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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.
Membres: 251
Personne-ressource: David Kwan
Administration: Tarek Kadoura, Linda Monico
Type: Ouvert
Accès: Public
Health care and health information professionals collaborating to improve information sharing between health care technology systems.

À propos de nous

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

Activité

David Kwan a lancé une nouvelle discussion dans le groupe Integrating the Healthcare Enterprise (IHE)

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 be exploring how IHE activities and resources may impact members in the community. The preliminary agenda for the June 20th meeting is: Introductions IHE – What, Why, Who, and How! 2025 IHE NA Connectathon coming to Toronto Webinar Schedule for 2024/2025 Register in advance for this meeting: https://infoway-inforoute.zoom.us/meeting/register/tZAoduiqrzoqG9wjJKdTSzc4HTnh957oDLvD After registering, you will receive a confirmation email containing information about joining the meeting. David Kwan, IHE Canada Chair

David Kwan a lancé une nouvelle discussion dans le groupe Integrating the Healthcare Enterprise (IHE)

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 be exploring how IHE activities and resources may impact members in the community. The preliminary agenda for the June 20th meeting is: Introductions IHE – What, Why, Who, and How! 2025 IHE NA Connectathon coming to Toronto Webinar Schedule for 2024/2025 Register in advance for this meeting: https://infoway-inforoute.zoom.us/meeting/register/tZAoduiqrzoqG9wjJKdTSzc4HTnh957oDLvD After registering, you will receive a confirmation email containing information about joining the meeting. David Kwan, IHE Canada Chair

Helen Wu a lancé une nouvelle discussion dans le groupe Integrating the Healthcare Enterprise (IHE)

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 1.0.0-comment New! Implementation Guide! • USA Mobile Antepartum Summary (mAPS.us) Release 1.0.0-comment New! Implementation Guide! Antepartum Summary is a content profile that defines the structure for the aggregation of significant events, diagnoses, and plans of care derived from the visits over the course of an antepartum episode. The supplements are available .... Comments submitted by July 8, 2024 will be considered by the IHE Patient Care Coordination Technical Committee in developing the trial implementation versions of the supplements. Comments can be submitted via traditional methods at ... or by submitting an ... or an .... Best regards, Helen

Helen Wu a lancé une nouvelle discussion dans le groupe Integrating the Healthcare Enterprise (IHE)

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 comment in the period from May 23 through June 22, 2024: • Document Digital Signature (DSGj) addition of JSON Signature - Revision 2.0 The above document is available at http://profiles.ihe.net/ITI/. Comments submitted by June 22, 2024 will be considered by the IT Infrastructure Technical Committee in developing the trial implementation version of the supplement. Comments can be submitted via traditional methods at ... or by creating a .... IHE IT Infrastructure Technical Framework Supplements Published for Trial Implementation The IT Infrastructure Technical Committee has also published the following updated Technical Framework Supplements for trial implementation as of May 24, 2024: • Internet User Authorization (IUA) - Release 2.3 • Mobile access to Health Documents (MHD) - Release 4.2.2 The profiles contained within the above documents may be available for testing at subsequent IHE Connectathons. The documents are available at https://profiles.ihe.net/ITI/. Comments on these IT Infrastructure documents are welcome at any time and can be submitted via traditional methods at ... or by submitting a ... or ... GitHub Issue. IHE IT Infrastructure White Paper Published The IT Infrastructure Technical Committee has also published the following updated white paper as of May 24, 2024: • Enabling Document Sharing Health Information Exchange Using IHE Profiles - Revision 2.2 The document is available at https://profiles.ihe.net/ITI/. Comments on this IT Infrastructure document are welcome at any time and can be submitted via traditional methods at ... or by submitting a .... IHE FormatCode Vocabulary Implementation Guide Updated IHE has published an updated the FormatCode Vocabulary Implementation Guide as of May 24, 2024. This Implementation Guide contains the IHE vocabulary for FormatCode and the IHE managed ValueSet for FormatCode. This update adds some previously missing codes. The Implementation Guide is available at https://profiles.ihe.net/fhir/ihe.formatcode.fhir/index.html. Comments are invited at any time and can be submitted by creating a .... IT Infrastructure Technical Committee Announcement: CP-ITI-1297 The HL7 Gender Harmony Project has developed a logical model to include information in electronic health records for supporting the care of gender and sex-diverse patients. See https://hl7.org/xprod/ig/uv/gender-harmony/. This model includes requirements and examples for encoding sex and gender in HL7 v2.9.1, FHIR R5, and CDA. FHIR introduced the following extensions - see https://hl7.org/fhir/R5/patient.html#gender. IHE IT Infrastructure is considering adoption of the HL7 information model. While the inclusion of Gender Harmony elements is not mandated, CP-ITI-1297 aims to introduce a conditional requirement, stipulating that if concepts related to sex and gender are included, they must adhere to the methods defined by the Gender Harmony Project. The impacted IHE Profiles are: PDQ, PAM, XCA, XDS, PIX, XPID, PCF, PDQm, PIXm, and PMIR. Note: The HL7 Gender Harmony Project did not address v3, therefore we cannot address PIXv3, PDQv3, or XCPD. The ITI Technical Committee has acknowledged the importance of incorporating sex and gender information in XCPD for enhanced cross-community patient discovery. However, due to the absence of provisions within the base standard, no immediate action is being taken. Public comment is sought on this approach. CP-ITI-1297 is currently under development to address this and we welcome participation in the development of the CP over the next few months. See: https://docs.google.com/document/d/1cSB7nPur0zEqptzYJsI5G-71exlnvFa8/edit?usp=drive_link&ouid=109672888359198923934&rtpof=true&sd=true. Should you have any questions, please reach out to David Kwan. Thank you. Best regards, Helen

