Most often implemented IHE Profiles
Publication date: Jun 08, 2015
What are the most often implemented IHE profiles?
There are some indirect sources that show us what profiles have been implemented in software.
There are no statistics on the actual deployment of software applications that conform to IHE profiles, given that
there is no central registry of such implementations and that there is no requirement to license or register the use of
IHE specifications. In an earlier blogpost
I analysed the connectathon results for 2013, on the assumption that those profiles tested at a connectathon
would be a reflection of the actual use of the various IHE profiles.
The question came up again as part of the ongoing IHE work around creating some kind of certification for IHE-knowledgable experts,
known as IHE CP (Certified Professional).
We simply can't require that such a CP be aware of all of the details of all of IHE's profiles (draft, trial use, widely implemented, or not at all)
- we should however probably require that they have a deep level of understanding about the
'top 20 IHE profiles as used around the world' - in as far as we can determine such a top 20 is a neutral fashion.
They should probably 'now something' about the profiles with a lower ranking (e.g. 20 to 40), and 'have heard about' any remaining profiles.
Stefan Sauermann and his colleagues at the Technikum Wien in Austria created a global ranking of the use of IHE profiles based on
the 2010-1015 connecthathon results
(see detailed google doc,
Usage of IHE profiles, 2010-2015 time frame
If we focus on the top-20 profiles the list is a mixture between infrastructural profiles (CT, ATNA, rank 1 and 2),
patient id/demographics related profiles (rank 4, 5, 7, 8, 15, 18),
radiology workflows (rank 6, 9, 13, 16, 17, 18, 20), XDS (3, 9, 10, 11, 12, 14) and
the PCD "Device Enterprise Communication" (DEC, rank 19).
DEC is a nice example to show that the North American vendors and the European vendors have a different focus: DEC ranks 10th in the North American
connectathons, and 59th in the European ones. One can almost venture a guess that there is some unique US motivation (probably legislation)
for supporting the profile. Mammography (rank 20) is much more widely used in Europe, probably because of its use in
national mammography screening programmes.
In general the profiles related to patient identity/demographics are ranked much higher in the US than they are in Europe - showing the
lack of a unique patient identifier in the US.
Profiles defined 'on top of' XDS rank higher in the US than in Europe, whereas the Radiology worflows
rank higher in Europe than they do in the US. This may well be caused by a market-delay effect: the European market
started to adopt both the Radiology workflows as well as XDS in earnest after those profiles had been implemented widely in the US.
The exception is XDS-I: it ranks much higher in Europe than in the US, either because a lot of European XDS
projects start out to be 'image exchange only',
and/or because of the fact that the European non-imaging vendors haven't signed up to XDS that widely yet.
As you can see it's quite possible to create a list of the 'globally most commonly implemented IHE profiles'.
As to what one should conclude from looking at the list - that's a much more tricky question.
PermaLink to this page: http://www.ringholm.com/column/most_often_implemented_IHE_profiles.htm
Index of columns:
- FHIR DevDays and the year in review (Dec 27, 2018)
- Creation and Curation of FHIR Profiles - process and governance (Dec 14, 2017)
- De Algemene Verordening Gegevensbescherming (AVG) in de zorg (Dutch, Sep 19, 2017)
- Impact of the GDPR on the use of interoperability standards (Jun 27, 2017)
- News from the FHIR DevDays in Amsterdam (Dec 15, 2016)
- Next XDS Release (Oct 27, 2016)
- Five years of FHIR (Aug 11, 2016)
- Interoperability projects in Ireland - FHIReland (Mar 14, 2016)
- 2016 FHIR Jedi Calendar (Jan 06, 2016)
- Top 10 HL7 videos watched in 2015 (Dec 24, 2015)
- Update from the trenches on CDA R2.1/R3 and HL7v2. (Oct 15, 2015)
- FHIR DevDays - UK GP System APIs (Sep 16, 2015)
- IHE XDS - testing and implementation tools (Aug 25, 2015)
- Most often implemented IHE Profiles (Jun 08, 2015)
