The fundamentals of IHE
Integrating Enterprises and building
standards-based regional and national
health information networks
Israel Association for Medical Information
Tel-Aviv May 17, 2006
Charles Parisot
GE Healthcare – IHE IT Infrastructure Technical Co-chair
September, 2005
1
What IHE Delivers
Standards are critical but alone are not enough
Standards offer generality, ambiguity and
alternatives
Standard Implementation Guides are
focused on a single standard
Increasing complexity
IHE provides a standard process for
implementing multiple standards!
2
Connecting standards to care
Care providers work with vendors to
coordinate the implementation of standards
to meet their needs
 Care providers identify the key interoperability
problems they face
 Drive industry to develop and make available
standards-based solutions
 Implementers follow common guidelines in
purchasing and integrating systems that deliver these
solutions
IHE, effective way to establish those
“standards” for how to implement standards
3
What is Integrating the Healthcare Enterprise?
IHE provides a common framework for passing
health information seamlessly:
 within the healthcare enterprise
 across multiple healthcare enterprises
 for local, regional & national health information networks
IHE is sponsored by healthcare professional
associations: HIMSS, RSNA, ACC, ACCE, ESC,
SFR, BIR, GMSIH, etc.
IHE drives standards adoption to address specific
clinical needs
4
IHE Maturity and Acceptance
More than 40 user organizations & close to 200
healthcare vendors worldwide have contributed to
IHE
Delivery of ready-to-integrate products to benefit
healthcare enterprises of all sizes
In clinical use today in enterprises and regional
networks
IHE scope, today and in the future




radiology, cardiology, laboratory, oncology, eye care, devices
enterprise healthcare IT infrastructures
cross-enterprise healthcare IT infrastructures
RHIO’s and NHIN
5
Proven Standards Adoption Process
Develop
technical
specifications
Testing at
Connectathons
IHE
Demonstrations
Products
with IHE
Identify available
standards (e.g. HL7,
DICOM, IETF, OASIS)
Document Use
Case
Requirements
Timely access to
information
Easy to integrate
products
6
IHE Connectathon
7
Achievements and Expanding Scope
Close to 200 vendors involved world-wide, 5 Technical Frameworks
48 Integration Profiles, Testing at Connectathons
Demonstrations at major conferences world-wide
Electronic Health Record
Radiology
Cardiology
15 Integration Profiles
4 Integration Profiles
Laboratory
Patient Care
Coordination
IHE
IT Infrastructure
5 Integration Profiles
1 Integration Profile
13 Integration Profiles
Future Domains
Patient Care
Devices
Endoscopy
Pathology
Oncology
Eye Care
8
IHE Organizational Structure
IHE (International) Strategic Development Committee
Sponsors
Co-Chairs
supervises
reports
Global
IHE North
America
IHE Domain-related
Planning Committee and
Technical Committee
IHE Europe
IHE Asia/Oceania
Regional &
National
Deployment
Global Development:
Radiology,
IT Infrastructure,
Cardiology,
Lab, etc.
Delegates
Interoperability
contribute
Participants
National Extensions
9
What is IHE NOT?
Not a standard, although it leverages them
A vendor initiative, although they participate
Not a certifying authority, although IHE
provides compliance testing
Not simply a demonstration project
 Demos are only one means to the end: Adoption
 Backed up by documentation, tools, testing, and
publication of Technical Frameworks and Product
Integration Statements.
