This document provides an overview of IHE (Integrating the Healthcare Enterprise), including:
- IHE is an international initiative that provides frameworks for standards-based interoperability between healthcare systems.
- It involves participation from various professional organizations and vendors to address real-world clinical needs.
- IHE defines integration profiles that specify how multiple standards can be coordinated to address specific use cases. Products are tested and can publish integration statements about supported profiles.
Understanding clinical data exchange and cda (hl7 201)Edifecs Inc
On top of simple needs for doctors to be connected and be able to efficiently exchange information, there is a lot of external factors driving standardization of information exchange from market to various government initiatives and as the industry moves toward a population health model, there is more need for wider applicability of standards. This Slide share covers an introduction to CDA and establishes the importance of clinical documentation for claims and prior authorization attachments
Understanding clinical data exchange and cda (hl7 201)Edifecs Inc
On top of simple needs for doctors to be connected and be able to efficiently exchange information, there is a lot of external factors driving standardization of information exchange from market to various government initiatives and as the industry moves toward a population health model, there is more need for wider applicability of standards. This Slide share covers an introduction to CDA and establishes the importance of clinical documentation for claims and prior authorization attachments
Theera-Ampornpunt N. HL7 Clinical Document Architecture: overview and applications. Presented at: HL7 CDA Workshop at the Faculty of Medicine Ramathibodi Hospital; 2013 Jun 20-21; Bangkok, Thailand. Invited speaker, in Thai.
iUZ has organised last 3rd July a talk about Cross-Border Interoperability and we've broadcasted live on Youtube.
This is the presentation document.
You can watch the event through our Youtube channel: http://youtu.be/k1KLgD8GF3Q
Explains about how to Enhance knowledge transfer among all of stakeholders including healthcare providers. For more information visit: http://www.transformhealth-it.org/
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Dr Shannon presented at the Nuffield Trust seminar: Sharing international experience: Is implementing the VA's electronic health record system an option for the NHS? in July 2012.
This is the first installment of the hitchhiker's guide to Health Level Seven. When complete this presentation will provide a concise overview of the history, operational framework, and standards of Health Level Seven (HL7). It is intended to be a guide to those seeking to engage in the HL7 standards development effort or to be consumers of HL7 products and services.
The presentation is being written and posted in five iterations. This particular installment introduces HL7 the organization and HL7 the portfolio of health informatics standard.
Summary: This presentation provides a concise overview of the history, operational framework, and standards of Health Level Seven (HL7). It is intended to be a guide to those seeking to engage in the HL7 standards development effort or to be consumers of HL7 products and services.
Target Audience: The primary intended audience for this presentation are individuals curious about but not yet engaged in HL7 activities or the use of HL7 standards. Those already familiar with or engaged in the use or development of HL7 standards may also find the distillation of the various aspects of HL7 useful to their work.
The Clinical Document Architecture (CDA®) is HL7’s
specification for standards-based exchange of clinical
documents. CDA is based on the concept of scalable,
incremental interoperability and uses Extensible Markup
Language (XML), the HL7 Reference Information Model
(RIM), and controlled terminology for structure and
semantics. This tutorial presents the business case for
CDA, its primary design principles, and an overview of the
technical specification.
Panel presentation providing an introduction to open source VistA (history, community, and technology) as well as an implementor’s perspective, given at the 2010 Open Source Conference.
Recording of presentation: http://www.youtube.com/watch?v=ExoF_Tq14WY
Cloud eHealth in Medical Imaging & RadiologyCarestream
Cloud computing in medical imaging, with real life examples. Presentation given by Pierre Yves Nectoux, at the World of Health IT congress, in Barcelona Spain, on 15 March 2010. Presentation includes two case studies, as well as a general implementation example.
For more on the cloud, visit http://www.carestream.com/cloud
Whitepaper : The Bridge From PACS to VNA: Scale Out Storage EMC
This whitepaper discusses how a vendor-neutral archive (VNA) for image archive and management requires a phased storage approach due to the capital and operational expenditures involved. The EMC Isilon scale-out approach provides a simple, predictable, and manageable path from PACS (Picture Archiving and Communications System) to VNA.
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
One of the main objective of HIPAA (Health Insurance Portability and Accountability Act) legislation is to provide data privacy and security provisions for safeguarding medical information. It requires healthcare organizations to ensure that applications are secure, and sensitive patient data is protected when in use, during transmission or when stored in a mobile device
X-ray imaging is still one of the most important diagnostic methods used in medicine. It provides mainly morphological (anatomical) information - but may also provide some physiological (functional) information.
Theera-Ampornpunt N. HL7 Clinical Document Architecture: overview and applications. Presented at: HL7 CDA Workshop at the Faculty of Medicine Ramathibodi Hospital; 2013 Jun 20-21; Bangkok, Thailand. Invited speaker, in Thai.
iUZ has organised last 3rd July a talk about Cross-Border Interoperability and we've broadcasted live on Youtube.
