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Integrating the Healthcare Enterprise (IHE)


Health care and health information professionals collaborating to improve information sharing between health care technology systems.
Members: 254
Contact: David Kwan
Type: Open
Access: Public
Health care and health information professionals collaborating to improve information sharing between health care technology systems.

About

What is IHE? IHE is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care. Systems developed in accordance with IHE communicate with one another better, are easier to implement, and enable care providers to use information more effectively. Physicians, medical specialists, nurses, administrators and other care providers require vital information be passed seamlessly from system to system within and across departments and made readily available at the point of care, in other words enabling systems interoperability. IHE is designed to make this a reality by improving the state of systems integration and removing barriers to optimal patient care.

Why is IHE needed? Optimal patient care requires efficient access to all relevant information. Despite the advanced state of technology, however, healthcare enterprises have not yet begun to realize the full potential of computer systems to reduce medical errors, improve the efficiency of care providers and enhance the overall quality of clinical care. To do so requires a framework for information sharing that meets the needs of care providers as well as patients–and gains acceptance among the companies that build the systems they rely on.

Standards provide the basis for such a framework, but alone do not solve the problem. In any standard there are gaps, options, room for conflicting interpretations. No standard maps perfectly to the complex and ever-changing information domain of a healthcare enterprise. Filling the gap between standards and systems integration has, until now, required expensive, site-specific interface development. To close that gap a process for building a detailed framework for the implementation of standards is needed. IHE provides that process.

Who is IHE? IHE is sponsored by associations of healthcare professionals around the world and has welcomed participation by many of the leading manufacturers of imaging and information systems. Volunteer members of these associations, including clinicians and other care providers, healthcare executives and information technology experts, play a key role in guiding the development of IHE and determining priorities for integration. They collaborate with vendor representatives to identify obstacles to integration and optimal care and remove them by developing and implementing standards-based solutions for information sharing.

IHE International, the organization overseeing the development and publication of IHE Technical Frameworks worldwide, is sponsored by the Healthcare Information and Management Systems Society (HIMSS) and the Radiological Society of North America (RSNA). IHE has expanded continually and developed strong international support. Canada Health Infoway is an IHE Benefactor member, committing to IHE’s mission, independence and sustainability.

How do I use IHE? How you use IHE depends on your specific role and your specific needs. Clinicians and administrators should be aware of the clinical and operational benefits that can be realized through IHE Integration Profiles and encourage their departments to demand those capabilities when acquiring or upgrading systems. Information technology professionals should know how to use IHE Integration Profiles in RFPs and purchasing agreements and should familiarize themselves with sections of the Technical Framework that describe interfaces between systems under their supervision. Specifying IHE integration content as requirements specifications, along with conformance testing reduces risk and frames vendor accountability. Healthcare information technology solution developers and systems integrators should have a detailed knowledge of the sections of the Technical Framework relevant to their systems, these technical resources are developed to address clinical and informatics use cases in the real world.

If IHE is about achieving a common language for integration, then an analogy can be made to how one uses various resources to understand a foreign language…

Standards such as DICOM and HL7 provide the vocabulary and basic grammar for the language of integration. The Technical Framework organizes these elements somewhat like a language textbook, fitting together the most relevant pieces and eliminating confusion and ambiguity. Integration Profiles are like a phrase book for essential communications. They further organize the language to enable vendors and purchasers to communicate about systems integration-even if DICOM or HL7 is not their native language.

IHE can make systems integration faster, more efficient, less expensive and more successful. Standards-based integration solutions like those defined in IHE are flexible, durable, easier to implement and less expensive to maintain than proprietary methods. Achieving systems integration through IHE is a dramatic step toward providing optimal patient care.

IHE Process - Engaging HIT Stakeholders in a Proven Process

IHE brings together users and developers of healthcare information technology (HIT) in an annually recurring four-step process:

1. Clinical and technical experts define critical use cases for information sharing.

2. Technical experts create detailed specifications for communication among systems to address these use cases, selecting and optimizing established standards.

3. Industry implements these specifications called IHE Profiles in HIT systems.

4. IHE tests vendors’ systems at carefully planned and supervised events called Connectathons.

IHE_Process_Map

Integration Profiles: A Framework for Interoperability

IHE Profiles provide a standards-based framework for sharing information within care sites and across networks. They address critical interoperability issues related to information access for care providers and patients, clinical workflow, security, administration and information infrastructure. Each profile defines the actors, transactions and information content required to address the clinical use case by referencing appropriate standards.

