Integrating the Healthcare Enterprise IHE Overview Keith W. Boone Interoperability Architect, GE...
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Integrating the Healthcare Enterprise IHE Overview IHE Overview Keith W. Boone Keith W. Boone Interoperability Architect, GE Healthcare Interoperability Architect, GE Healthcare Co-chair, IHE Patient Care Coordination PC Co-chair, IHE Patient Care Coordination PC Co-chair, HL7 Structured Documents TC Co-chair, HL7 Structured Documents TC Co-chair, ANSI/HITSP Care Management and Health Records TC Co-chair, ANSI/HITSP Care Management and Health Records TC Member, US-TAG Member, US-TAG Member, Continua Member, Continua
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Transcript of Integrating the Healthcare Enterprise IHE Overview Keith W. Boone Interoperability Architect, GE...
Integrating the Healthcare Enterprise
IHE OverviewIHE OverviewKeith W. BooneKeith W. Boone
Interoperability Architect, GE HealthcareInteroperability Architect, GE Healthcare
Co-chair, IHE Patient Care Coordination PCCo-chair, IHE Patient Care Coordination PC
Co-chair, HL7 Structured Documents TCCo-chair, HL7 Structured Documents TC
Co-chair, ANSI/HITSP Care Management and Health Records TCCo-chair, ANSI/HITSP Care Management and Health Records TC
Member, US-TAGMember, US-TAG
Member, ContinuaMember, Continua
Integrating the Healthcare Enterprise
Electronic Health Record
Cardiology
Laboratory
Radiology
Oncology
Future
Domains
IHE
IT Infrastructure
Patient Care Coordination
Patient Care
Devices
Pathology
Eye Care
1999
2003
2002
2002
2004
2005
2005
20052005
Over 100 vendors and 20 professional societies involved worldwideOver 100 vendors and 20 professional societies involved worldwideNumerous Technical Frameworks and 70+ integration profilesNumerous Technical Frameworks and 70+ integration profiles
Testing at Connectathons and Demonstrations at Major Conferences WorldwideTesting at Connectathons and Demonstrations at Major Conferences Worldwide
2008 2008 SeasonSeason
IHE Domains Milestones – 20 month cycleDevelopment and Deployment
Proposed Scope
Approved Scope
Public Comment
Sponsors announce Connect-a-thon/Demos with
set of Implementation Profiles
Final Integration Profile
Trial Implementation
Connect-a-thon/Demo Vendor Participant Registered
Vendor Participant passed Connectathon
Demo &Education Material
Vendors release products with IHE Integration Statements
+ 9 ---
- 10 ---
- 7 ---
- 2 ---
0 ---
+ 2 ---
+ 5 ---
+ 6 ---
---
2009 2009 SeasonSeason
IHE Profiles
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]
Patient
Registration [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]
Patient
Registration [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
Detailed standards implementation guides
Actor/Transaction Diagrams
Sequence Diagrams
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]
Textual Description
Proposals
• The Problem
• Key Use Case
• Available Standards
• Systems In Use
• Discussion
An integration profile …
Describes actors and transactions allowing exchange to occur
A content profile …
• A sharable information component that can be exchanged…– within an HIE or RHIO (XDS)– via Media or USB Device (XDM)– via Reliable Messages (XDR)
• Document content using standards– CDA Release 2.0– HL7 Care Record Summary– ASTM/HL7 Continuity of Care Document
• Library of Reusable Parts
Development ScheduleDevelopment ScheduleCall for Proposals:Call for Proposals: AugustAugust FebruaryFebruaryReviews:Reviews: SeptemberSeptemberPlanning Committee:Planning Committee: OctoberOctoberTechnical Committee:Technical Committee: NovemberNovemberPlanning Committee Decision:Planning Committee Decision: DecemberDecemberIHE Connectathon: IHE Connectathon: JanuaryJanuaryHIMSS Demo: HIMSS Demo: FebruaryFebruaryTechnical Committee Face to Face:Technical Committee Face to Face: MarchMarchDevelopment:Development: April-MayApril-MayTechnical Committee Face to Face:Technical Committee Face to Face: JuneJunePublic Comments:Public Comments: JulyJulyTechnical Committee Face to Face:Technical Committee Face to Face: AugustAugust
Issue Trial Implementation version:Issue Trial Implementation version: AugustAugust
Schedule
Objectives
• Collaborating nationally/internationally for profile adoption related to interoperability
• Many perspectives participating together towards the goal of HIT interoperability
• Monitoring image & integrity throughout IHE• Respect for all perspectives, even if we
disagree with the message• Knowledge IHE domains are contributing to
the worldwide IHE collaboration
Collaborating nationally/internationally for profile adoption related to interoperability
• IHE workflow is a provider of solutions to business, government and society– Conduct activities in a respectful manner– Transparent and consensus based process
• Experts participate on behalf of their employer• Concerned stakeholders may also participate
– Provide realistic and state of the art solutions
• Each IHE participant broadly represents standardization from their own perspective, workflow, employer or marketplace need
Many perspectives participating together towards the goal of HIT interoperability
• Respond effectively to requirements, market needs and scientific/ technical developments– Do not give preference to the requirements of specific
stakeholders, companies or organizations – Concepts/new item topics are performance-based
rather than design-prescriptive– Attend the meetings with an open attitude moving in
a collaborative manner– Respond to questions in a respectful manner
• Do not “overtalk” another person• Allow each person the opportunity to express their views
Respect for all perspectives, even if we disagree with the message
• Six key goals:– Individualistic yet restrained– Egalitarian yet respectful– Assertive, but sensitive– Accurate, yet tactful– Punctual, yet patient– Optimal, yet practical
Developing relevant International IHE Profiles
• Ensuring fair and responsive application of the principles of due process, transparency, openness, impartiality and voluntary nature of standardization– Relevant interests at the national level– Participation of consumers, subject
matter experts & public authorities
Monitoring IHE’s image & integrity
• Act on behalf and in the interest of IHE when working in an IHE Domain:– Maintaining openness and transparency in all
aspects of IHE profile development– Facilitate the participation of all affected parties
contribution to the development process– Prevent conflicts of interest by communicating in an
open and transparent manner – Maintain professionalism towards all IHE experts
and participating members
