Ihe radiology tf hl7 v2 5 refactoring
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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
IHE Radiology TFHL7 v2.5 refactoring

IHE Rad Tech


Hl7 actors in swf
“HL7 Actors” in SWF

HL7 Actors:

  • ADT/Patient Registration

  • Order Placer

  • DSS / Order Filler

  • Image Manager

IHE Rad Tech


Adt actor
ADT Actor

Primary Patient Info Entry

IHE Rad Tech


Adt use cases rad 1
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


Adt use cases rad 12
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


Iti 31 patient encounter management use cases not in current swf
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


Order placer actor
Order Placer Actor current SWF

Primary Order Entry

IHE Rad Tech


Order placer use cases
Order Placer Use Cases current SWF

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


Order filler actor
Order Filler Actor current SWF

Order Fulfillment

IHE Rad Tech


Order filler use cases
Order Filler Use Cases current SWF

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


Rad 4 rad 13 what is wrong
RAD-4/RAD-13 What is wrong? current SWF

Current SWF

Proposed using v2.5

IHE Rad Tech


Rad 4 rad 13 change proposal
RAD-4 & RAD-13 Change Proposal current SWF

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


Other hl7 based transactions

RAD-28 current SWFStructured 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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