For those that are unfamiliar with some of my other radiology-related activities, I was elected as an IHE Radiology Planning Committee Co-chair earlier in 2026. IHE (Integrating the Healthcare Enterprise) is an international interoperability initiative that helps healthcare computer systems share information cleanly, consistently, and safely. The core idea is simple: IHE does not create new standards—instead, it tells vendors exactly how to use existing standards like HL7 and DICOM together so their systems actually work with each other in real clinical workflows.
IHE has several Domains, including
- Devices (DEV) — Medical device interoperability
- Endoscopy (ENDO) — Endoscopic workflow and data exchange
- IT Infrastructure (ITI) — Core interoperability (XDS, ATNA, PIX/PDQ, etc.)
- Pathology and Laboratory Medicine (PaLM) — Laboratory and anatomic pathology
- Patient Care Coordination (PCC) — Care plans, clinical workflows, nursing documentation
- Pharmacy (PHARM) — Medication management and pharmacy workflows
- Quality, Research and Public Health (QRPH) — Reporting, registries, public health data
- Radiation Oncology (RO) — Radiotherapy workflow and data exchange
- Radiology (RAD)I work specifically in the Radiology Domain.
I work exclusively in the Radiology domain.
Over the past several months I have been monitoring federal regulatory activity that increasingly intersects with diagnostic imaging, interoperability, artificial intelligence, and digital quality measurement. These policy developments are appearing across multiple agencies — CMS, ONC/ASTP, FDA, and HHS — and often influence imaging workflows and technology deployment even when imaging is not the primary focus of the rulemaking.
To help track these developments, I have begun assembling a short briefing titled “IHE Radiology Policy Monitor.” The intent is to provide a concise, readable summary of federal policy activity that may affect imaging interoperability, AI integration, and digital quality measurement initiatives relevant to the IHE Radiology community.
The format is intentionally brief and structured more like a policy newsletter than a formal report. Each issue highlights a Primary Policy Signal, summarizes a few key regulatory developments, identifies potential interoperability or standards implications, and flags forward-looking policy signals that may warrant attention by the Radiology Planning or Technical Committees.
My thought is that this could serve several purposes including, providing the Radiology community a regular view of federal policy developments that may affect interoperability standards or imaging workflows, offering useful situational awareness for the broader imaging informatics community, and, potentially serving as a value-added informational resource for Radiology professionals, highlighting areas where interoperability standards and multi-vendor workflow integration are increasingly relevant to federal policy initiatives.
I have included my first 6 reports below and will post future reports as I publish them.
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Mike Bohl, Dose Registry Support Services
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May Radiology Global Regulatory Monitoring Report
April Radiology Global Regulatory Monitoring Report
June Radiology Global Regulatory Monitoring Report
July Radiology Global Regulatory Monitoring Report
Special Edition Radiology Global Regulatory Monitoring Report
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