IHE, critical for standardizing interoperability
10
IHE Model
Actors in precisely defined roles
 Abstracts a specific function of information system
…Executing precisely defined transactions
 Using existing standards
……To solve real world interoperability
problems
 Specifying Integration Profiles
11
IHE Technical Frameworks
Implementation Guide for each Integration Profile
An Integration Profile :
 A Set of Actors
 Exchanging Transactions
Use cases
Process Flows
Department System
Scheduler/
Order Filler
Order
Placer
ADT
Image
Manager/
PPS Manager
Acquisition
Modality
Register J.Doe
Patient
Registration [RAD-1]
One or the
other methods
of creating an
order is used
Placer Order
Management–
New [RAD-2]
Filler Order
Management New [RAD-3]
Schedule
Procedure
Procedure
Scheduled [RAD-4]
Query Modality Worklist [RAD-5]
Actors
Filler Order
Mgmt - Status
Update [RAD-3]
Transactions
Patient Reconciliation
J.Doe ->
J.Smith
Filler Order
Mgmt - Status
Update [RAD-3]
Patient Update/
Merge [RAD-12]
Modality Procedure
Step Completed
[RAD-7]
Modality Procedure
Step In Progress
[CARD-1]
Modality Procedure
Step Completed
[RAD-7]
Patient Update/
Merge [RAD-12]
ADT
Pt. Registration [RAD-1] 
Patient Update [RAD-12] 
DSS/ Order Filler
Modality Procedure
Step In Progress
[CARD-1]
 Pt. Registration [RAD-1]
 Patient Update [RAD-12]
 Placer Order Management [RAD-2]
 Filler Order Management [RAD-3]
 Modality PS in Progress [CARD-1]
 Modality PS Completed [RAD-7]
Order Placer
For each transaction:
 Procedure Scheduled [RAD-4]
 Patient Update [RAD-12]
 Procedure Updated [RAD-13]
 Instance Availability Notification [RAD-49]
Evidence
Creator
 Modality PS in Progress [CARD-1]
 Modality PS Completed [RAD-7]
Performed
Procedure
Step Manager
Storage 
Commitment
[CARD-3]
Image Display
 Modality Image/Evidence
Stored [CARD-2]
Image
Manager
 Query Images [RAD-14]
 Retrieve Images/Evidence [CARD-4]
 Std referenced
 Options specified
 Mapping required
Image
Archive
 Modality PS in Progress [CARD-1]
 Modality PS Completed [RAD-7]
Storage
Commitment 
[CARD-3]
Modality Image/Evidence
Stored [CARD-2]
 Modality PS in Progress [CARD-1]
 Modality PS Completed [RAD-7]
 Query Modality Worklist [RAD-5]
Acquisition
Modality
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Perform
Acquisition
IHE Solutions within the Enterprise
EMR - HIS
Enterprise
IT Infrastructure
eMPI
User Auth
RIS
Img Acq
Radiology
CIS
PACS
Cath
Cardiology
LIS
ECG
Auto Mgr
-Radiation
Therapy
-Patient Care
Devices
Analyzer
-Pathology
Laboratory
-Eye Care
13
IHE Solutions within the Enterprise
Cardiology
EMR - HIS
Enterprise
IT Infrastructure
eMPI
User Auth
RIS
Img Acq
Radiology
CIS
PACS
Cath
LIS
ECG
Auto Mgr
Cardiology
-Radiation
Therapy
-Patient Care
Devices
Analyzer
-Pathology
Laboratory
-Eye Care
Cardiology Integration Profiles
Cardiac Catheterization Lab Workflow
Echocardiography Lab Workflow
Retrieve ECG for Display
Displayable Reports
Cath and Echo Evidence Documents
14
IHE Solutions within the Enterprise
Laboratory
EMR - HIS
Enterprise
IT Infrastructure
eMPI
User Auth
RIS
CIS
Integration Cath
Profiles
Img AcqLaboratory
PACS
Laboratory Scheduled Workflow
Radiology
Cardiology
Laboratory Information Reconciliation
LIS
ECG
Auto Mgr
-Radiation
Therapy
-Patient Care
Devices
Analyzer
-Pathology
Laboratory
-Eye Care
Laboratory Point Of Care Testing
Laboratory Device Automation
Laboratory Code Set Distribution
15
IHE Solutions within the Enterprise
IT Infrastructure (Enterprise)
EMR - HIS
Enterprise
IT Infrastructure
eMPI
User Auth
RIS
IT Infrastructure Integration
Profiles
CIS
LIS
-Radiation
Therapy
Patient Administration Management
-Patient Care
Devices
Patient Demographics Query
Img Acq
ECG
PACS
Cath
Patient Identifier Cross-referencing
Radiology
Cardiology
Retrieve Information
for Display
Auto Mgr
Analyzer
-Pathology
Laboratory
-Eye Care
Enterprise User Authentication
Consistent Time
Patient Synchronized Applications
Audit Trail and Node Authentication
Personnel White Pages
16
IHE Solutions within the Enterprise
Radiology
EMR - HIS
Enterprise
IT Infrastructure
eMPI
Radiology Integration Profiles
Radiology Scheduled Workflow
User Auth
Patient Information Reconciliation
Access to Radiology Information
RIS
Img Acq
CIS
Portable Data for Imaging
PACS
Radiology
How to use IHE ?
