2025 IHE-Europe Connectathon� ~ What’s new in IHE Radiology ~

Andrei Leontiev

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Visage Imaging

IHE Radiology Technical Committee Co-Chair

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Anne-Gaëlle Bergé

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IHE Connectathon Technical Manager

Lynn Felhofer

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Technical Project Manager

IHE Radiology Domain

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Please keep your microphone muted

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Questions during the session? Please use the chat box. We will address the questions in the second part of the webinar

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Note that this webinar will be recorded and made available on IHE-Europe Youtube channel. Slides will be available on Connectathon webpage

Guidance for the audience

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Agenda

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25/02/2025

• Vienna Connectathon - What’s happening? How can I join?
• IHE Radiology Profile Evolution
• The latest in IHE Radiology
• Dig Deeper - IHE Radiology Resources
• Focus onWeb-based access to images, Reporting Workflow and Content,
• RAD Testing Considerations for EU IHE Connectathon 2025
• An offer for first-time IHE Connectathon participants
• Resources
• Contact us
• Q&A session

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IHE-Europe Connectathon in Vienna

Join us at Vienna Allianz Stadion, June 23-27, to test your product nearly on the field

IHE Connectathon is a formal interoperability testing event.

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It is the best place to…

• Test the IHE implementation of your product
• Find and fix bugs in your product
• Complete the last mile of your software development
• Share with experts, including the authors of the IHE Profiles
• Meet other professionals who face the same challenges as you do
• Learn from the community

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How to register for the event?

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25/02/2025

https://connectathon.ihe-europe.net/connectathon-week-2025

Other interoperability events happening in Vienna

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Link to IHE-Europe Experience days webpage

IHE Radiology Profile Evolution

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PACS

Deployment

VNA

Enterprise Imaging

1990

2008

2015

Advanced Imaging

1999

Actors & TX

2007

XDS-I

2011

IOCM

2018-2019

Encounter-based Imaging Workflow

2018

Web-based Image Access

RIS

PACS

HIS

Mod

2015

Web-based Image Capture

2015

Clinical Decision Support

2013

SWF.b

2014

Digital Breast Tomo

2008

Radiation Exposure Monitoring

2006

Mammo

2002

SWF, PIR, KIN, CPI, etc.

2004

Portable Data for Imaging

AI Models

2017

2023

IRA

POWR

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2022

IMR

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2021

Contrast Admin

Mgmt

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2020

AI Results

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2025

IDR

AIRAI

POCUS

XC-WIA

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2025

Reject Analisis and Monitoring

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Cloud

2022

The latest in IHE Radiology… 

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Not for testing at the Vienna Connectathon, but review and comment by Connectathon participants is encouraged!

New profiles for Public Comment in 2025:

Cross-Community Web-Based Image Access – available for Public Comment until late March

• The Cross-Community Web-based Access for Imaging (XC-WIA) Integration Profile specifies actors and transactions to query and retrieve patient-relevant medical imaging data being held by other communities in a multi-community healthcare information-sharing setup.

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Encounter-Based Imaging Workflow with Extensions for Lightweight Devices and Point-of-Care Ultrasound Image Management and Reporting – available for Public Commentuntil late March

• Encounter-Based Imaging Workflow (currently in Trial Implementation) is further augmented with the POCUS option detailing the interoperability requirements specific for Point-of-Care Ultrasound Image Management and Reporting.

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AI Result Assessment for Imaging– available for Public Comment until late March

• This profile addresses the need to document and communicate the results from an assessment process that rates the individual results of AI solutions.

The latest in IHE Radiology… 

Imaging Diagnostic Report (IDR) – expected Trial Implementation - for testing in 2026

• This profile addresses imaging-based reports for Radiology, and other imaging-based clinical specialties such as Cardiology, OB/Gyn, Oncology, Pathology and Optometry. It describes a full FHIR-based encoding of all report content and common imaging report sections, including order, history, procedure/technique, comparison, findings/observations, impression/conclusion, signatures, and addenda.

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New profiles for first-time testing at the Vienna Connectathon, with sufficient system registration:

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Reject Analysis and Monitoring (RAM) Profile

• The profile standardizes storage, query, and retrieval of Rejection Note SR instances. It is intended to support capturing quality issues at the time of acquisition, and/or during subsequent QA and image reporting steps.

Prioritization of Worklists for Reporting (POWR) Profile

• Standardizes the data interfaces to provide details relevant to the prioritization of studies on a medical imaging reading worklist

The latest in IHE Radiology… 

Integrated Reporting Applications (IRA) Profile

• Specifies how applications that are used together during reporting (e.g. image display, report creator, clinical applications, AI tools, etc) share information using FHIRcast.

Interactive Multimedia Report (IMR) Profile

• First HL7 FHIR-based Profile published in IHE RAD
• Specifies how a diagnostic report with interactive multimedia content can be reliably encoded, communicated and presented.

Contrast Administration Management (CAM) Profile

• Specifies how to record and distribute contrast agent administration details for imaging and image-guided procedures.