This is the presentation document.
You can watch the event through our Youtube channel: http://youtu.be/k1KLgD8GF3Q
Explains about how to Enhance knowledge transfer among all of stakeholders including healthcare providers. For more information visit: http://www.transformhealth-it.org/
Tony Shannon: Health care change in the NHS: Practical considerations of VistANuffield Trust
In this slideshow, Dr Tony Shannon, Consultant in Emergency Medicine and Chief Clinical Information Officer, Leeds Teaching Hospitals, outlines the practical considerations for implementing VistA in the NHS in the context of driving change in people, processes and technology.
Dr Shannon presented at the Nuffield Trust seminar: Sharing international experience: Is implementing the VA's electronic health record system an option for the NHS? in July 2012.
This is the first installment of the hitchhiker's guide to Health Level Seven. When complete this presentation will provide a concise overview of the history, operational framework, and standards of Health Level Seven (HL7). It is intended to be a guide to those seeking to engage in the HL7 standards development effort or to be consumers of HL7 products and services.
The presentation is being written and posted in five iterations. This particular installment introduces HL7 the organization and HL7 the portfolio of health informatics standard.
Summary: This presentation provides a concise overview of the history, operational framework, and standards of Health Level Seven (HL7). It is intended to be a guide to those seeking to engage in the HL7 standards development effort or to be consumers of HL7 products and services.
Target Audience: The primary intended audience for this presentation are individuals curious about but not yet engaged in HL7 activities or the use of HL7 standards. Those already familiar with or engaged in the use or development of HL7 standards may also find the distillation of the various aspects of HL7 useful to their work.
The Clinical Document Architecture (CDA®) is HL7’s
specification for standards-based exchange of clinical
documents. CDA is based on the concept of scalable,
incremental interoperability and uses Extensible Markup
Language (XML), the HL7 Reference Information Model
(RIM), and controlled terminology for structure and
semantics. This tutorial presents the business case for
CDA, its primary design principles, and an overview of the
technical specification.
Panel presentation providing an introduction to open source VistA (history, community, and technology) as well as an implementor’s perspective, given at the 2010 Open Source Conference.
Recording of presentation: http://www.youtube.com/watch?v=ExoF_Tq14WY
Cloud eHealth in Medical Imaging & RadiologyCarestream
Cloud computing in medical imaging, with real life examples. Presentation given by Pierre Yves Nectoux, at the World of Health IT congress, in Barcelona Spain, on 15 March 2010. Presentation includes two case studies, as well as a general implementation example.
For more on the cloud, visit http://www.carestream.com/cloud
Whitepaper : The Bridge From PACS to VNA: Scale Out Storage EMC
This whitepaper discusses how a vendor-neutral archive (VNA) for image archive and management requires a phased storage approach due to the capital and operational expenditures involved. The EMC Isilon scale-out approach provides a simple, predictable, and manageable path from PACS (Picture Archiving and Communications System) to VNA.
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
One of the main objective of HIPAA (Health Insurance Portability and Accountability Act) legislation is to provide data privacy and security provisions for safeguarding medical information. It requires healthcare organizations to ensure that applications are secure, and sensitive patient data is protected when in use, during transmission or when stored in a mobile device
X-ray imaging is still one of the most important diagnostic methods used in medicine. It provides mainly morphological (anatomical) information - but may also provide some physiological (functional) information.
A comprehensive study about new and upcoming modalities in imaging and screening of breast lesions with description about every new modalities with their advantages and pitfalls.
IHE product selection and acceptance testingCor Loef
IHE, Integrating the Healthcare Enterprise, creates solutions for interoperability problems in healthcare by developing standards based interface specifications. Healthcare ICT products that have implemented the IHE specifications make the integration efforts for an eHealth solution much easier. Conformity assessment in the deployment process towards an operational application portfolio is supported by a proven test methodology and Open Source test tools.
Access the webinar: http://goo.gl/p08pTz
These slides were presented in a webinar by Denodo in collaboration with BioStorage Technologies and Indiana Clinical and Translational Sciences Institute and Regenstrief Institute.
BioStorage Technologies, Inc., Indiana Clinical and Translational Sciences Institute, and Regenstrief Institute (CTSI) have joined Denodo to talk about the important role of technological advancements, such as data virtualization, in advancing biospecimen research.
By watching this webinar, you can gain insight into best practices around the integration of biospecimen and research data as well as technology solutions that provide consolidated views and rapid conversions of this data into valuable business insights. You will also learn how data virtualization can assist with the integration of data residing in heterogeneous repositories and can securely deliver aggregated data in real-time.