IHE
Radiology
Handbook
Consistent Presentation of Images
ECG
Auto Mgr
Cath
Key Image Note
LIS
-Radiation
Therapy
-Patient Care
Devices
Analyzer
-Pathology
Cardiology
Laboratory
Presentation of Grouped Procedures
-Eye Care
Evidence Documents
Audit trail and Node Authentication (Rad option)
Teaching Files and Clinical Trials Export
Post-processing Workflow
Reporting Workflow
Charge Posting
Simple Image and Numeric Reports
17
IHE Scheduled Workflow (SWF) and
Patient Information Reconciliation (PIR)
SWF = Fulfilling a request for imaging service with
maximum efficiency?
How do I avoid reentering information on modalities?
How do I avoid entering in my RIS what my modality already knows
?
How do I ensure that in all cases no study is lost, remains unread, or
read incomplete.
How do I ensure that all necessary information is automatically on
my PACS and RIS?
PIR = Fulfilling a request for imaging service in
the absence of key information?
How do I deal with trauma and “non-registered patients”?
What if the ADT/ Patient Registration is down?
What if the Order Placer is down?
18
Scheduled Workflow Profile
report
report
Registration
report
Report
Repository
HIS patient
Diagnostic
Workstation
information
PACS
Film
Lightbox
images
retrieved
Orders Placed
examination orders
RIS
Orders Filled
procedure
scheduled
Image Manager
Prefetch any relevant
& Archive
prior studies
Acquisition
modality
images
Modality
worklist
stored
acquisition
completed
acquisition
images
in-progress
completed
printed
Modality
Film
Folder
Film
19
IHE for Regional or National EHR
Sharing Health Records
across different care settings
20
Sharing and Accessing Electronic Health Records
IHE offers interoperability for local, regional, specific,
or national health information exchange
Goal is to enable exchange between providers’s EHR
systems and ancillary IT systems (Lab, Pharma,
Payers) and personal health record systems.
Objective is to empower the consumer in having
“shared EHR information” between all of its potential
healthcare providers (if authorized) and self.
IHE goal is not:
 To create a “perfect health record”, the truth about a patient
health.
 To create an other “health record”, next to the one(s)
managed by the provider and the consumer.
21
Introduced at HIMSS in 2005 : IHE-XDS
Community or
sub-network
Clinic Record
Hospital Record
Repository of
Documents
Specialist Record
Reference
to records
Repository of
Documents
3-Records
Returned
4-Patient data
presented to
Physician
Clinical IT System
Index of patients records
(Document-level)
Sharing System
Aggregate
Patient Info
Clinical Encounter
2-Reference
to Records
for Inquiry
22
Health Information Exchanges Interoperability:
Cross-enterprise Digital Document Sharing
Cross-Enterprise Document Sharing minimizes clinical
data management by the infrastructure.
Transparency = Ease of Evolution
Patients have guaranteed portability and providers may
share information without concerns of aggregation errors.
Digital Documents = Patients and providers empowerment
Supports both centralized and decentralized repository
architectures. Ease of federation nationally. Flexible
privacy, Flexibility of configurations
Workflows addressed in a second step in a much simpler
manner.
Point-to-Point messages best suited for workflows mgt
23
Cross-Enterprise Document Sharing (XDS)
Standards Used
Healthcare
Content Standards
HL7 CDA, CEN EHRcom
HL7, DICOM …
Electronic Business
Standards
ebXML Registry, SOAP …
Internet Standards
HTML, HTTP,
ISO, PDF, JPEG …
Implemented world-wide by more than 30 vendors/open
source. Final text published August 2005.
Adopted in several national & regional projects (Italy,
France, Canada, Austria, USA, etc.)
IHE XDS, based on ISO 15000 standard:
15800 “Google” references (Jan’ 06)  38900 (April’ 06)
24
Cross-Enterprise Document Sharing (XDS)
Clinical Information in the Digital Document
Two “categories” of standards used
• Medical Summaries
XDS Doc Content
(HL7 CDA/CRS+V3)
• Imaging (DICOM)
• ECG Reports (PDF+)
• Next lab, nursing, etc.
