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Update, IHE-J Endoscopy Committee Activity

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

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  1. Update, IHE-J Endoscopy Committee Activity 22/04/2009 IHE Japan Endoscopy Committee DICOM WG13 22/04/2009

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. Transactions DICOM WG13 22/04/2009

  8. Transactions DICOM WG13 22/04/2009

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. Thank You. DICOM WG13 22/04/2009

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