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IHE Cardiology Year 2 Profiles. Harry Solomon Co-chair, Technical Committee. Process. Planning Committee developed Profile Proposals (Sept-Nov) Technical Committee evaluated proposals for feasibility (Dec-Feb)
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IHE CardiologyYear 2 Profiles Harry Solomon Co-chair, Technical Committee
Process • Planning Committee developed Profile Proposals (Sept-Nov) • Technical Committee evaluated proposals for feasibility (Dec-Feb) • Planning Committee confirms Year 2 scope and begins work on demo and marketing (now) • Technical Committee publishes Tech Framework Supplements (Apr-Jun) • Call for Year 2 participation (Jun) – sign-up by end of Aug Cardiology Planning Committee 7 March 2005
Planning Cttee Profile Proposals • Cath lab workflow enhancement – build out from Year 1 (pre-cath, procedure log, reporting) • Echo workflow enhancement – build out from Year 1 (measurements, reporting) • Stress testing workflow – manage stress test w/wo imaging, integrate all results for reporting • Nuclear cardiology – integrate all stress test results for reporting • Registry data harvesting – gather and integrate information from disparate sources for outcomes research registries • Cross-enterprise document sharing – share data between clinician offices and in-patient environments Cardiology Planning Committee 7 March 2005
Tech Cttee Evaluation Criteria • Encourage additional participants through new profiles • Balance against resources for Technical Framework and MESA Test Tools development • Leverage existing profiles to extent possible • Consolidate common processes from multiple sub-domains - may refactor proposals (mix and match) • Avoid political battles Cardiology Planning Committee 7 March 2005
Tech Cttee Proposed Profiles • Enhance existing Cath and Echo profiles with logs and measurements (“evidence documents”) • New Stress Workflow Profile leveraging actors and transaction concepts from Cath and Echo profiles • Include Simple Image and Numeric ReportProfile (by reference to Radiology) for DICOM SR-based reporting • New Displayable ReportProfile (based on SINR) for PDF-based reporting • Include Retrieve Information for DisplayProfile (by reference to IT Infrastructure) for intra-enterprise report distribution and access to non-cardiology reports • Include Cross-enterprise Document Sharing Profile (by reference to IT Infrastructure) for cross-enterprise report distribution Cardiology Planning Committee 7 March 2005
Existing • Cath* • Echo* • ECG • *enhanced • New • Displayable Report • Stress • Reference • SINR • RID • XDS Cardiology Planning Committee 7 March 2005
Correspondence between Planning and Tech Cttee Proposals (1) • Cath lab workflow enhancement • Pre-cath data: Retrieve Info for Display • Procedure log, Measurements: Evidence documents in Cath Profile • Reporting: Simple Image and Numeric Reports and Displayable Reports • Report distribution: Retrieve Info for Display and Cross-enterprise Document Sharing • Echo workflow enhancement • Measurements: Evidence documents in Echo Profile • Reporting: Simple Image and Numeric Reports and Displayable Reports • Report distribution: Retrieve Info for Display and Cross-enterprise Document Sharing Cardiology Planning Committee 7 March 2005
Correspondence between Planning and Tech Cttee Proposals (2) • Stress workflow • Workflow: Stress Profile • Reporting: Displayable Reports • Report distribution: Retrieve Info for Display and Cross-enterprise Document Sharing • Nuclear cardiology • Workflow: Scheduled Workflow Profile (Rad) • Measurements: Evidence Documents Profile (Rad) • Display: Nuclear Medicine Content Profile (Rad) • Reporting: Simple Image and Numeric Reports and Displayable Reports • Report distribution: Retrieve Info for Display and Cross-enterprise Document Sharing Cardiology Planning Committee 7 March 2005
Correspondence between Planning and Tech Cttee Proposals (3) • Registry data harvesting • Data production: Evidence documents in Cath, Echo, and Stress Profiles (enabler – no specific templates) • Data collection: deferred from Year 2 • Cross-enterprise document sharing • Cross-enterprise Document Sharing Cardiology Planning Committee 7 March 2005
Potential New Participants • Measurement/analysis application vendors (echo, cath) • Reporting system vendors (echo, cath) • Stress system vendors • Already participating in Tech Cttee • EMR vendors • May need incentives to participate in ACC as well as HIMSS demos • Additional “Year 1” capability vendors Potentially doubling size of Demonstration Cardiology Planning Committee 7 March 2005