XDS Infrastructure
(Document sources, consumers,
registries, repostories)
25
IHE-XDS is part of a family of profiles
Regional, national, local or disease centric networks need
a consistent set of Integration Profiles
Nine Integration Profiles completed and tested, plus seven
in development = Standards-based interoperability
building blocks for
 Rich Document Content for end-to-end application interoperability.
Available is a structured medical summary (incl meds, allergies, pbs)
and imaging information (incl. Images and reports). More in
development.
 Patient identification management
 Security and privacy
 Basic workflow (Notif of doc availbility)
IHE-XDS + related IHE Integration profiles provide a
complete interoperability solution
26
IHE Integration Profiles for Health Info Nets
What is available and has been added in 2005 and is for 2006
Emergency Referrals
Patient
Created Summaries
Format of the Document Content
and Report
associated
coded vocabulary
ECG
Document
Format
of the Document
Content
andResults
associated
coded vocabulary
Lab
Document
Format of the Document Content
Content
Scanned
Documents
and associated
coded vocabulary
Format of the Document Content
Imaging
and associated
coded vocabulary
Format
of theInformation
Document
Content
Medical Summary
Format of the Document Content
Meds, Allergies,
Pbs)
and(associated
coded
vocabulary
Format of the Document Content
and associated coded vocabulary
Cross-Enterprise
Document Sharing
Cross-enterprise User
Authentication
Authentication & Auditing:
Enhanced Access Control
Document Digital
Signature
Patient Identifier
Cross-referencing
Map patient identifiers across
independent identification
domains
Attesting “true-copy and origin
Audit Trail & Node
Authentication
Registration, distribution and access
across health enterprises of clinical
documents forming a patient
electronic health record
Centralized privacy audit trail
and node to node authentication
to create a secured domain.
Cross-enterprise
Document Interchange
Consistent Time
Media-CD/USB & e-mail push
Patient Demographics
Query
Notification of
Document Availability
Coordinate time across
networked systems
Notification of a remote
provider/ health enterprise
27
XDS Scenario + use of ATNA & CT
EHR System PMS
ED
Application
Physician Office
XDS
Document
Repository
XDS
Document
Registry
PACS
XDS
Document
Repository
Query Document
Register Document
Secured Messaging
PACS
EHR System
Retrieve Document
Lab
Info.
System
Community Clinic
Maintain Time
Record Audit
Event
Record Audit
Event
Maintain
Time
ATNA Audit
CT Time server
record repository
Maintain
Time
Provide & Register Docs
Teaching Hospital
Record Audit
Event
XDS Affinity Domain (NHIN sub-network)
28
XDS-MS Medical Summary (HL7 CDA)
Structured and Coded Header
Patient, Author, Authenticator, Institution,
Time of Service, etc.
St r u c t u r ed Co n t en t w i t h c o d ed s ec t i o n s :
 Reason for Referral
 Vital Signs
 Medication
Text Structure
Entry
Coded Section
Entry
Level 1
Level 2
Level 3
 Studies
 Allergies
Text Structure
Entry
Coded Section
Entry
 Social History
 Problems
Text Structure
Entry
 Care Plan
Coded Section
Entry
Level 3
Header always structured and coded
Title-coded sections with non-structured
nor coded content (text, lists, tables).
 Simple Viewing (XML Style sheet)
Med, Problems and Allergies
required as highly structured
text. Text easy to import/parse
Med Problems and
Allergies have a required
fine-grain structure with
optional coding.
 Procesable health data
import
XDS-MS enables both semantical
interoperability and simple viewing !
29
Use of a shared XDS infrastructure to access
Radiology Reports and Images (XDS-I)
Between Radiology and :
• Imaging specialists
• Non-imaging clinicians
Hospital
PACS Y
Radiology -toRadiology
Radiology -toPhysicians
Physician Practice
PACS Z
Imaging Center
Same XDS Infrastructure (Registry and Repositories)
for medical summaries and imaging information !
30
HIMSS Feb 2006 Interoperability Showcase
31
Successful showcase - Over 3000 visitors
Real-world implementations. Effective IHE interoperability
 36 vendor products: EHR & Ancillary IT systems, PHR systems,
Registries, Repositories, MPIs, etc.
 4 Federal entities or grantees (VA, DoD, NIST, CDC/UW)
 All implementations passed IHE Connectathon tests
Scenario focused on health information exchange:
 Within the enterprise (Cardiology, Radiology, etc.)