Edmond Chiu s'est joint(e) à un groupe

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

Madeleine Juneau s'est joint(e) à un groupe

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

Marjorie Njilah Epse Che s'est joint(e) à un groupe

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

Forum

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...

Congratulations to David Kwan: 2024-26 IHE Canada Chair 03/10/24

Dear David, Very sincere congratulations, this is well deserved. I know that you will be a great champion. I wish you all the best in this new adventure. David

Congratulations to the new IHE Canada Chair 03/08/24

I would like to add my congratulations to David for his election as IHE Canada Chair. I look forward to collaborating with you and featuring IHE's role in supporting interoperability of health systems in Canada. I am anticipating a very busy and...

Congratulations to David Kwan: 2024-26 IHE Canada Chair 03/08/24

Congratulations David on becoming the new IHE Canada chair! Your leadership will undoubtedly bring fresh energy and vision to our community. I wholeheartedly support you and I'm enthusiastic about assisting in any way I can. Thank you also Mike,...

Congratulations to David Kwan: 2024-26 IHE Canada Chair 03/08/24

Thanks Michael, Atilla and Derek, Very honoured to receive your messages. Best regards, David.

Congratulations to David Kwan: 2024-26 IHE Canada Chair 03/08/24

Let me add my congratulations to David Kwan for his election win as the new Chair of IHE Canada. Along with Canadians all across the country, I add my support to help you successfully fulfill this important leadership role. Derek and Attila have pave...

Congratulations to David Kwan: 2024-26 IHE Canada Chair 03/08/24

Dear IHE Community, I am very excited to take on the role of IHE Canada Chair. I am looking forward to my transition into this role with the goal of continuing the great work to date. My work in health informatics and IHE profile development has e...

Congratulations to David Kwan: 2024-26 IHE Canada Chair 03/08/24

Congratulations indeed David! Happy to see you back in ring and wishing you good luck and all the best in growing the IHE community and engagement in Canada. It is with great pleasure that I hand over the baton of the IHE Canada Chair to such an expe...

Documents

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Archive ( 2 Documents )

IHE Presentations ( 0 Document )

Vidéo

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

Membres

David Kwan
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Insygnia Consulting Inc.
Déconnecté(e)
Personne-ressource
Tarek Kadoura
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Canada Health Infoway
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Admin
Linda Monico
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Canada Health Infoway
Connecté(e)
Admin
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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Josh Liben
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JuniperCDS
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Vincent Cormier
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Solucor inc.
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Shamil Nizamov
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BC Ministry of Health
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Helen Wu
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Canada Health Infoway
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