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Building on a FAIRly Strong Foundation to Connect Academic Research to Transl...Jack DiGiovanna
Making data and analytics FAIR has transformative potential within organizations to build on existing knowledge. FAIR resources also democratize access to information and tools in underserved communities. Global standards and analysis platforms provide strong foundational elements. However, FAIRness across time and different sectors of the biomedical workforce presents challenges. Here we summarize how platforms make data and analysis FAIR today and what we see as key areas of future focus.
BioIT 2024 invited talk.
DR. STEVEN GORIAH,
Vice President of Information Technology & CISO
Westchester Medical Center Health Network
The U.S Healthcare system is seeing a
staggering amount of security breaches each
year. In this session, you’ll learn about the role
of a cybersecurity framework, best practices in
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best fits your organization and why. Dr. Goriah
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Today's Electronic Health Record (EHR) offerings inhibit the ability to develop the next generation of clinical applications for providers to provide the best possible care and patients to become more engaged. Such offerings are designed as monolithic silos of storage and end-user experience that use proprietary methods for accessing key functionality. While large health care providers typically have physical control over their data, they lack in having functional control. This barrier makes it virtually impossible for data to be easily accessed by other applications without very costly and time-consuming migration strategies. As a result, the pace of innovation is greatly stymied by closed systems that appear to be all-too-prevalent in the healthcare industry. This session presents a strategy of vendor-neutral, public, open Application Programming Interfaces (APIs) and advocates for their use in developing open platforms for healthcare applications.
Open Insights Harvard DBMI - Personal Health Train - Kees van Bochove - The HyveKees van Bochove
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IHE / RSNA Image Sharing Project - IHE Colombia Workshop (12/2014) Module 5a
1. RSNA 2014
IHE Profiles for
Radiology Applications
Written by: David S. Mendelson, M.D.
Professor of Radiology
The Icahn School of Medicine at Mount
Sinai
Senior Associate - Clinical Informatics
The Mount Sinai Medical Center
Co-chair IHE International Board
Adapted and presented for the
IHE Colombia IHEWorkshop by:
Elliot B. Sloane, PhD, CCE,
FHIMSS
Co-chair IHE International Board
President, Center for Healthcare
Information Research and Policy
(CHIRP)
4. What is IHE?
IHE is International
Provides for local variation
IHE includes
participation from
Professional organizations
Vendors
End users
1997: Founded in Radiology (RSNA)
and IT (HIMSS)
Many professional societies
(stakeholder representation)
American Academy of Ophthalmology
(AAO)
American College of Cardiology (ACC)
American College of Physicians (ACP)
American College of Clinical Engineering
(ACCE)
American College of Emergency
Physicians (ACEP)
American Society forTherapeutic
Radiation Oncology (ASTRO)
GMSIH (IT France), JAHIS (IT Japan), SFIL
(laboratory)
Healthcare Information Management
Systems Society (HIMSS)
Radiological Society of North America
(RSNA)
And many more….
5. 5
IHE: A Framework for Interoperability
A common framework for harmonizing and implementing
multiple standards
Application-to-application
System-to-system
Setting-to-setting
Enables seamless health information movement within and
between enterprises, regions, nations
Promotes unbiased selection and coordinated use of
established healthcare and IT standards to address specific
clinical needs
6. 6
Stakeholder Benefits
Healthcare providers and health authorities
Improved workflows
Information whenever and wherever needed
Reduced implementation costs
Vendors
Align product interoperability with industry consensus
Decreased cost and complexity of interface installation and management
Focus competition on functionality/service not information transport
SDOs- Standards Development Organizations
Rapid feedback to adjust standards to real-world
Establishment of critical mass and widespread adoption
7. 7
Standards: Necessary…Not Sufficient
Foundational - to interoperability and communications
Broad - varying interpretations and implementations
Narrow - may not consider relationships between standards
domains
Plentiful - often redundant or disjointed
Focused - standards implementation guides focus only on a
single standard
IHE provides a process to implement an
integrated solution based upon multiple
standards
10. Coordination of Deployment Activities
3-Tier Model
Global Deployment Coordination Committee (GDC)
Continental Mirror Committees
IHE Americas IHE Europe IHE Asia
Representatives from each
Continental Mirror Committee
Meet regularly by Tcon
Others …
IHE World Summit
rotating country/continent, e.g. aligned with another global event like ISO
All Deployment Committees are
invited to an annual World Summit
Organizes
US CDN FRA TUR JPN CN
11. IHE – the process
Identify Interoperability issues
Develop Integration Profiles
Actors andTransactions
Workflow
Gather relevant standards
ConnectathonTesting
Publish Integration Statements
Vendors list tested profiles
12
12. IHE terminology
Integration Profiles
Describe workflow use cases, standards and the overall
relationships to achieve transparent interoperability
Integration Statements
Tell customers the IHE Profiles supported by a specific
release of a specific product.
