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IHE Scheduled Workflow Profile Summary

Learn about the key concepts and motivations behind the IHE Scheduled Workflow Profile for integrating healthcare systems efficiently and reliably. Understand the workflow structure, terms, and actors in both HL7 and DICOM spaces.

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IHE Scheduled Workflow Profile Summary

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  1. Integrating the Healthcare Enterprise Scheduled Workflow:The First Profile Don Van Syckle, DVS Consulting, Inc. Modified version of profiles delivered in workshop identified below – delivered by Kevin O’Donnell IHE Interoperability Workshop

  2. Profile Summary • Fundamental Starting Point of IHE • Addresses Registration, Scheduling, Acquisition Workflow and Image Content • Bridges HL7 and DICOM Spaces IHE Interoperability Workshop

  3. Motivation • Preserve Order Continuity • “Close the Loop” • maintain accession number, avoid confusion with Filler #, Placer #, etc. • Improve Demographic Integrity • Data entry errors • significant occurrence • significant consequences • Enter once, pass from system to system IHE Interoperability Workshop

  4. Motivation • Improve Workflow Efficiency • Use of Worklists • less time spent doing data entry/selection • enables semi-automation of setup • Reliable Storage • Storage Commitment • fewer lost studies • more confidence in results IHE Interoperability Workshop

  5. Motivation • Improve Order Tracking • MPPS from Modality to RIS & PACS • more timely feedback • more precise feedback • Reduce Integration Effort at Site • Get Vendors on the Same Page • Provide Implementation Guidance • Pre-test at Connectathon IHE Interoperability Workshop

  6. Scheduled Workflow Profile report Registration Film Lightbox Image Manager & Archive Orders Filled Film Folder Diagnostic Workstation Film Report Repository Orders Placed AcquisitionModality acquisitioncompleted acquisitionin-progress imagesprinted Modality acquisitioncompleted IHE Interoperability Workshop

  7. IHE Workflow Concepts IHE has selected three UNAMBIGUOUS HL7/DICOM TERMS : PROCEDURE STEP : The smallest unit of work in the workflow:Scheduled Procedure Step: ‘A unit of work to do’Performed Procedure Step: ‘A unit of work done’ ORDER : A request for radiologic service REQUESTED PROCEDURE : A Unit of work resulting in one Report (with associated codified, billable acts)

  8. Workflow Concept Mapping CLINICIANOR REFERING DOC:The Imaging Dept Customer RADIOLOGIST : In Charge of producing theReport TECHNOLOGIST(and RADIOLOGIST)In charge of acquiring images, etc. This 3 level workflow structureis useroriented: ORDER:A request for imaging service (Accession Number) REQUESTED PROCEDURE : Units of work resulting in one Reportwith associated codified, billable acts(Requested Procedure ID) PROCEDURE STEP :The smallest unit of workin the workflow (modality worklist entry)

  9. Normal Workflow DICOMModality Worklist ScheduledProcedure Step One or more series of images PerformedProcedure Step AcquisitionModality Typical workflow: One Order – One Procedure – One Report Radiology Department ORDER A request for RadiologicService Set of Codifiable, Billable, Acts Report Requested Procedure

  10. Multiple Modality Steps DICOMModality Worklist ScheduledProcedure Step A Report ScheduledProcedure Step B One or more series of images One or more series of images DICOMModality Worklist PerformedProcedure Step P1 PerformedProcedure Step P2 AcquisitionModality AcquisitionModality Radiology Department ORDER A request for RadiologicService Set of Codifiable, Billable, Acts Requested Procedure 1

  11. Administrative Normal Process Flow IHE Interoperability Workshop

  12. Procedure PerformanceNormal Process Flow IHE Interoperability Workshop

  13. “HL7 Actors” in SWF HL7 Actors: • ADT/Patient Registration • Order Placer • DSS / Order Filler • Image Manager IHE Interoperability Workshop

  14. “DICOM Actors” in SWF DICOM Actors: • DSS / Order Filler • PPS Manager • Image Manager /Archive • Acquisition Modality • Evidence Creator • Image Display IHE Interoperability Workshop

  15. Acquisition Workflow Management DICOM: • Modality Worklist Management (MWL) • Modality Performed Procedure Step (MPPS) IHE Interoperability Workshop

  16. Image Management DICOM: • Image Storage • Storage Commitment • Query/Retrieve IHE Interoperability Workshop

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