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IHE Japan & Asia-Oceania

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waneta
18 diapositives · 311 Views · Sep 11, 2014

This report details the outcomes of the IHE Japan Connectathon 2008, held from October 27-31, with participation from 40 vendors and 81 systems. Highlights include profiles tested in Radiology, Cardiology, and Laboratory, along with advancements in IT infrastructure. Notable projects like the Network Structure for Stroke Care in Nagoya emphasize the integration of healthcare standards. The report also covers global deployment trends in IHE and outlines collaborative efforts across countries to enhance medical informatics through standardization and information exchange initiatives.

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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 ?