 Across inpatient and physician offices care settings in a RHIO for
health status information (meds, allergies, pbs, etc.), reports,
images, legacy docs
Empowered with your own health record:
 Show-wide record submission and access (11 vendor booths)
 “HIMSS RHIO” Infrastructure: secured access & communications,
distributed repositories, document registries, patient Id Xreferencing
32
HIMSS IHE Interoperability Showcase
February 2006 Participants
Leadership Level
Blue Ware
Cerner
GE Healthcare +IDX
IBM
Initiate Systems
InterSystems
MiSys Healthcare
Quovadx
Siemens
Implementer Level
Allscripts
Canon
CapMed
Cardiac Science
CGI-AMS
CompassCare
CPSI
Dictaphone
DR Systems
Eastman Kodak
Eclipsys
Epic Systems
HIPAAT
Supporter Level:
Acuo
Bond
Carefx
Clearcube
HX Technologies
INFINITT Technology
Kryptiq
McKesson
MedAccess Plus
Medical Informatics
MediNotes
MNI
National Institute of Sci & Tech
NextGen Healthcare
Philips Medical
ScImage
Witt Biomedical
Organizational participant:
Dairyland
EMC
Identrus
Intel
Mediserve
Medkey
Motion Comp.
Picis
Pulse
Sentillion
American Coll. of Clinical Eng.
Catholic Healthcare West
US Dept of Defense
US Dept of Veterans Affairs
DMP–French Natl. Personal EHR
Health Level 7
HTP
IEEE
Midmark Diagostics Group
HIMSS RHIO Federation
Liberty Alliance
Univ. of Washington
Endorsements
National & Regional Projects
 Italy
 Canada
 Austria
 France
 Japan
 USA (NHIN prototypes and RHIOs)
Vendors
 US EHR Vendor Association (95% market):
Interoperability Roadmap: www.himssehrva.org
 Europe: COCIR
34
35
Participating and Contributing Vendors (America)
Agfa HealthCare
Epic Systems Corp.
MedAccessPlus Health
Raining Data
Algotec
ETIAM
MedCommons Inc
RASNA Imaging Systems
Allscripts Healthcare
Fujifilm
Medcon
ScImage Inc.
Berdy
GE Healthcare
Medical Informatics Eng.
Sectra Imtec
Blueware
Heartlab
Medical Manager Health
Sentillion
Camtronics
HIPAAT Inc.
Mediface Co.
Shimadzu Corp
Canon Medical Systems
Hitachi Medical Corp.
Medinotes
Siemens Medical Solutns’
CapMed
Hologic
Medis Medical Imaging
Softmedical
Cardiac Science Corp.
Hx Technologies
Merge eFilm
Stentor, Inc
Carefx
IDX Systems Corporation
Misys
St. Jude Medical
Cedara Software Corp.
Imco Technologies
MNI Medicos
StorCOMM, Inc
Cerner Corporation
INFINITT
Mortara
Swissray International, Inc
CGI-AMS
Initiate Systems Inc.
NextGen
Tiani-Spirit
CSIST
InSiteOne
Novell
Toshiba Medical Systems
Dictaphone
Intelerad Medical Systems
Open Text Corp.
T-Systems
DR Systems
IBM
Philips Medical Systems
UltraVisual Medical Syst.
Dynamic Imaging
Intersystems Corporation
Procom Technology
Vital Images, Inc.
Eastman Kodak Company
Konica Minolta
Prosolv Cardiovascular
Voxar Limited
EBM Technologies
Kryptic
QRS Diagnostics
WebMD Practice Services
Eclipsys
Marotech, Inc.
Quovadx
Witt Biomedical Corp.
Emageon
McKesson
RADinfo Systems
XIMIS
In yellow, companies with IHE Committees Chairs (Spring 2006)
36
Participating and Contributing Vendors (Europe)
AGFA Healthcare
AISoftw@re Medical
Algotec
ARES SA
aycan Digitalsysteme
ETIAM
Ferrania
Fujifilm
GE Healthcare
GIE Convergence-Profils
MEDASYS SA
Medavis
Medical Communications
Medigration GmbH
MEDIMON Ltd.
Siemens Medical
Soluzioni Informatiche srl
Stentor Inc.
St. Jude
Swissray Medical AG
CEGEDIM
Cerner Corp.
CHILI
CMT Medical Tech.
