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Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. Access to Radiology Information. Cor Loef Co-chair IHE Radiology Technical Committee. IHE Integration profiles. Access to Radiology Information. Scheduled Workflow. Patient Informa-tion Reconci-liation. Charge Posting. -.

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise Access to Radiology Information Cor Loef Co-chair IHE Radiology Technical Committee IHE Europe Educational Event

  2. IHE Integration profiles Access to Radiology Information Scheduled Workflow Patient Informa-tion Reconci-liation Charge Posting - Presentation of Grouped Procedures Reporting Workflow Post-Processing Workflow Simple Image and Numeric Reports Consistent Presentation of Images Evidence Documents Key Image Notes Basic Security IHE Europe Educational Event

  3. Overview • Context • Access Transactions • Actor Requirements • Multiple Sources Option IHE Europe Educational Event

  4. Emergency Department Referring Physician Radiology Department – Images and Reports Remote Clinics Other Departments:- Oncology- Surgery- Neurology- Pediatrics- etc. Electronic Medical Record Access to Radiology Information Profile IHE Europe Educational Event

  5. Access to Radiology Information • Access to Information Generated in Radiology: • Radiological Results ( Reports ) • Radiological Images • Image Presentations ( Display Consistency, Layout, Graphics, ... ) • Key Image Notes ( Flagged Significant Images, Physician Notes ) • Providing Easy Access Throughout the Healthcare Enterprise: • Internally to Radiology, but also • From Other Departments Such As: • Cardiology • Oncology • Operating Room / Surgery • ... • Consistent Information Access: DICOM Query/Retrieve • Provides the Premises for Enabling EMR Solutions( Electronic Medical Record ) IHE Europe Educational Event

  6. Report Reader Image Display Query and Retrieve Reports Query and Retrieve Key Image Notes Query and Retrieve Images Query and Retrieve PresentationStates Image Archive Image Manager Report Repository External Report Repository Access to Radiology Information IHE Europe Educational Event

  7. Query Retrieve of Images C-FIND-RQ (with matching and return keys) • Defines Matching keys for response filtering by Image Archive • Defines Return keys to be requested by Image Display • Defines Returned attributes by Image Archivein query responses • Defines Returned attributes required to be displayed on Image Display Image Display Image Archive C-FIND-RSP (matches with return keys) IHE Europe Educational Event

  8. Access to Radiology Information • The relevant Query Matching and Return key are required to enable an easy search for the pertinent objects in the Radiology domain • Access to this Radiology information may also be achieved by means of these DICOM methods from other departments. However, it’s likely that web distribution standards will have an impact here. • This IHE Integration Profile is the cost effective solution for finding the pertinent information for the patient in the Radiology domain. IHE Europe Educational Event

  9. Multiple Sources Option • Describes how both Image Displays and Report Readers can query multiple information sources. • Allows user access to distributed Radiology information • This is not prohibited by current ARI definition, this option just calls out specific support for a particular feature. IHE Europe Educational Event

  10. Motivation • Historical tight coupling between Image Displays and Image Manager/Archive • Information stored in other systems was either ignored or simply unavailable • Ultrasound mini-PACS • Cardiology PACS • Another Radiology PACS • “Legacy” Archive • … IHE Europe Educational Event

  11. Actor Requirements • To claim support for this profile option… • Image Display shall be able to query and retrieve from multiple Image Manager / Image Archives. • Report Reader shall be able to query and retrieve from multiple Report Repositories. IHE Europe Educational Event

  12. Actor Requirements, cont’d • To claim support for this profile option… • Image Manager and Report Manager shall support the Patient Information Reconciliation integration profile. • This profile option assumes all actors are members of the same ADT domain. IHE Europe Educational Event

  13. More information…. • IHE Web sites: http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm. • Technical Frameworks: • ITI V1.0, RAD V5.5, LAB V1.0 • Technical Framework Supplements - Trial Implementation • May 2004: Radiology • August 2004: Cardiology, IT Infrastructure • Non-Technical Brochures : • Calls for Participation • IHE Fact Sheet and FAQ • IHE Integration Profiles: Guidelines for Buyers • IHE Connect-a-thon Results • Vendor Products Integration Statements IHE Europe Educational Event

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