JIRA JIRA
IHE IHE (International) Strategic Development Committee Sponsor Co-Chairs supervises reports Global IHE North America IHE Europe IHE Asia/Oceania Regional & National Deployment Delegates IHE Planning Technical Medical Professional and Industry Participants Global Development: Radiology, IT Infrastructure, Cardiology, Lab, etc. Interoperability 2
IHE IHE IHE IHE IHE IHE Integration Profiles B A IHE IHE IHE ROI 1998 3 RFP
: ADT Order Placer Register J.Doe Patient Registration [RAD-1] One or the other methods of creating an order is used Department System Image Scheduler/ Acquisition Manager/ Order Filler PPS Manager Modality Placer Order Management New [RAD-2] Filler Order Management - Schedule New [RAD-3] Procedure Procedure Scheduled [RAD-4] Query Modality Worklist [RAD-5] Modality Procedure Modality Procedure Perform Filler Order Step In Progress Step In Progress Acquisition Mgmt - Status [CARD-1] [CARD-1] Update [RAD-3] Patient Reconciliation J.Doe -> J.Smith Filler Order Mgmt - Status Update [RAD-3] Modality Procedure Step Completed [RAD-7] Modality Procedure Step Completed [RAD-7] ADT Pt. Registration [RAD-1] Patient Update [RAD-12] Pt. Registration [RAD-1] DSS/ Order Filler Placer Order Management [RAD-2] Filler Order Management [RAD-3] Patient Update [RAD-12] Order Placer Modality PS in Progress [CARD-1] Procedure Scheduled [RAD-4] Modality PS Completed [RAD-7] Patient Update [RAD-12] Procedure Updated [RAD-13] Instance Availability Notification [RAD-49] Evidence Modality PS in Progress [CARD-1] Creator Image Display Modality PS Completed [RAD-7] : Patient Update/ Merge [RAD-12] Patient Update/ Merge [RAD-12] Performed Procedure Step Manager Storage Commitment [CARD-3] Modality Image/Evidence Stored [CARD-2] Query Images [RAD-14] Retrieve Images/Evidence [CARD-4] Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7] Image Manager Image Archive Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7] Query Modality Worklist [RAD-5] Storage Modality Image/Evidence Commitment Stored [CARD-2] [CARD-3] Acquisition Modality 4
100 EHR Electronic Health Record 1 Integration Profiles 5 Integration Profiles Future Domains IHE IT 13 Integration Profiles Patient Care Coordination 1 Integration Profile 4 Integration Profiles Patient Care Devices 5
DICOM,HL7 IHE Planning Committee, Technical Committee RSNA,HIMSS 2001 6JIRA JAHIS JRS JSRT JAMI MEDISIHE-J IHE 6
300+ participants, 120+ systems 60+ systems developers Four Domains: Cardiology, IT Infrastructure, Patient Care Coordination, Radiology 2800+ monitored test cases 7
ADT Order Placer DSS / Order Filer Acquisition Modality Performed Procedure Step Manag Image Manager / Image Archive Image Display Evidence Creator ADT Order Placer DSS / Order Filer Acquisition Modality Image Manager / Image Archive Acquisition Modality Image Manager / Image Archive Image Display Evidence Creator Print Composer Print Server Image Manager / Image Archive Image Display Evidence Creator Report Creater Report Manager Report Repository Report Reader Image Manager / Image Archive Image Display Report Repository Report Reader Secure Node Portable Media Creator Portable Media Importer Image Display Report Reader Print Composer Image Manager / Image Archive Acquisition Modality Image Manager / Image Archive 8
IT empi --HIS Img Acq RIS PACS CIS Cath ECG Auto Mgr LIS Analyzer - -Patient Care Devices - - 9
IT empi Img Acq RIS PACS --HIS CIS LIS Cath ECG Auto Mgr Analyzer 10 - -Patient Care Devices - -
IT empi - Img Acq RIS PACS CIS Cath ECG Auto Mgr LIS Analyzer - -Patient Care Devices - - ECG 11