Technical Frameworks
The documents for each “domain” that specify the
Integration Profiles and the associated systems (actors) and
transactions.
Connectathons
Testing events
? Certification
15. Development - IHE Domains
• Anatomic Pathology
• Cardiology
• Dental
• Eye Care
• IT Infrastructure (ITI)
• Laboratory
• Patient Care Coordination
• Patient Care Devices
• Pharmacy
• Quality, Research and Public Health
• Radiation Oncology
• Radiology
• Mammography
16. ITI Profiles
XDS,XDS- I Cross Enterprise Document Sharing
XCA, XCA-I Cross Community Access
XDR, XDR-I Cross-Enterprise Document Reliable Interchange
Document sharing in the absence of a registry and repository
XDM Cross-enterprise Document Media Interchange
XUA Cross Enterprise User Assertion Integration Profile
XDS-SD Cross-Enterprise Sharing of Scanned Documents
BPPC Basic Patient Privacy Consents
ATNA AuditTrail and Node Authentication
20. Major Radiology IT Themes-
Meaningful Use for the Radiologist
Radiation Exposure- REM
Aggregating and monitoring patient and population
exposure
ACR DIR mapping tool
RadLex Playbook- vendors are interested in making this part of
an IHE profile
Image Sharing- XDS
IHE XDS; Personal Health Records as a vehicle
Reporting
Teaching and Research- TCE
MIRC
CTP
Meaningful Use – ONC/CMS
21. New Radiology Profiles
MRRT
Management of Radiology ReportingTemplates
IID
Invoke Image Display
22. Radiation Exposure
Evaluating legacy dose information
OCR solutions
Evaluating dose today
Within the institution
Comparing multiple instruments
Patient
Site comparison
IHE- REM profile
ACR registry- Dose Index Registry (DIR)
Site to Site comparison as well as within an enterprise
Radlex terms- RadLex Playbook mapping tool
24. TCE- Teaching File and
Clinical Trial Export
How to get images directly out of PACS as a
part of your normal workflow
MIRC compatible
Image Selector
Image Exporter
Receiver
29. NIBIB/RSNA Image Sharing Project
Consumer Control-Patient
Engagement
Diminishes the need for BAAs
between enterprises
Imaging Site to Clearinghouse
Clearinghouse to PHR
Bootstrap an IHE based network
Employ IHE solutions whenever
possible
IHE generally has not focused on
consumer driven solutions but
rather on institutional and
enterprise workflow
Can be extended to other forms of
sharing
HIE
Security, Security…….
5 Academic Institutions
Develop a solution for all
Radiology Sites
Establish a clearinghouse
Engage PHRs
Primary emphasis is Consumer
Control through PHRs
Security and Confidentiality are
drivers
Replacement / Alternative to CD
A Standards Based Solution
30. Technical Framework
Planning Committees identify the work to be done
in a yearly cycle
Technical committees develop a solution
Public Comment
Refined solution is released for “Trial
Implementation”
FinalText is published as part of theTechnical
Framework
32. Document Use Case
Requirements
Identify available
standards (e.g. HL7,
DICOM, IETF, OASIS)
Develop
technical
specifications
Testing at
Connectathons IHE
Demonstrations
Products
with IHE
Timely access to
information Easy to integrate
products
IHE Deployment Process
33. Connectathons- Testing
How does the end user know
that a system is compliant?
Vendor develops a solution
following the specifications of a
profile
Vendors test their solutions with
one another at a Connectathon
“Monitors” judge success
Modules are tested
Vendors that pass testing can
then implement these modules
as part of larger systems
The first Connectathon was held
in 1999 in Chicago, IL, within the
basement of the Radiological
Society of North America's
(RSNA) parking garage.
At the first Connectathon there
were 23 vendors, 47 applications
tested, and 1 IHE Integration
Profile tested.
The IHE NA Connectathon 2012
held over 150 organizations and
has grown dramatically to
include over 450 participants,
which is held annually at the
Hyatt Regency Chicago.
35. 41
Events: Connectathon
The IHE-C Connectathon was held at April 26, 2008 in Beijing Tiantan Hospital
There are 7 companies attendedDr. Zhu, Chairman of IHE China, past vice
Minister of Healthcare attended
36. After the Connectathon
Vendor may publish an “Integration Statement”
IHE maintains a product registry
End Users can use this information when
evaluating an RFP response
42
40. Certification- IHE Profiles
Currently Connectathon testing results in a vendor being
able to state they are compliant. IHE USA has
embarked on a formal certification process. Trial
Working Group – IHE International wished to provide
more structure for all such activities and created a
working group
41. Conclusions
IHE provides workflow driven standards based
interoperability solutions
Easier to implement
Promotes transparent interoperability between
disparate systems
Diminishes costs
Promotes quality
www.ihe.net