2006
Radiation Oncologysince 2004
Radiologysince 1998
Cardiologysince 2004
Patient Care Devicessince 2005
Patient Care Coordinationsince 2004
Eye Caresince 2006
QualityResearch & Public Health
since 2006
Laboratorysince 2004
(Healthcare)IT Infrastructure
since 2003
PharmacySince 2009
DentistrySince 2010
ALL IHE clinical domains share the 50+ integration profiles!
IHE: Ever-growing since 1998.
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12-yr International Growth of IHE12-yr International Growth of IHE
FranceFrance
Local Deployment, National Extensions Promotional & Live Demonstration Events The IHE Integration Profiles may be extended for
local requirements
USAUSA
GermanyGermany
ItalyItaly
JapanJapanUKUK
CanadaCanadaTaiwanTaiwan
NetherlandsNetherlandsSpainSpain
AustriaAustria
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99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
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Pragmatic global standards harmonization + best practices sharing Pragmatic global standards harmonization + best practices sharing
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AustraliaAustralia
20
10
ChinaChina
TurkeyTurkey
MalaysiaMalaysia
SwitzerlandSwitzerland
USAUSA
Most of the 55+ IntegrationProfiles are re-used around the globe!
Document Exchange Integration ProfilesDocument Exchange Integration Profiles
DocumentDocument SharingSharing
XDS / XCAXDS / XCA
MediaMediaInterchangeInterchange
XDMXDM
Reliable Pt-PtReliable Pt-PtInterchangeInterchange
XDRXDR
Doc Content Profiles Doc Content Profiles (HL7 CDA, DICOM Semantics content)(HL7 CDA, DICOM 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 AssessmentAssessment
FSAFSA
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How real is IHE XDS ?How real is IHE XDS ?• Stable specification, tested by 100 vendorsStable specification, tested by 100 vendors• First implementation in clinical use in region of Genoa - First implementation in clinical use in region of Genoa -
Italy) since early 2006.Italy) since early 2006.• Several since: Three Austria regions, Applications in Several since: Three Austria regions, Applications in
Vermont, Pennsylvania, Nagoya city, South Africa region, Vermont, Pennsylvania, Nagoya city, South Africa region, Italian & Dutch regions, France, etc.Italian & Dutch regions, France, etc.
• Adopted by several national programs world-wideAdopted by several national programs world-wide• 4 open source toolkits available, numerous product 4 open source toolkits available, numerous product
implementations in EMRs and Infrastructure offerings.implementations in EMRs and Infrastructure offerings.
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IHE, Global Standards-Based Profiles IHE, Global Standards-Based Profiles Adopted in National & Regional Projects (sample)Adopted in National & Regional Projects (sample)
Quebec, Toronto,Alberta, British ColumbiaCanada Infoway
THINC- New YorkNCHICA – N. Carolina
Italy Conto CorrenteVenetto - Friuli
Boston Medical
Center - MA
CHINA-MoHLab results sharing
CHINA-ShanghaiImaging Info Sharing
JAPAN-NagoyaImaging Info Sharing,
Nationwide PDI guideline
South Africa
VITL-Vermont
CareSpark – TN & VA
NETHERLANDSFriesland
Natn’l Mamography
LowerAustria
Austria
FranceDMPWales
Imaging
BelgiumFlemish-Leuven
SuisseSt GallenLausane
Providence Health
System - OR
GeisingerKeyHIE
Pennsylvania
SHARP CA
France Imaging
IDF
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For more complete list see:For more complete list see: tinyurl.com/wwXDS tinyurl.com/wwXDS
At IHE, progress for patient care never stops!
Connecting Medical Devices to the Electronic Health Record is my personal passion
• IHE-PCD: IHE Patient Care Device Domain Committee• Have spent almost a decade developing integration
profiles that allow medical and personal health devices to send vital signs data automatically, accurately, and securely in a medical record that can be read and stored in any EMR that can interpret an XML HL-7 v2.6 document
In 2010, the IHE-PCD and Continua-WAN specifications were finally aligned, and a SINGLE data standard is now used by ALL devices to load clinical data directly from any device
into the EMR
The IHE-PCD, Continua-WAN, and IHE EMR interfaces will be proven here this
week for the first time!
