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IHE Eye Care Year 1

IHE Eye Care Year 1. IHE Workshop 2006 - Changing the Way Healthcare Connects IHE Eye Care Education Mike Schmidt, Carl Zeiss Meditec Co-Chair IHE Eye Care Planning Committee Jim Riggi, CTO Medflow, Inc. Co-Chair IHE Eye Care Technical Committee. Introducing IHE Eye Care.

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IHE Eye Care Year 1

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  1. IHE Eye CareYear 1 IHE Workshop 2006 - Changing the Way Healthcare Connects IHE Eye Care Education Mike Schmidt, Carl Zeiss Meditec Co-Chair IHE Eye Care Planning Committee Jim Riggi, CTO Medflow, Inc. Co-Chair IHE Eye Care Technical Committee

  2. Introducing IHE Eye Care • Targeting all eye care providers • Ophthalmology and Optometry • Roots in DICOM WG9 (Ophthalmology) • OP and Stereo modules approved • OTM and Refractive SR work items in progress • AAO is the sponsoring organization • Dr. Flora Lum, AAO, coordinator • Don Van Syckle, DVS Consulting • Planning Committee • Mike Schmidt, Carl Zeiss Meditec • Dr. Mark Horton, U.S. Indian Health Services • Technical Committee co-chairs • Jim Riggi, Medflow • Peter Kuzmak, U.S. Dept. of Veteran Affairs

  3. Vendor Participants in IHE Eye Care 2005

  4. Introducing IHE Eye Care • Participating commercial vendors include • Instrument vendors • PMS / EHR system vendors • Imaging system vendors • Strong government participation • Addition of EHR vendors in 2006 is key

  5. IHE Eye Care – Plan for 2006 • Informal Efforts 2005 • Participation at HIMSS IHE Showcase: February 2005 • Participation at VEHU Showcase: May 2005 • AAO Showcase: October 2005 • Development Schedule • Planning Committee decision: October 2005 • Issue Public Comment version: March 2006 • Public Comment Due: April 2006 • Issue Trial Implementation version: May 2006 • Connectathon: October 2006 • AAO Showcase: November 2006 • Year 1 Profiles • Eye Care Scheduled Workflow (EYECARE) • Charge Posting (CHG) • Eye Care Evidence Documents [ECED]

  6. Order Placement Patient Registration Order Placed at Order Placer Order Placed at Order Filler Patient Registered at ADT Case E1 Case E2 Ophthalmic Workflow Use Cases • Derived from Cardiology Workflow use cases C1 – C5 • Year 1 use cases: • Will add “emergency” use cases later, similar to C3 – C5

  7. IHE Eye Care Transactions • Extensively reusing RAD and CARD transactions • Storage Commitment w/intermittently connected modality option [CARD-3] • Adding EYECARE transactions • Query Modality Worklist [EYECARE-1] • Modality Images/Evidence Stored [EYECARE-2] • Retrieve Images [EYECARE-3] • Query Evidence Documents [EYECARE-4] • Example Issue: Query Modality Worklist • Glaucoma progression analysis requires longitudinal data • Instruments consequently provide persistent storage • EYECARE-1 ensures that Issuer of ID is mandatory in worklist • Will be used to determine identity of patient record • Will allow updates / corrections of patient demographics

  8. EYECARE-1 • Query Modality Worklist • Both Query Modes must be supported • Patient Query • Broad Query Mandatory Issuer of ID • Glaucoma progression analysis requires longitudinal data • Instruments consequently provide persistent storage • Will be used to identify patient records • Will allow updates / corrections of patient demographics

  9. EYECARE-2 • Modality Images/Evidence Stored • Eyecare Image Options • Encapsulated PDF

  10. EYECARE-3 • Retrieve Images • Eye Care SOP classes • OP (Ophthalmic Photography) • US for ophthalmic ultrasound devices • Enc PDF for post-processed evidence documents • Represent post-processed evidence documents • Like cardiology, also created by Acquisition Modality • Significant clinical utility • Extensive modality support is key to IHE Eye Care acceptance • Compression

  11. IHE Eye Care Modality Coding Issue • Only OP and US modality codes are defined • DICOM correction proposal to add other modality codes • Based on prior work within DICOM WG9 • Draft proposal already distributed to WG9 • Fast-track March review in WG9 and submit to WG6

  12. EYECARE-4 Query Evidence Documents DICOM Encapsulated PDF

  13. IHE Eye Care Planning 1. Support new DICOM IOD’s a. Ophthalmic Tomography b. Refractive SR’s 2. Additional DICOM IOD’s needed – work for DICOM WG9 a. Ophthalmic visual testing / perimetry b. Ophthalmic mapping / topography 3. Non-scheduled use cases C3-C5 (See IHE Cardiology) 4. Context sharing a. Enterprise User Authentication (EUA) b. Patient Synchronized Applications (PSA) 5. Post-processing a. Scheduled post-processing workflow (PWF)

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