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Update, IHE-J Endoscopy Committee Activity. 22/04/2009 IHE Japan Endoscopy Committee. Contents. Relationship between IHE-J & JAHIS IHE document & JAHIS document JAHIS Endo Data Exchange Protocol Transactions Endo Specific Transaction1:

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update ihe j endoscopy committee activity

Update, IHE-J Endoscopy Committee Activity

22/04/2009

IHE Japan Endoscopy Committee

DICOM WG13 22/04/2009

contents
Contents
  • Relationship between IHE-J & JAHIS
  • IHE document & JAHIS document
  • JAHIS Endo Data Exchange Protocol
  • Transactions
  • Endo Specific Transaction1:

Notification of the Report Status

  • Endo Specific Transaction2: Pathology Order
  • Current Activity
  • Future Activity

DICOM WG13 22/04/2009

relationship between ihe j jahis
Relationship between IHE-J & JAHIS
  • JAHIS (Japanese Association of Healthcare Information Systems Industry) is one of member groups that established IHE-Japan.
  • JAHIS/IHE-J studied the contents of IHE Endoscopy VolⅡ(Transaction) after publishing VolⅠ( trial implementation version). JAHIS/IHE-J determined to proceed HL7 part of IHE Endoscopy as JAHIS data exchange protocol. Ver1.0 has been published last summer.

DICOM WG13 22/04/2009

ihe document jahis document

Done

Future Work

IHE document &JAHIS document

<IHE Endoscopy>

IHE Endoscopy VolⅠ Profile

IHE Endoscopy VolⅡ Transaction

<JAHIS Endo Data Exchange Protocol>

HL7 Part

JAHIS Endo Data Exchange Protocol Ver1.0

We categorized the scope of IHEVolⅡfrom technical point of view and determined to complete each part one by one.

Order Transaction

Execution Data Transaction (Billing)

Ver2.0

DICOM Part

Working

DICOM WG13 22/04/2009

jahis endo data exchange protocol

In the latest Guide-Line for Healthcare Information Security Management that Japanese government (the Ministry of Health, Labour and Welfare) published, “JAHIS Endo Data Exchange Protocol” was adopted one of the recommended Standards.

JAHIS Endo Data Exchange Protocol

DICOM WG13 22/04/2009

transactions
Transactions

EIS

PACS

②Patient Information notification

②Patient Information notification

⑤Endoscopy notification

HIS

④Endoscopy order

⑥Endoscopy result query

Image Status etc.

①Patient Information Query

③Endoscopy order query

⑦Patient arrival notification

⑧Observation report status notification

REPORT

⑨Observation report notification

DICOM WG13 22/04/2009

transactions1
Transactions

DICOM WG13 22/04/2009

transactions2
Transactions

DICOM WG13 22/04/2009

endo specific transaction1 notification of the report status

Pathology

Patient Information

Patient Information

Order Placer

Endoscopy Order

Patient Information

Order Information

Patient Information

Order Information

Endoscope

Label Printer

Patient Information

Order Information

HL7 Message

DICOM Message

Endo Specific Transaction1: Notification of the Report Status

Observation Report Complete!

ADT/Order Information

DICOM WG13 22/04/2009

endo specific transaction2 pathology order
Endo Specific Transaction2: Pathology Order
  • Original Idea
    • Endoscopy to have Order Placing function

How many OP in the system?

What if HIS to place a path-order?

  • Current Idea
    • Endoscopy Department System has no OP.
    • HIS to place a Path-Order
    • HIS generates a Path-Order on the observation report that Report system provided.
    • JAHIS is also studying Path-Order protocol.

DICOM WG13 22/04/2009

endo specific transaction2 pathology order1

Pathology

Patient Information

Patient Information

Order Placer

Endoscopy Order

Patient Information

Order Information

Patient Information

Order Information

Endoscope

Label Printer

Patient Information

Order Information

HL7 Message

DICOM Message

Endo Specific Transaction2: Pathology Order

Here is a Label Printer

Sending Observation Report to notice OP for Pathology Order

DICOM WG13 22/04/2009

current activity
Current Activity
  • We are studying to establish execution information exchange (for billing) as JAHIS Endo data exchange protocol Ver2.0
    • Defining Z segment for execution data
      • Japanese insurance system is complicated and requires not only Diagnosis Code and Procedure Code, but also Complementary Procedure Code and Material information.
    • Z segment to be sent to HIS by OMI message.
      • For US and EU, OBR-13 and OBR-44 may be used as ICD and CPT code container.

DICOM WG13 22/04/2009

current activity1
Current Activity
  • Messaging Route
    • Report→①→EIS→②→HIS
    • Route ① should be optional, route ② should be required so that the system allows user to enter execution data from either EIS or Report.

DICOM WG13 22/04/2009

future activity
Future Activity
  • Completion of JAHIS Endo Data Exchange Protocol Ver2.0
  • Completion of IHE Endo VolⅠ& VolⅡ
    • Including Lower GI (Currently Upper GI only)
    • Refining “Endo” Profile for conectathon
    • Completion of VolⅡ within the scope of HL7.
  • Attending IHE-J annual Connectathon from Endo domain
    • Connectathon is the event where venders together check interoperability.
    • Not only Endoscopy system vender but HIS vender to implement IHE Endoscopy.

DICOM WG13 22/04/2009

thank you
Thank You.

DICOM WG13 22/04/2009

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