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112!TowerofBabel64!!#$%&'(!#!#$%&'()*!!!#$%&'()*+,--./0!#$%&'()*+!#$%&!#$!#$%&'()*+,-./012!#$!#$%&'()*+,-!#$!%&'()*+!!!#!#$%&'(!)!#$%&'!!#$!!DICOMHL7!!#$!#$!#$%&!!Interconnection!#!Interoperability!!!#$%&'()*+,-.!#!#$%&'()*!#$%&'!#$%&'()*+,-./012!#$%&'()*+,-!!IHEIntegratingtheHealthcareEnterprise11.1IHEIHE======!#$%&'()*!#$201206======IHE!!!!#$!#$%!#$%IHE!#$%====IHE!IHE!!#!#$%&'()!TN915.04!BAnIntroductionofIHE=Writers=ZHANGJi-wuGlobalR&DCenterofKodakHealthGroup,ShanghaiJiaotongUniversity,Shanghai,201206=AbstractThispaperbrieflyintroducesthehistory,definitionsofsomeimportantwords,workingprocess,keyconcepts,connectathontesting,implementationofIHE,whichcanberegardedasanentryguideofIHE.KeywordsIHE,Interoperability,Connectathon,RSNA,HIMSSIHE1997RSNARadiologySocietyofNorthAmerica!#$HIMSSHealthcareInformationManagementSystemsSociety!!#$%!!#$%&'!#$%&'(interoperability!#$%&'()*+,-./01234!#!#$%&!#$%!!!#$%&'()$*!#$%&'()*!#$%&IHEPlanningcommitteeTechnicalcommittee!#!#$%&'(IHE!#IHE!#$%&'()*+,-!#$%&'()*IHE!#$%!#$%DICOMHL7!!#$%&'()*+IHE!!#$%&'()*+!#!#$%&'()*+,-./0IHE!#$%&'()*+,$-./!IHE!#$%7•AmericanCollegeofCardiology(ACC!)•RadiologicalSocietyofNorthAmerica(RSNA!)•HealthcareInformationManagementSystemsSociety(HIMSS!#$%&')ChineseJournalofMedicalInstrumentation2007312!1671-7104(2007)02-0112-08!!!#$%&'()*+,-!!#!#Email:jiwu.zhang@kodak.com113•GMSIH,HPRIM,JAHIS(laboratory)•AmericanSocietyofOphthalmology!#$%•AmericanCollegeofPhysicians(ACP!)•AmericanCollegeofClinicalEngineering(ACCE!#$%)1.2!IHEIHE!#$%!#$%&'(!#$%&'()*+,!!#$%&'IntegrationProfileConnectathon!#$!#$%&!#$%&'()*+,-./0123!#IHE!#,!#!!#$%&'()*+,-./0(123IHE!#$%&'!#HIMSSRSNA!!#$!#$%RSNA!ConnectathonHIMSS!IHEInteroperabilityShowcase!!#$%IHE!#$%&'•IHE!#$!#$%•IHE!#$%&!#$%&'•IHE!#$%&IHE!•IHE!#$%&'!#$%&•IHE!1.3IHE!#IHE!#$%&'(!!#$%&'()#$%!*+,-.!#$%&EfficiencyEffectiveness!#$%&'!Interoperability,!#$%&!#$!!#$%&'(%)!#!#$%&'()IHETechnicalFramework!#$%&!#$%&!#$IHE!#$%&'()*DICOM,HL7!!#$%IHE!#$%IHE!#$%&'()*+,-./0123•!#$%&#IHEIHE•TechnicalFramework!#$%&'•!#$%&'()*+,-./01MESAConnectathon•IHE!#$%&'()*+,-./0RSNAHIMSSACRECRSCARSPIE•!#$%&'()*+RSNA/HIMSS/ACCCOCIRJIRA!#$%&'TechnicalFrameworkIHE!#!#$%&!!IHEIHENorthAmericaIHEIHEEuropeIHEIHEAsiaandOceania2!#!IHE!#$%&'()*+!#$%&'!#$IHE!#$%&'()*+,-./0123*!#$!#$%Actor!Transaction!IntegrationProfile!#$TechnicalFramework!#$Domain!!!#$%&'!#$%&!!#$%&!#$%&'(!#$%&'2.1IHEActor!Actor!#$%&!!#$%&'()*'(+!#$%&'()*!#$%&'IHEActors!#$%&'()IHETransaction!#$%&'()*+,-./0!#$CTMRIChineseJournalofMedicalInstrumentation20073121IHE!100!#$5!#37!Fig.1.Over100vendorsinvolvedworld-wide,5TechnicalFrameworks37IntegrationProfiles,TestingatConnectathonsDemonstrations114!#$%!#$!#$%!#$2.2TransactionTransaction!#$%&'()Actor!#$%&'()!#$%&'()HL7DICOMW3C!!#$%&'()$!#$%&'!!#$%!#$%&'()*+,-./01234!#$%&'()*+,-./01'!!#$!#$%&'()!!!#$2.3!IntegrationProfileIHE!#!!!#$!#$%&'()*!#$%&'()*+,-./IHETechnicalFramework!#!IHE!#$%&!#$%&!#$%!#$%&'()*+!!#$%&'()!#IHE!#$%IntergrationProfile!!#$%&'()!#$%&'(DICOMHL7!IHE!#$%&!#---ITI!#2.3.1!#$IHE!#$%&'()*+,-./0!#ScheduledWorkflowSWF!#$%&'()*+,-!!#$!#$!#$%&'()*+,-./0!!#$!#$%&'()HIS!#$%PatientInformationReconciliation,PIR!#$%&'()*+!#$!#$%&'()*+,-!#!#$%&'()!!#$!#!#$%&!#$%&'()*+,!#$%ConsistentPresentationofImages,CPI!#$%&'()*+,-.!#$%&'(!#$%&'(!#!#$!#$!#$!#$%&'!#$%&'()*+!#$PresentationofGroupedProcedures,PGP!#$%&'()*+ChineseJournalofMedicalInstrumentation20073122IHEFig.2.IHEActors3!#$%&'#()*Fig.3.Transaction.Thisdiagramalsodemonstratesanintegrationprofile.4!#$Fig.4.RadiologyIntegrationProfiles115!#$%&'()*+,!#CT!#$%&'(!)*+!#$%&'()*+,-CTCT!#$%&'()*+,-!#$Post-processingWorkflow,PWF!#$%&'()*+,-!CAD---Computer-AidedDetection!!#!#$%&'PACS!#$%&'()!ReportingWorkflow,RWF!!#$%&'()*+$,-!#!EvidenceDocuments,ED!!#$%!CAD!#!!#$%&!#KeyImageNote,KIN!#$%&'()*+,-./012!#$%&'()*+,-./$%012!#$%&'(!#$%&!#$%&'()*+,!#!!#$%&'SimpleImageandNumericReports,SINR!!#!#$%#&'()*!#!#$%&'(!DICOM!#$!#$%&'()*!!Char