• IHE Eye Care

    The IHE Eye Care domain was formed in 2005 and is sponsored by the American Academy of Ophthalmology (AAO). The mission of the IHE Eye Care domain is to bring together information technology stakeholders and healthcare professionals to implement standards for communicating patient information efficiently throughout healthcare facilities, large and small.

    Eye Care Profiles

    IHE Eye Care integration profiles are specified in detail in the IHE Eye Care Technical Framework.  These profiles include:

     

    Eye Care Integration Profiles:


    [U-EYECARE] Unified Eye Care Workflow - Establishes the continuity and integrity of basis patient and procedure data in the context of an eye clinic workflow scenario. It takes the best features of previously defined eye care workflows, combines them into one workflow profile, and provides more flexibility for three real world implementation models for systems such as EHRs and PACS. Includes new workflow to incorporate refractive devices with EHRs.


    [B-EYECARE] Basic Eye Care Workflow - Retired - Establishes the continuity and integrity of basis patient and procedure data in the context of an eye clinic workflow scenario.  B-EYECARE is a subset of the features defined A-EYECARE.


    [A-EYECARE] Advanced Eye Care Workflow- Retired  - Establishes the continuity and integrity of basis patient and procedure data in the context of an eye clinic workflow scenario. Requires advanced DICOM workflow based upon Modality Performed Procedure Step and  Storage Commitment.

     

    [C-EYECARE] Core Eye Care Workflow - Retired - Establishes the continuity and integrity of basis patient and procedure data in the context of an eye clinic workflow scenario. It establishes the eye care workflow for the scenario where the organization does not integrate a centralized image archive (PACS).

     

    [EC-CHG] Eye Care Charge Posting - Establishes the workflow to transfer charge information to the clinic or enterprise charge processing systems.


    [ECED] Eye Care Evidence Documents - Established the workflow to manage evidence documents.  Defines information such as observations measurements, and results (i.e., evidence documents), to be output by devices, such as acquisitions systems and other workstations.  The evidence documents are archived and can be retrieved for display. 


    [ECDR] Eye Care Displayable Report - Established the workflow to manage displayable reports.  Uses DICOM Encapsulated PDF to capture eye care reports (such as Visual Fields, OCT Reports, etc.)  The PDF reports are archived and can be retrieved for display. 

     

    [ECAS] Eye Care Appointment Scheduling - Established the workflow to manage patient appointment requests. 

     

    Eye Care Content Profiles:

    [GEE] - General Eye Evaluation - Defines the document that is collected during a patient's eye examination. It is based upon (and a super-set) of the HL7 Consolidated CDA (C-CDA) Implementation Guide which was adopted by Meaningful Use 2 (MU2).  GEE also enables implementations to populate the AAO IRIS Registry for patient examination information.


    [EC-Summary] - Eye Care Summary Record - Defines the document that is collected for a patient's eye care summary medical record. It is based upon (and a super-set) of the HL7 Consolidated CDA (C-CDA) Implementation Guide which was adopted by Meaningful Use 2 (MU2).  It is a super-set of the C-CDA Continuity of Care (CCD) document.

     

    Current Activity

    IHE Eye Care has combined the various eye care workflows into the profile named Unified Eye Care Workflow (U-EYECARE).  U-EYECARE profile takes the best features of previously defined eye care workflows, combines them into one workflow profile and provides more flexibility for real world implementation models for systems such as EHRs and PACS.  IHE Eye Care also supports C-CDA profiles for eye care patient visits and patient summary.  These profiles are proper extensions to MU2 requirements using C-CDA 1.1.


    Generate new  C-CDA profile to capture Cataract Pre-Op Note, Op-Note and Post-Op notes.  Will also generate an eye care general surgery OP-Note.

    Plan to release for public comment end of May and Trial Implementation in August 2017.

     

    Generate new  C-CDA profile to capture Cataract Pre-Op Note, Op-Note and Post-Op notes.  Will also generate an eye care general surgery OP-Note.

    Plan to release for public comment end of May and Trial Implementation in August 2017.

     

    Add a new data classification for auto-phoroptor refractive devices into U-EYECARE based upon the JOIA specification.  This supplement facilities the incorporation of refractive measurements in EHR systems via a XML-based data stream.
    2nd Qtr. - Begin working on eye care C-CDA workflow whitepaper based upon IHE ITI profiles, such as PIX, PDQ, XDS.b, etc.


    Plans are being made for the 2017 IHE Eye Care Connectathon, which will be held on October 23-26, 2017 at the RSNA headquarters in Oak Brook, Illinois.

    Committee Work

    The Eye Care Planning and Technical Committees maintain information about their current work and future plans on the IHE Wiki.

    Demonstrations and Presentations

    The AAO sponsors public demonstrations of real world clinical scenarios in eye care showcasing the benefits of interoperability achieved using IHE Eye Care integration profiles. Information about these demonstrations, including the one at the AAO 2016 meeting in Chicago, is available here.

     

    Contact 

    Email eyecare@ihe.net to contact committee co-chairs and/or subscribe to the list serve.  

    Planning Committee:  Linda Wedemeyer, MD

    Technical Committee:   Mark Horton, MD, OD