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IHE-Based Image Exchange in the Netherlands.

Andries Hamster1, Alex Settels2, Maarten Festen3

  • 1Chief Product Officer, Founda Health B.V, Postjesweg 1, 1057 DT, Amsterdam, The Netherlands. andries@hamster.nl.

Journal of Digital Imaging
|June 10, 2022
PubMed
Summary

A nationwide infrastructure enables Dutch hospitals to securely share digital medical information. This system, based on Integrating the Healthcare Enterprise (IHE) standards, evolved from radiology digitization and requires technical, process, and political alignment.

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Area of Science:

  • Health Informatics
  • Medical Imaging
  • Healthcare Policy

Background:

  • The early 2000s saw widespread radiology digitization, increasing the need for digital image exchange.
  • Developing a national infrastructure for secure digital medical information sharing presented significant technical, privacy, and political challenges.

Purpose of the Study:

  • To describe the development of a standards-based, nationwide infrastructure for digital medical information exchange in the Netherlands.
  • To analyze the factors, including technological advancements and political considerations, that shaped this infrastructure.

Main Methods:

  • The study reviews the historical evolution of digital medical information sharing in the Netherlands.
  • It examines the impact of radiology digitization, privacy regulations, and political influences on infrastructure development.
Keywords:
IHEInteroperabilityNationwide image exchangeXDS

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  • The authors analyze the role of Integrating the Healthcare Enterprise (IHE) standards in facilitating interoperability.

    • Main Results:

    • A nationwide, IHE-based infrastructure for secure digital medical information sharing has been operational in Dutch hospitals since Q2 2021.
    • The development was influenced by technological shifts, security concerns, and political factors over two decades.

    Conclusions:

    • Successful digital health information exchange relies on more than just technical solutions.
    • Achieving interoperability requires alignment in processes, political will, and establishing trust within the network.