See capsule descriptions of current IHE profiles in each domain. IHE Profiles are compiled into IHE Technical Frameworks-detailed technical documents that serve as implementation guides and Technical Frameworks freely available online.

Connectathons: Testing Interoperability and Conformance

IHE has been testing the interoperability of HIT systems for more than a decade. At IHE Connectathons held regularly in several locations internationally, trained technical experts supervise testing of vendor systems, making use of advanced testing software developed by IHE and several partner organizations. More than 250 vendors worldwide have implemented and tested products with IHE capabilities.

What is the InfoCentral IHE Canada Community?

The InfoCentral IHE Canada Community is a place where health care professionals, the health information industry, and government administrators collaborate to improve the way health care technologies and systems share information.

To become a member of this community select Join Group in the Group Menu.

If you have an idea for a subject, a community working group or project that will drive interoperability forward, let us know! Send your suggestions

LEADER

David Kwan, IHE Canada Chair
(Insygnia Consulting Inc.)

KEY RESOURCES

IHE Resources

Activity

Hello IHE Canada members, Today, Infoway is excited to announce the beta launch of our new Terminology Server, marking a significant milestone in our ongoing commitment to enhancing healthcare interoperability across the nation. This new Terminology Server enhances efficiency and effectiveness for users in accessing and utilizing standardized terminologies and is fully compliant with the Fast Healthcare Interoperability Resources (FHIR) standards. Early access offers various content, including the latest versions of SNOMED CT CA, LOINC, pCLOCD, UCUM, Pan-Canadian Value Sets, and different tools for exploring this content. Please read our ... for all the details. Our dedicated Terminology Server webpage provides all the user support and training resources. As part of this launch, our team is excited to offer daily drop-in sessions for beta Terminology Server users from Monday to Thursday, starting July 22nd until August 1st. These sessions will be held from 12:00 PM to 12:30 PM EST and are designed to answer your questions and provide user support. Please use the provided ... to secure your spot and add these sessions to your calendar. Please feel free to ... if you have any questions, concerns, or feedback. Best regards,

