Workflow Radiologie (IHE)

Workflow Radiologie (IHE) Sessie K (15:00-16:00) Nieuwegein, 20 mei 2014

René Spronk Trainer / Senior Consultant Ringholm bv Haarlem, the Netherlands Tel. +31 (0)33 7 630 636 email: Rene.Spronk@Ringholm.com Web: http://www.ringholm.com HL7/IHE roles: Co-chair of the international HL7 AID User Group Co-chair of various Committees, HL7 Netherlands Contributor to the IHE Laboratory Technical Framework HL7 Fellow, 2011 2

Het zes-lagen model WET & REGELGEVING BELEID ZORGPROCES INFORMATIE APPLICATIES TECHNIEK Randvoorwaarden Richtlijnen Samenwerking Informatie-inhoud Softwarekoppeling Infrastructuur Informatiestandaarden in de zorg 3

Agenda Workflows in de zorg Wat is IHE en wat kun je ermee? Radiology scheduled workflow Examples

Intro IHE IHE = Integrating the Healthcare Enterprise Based on existing standards such as HL7 and DICOM IHE is not a standard; it is a constraint profile (a.k.a conformance profile). 5

IHE domains Pharmacy Since 2009 Radiology since 1998 Cardiology since 2004 Pathology since 2006 Eye Care since 2006 Quality Research & Public Health since 2006 (Healthcare) IT Infrastructure since 2003 Laboratory since 2004 Radiation Oncology since 2004 Patient Care Devices since 2005 Patient Care Coordination since 2004 6

Radiology Scheduled Workflow Registration HIS patient information report Report Repository PACS report report Diagnostic Workstation images retrieved Film Lightbox Orders Placed examination orders Orders Filled RIS modality worklist acquisition in-progress completed procedure scheduled Prefetch any relevant prior studies Acquisition Modality Modality images stored acquisition completed Image Manager & Archive images printed Film Folder Film 7

Actors and Transactions Actor (HL7: Application Role, DICOM: Service Class) Functional grouping of the capability to exchange a specific set of Transactions in order to fulfill part of a workflow. Transaction (Functional) Information exchange Abstract concept, could be the equivalent of multiple message exchanges or service calls.

Proven Standards Adoption Process IHE Connect-a-thon Results Product IHE Integration Statement IHE Technical Framework Product With IHE Easy to Integrate Products Standards IHE IHE Integration Integration Profiles B Profile A IHE Connect-a-thon IHE Demonstration User Site RFP IHE Integration Profiles at the heart of IHE : Detailed selection of standards and options each solving a specific integration problem Vendors can implement with ROI; Providers can deploy with stability

USA / Asia / Europe IHE - Connect-a-thon! Paris Aachen Padua Noordwijkerhout Berlin Oxford 10

IHE Integration Statement Product vendors take the next step 11

SWF: Radiology Scheduled Worklfow

Scheduled Workflow Profile Exchange of (electronic) ordering and results information from an imaging service request Core Patient registration Order management Worklist management Image archiving and management

IHE Integration profiles Scheduled Workflow Presentation of Grouped Procedures Patient Information Reconciliation Post- Processing Workflow - Reporting Workflow Charge Posting Consistent Presentation of Images Evidence Documents Key Image Notes Simple Image and Numeric Reports Access to Radiology Information Basic Security 14

SWF- Purpose 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 15

Radiology Scheduled Workflow Registration HIS patient information report Report Repository PACS report report Diagnostic Workstation images retrieved Film Lightbox Orders Placed examination orders RIS Orders Filled modality worklist acquisition in-progress completed procedure scheduled Prefetch any relevant prior studies Acquisition Modality Modality images stored acquisition completed Image Manager & Archive images printed 16 16 Film Folder Film

SWF Actor/Transaction Overview Pt.Registration ADT Pt.Registration PPS Order Filler Procedure Scheduled Creator PPS Order Management Storage Commitment Image Creator Image Stored Order Placer PPS Manager Modality Worklist PPS Modality PPS Image Manager Storage Commitment Image Archive Acquisition Modality Image Stored Q/R Images Image Display Blue: HL7 Messages Green: DICOM Messages

Scheduled Workflow HL7 Actors & Transactions ADT Pt registration: 1 Pt Update: 12 Order Filler 2: Placer Order Management 3: Filler Order Management 4: Procedure Scheduled 1: Pt registration 12: Pt Update Order Placer HL7 Actors: ADT/Patient Registration 12: Patient Update 13: Procedure Update Order Placer DSS / Order Filler Image Manager Image Manager 18

Scheduled Workflow DICOM Actors & Transactions DICOM Actors: DSS / Order Filler PPS Manager Image Manager / Archive Acquisition Modality Evidence Creator Image Display 19

Acquisition Workflow Management DICOM: Modality Worklist Management (MWL) Modality Performed Procedure Step (MPPS) 20

Image Management DICOM: Image Storage Storage Commitment Query/Retrieve 21

Other standards HL7 v2: Patiënt registration ADT ORM ORU DICOM service classes IHE merges these worlds together

Meer details? Cursus IHE voor Radiologie - 12 juni 2014 1 dag, zie www.iheacademy.nl www.ihe.net