IT empi - RIS CIS Img Acq PACS Cath Laboratory Scheduled Workflow Laboratory Information Reconciliation Laboratory Point Of Care Testing Laboratory Device Automation Laboratory Code Set Distribution ECG Auto Mgr LIS Analyzer - -Patient Care Devices - - 12
IT empi - HIS Img Acq RIS IT CIS PACS ID Cath ECG Cardiology Auto Mgr LIS Analyzer -Radiation Therapy -Patient Care Devices -Pathology -Eye Care 13
IHE-J : : 2005 3 : : 2005 4 : : 2006 1 (NIRS) 2006 4 14
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SWF(Scheduled Workflow) PIR(Patient Information Reconciliation) CPI(Consistent Presentation of Image) 18 8 KIN(Key Image Note) SINR(Simple Image & Numeric Report) IT-Infrastructure CT(Consistent Time) LSWF(Laboratory Scheduled Workflow) LPIR (Laboratory Patient Information Reconciliation) 17 SWF,(PIR) SWF SWF,(PIR)
ADT Order Placer Order Result Tracker Order Placer Order Placer Print Composer JLAC 10 JJ1017 Ver.3 JJ1017 Ver.3 Order Filler Automation Manager JLAC 10 PPS Manager DSS Order Filler JJ1017 Ver.3 Image Archive Image Manager Report Repository Order Filler Acquisition Modality Print Server 18
Domain Radiology Integration Profile SWF PIR CPI ARI KIN SINR SEC Actor Vender Domain Integration Profile IT Infrastructure Laboratory ATNA CT LSWF LIR Actor Secure Node Print Composer Print Server Audit Repository Time Server Time Client ADT Order Placer Oeder Result Tracker Order Filler Automation Manager ADT Order Placer Order Result Tracker Order Filler Automation Manager Laboratory Device ADT Order Placer DSS/Order Filler Acquisition Modality Image Manager/Archive PPS Manager Image Display Evidence Creator ADT Order Placer DSS/Order Filler Acquisition Modality Image Manager/Archive PPS Manager Report Manager Acquisiton Modality Image Manager/Archive Image Display Evidence Creator Print Composer Print Server Image Manager/Archive Image Display Report Repository External Report Repository Access Report Reader Acquisiton Modality Evidence Creator Image Manager/Archive Image Display Report Manager Report Creator Report Repository Report Reader Enterprise Report Repository External Report Repository Access Secure Node Print Composer Print Server Vender 19
IHE-JSWFIHE Technical Framework Revision5.5Table3.1-1 Actor Transaction 2004 IHE-J 1.1.3OP OP 1.1.5RIS 1.2.2 1.2.5 20
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GSPS LUT,Shutter,Area,Annotation,Transformation GSDF --- CPI ---JIRJESRA X-0093X 0093-2005 (http://www.jiranet.or.jp/commission/system/04_information/files/ http://www.jiranet.or.jp/commission/system/04_information/files/jesrax- 0093.pdf) M-LCD M- LCD M- LCD M- LCD - 1M- LCD 22 David Clunie
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ID ID WADO Web Access to DICOM Persistent Object WADO 30
DICOM Manifest Manifest Manifest Manifest Manifest Manifest Manifest DICOM DICOM Manifest Manifest Clinical IT System 31
NAV EMR Document Registry EMR 32
PMS XDS XDS PACS PACS Query Document Retrieve Document Record Audit Maintain Event ATNA Time Record Audit Event Register Document Maintain Time CT Maintain Time Record Audit Event Provide & Register Docs 33 XDS Affinity Domain
PDQ Affinity Domain Patient ID ID A87631 M8354673993 M8354673993 M8354673993 14355 L-716 L-716 A87631 ID M8354673993 ID Affinity Domain ID L-716 XDS PIX Query PIX Query XDS PACS A87631 PACS Query Document (using Pt Id) ATNA Retrieve Document Register (using Pt ID) CT 34 XDS Affinity Domain
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XDS (DICOM) XDS-I XDS- MS (HL7 CDA/CRS+V3) ECG (PDF+),, XDS ( 37
XDS (Italy, France, Canada, Austria, USA, etc.) 38
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