Marcia Jeffers joined a group

Integrating the Healthcare Enterprise (IHE) Logo
Health care and health information professionals collaborating to improve information sharing between health care technology systems.
Hello IHE Canada Community Members, The IHE Devices Technical Committee has published the following updated Technical Framework Supplement for trial implementation as of July 1, 2024: • Point-of-Care Identity Management (PCIM) - Rev. 2.1 PCIM Rev. 2.1 Highlights: The latest PCIM supplement for trial implementation incorporates working group efforts that resulted in simplification of the design to better align with existing system architectures to minimize roll-out time. Additional details have been added throughout and error codes were introduced. New and noteworthy changes include: • The PCIM supplement is now an HTML publication authored in AsciiDoc and maintained on the IHE / DEV.PCIM GitHub repository. • PCD-17 (assert association) and PCD-18 (assert disassociation) transactions were combined into a DEV-51 (communicate association state) transaction. • A DEV-52 (report association state) transaction was added to reflect the manager to consumer reporting of real-time association status events. A separate transaction between the manager and consumer actors and reporter and manager actors is consistent with IHE assignments and it allows for different message content and constraints. • The DEV-19 (query associations subscription) transaction is now optional and no longer includes a “snapshot” in the response. Instead, a DEV-52 sequence for all selected associations are sent from the manager to the specified consumer. • The PCD-20 transaction and DREG Actor are eliminated from this specification. References to MEM DMC capabilities to address registration and reporting of device association availability have been added. The profile contained within the above document may be available for testing at subsequent IHE Connectathons. The document is available at https://profiles.ihe.net/DEV/index.html. Comments on this and all IHE Devices documents are welcome at any time and can be submitted via traditional methods at ... or by submitting a .... Best regards, Helen
Hello IHE Canada Community Members, IHE Radiology Technical Framework Volumes Published The IHE Radiology Technical Committee has published the following updated Technical Framework Volumes (Rev. 22.0) as of June 25, 2024: • Volume 1 (RAD TF-1): Integration Profiles • Volume 1x (RAD TF-1x): Volume 1 Appendices • Volume 2 (RAD TF-2): Transactions • Volume 2x (RAD TF-2x): Volume 2 Appendices • Volume 3 (RAD TF-3): Cross-Transaction Specifications and Content • Volume 4 (RAD TF-4): National Extensions Revision 22.0 of the Radiology Technical Framework includes the following changes: --Integrate the following as Final text: • Basic Image Review (BIR) Profile • Web-based Image Capture (WIC) Profile • Web-based Image Access (WIC) Profile • Cardiac Option into the Nuclear Medicine Imaging (NMI) Profile --Incorporate Change Proposals from Ballot 2023B and 2024A. Refer to ... and IHE Radiology's ... for details. In 2024, IHE Radiology also moved the following profiles from 'Trial Implementation' to 'Retired': • Chest X-Ray CAD Display (CXCAD) • Mammography Acquisition Workflow (MAWF) • Stereotactic Mammography Image (SMI) The profiles contained within the above documents are available for testing at subsequent IHE Connectathons. The documents are available for download at https://profiles.ihe.net/RAD/. Comments on these and all Radiology documents are welcome at any time and can be submitted at .... IHE Radiology Technical Framework Supplements Published The IHE Radiology Technical Committee has also published the following updated Technical Framework Supplements as of June 25, 2024: • Interactive Multimedia Report (IMR) - Rev. 1.1.0 • Management of Acquisition Protocols (MAP) - Rev. 1.2 Updates made were based on Change Proposals from Ballot 2023B and 2024A. Refer to ... and IHE Radiology's ... for details. The profiles contained within the above documents are available for testing at subsequent IHE Connectathons. The documents are available at https://profiles.ihe.net/RAD/. Comments on these and all Radiology documents are welcome at any time and can be submitted at ... or via an.... IHE Radiology White Paper Published The IHE Radiology Technical Committee has also published the following updated White Paper as of June 25, 2024: • Code Mapping in IHE Radiology Profiles Updates made were based on Change Proposals from Ballot 2023B and 2024A. Refer to ... and IHE Radiology's ... for details. The document is available for download at https://profiles.ihe.net/RAD/. Comments on this and all Radiology documents are welcome at any time and can be submitted at .... Regards, Helen

dominique boston joined a group

Integrating the Healthcare Enterprise (IHE) Logo
Health care and health information professionals collaborating to improve information sharing between health care technology systems.

Maria HIlts joined a group

Integrating the Healthcare Enterprise (IHE) Logo
Health care and health information professionals collaborating to improve information sharing between health care technology systems.
Hello IHE Canada members, The June 20th, 2024 IHE Canada meeting material is available here: - ... A recording of the meeting can be found through the following YouTube link: ... If you have any questions related to the meeting materials, please feel free to contact us. Thank you David & Helen

Forum

New Terminology Server – Beta launch 07/17/24

Hello IHE Canada members, Today, Infoway is excited to announce the beta launch of our new Terminology Server, marking a significant milestone in our ongoing commitment to enhancing healthcare interoperability across the nation. This new Termin...

IHE Devices Technical Framework Supplement Published for Trial Implementation 07/02/24

Hello IHE Canada Community Members, The IHE Devices Technical Committee has published the following updated Technical Framework Supplement for trial implementation as of July 1, 2024: • Point-of-Care Identity Management (PCIM) - Rev. 2.1...

IHE Radiology Technical Framework Documents Published 06/26/24

Hello IHE Canada Community Members, IHE Radiology Technical Framework Volumes Published The IHE Radiology Technical Committee has published the following updated Technical Framework Volumes (Rev. 22.0) as of June 25, 2024: • Volume 1 (RAD TF-...

IHE Canada Community Meeting June 2024 Materials 06/24/24

Hello IHE Canada members, The June 20th, 2024 IHE Canada meeting material is available here: - ... A recording of the meeting can be found through the following YouTube link: ... If you have any questions related to the meeting materials, p...

JIC Discussion Paper Released: The Future of IPS as a Global Public Good 06/18/24

Hi IHE Community Members, On behalf of the ..., I am pleased to advise you of a discussion paper released today entitled “The Future of IPS as a Global Public Good”. This paper can be found on the.... You and your organization have been iden...

