Dear Dave and Rhidian, We have all been aware of your contribution to spreading the good word of IHE to C4H. It was reassuring to hear that c4H have mandated IHE. But what does it mean to the end-user like me. SWF and PIR are the cornerstones of IHE. For SWF to be achieved there needs to be major change in the contracts, RIS needs to be IHE compliant and needs to communicate directly with the modalities by providing DMWL. As long as we remain contractually bound with PACS brokers providing DMWL, there remains little need for RISes to be IHE compliant and in this non-competitive market, there is little incentive/business drivers for RIS companies to develop their products to be IHE compliant.
I think that everyone agrees that there are deficiencies in the original contracts, and certainly more needs to be done to ensure that the systems delivered actually conform to IHE, rather than having excuses from vendors about why they DON'T have IHE conformance! I am now working as a consultant to CfH specifically to try to clarify and enforce the IHE requirements, so that the systems delivered not only work better initially, but are also properly interfaced to allow upgardes/swap-out in the future (which is after all one of the primary objectives of IHE based procurement).
It's a big task, with multiple issues to handle (at least once for each LSP!), but I am now getting started, so I hope to make a real improvement soon.
posted on Friday, June 16, 2006 - 04:31 pm
Congratulations on receipt of this particular poison chalice!
Just for the sake of clarification, numerous system providers are insisting that even where they are not IHE compliant they are "NCRS spine compliant".
Is this true or just another attempt to muddy the waters and what is the true relationship of IHE and NCRS compliance?
NCRS & IHE compliance are actually quite separate and independent!
There may be areas where they overlap, but basically, IHE compliance relates to how systems interacts within the radiology department (RIS/PACS/Modality/workstation) functionality, whereas NCRS compliance is how they will interact with the central spine services (PSIS, security services etc.), once those are in place.
Interactions with cluster data stores are a muddy area in the middle, so wish me luck wading into them!
posted on Friday, June 16, 2006 - 06:00 pm
Thanks Dave, that is what I suspected.
The best of luck. Hope you have a long pair of waders!