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These newer profiles may be tested at the Vienna Connectathon, with sufficient system registration:

Dig Deeper - IHE Radiology Resources

• All IHE RAD Technical Framework documents: https://profiles.ihe.net/RAD/�
• Prioritization of Worklists for Reporting (POWR) Profile
• POWR Profile Definition
• Integrated Reporting Applications (IRA) Profile
• IRA Profile Definition
• Interactive Multimedia Reporting (IMR) Profile
• IMR Profile Definition
• Contrast Administration Management (CAM) Profile
• CAM Profile Definition
• AI Results (AIR) Profile
• One-page AIR Overview�
• Web-based Image Access (WIA) Profile – now Final Text
• One-page WIA Overview
• Web-based Image Capture (WIC) Profile – now Final Text
• One-page WIC Overview

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Focus on Web-based Image Access

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Web-based Image Capture (WIC) Web-based Image Access (WIA)

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Focus on Web-based Image Access

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WADO-RS Retrieve Option for XDS-I Profile (added in 2024)

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Focus on Web-based Image Access

Cross-Community Web-Based Image Access (XC-WIA) in Public comment

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Focus on Reporting Workflow and Content

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Interactive Multimedia

Reporting (IMR) Integrated Reporting Applications (IRA)

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Focus on Reporting Workflow and Content

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AI Results (AIR) Prioritization of Worklists (POWR)

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ADT

→ Patient Registration [RAD-1]

→ Patient Update [RAD-12]

Order Placer

→ Placer Order Management [RAD-2]

DSS / Order Filler

→ Instance Availability Notification [RAD-49]

← WADO-RS Retrieve [RAD-107]�← QIDO-RS Query [RAD-129]�→ Notify of Procedural Observation [RAD-132]�

Image Manager /

Image Archive

Prioritizer

→ Filler Order Management [RAD-3]

→ Procedure Scheduled [RAD-4]

→ Procedure Update [RAD-13]

Procedure Reporter

→ Send Imaging Result [RAD-128]

→ Send Procedural Observation [RAD-145]

Focus on Reporting Workflow and Content

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• Point-of-Care Ultrasound Option (EBIW-POCUS) AI Result Assessment for Imaging

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What’s so special about IHE Connectathon testing?

• Week-long face-to-face testing of participating product’s interoperability�
• Participants test with open source test tools and test plans provided in advance.�
• Tests are recorded and outcomes are examined and evaluated by neutral monitors (e.g. standards experts, clinical specialists, healthcare IT staff, etc)�
• Engineers from vendors, large and small, work closely together to solve issues. �
• Participants learn from and make lasting connections with other industry experts�
• Successful results earn a Connectathon Seal and are published in the �IHE Global Connectathon Results.

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RAD Testing Considerations for EU Connectathon 2025

Scope of testing in June depends on vendors’ Technical System Registration in Gazelle Test Management (GazelleTM).

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“System Registration” involves selecting the Profile/Actor combinations that you want to test.

• GazelleTM will automatically identify your test partners, i.e. the vendors who support complementary Actors. See menu Testing→Available Partners.
• Expect interest in profiles for newer technologies (e.g., AI*, FHIR-based reporting use cases, DICOM Web) and our “old favorites” (e.g. Radiololgy Scheduled Workflow)
• Comment on “chicken and egg” problem

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Technical System Registration can be a challenge for first-time Connectathon participants; see next slide…��

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An offer for first-time Connectathon participants

If you are new to IHE profiles and IHE Connectathons…

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• mapping your products’ capabilities to specific IHE Profile/Actor combinations can be challenging

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• knowing where to start in reading/interpreting the IHE Technical Framework can be challenging

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A phone call between your technical staff and the Radiology Technical

Project Manager can help point you in the right direction and save you lots of

time. Let’s talk!

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Resources

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• Summary page for all the IHE RAD profiles:

https://wiki.ihe.net/index.php/Profiles#IHE_Radiology_Profiles�

• IHE RAD Technical Framework documentation (the use cases & requirements!!):

https://profiles.ihe.net/RAD/�

• Short, informative, fun videos from IHE RAD Plan co-chair Brad Genereaux:

https://www.youtube.com/@HealthcareStandardsProfiles

for some Radiology profiles, including…�AI Results, �Integrated Reporting Applications, �Encounter-based Imaging Workflow,�Cross-Enterprise Document Sharing for Imaging (XDS-I)�…and more!!

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To Contact Us…

Anne-Gaëlle Bergé - IHE EU Connectathon Technical Manager

• technical.manager@ihe-europe.net

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Andrei Leontiev - IHE Radiology Technical Committee Co-Chair

• ALeontiev@visageimaging.com

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Wim Corbijn - IHE Radiology Technical Committee Co-Chair

• Wim.corbijn.van.willenswaard@philips.com

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Lynn Felhofer - IHE Radiology Technical Project Manager

• felhofer.lynn@gmail.com

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Questions??

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