- Why we sponsor the HL7 WGM (May 10, 2015)
- FHIR in Paris (Apr 21, 2015)
- Mapping HL7v2 messages to FHIR. (Apr 13, 2015)
- Analysis of CDA R2 testing tools - most requirements are neither tested nor respected. (Feb 13, 2015)
- HL7 and IHE in Sweden (Feb 08, 2015)
- 2015 FHIR Chiefs Calendar (Jan 07, 2015)
- The Merry FHIR Choir caroling the 12 Days of Christmas (Dec 09, 2014)
- Chicago FHIR Update (Oct 13, 2014)
- Internationalization of HL7 (Sep 25, 2014)
- New XDS Advanced training course on offer by IHE Services and IHE Academy (Jul 14, 2014)
- Recent and Future developments of the DICOM standard (Mar 06, 2014)
- Top 10 HL7 videos watched in 2013 (Jan 02, 2014)
- Report from the HL7 WGM in Cambridge (Oct 16, 2013)
- Documenting the history of HL7 (Sep 03, 2013)
- Histology Lab Device Automation using HL7 version 2 (Jul 23, 2013)
- HL7 FHIR Elevator Pitch (Jul 15, 2013)
- Interoperability Standards - the no-sales pitch (Jul 09, 2013)
- HL7 UK - new landscape, new opportunities (Jun 26, 2013)
- Validation and error correction at the IHE Connectathon (Apr 25, 2013)
- CDA Implementation Guides - (not) invented here (Apr 17, 2013)
- Usage of IHE Profiles (Feb 25, 2013)
- 10 year anniversary - Dutch Ringholm HL7 v2 training courses. (Feb 19, 2013)
- About IHE Academy and new IHE training courses (Jan 12, 2013)
- CDA implementation experiences in the UK (Dec 04, 2012)
- Musings on free HL7 IP (Oct 01, 2012)
- HL7 Connectathons (Sep 09, 2012)
- Renovate HL7 version 3 (Aug 03, 2012)
- Frequency of use of HL7 message types (Jul 24, 2012)
- Lighting the FHIR, HL7s new major interoperability standard (Jun 15, 2012)
- Reflections on the HL7 membership model - the affiliate life cycle (Dec 28, 2011)
- Thinking like an OWL reasoner (Sep 17, 2011)
- RFH (Resources for Health): HL7 version 3 taken to the next step (Aug 18, 2011)
- What's so great about the HL7 organization? (Aug 04, 2011)
- Kerndossier: een Nederlandse versie van CCD (Dutch, May 03, 2011)
- A HL7 RIMBAA update (Apr 21, 2011)
- Timezone Hotel (Mar 29, 2011)
- HL7 and openEHR are cooperating (finally) (Jan 21, 2011)
- Increasing demand for IHE training courses (Dec 18, 2010)
- Context issues with the IHE QED profile (Dec 15, 2010)
- The changing role of HL7 country organizations (Jul 16, 2010)
- Implementing HL7 version 3 - the book (May 06, 2010)
- Adding openness to a closed world (Feb 09, 2010)
- How to lower the hurdle for HL7 v3 implementers (Jan 21, 2010)
- HL7 v3 deployment statistics (Dec 17, 2009)
- There's Trouble in Paradigm (Sep 25, 2009)
- Internationalization of HL7 (Sep 24, 2009)
- HL7 UK signs deal with Ringholm to deliver HL7 v2/v3 training courses in London (Sep 17, 2009)
- The use of HL7 in South Africa (Aug 20, 2009)
- The Next Web Conference in Amsterdam (Apr 17, 2009)
- The HL7 UK AGM and RIMBAA (Apr 16, 2009)
- The HL7 Wiki reaches 2000 pages (Mar 02, 2009)
- The HL7 roadmap for CDA R3 and the CCD (Jan 17, 2009)
- HL7 Affiliates Meeting in Orlando (Jan 11, 2009)
- Swiss and Dutch HL7 News (Dec 31, 2008)
- Devices and Prizes (Nov 22, 2008)
- HL7 in Norway: a situation report (Sep 02, 2008)
- Russian whitepaper (Jul 09, 2008)
- The HL7 Interoperability Conference - IHIC 2008 (May 30, 2008)
- HL7 creates a RIM Based Application Architecture (RIMBAA) group (May 18, 2008)
- Notes from the HL7 WGM in Phoenix (May 08, 2008)
- Germany embraces CDA eReferral document specification (May 02, 2008)
- HL7 v3 RIM based applications: an unintended side effect (Jan 19, 2008)
- Collaborative Tools (Jun 21, 2007)
- HL7 ist Pflicht in der deutschen Telematikinfrastruktur (German, Mar 16, 2007)
- HL7 based Tree inventory system (Jan 30, 2007)
- The link between HL7 and Open Source Software (Jan 06, 2007)
- Workflow Bribery (Sep 15, 2006)
- Timezones in HL7 (Jan 23, 2004)
- Controlled vocabularies: "@*%!!!" ? (Sep 01, 2003)
- Trusting the other Party (Nov 01, 2002)
About Ringholm bv
Ringholm bv is a group of European experts in the field of messaging standards and systems integration in healthcare IT.
We provide the industry's most advanced training courses and consulting on healthcare information exchange standards.
See http://www.ringholm.com or call +31 33 7 630 636 for additional information.
Rene is the Tutor-in-chief of Ringholm.