Conto Corrente Salute
ConVis
CTI Mirada Solutions
Global Imaging Online
GWI Research
Hi. tech
IASI Srl
IdeoPass
INFINITT
INFOPATIENT
MEDIWARE
MEDOS AG
Merge eFilm
METAFORA
Mevis Diagnostics
Konica Minolta
Omnilab
Symphonie On Line
Synapsis
Synchro-Med
TECHNIDATA
TELEMIS S.A.
Tiani-Sprit
Tomtec Imaging
Data Processing SPA
DEDALUS
Dianoema
Eastman Kodak Co.
Ebit Sanita
EDL
ELFIN s.r.l.
INOVIT
INSIEL
Intersystems Corp.
Invita
ITZ Medicom
iSoft
McKesson
Philips Medical Systems
POLYMEDIS
Rasna Imaging Systems
RAYPAX INC.
REM
Rogan-Delft
Sago spa
Engineering Sanità
ESAOTE
MED2RAD
MEDarchiver
Sectra Imtec AB
SeeBeyond Technology
TOREX GAP Medical
Toshiba Medical Systems
TSI groupe europMedica
T-Systems
Uni-medicine
VEPRO AG
VISUS Technology
Transfer
WAID
XR PARTNER
In yellow, companies with IHE Committees Chairs (Winter 2005)
37
Participating and Contributing Vendors (Asia)
Japan
EBMJ
PSP
PANASONIC
ALOKA
KONICA MINOLTA
Hitachi Medical Co.
KODAK
HITACHI
SBS
INFOCOM
CLIMBMS
TECHMATRIX
CANON
VIEWSEND
Japan
ITEC
WINTCS
NEC
AGFA
JMAC
GEYMS
AJS
TOSHIBA
YOKOGAWA
GOODMAN
FUJITSU
AANDT
FUJIFILM
Taiwan
INFINITT
Shing Shian
INQ GEN
TEP
Tah Ya
Korea
AGFA Korea
GE Healthcare Korea
INFINITT
LG CNS
Marotech, Inc.
Medical Standard
Peoplenet Communications
Samsung SDS
38
What can you do?
Learn about IHE
Insist on IHE compliance in your RFPs and
contract documents:
 Select Integration Profiles, and Appropriate Actor(s)
 Ask vendors for their products “IHE Integration
Statements”.
Need more interoperability ?
 Join IHE Israel
 Contribute to Global IHE Committees
39
Call for Tenders
Be Brief (but ineffective) ?
 “The system must support DICOM”
 “The system must support HL7”
Be Effective (but lengthy) ?
 “The system must support the following DICOM or HL7 services
according to the following 100 pages of specifications: …”
Be Both brief and effective:
 Quote IHE profiles and actors: “The system must support the
IHE Scheduled Workflow as the Order Filler actor.”
Request IHE Integration Statements
 Version 2.1 of the SuperX CT supports IHE Scheduled Workflow,
Patient Information Reconciliation and Key Image Note as an
Acquisition Modality
40
IHE Integration Statements
Explicit claim by the vendor,
for a specific product version
Lists profiles, actors, options
Short (1 page) & Sweet
Compare apples with apples.
e.g.: The number of IHE Integration Profiles actually delivered on
different PACS products varies greatly:
 http://
www.ihe.net/resources/
ihe_integration_statements.cfm
41
How can I participate?
As a Provider or Vendor Contributor
Offer Clinical Use Case Input to Drive IHE Profile Development
Become a member of relevant domain’s Planning or Technical
Committees
Become a member of relevant Regional/National Committees  IHE Israel
Help to shape IHE’s future direction
As a Vendor Participant
Respond to Public Comments of Domain Supplements
Attend Educational Workshops
Participate in Connect-a-thons and Demonstrations
As a Provider/Consultant Participant
Respond to Public Comments of Domain Supplements
Attend Educational Workshops
Include IHE Integration Profiles in your RFPs and Integration Projects.
42
IHE Web site: www.IHE .net
Frequently Asked Questions
Integration Profiles in Technical Frameworks:
See Volume 1 of each TF for Use cases
 Cardiology
 IT Infrastructure
 Laboratory
 Patient Care Coordination
 Radiology
Connectathon Result:
www.ihe.net/Events/connectathon_results.cfm
Vendor Products Integration Statements
Participation in Committees & Connectathons
43
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