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Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. Post-Processing Workflow. Sanjay Jain Co-Chair, Radiology Planning Committee. IHE Radiology Integration profiles. Access to Radiology Information. Portable Data for Imaging. Scheduled Workflow. Patient Informa-tion Reconci-liation. Charge Posting.

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise Post-Processing Workflow Sanjay Jain Co-Chair, Radiology Planning Committee IHE Interoperability Workshop

  2. IHE Radiology Integration profiles Access to Radiology Information Portable Data for Imaging Scheduled Workflow Patient Informa-tion Reconci-liation Charge Posting required for workflow management triggers Presentation of Grouped Procedures Reporting Workflow Post-Processing Workflow required for content Simple Image and Numeric Reports Consistent Presentation of Images Evidence Documents Key Image Notes Basic Security IHE Interoperability Workshop

  3. Post-processing Workflow Objectives • Schedule, distribute and track post-processing workflow steps using standardized mechanisms • Worklists for each task are generated and can be queried • Workitems can be performed and the resulting status known and shared IHE Interoperability Workshop

  4. Workitem Claimed Worklist Post-ProcessingWorklist Measurements CAD report ……………………………… PP-Performed Step Started Store ImagesStore SR OF/DSS 3-D Workstation StorageCommitment List of Images/SR Storage Commitment Post-Processing Performed Procedure Step Workitem Completed PP-Performed Step: Performed Status = Started PP-Performed Step: Pat Name/ID Accession #, Study UID Performed Status = Completed Complete List of Images/SR Post-Processing Workflowwith Post-Processing Manager grouped with Image Manager PP-Performed Step Completed Image Manager/Archive & Post Processing Manager IHE Interoperability Workshop

  5. DICOMModality Worklist ScheduledProcedure Step A Report ScheduledProcedure Step B One or more series of images One or more series of images DICOMPost-Processing Worklist M-Perf.Procedure Step P1 PP-Perf.Procedure Step P2 Post-Processing AcquisitionModality Modality and Post-Processing Steps Radiology Department ORDER A request for RadiologicalService Set of Codifiable, Billable Acts Requested Procedure 1 IHE Interoperability Workshop

  6. Actors & Transactions • additional actor: • Post-Processing Manager • transactions: • Worklist Provided • Workitem Claimed • Workitem PPS In Progress • Workitem PPS Completed • Workitem Completed • Performed Work Status Update • Evidence Documents Stored • Query Evidence Documents • Retrieve Evidence Documents IHE Interoperability Workshop

  7. Post-Processing Manager Grouping • Post-Processing Manager is grouped either with Image Manager Performed Work Status Update (optional) DSS/OF Post-Processing Manager PWF Profile IM/IA SWF Profile IHE Interoperability Workshop

  8. Post-Processing Manager Grouping • or with DSS/OF Performed Work Status Update Post Processing Manager IM/IA DSS/OF SWF Profile PWF Profile IHE Interoperability Workshop

  9. Worklist Provided • EvidenceCreator finds out what post-processing tasks have been scheduled or assigned to it by the Post-Processing Manager • Worklist provided for workitem codes e.g. Image Processing or Computer Aided Detection. • Evidence Creator includes received information in the resulting instances IHE Interoperability Workshop

  10. Patient's Name Patient Oriented Query Patient ID Referenced Request Sequence >Accession Number >Requested Procedure ID Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator • Worklist for a specific patient/procedure • SCU shall support all combinations of the matching keys IHE Interoperability Workshop

  11. General Purpose Scheduled Procedure Step Status Station Oriented Query Scheduled Station Name Code Sequence >Code Value >Coding Scheme Designator Scheduled Procedure Step Start Date and Time Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator • Broad worklist for a particular workstation • SCU must support all combinations of the matching keys IHE Interoperability Workshop

  12. General Purpose Scheduled Procedure Step Status Class Oriented Query Scheduled Station Name Code Sequence >Code Value >Coding Scheme Designator Scheduled Procedure Step Start Date and Time Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator • Broad worklist for a particular class of workstations • SCU must support all combinations of the matching keys IHE Interoperability Workshop

  13. Input Availability • Needed in case the Post-Processing Manager is not being grouped with the Image Manger • The Post-Processing Manager uses Image Availability Query to know when images are available. • Post-Processing Manager and Evidence Creator must be able to handle workitems with PARTIAL Image Availability in a stable way. IHE Interoperability Workshop

  14. More information…. • IHE Web sites: http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm. • Technical Frameworks: • ITI V1.0, RAD V5.5, LAB V1.0 • Technical Framework Supplements - Trial Implementation • May 2004: Radiology • August 2004: Cardiology, IT Infrastructure • Non-Technical Brochures : • Calls for Participation • IHE Fact Sheet and FAQ • IHE Integration Profiles: Guidelines for Buyers • IHE Connect-a-thon Results • Vendor Products Integration Statements Questions? IHE Interoperability Workshop

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