ihe update it infrastructure, radiology, laboratory and cardiology
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IHE UpdateIHE UpdateIT Infrastructure, Radiology, LaboratoryIT Infrastructure, Radiology, Laboratory
and Cardiologyand Cardiology
IHE Update to December 2003 DICOM CommitteeCharles Parisot, GE Medical Systems Information Technologies
HIMSS/RSNA IHE IT Infrastructure 2
IHE Integration profilesIHE Integration profilesPatient
Informa-tion
Reconci-liation
,
Access to Radiology Information
Consistent Presentation
of Images
Basic Security
-
Evidence
Documents
Key Image
Notes
Simple
Image and Numeric Reports
Presentation of Grouped Procedures
Post-
Processing Workflow
Reporting Workflow
Charge Posting
Scheduled Workflow
HIMSS/RSNA IHE IT Infrastructure 3
NM Imaging ProfileNM Imaging Profile Done so far
– NM group organized– Initial draft NM Image Profile created
Desired end results– NM Imaging Profile or options in IHE RAD TF, with
NM specific attribute support in storage SOPs, and required use of these for defined display purposes
– Secondary Capture of post-processing display (single and multiframe).
Risks/issues– Get consensus on defined display purposes
HIMSS/RSNA IHE IT Infrastructure 4
Media Distribution ProfileMedia Distribution Profile Done so far
– Use cases and objectives defined:1. Import for reading or use as relevant prior study2. Import for review/ viewing by patient or patient’s primary care
physician or other GP.
– List of issues for further discussion Desired end results
– Goal is to have a single export format be capable of supporting all import use cases.
Risks/issues– Support for non-DICOM objects– Assumptions about capabilities reading device– Manual steps in IHE transaction, how to define– Lots of detail
HIMSS/RSNA IHE IT Infrastructure 5
Departmental workflowDepartmental workflow Done so far
– Consensus on what the scope and approach is, assigned owners for parts.
Desired end results– Publish as a single supplement.
Large portion of overall departmental workflow will be described in an Appendix to Vol I.
Sections on SWF, PWF, RWF (/SINR) will each require ~1 page description of their relationship to DWF.
Appointment Notification transaction(s) [from IHE-F] Order Filler in SINR (report export) [from IHE-F]
Issue– Instance Availability Notification.Instance Availability Notification. IHE Tech Committee
reviewed WG6 progress and would like to recommend the GP-PPS approach. Joint IHE Rad Tech/DICOM WG6 t-con desired urgently for coordination.
HIMSS/RSNA IHE IT Infrastructure 6
IHE IT InfrastructureIHE IT Infrastructure5 Integration Profiles5 Integration Profiles
Enterprise User Authentication
Provide users a single nameand
centralized authentication process
across all systems
Enterprise User Authentication
Provide users a single nameand
centralized authentication process
across all systems
Retrieve Information for Display
Access a patient’s clinical information and documents in a
format ready to be presentedto the requesting user
Retrieve Information for Display
Access a patient’s clinical information and documents in a
format ready to be presentedto the requesting user
Patient Identifier Cross-referencing
for MPI
Map patient identifiers across independent
identification domains
Patient Identifier Cross-referencing
for MPI
Map patient identifiers across independent
identification domains
Synchronize multiple applications on a desktop to the same patient
Patient Synchronized Applications
Synchronize multiple applications on a desktop to the same patient
Patient Synchronized Applications
Consistent Time
Coordinate time across networked
systems
Consistent Time
Coordinate time across networked
systems
HIMSS/RSNA IHE IT Infrastructure 7
IHE GrowthIHE Growth Radiology– Successful connectathon October 6-10, 2003.
IT Infrastructure– Critical infrastructure issues addressed: authentication,
linking patient ids, CCOW, retrieve info for display.– HIMSS 2004 HL7-IHE Joint Connectathon (Jan) & Demo
(Feb). Laboratory
– Quick progress: Lab Scheduled Workflow passed public comment. Trial Implementation Version issued Nov 15th for demos mid 2004.
Cardiology– ACC & ESC launch Dec. 8-9th – Goal ACC march 2005
IHE has now clearly expanded beyond radiologyIHE has now clearly expanded beyond radiology
HIMSS/RSNA IHE IT Infrastructure 8
Where Is More Information Where Is More Information Available?Available?
IHE:– http://www.rsna.org/IHE– http://www.himss.org/IHE
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