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IHE Radiology TF HL7 v2.5 refactoring

IHE Radiology TF HL7 v2.5 refactoring. “HL7 Actors” in SWF. HL7 Actors: ADT/Patient Registration Order Placer DSS / Order Filler Image Manager. ADT Actor. Primary Patient Info Entry. ADT Use Cases RAD-1. RAD-1 - Patient Registration

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IHE Radiology TF HL7 v2.5 refactoring

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  1. IHE Radiology TFHL7 v2.5 refactoring IHE Rad Tech

  2. “HL7 Actors” in SWF HL7 Actors: • ADT/Patient Registration • Order Placer • DSS / Order Filler • Image Manager IHE Rad Tech

  3. ADT Actor Primary Patient Info Entry IHE Rad Tech

  4. ADT Use Cases RAD-1 RAD-1 - Patient Registration • Admit: A01 (In Patient), A04 (Out Patient), A05 (Pre-Admit) • Cancel: A11 (Cancel Admit), A38 (Cancel Pre-admit) Replace with…. ITI-31 – Patient Encounter Management – basic subset • Admit: A01 (inpatient) A04 (outpatient) • Cancel: A11 (Cancel Admit) ITI-31 Patient Encounter Management – inpatient/outpatient option • Admit: A05 (Pre-admit) • Cancel: A38 (Cancel Pre-admit) IHE Rad Tech

  5. ADT Use Cases RAD-12 RAD-12 - Patient Update • Transfer: A02 (Patient Transfer) • Update Patient Class: A03 (Discharge), A06(to Inpatient), A07 (to Outpatient) • Update Patient Information: A08 (Update) • Merge Patients: A40 (Merge) • Cancel: A12 (Cancel Transfer), A13 (Cancel Discharge) Replace with…. ITI-31 Patient Encounter Management – basic subset: • Discharge A03 (Discharge patient) • Update Patient Information: A08 (Update) • Cancel A13(Cancel Discharge) ITI-31 Patient Encounter Management – inpatient/outpatient option • Update patient class: A06 (to inpatient), A07 (to outpatient), A02 (transfer) • Cancel: A12 (Cancel Transfer) • Merge Patients: A40 (Merge) IHE Rad Tech

  6. ITI-31 Patient Encounter Management Use Cases – not in current SWF Pending Event Management Option • Pending: A14 (admit), A15 (transfer), A16 (discharge) • Cancel: A27 (pending admit), A26 (pending transfer), A25 (pending discharge) Advanced Option • Change : A54 (attending doctor) • Leave of absence: A21(patient leave), A22 (patient return) • Move: A44 (account info) • Cancel: A55 (change attending doctor), A52 (leave of absence), A53 (Return from leave of absence) Out of Scope IHE Rad Tech

  7. Order Placer Actor Primary Order Entry IHE Rad Tech

  8. Order Placer Use Cases RAD-2 - Placer Order Management • Current Use Case transactions (HL-7 v2.3.1) • Placer New Order: ORM/NW (New Order) • Overloads OBR-15 specimen source with laterality • Cancel: ORM/CA (Cancel Order), ORM/DC (Discontinue) • Change Order • ORM/OC (Cancel Order) + ORM/NW (New Order) Rename…. RAD-2 - Placer Order Management v.2.3.1 Add… RAD-xx Placer Order Management • Placer New Order: OMG/NW (New Order) • leverages OBR-46 Placer Supplemental Service for laterality and other supplemental information • Cancel: OMG/CA (Cancel Order), OMG/DC (Discontinue) • Change: OMG/XO (Change Order) IHE Rad Tech

  9. Order Filler Actor Order Fulfillment IHE Rad Tech

  10. Order Filler Use Cases Rad-3 - Order Filler Management • Current Use Cases (HL-7 v2.3.1) • New Order: ORM/SN (New Order) • Overloads OBR-15 specimen source with laterality • Order Status: ORM/SC (Status Change) • Cancel: ORM/OC (Cancel Order) • Modify Order • ORM/OC (Cancel Order) + ORM/SN (New Order) Rename Rad-3 - Order Filler Management v.2.3.1 Add…. Order Filler Management • New Order: OMG/SN (New Order) • leverages OBR-47 Placer Supplemental Service for laterality and other supplemental information • Order Status: OMG/SC (Status Change) • Cancel: OMG/OC (Cancel Order) • Change: OMG/XX (Change Order) IHE Rad Tech

  11. RAD-4/RAD-13 What is wrong? Current SWF Proposed using v2.5 IHE Rad Tech

  12. RAD-4 & RAD-13 Change Proposal RAD-4 - Procedure Scheduled • ORM (procedure scheduled) • Includes IHE defined overloaded definitions for OBR & ZBS segments Rename RAD-4 - Procedure Scheduled v.2.3.1 Add… Procedure Scheduled • OMI (procedure scheduled) • Replaces IHE defined OBR & ZBS segments with HL-7 IPC & OBR segments RAD-13 - Procedure Updated • ORM (procedure updated) • Includes IHE defined overloaded definitions for OBR & ZBS segments Rename RAD-13 - Procedure Updated v.2.3.1 Add… Procedure Updated • OMI (procedure updated) • Replaces IHE defined OBR & ZBS segments with HL-7 IPC & OBR segments IHE Rad Tech

  13. RAD-28 Structured Report Export Current HL7 2.3.1 Impact to v2.5 refactoring – none RAD-35 Charge Posted Current HL7 2.3.1 Impact to v2.5 refactoring – none RAD-36 Account Management Current HL7 2.3.1 Impact to v2.5 refactoring – none RAD-48 Appointment Notification Current HL7 2.4 Impact to v2.5 refactoring – none Other HL7-based Transactions IHE Rad Tech

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