Presents the North American
17-21 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
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
Health Information Security,
and Medical Devices,
• 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
• 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 IHE USA is recognized by
the creation of detailed IHE International as the
guidelines that use national deployment
multiple standards to committee for the United
build interoperable health States.
IT systems. IHE USA's role is to serve
IHE International also as the voice for US health
coordinates the activities IT interests and foster
of national and regional national adoption of
deployment committees information standards to
worldwide, such as enable interoperability
IHE USA supports HHS & ONC
IHE USA exists to serve America’s healthcare
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
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
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
• 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
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
• IHE’s XDS (Cross Enterprise Document
Sharing) Integration Profile allows documents to
be reliably and securely shared anywhere in the
Our testing results are public and
Examples of Integration Profiles that were
tested and verified in the 2010 Connectathon
Companies that tested the IHE Integration
Profiles in the 2010 Connectathon
IHE: Ever-growing since 1998.
ALL IHE clinical domains share the 50+ integration profiles!
Since 2010 since 1998
Since 2009 since 2004
since 2006 (Healthcare)
Quality Radiation Oncology
Research & Public Health since 2004
Patient Care Coordination
Patient Care Devices since 2004
12-yr International Growth of IHE USA
Local Deployment, National Extensions
Promotional & Live Demonstration Events
The IHE Integration Profiles may be extended for Malaysia
local requirements Turkey
Italy Most of the 55+ Integration
Germany Profiles are re-used around
France the globe!
Pragmatic global standards harmonization + best practices sharing
Doc Content Profiles (HL7 CDA, DICOM Semantics content)
Scanned Doc Emergency Pre- Functional Status
Consent Surgery Assessment
XDS-SD BPPC EDR PPHP FSA
Imaging Discharge & PHR
XDS-I XD*-Lab XDS-MS XPHR
Document Reliable Pt-Pt Media
Sharing Interchange Interchange
XDS / XCA XDR XDM
Document Exchange Integration Profiles
How real is IHE XDS ?
• Stable specification, tested by 100 vendors
• First implementation in clinical use in region of Genoa -
Italy) since early 2006.
• Several since: Three Austria regions, Applications in
Vermont, Pennsylvania, Nagoya city, South Africa region,
Italian & Dutch regions, France, etc.
• Adopted by several national programs world-wide
• 4 open source toolkits available, numerous product
implementations in EMRs and Infrastructure offerings.
IHE, Global Standards-Based Profiles
Adopted in National & Regional Projects (sample)
Friesland Conto Corrente
Natn’l Mamography Venetto - Friuli
Wales DMP St Gallen Alberta, British Columbia
Imaging Austria Lausane
Center - MA
For more complete list see: tinyurl.com/wwXDS
– TN & VA
South Africa THINC- New York
Providence NCHICA – N. Carolina
CHINA-Shanghai CHINA-MoH JAPAN-Nagoya
Health System -
Imaging Info Sharing Lab results sharing Imaging Info Sharing,
Nationwide PDI guideline
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!
Personal Nursing Homes
| Medical Devices
Home Care |
Finally, a cross-enterprise labor-, error-, and
delay-saving breakthrough for patient
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 Domain Committee new work product proposal reviews (late summer)
IHE Domain Committee & workgroup meetings (early Fall)
IHE Domain Committee draft profile (winter and spring)
IHE Testing & Tools Development (late spring and summer)
IHE Connectathon & Showcases (late fall and winter)
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 Volunteers
The 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
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
2.2.3 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 Actor
3 Sample Files/Objects/Messages/Data
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.
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
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