HospitalsDr. Office
Nursing Homes|
FDA-regulated Medical Devices
|Home Care
Personal Health
Devices|
Home Care
Finally, a cross-enterprise labor-, error-, and delay-saving breakthrough for patient
monitoring!The new IHE-PCD and Continua-WAN compatible interface
allows flexible home monitoring, hospital monitoring, EMS monitoring, and alternate-site care monitoring
with interchangeable, interoperable devices that can ALL load clinical data DIRECTLY to the EMR.
We have ONC and Dr. John Halamka to thank: they asked for a single solution in 2008, so
we developed one!
We are pleased to have Dr. Doug Fridsma with us today
• Gives us the opportunity to expand the discussion about how IHE USA can best support him and his colleagues at ONC.
• e.g., how can IHE’s resources best support Meaningful Use Phases 1, 2, and 3?
• e.g., how can IHE’s resources best support the newly emerging S&I Framework?
IHE USA supports the new ONC Standards and Infrastructure (S&I) Lifecycle.
IHE Connectathon & Showcases (late fall and winter)
IHE Testing & Tools Development (late spring and summer)
IHE Domain Committee draft profile (winter and spring)
IHE Domain Committee & workgroup meetings (early Fall)
IHE Domain Committee new work product proposal reviews (late summer)
e.g., Can IHE align its process and priorities to better support ONC?
IHE supports the new ONC IEPD artifacts: can some of IHE’s artifacts be useful?
Information Exchange Package Documention
Can IHE USA work together with ONC to accommodate the National Information Exchange Model (NIEM)?
IHE is Powered by VolunteersThe nation salutes Dr. King each
year with a Day of Service.IHE’s Volunteers donate tens of
thousands of hours, day by day, year by year, to one shared dream: to create a world that will improve patient care by ensuring health data is secure, interoperable, complete, and readily available at the point and moment of care, regardless of location.
Thank you to ALL of our volunteers!
The Connectathon monitors you will meet today are all volunteers.
Rich Set of FREE Open Source Tools and Resources!1 Implementation Guidance 2 Implementation Tools
2.1 Development Tools 2.1.1 IHE Integration Profiles 2.1.2 OHT IHE Profiles
2.2 Test Tools 2.2.1 MESA 2.2.2 Laika 2.2.3 Gazelle Test Management Tool 2.2.4 Patient Care Device Testing Tools 2.2.5 HL7 V2 Toolkit 2.2.6 EVS Message Validation Toolkit 2.2.7 XDS Toolkit 2.2.8 XDS-I and PIX/PDQv3 Testing Tools 2.2.9 DICOMScope Visualization Tools (MESA Consistent Image Presentation) 2.2.10 Portable Data for Imaging Disk Validator 2.2.11 IHE-RO Test Tools
2.3 Test Tools by Profile and Actor3 Sample Files/Objects/Messages/Data
http://wiki.ihe.net/index.php?title=Implementation
FREE Open Source medical device IHE-ready XML test tools from the US Government - NIST
NIST has developed an Implementation Conformance Statement (ICS) generator tool called ICSGenerator to facilitate creation of vendor conformance statements that would be applicable to testing a particular ISO/IEEE 11073 (X73) device. Additionally, NIST has completed initial development of a ValidatePDU tool, a tool that provides basic syntax and structure check and low level semantic checks for one or more captured messages. Both tools utilize the electronic representation of the X73 standard's information model implemented by NIST researchers in the form of an XML schema.. Medical device test message generation is also possible to enable future manager/agent conformance test scenarios.
http://xw2k.nist.gov/medicaldevices/testtools.html
Large Library of Free IHE Educational Webinars
Each month since 2008 were – and are – presented on topics including IHE, Interoperability, the IHE North America Connectathon, the HIMSS Interoperability Showcase, and a detailed review of profile supplements developed this year in
IHE's twelve active domains!
The Webinar schedule and links to free registration for upcoming sessions are below. Copies of slides are provided for sessions already presented. Video
recordings of the sessions will be made available shortly. Additional Webinar sessions will be posted throughout the summer as dates are confirmed. Past IHE
Webinar Series
http://www.ihe.net/Events/webinars2010.cfm
We are IHE USA, and we’re here to serve.
Welcome to the IHE Connectathon, and welcome to the ongoing conversation with our vibrant
IHE USA professional community.
Devoted to changing the way the healthcare world connects!