Reminder: IHE Canada Community Meeting Restart this Thursday 06/17/24

Hello IHE Canada Community Members, On Thursday, June 20th at 12 noon, we will be restarting our regular meetings. We have exciting news that the 2025 IHE NA Connectathon will take place in Toronto in early February. Planning is underway to stage...

Reminder: IHE Canada Community Meeting Restart this Thursday 06/17/24

Hello IHE Canada Community Members, On Thursday, June 20th at 12 noon, we will be restarting our regular meetings. We have exciting news that the 2025 IHE NA Connectathon will take place in Toronto in early February. Planning is underway to stage...

IHE Canada Community Meeting on Thursday June 20th 06/06/24

Hello IHE Canada Community Members, On Thursday, June 20th at 12 noon, we will be restarting our regular meetings. Over the next year we will be focusing on education about the Why and How IHE is relevant to health IT and interoperability. We will...

IHE Canada Community Meeting on Thursday June 20th 06/06/24

Hello IHE Canada Community Members, On Thursday, June 20th at 12 noon, we will be restarting our regular meetings. Over the next year we will be focusing on education about the Why and How IHE is relevant to health IT and interoperability. We will...

IHE Patient Care Coordination Technical Framework Supplements Published for PC 06/05/24

Hello IHE Canada Community Members, The IHE Patient Care Coordination Technical Committee has published the following new supplements for public comment in the period from June 4 through July 8, 2024: • Mobile Antepartum Summary (mAPS) Release...

IHE IT Infrastructure Technical Framework Documents Published 05/27/24

Hello IHE Canada Community Members, IHE IT Infrastructure Technical Framework Supplement Published for Public Comment The IHE IT Infrastructure Technical Committee has published the following updated Technical Framework Supplement for public comm...

IHE Radiology Technical Framework Supplement Published for Public Comment 05/10/24

Hello IHE Canada Community Members, The IHE Radiology Technical Committee has published the following new Technical Framework Supplement for public comment in the period from May 9 through May 31, 2024: • Imaging Diagnostic Report (IDR) - R...

Cross-Posting of HL7_IHE Joint Specification 04/14/24

Hello IHE Canada Community Members: As part of the HL7 May 2024 Ballot Cycle, HL7 Intl., in parallel with IHE, is distributing the HL7/IHE Specification: Service-oriented Device Point-of-care Interoperability (SDPi) Technical Framework, Edition 1....

IHE Devices Technical Framework Supplement Published for Public Comment 04/12/24

Hello IHE Canada Community Members, The IHE Devices Technical Committee has published the following updated Technical Framework Supplement for public comment in the period from April 11 through May 11, 2024: Point-of-Care Identity Managem...

New IHE PaLM Technical Framework Documents Published on April 8, 2024! 04/09/24

Hello IHE Community Members, The IHE Pathology and Laboratory Medicine Technical Committee has published the following updated Technical Framework supplements for trial implementation as of April 8, 2024: • Digital Pathology Workflow - Image Acq...

Documents

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Archive ( 10 Documents )

IHE Presentations ( 5 Documents )

HL7_IHE_SDPI_E1_S2_2024MAY

Published on Apr 14, 2024 by Ron Parker

IHE 101

Published on Mar 04, 2020 by Derek Ritz

Video

A Collaborative Approach to Interoperability in Canada

Hello members of the Integrating the Healthcare Enterprise working group, If you were unable to attend Infoway's session on 'A Collaborative Approach to Interoperability in Canada' please find a recording of the presentation in the link below. Please feel free to contact us at: [email protected] if you have any questions. Sincerely, Interoperability Team

10/20/23

Members

David Kwan
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Insygnia Consulting Inc.
OFFLINE
Contact
Tarek Kadoura
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Canada Health Infoway
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Admin
Linda Monico
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Canada Health Infoway
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Marcia Jeffers
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Centre for Distance Education
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dominique boston
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Canada Health Infoway
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Maria HIlts
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Michener Institute
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Monief Eid
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Ministry of Health
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Edmond Chiu
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Canada Health Infoway
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Madeleine Juneau
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CISSSCA
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Marjorie Njilah Epse Che
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CD-ed
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Kimberly Griffin
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na
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Ben Macerola
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OntarioMD
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Andrew Liu
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Canada Health Infoway
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Bo Yang
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Canada Health Infoway
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Alexander Goel
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PuraJuniper
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