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GE Healthcare

GE Healthcare. IHE Case Study: Transforming Image Distribution Hainan Region China. ASP Pilot site In HaiNan. GE Healthcare IT ASP Services in HaiNan Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL 1 st phase: installed in HNPPH + two remote sites

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GE Healthcare

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  1. GE Healthcare IHE Case Study: Transforming Image Distribution Hainan RegionChina

  2. ASP Pilot site In HaiNan • GE Healthcare IT ASP Services in HaiNan • Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL • 1st phase: installed in HNPPH + two remote sites • 2nd phase: expand to more hospitals • 3rd phase: expand to HIS/LIS for rural hospitals. Haikou HAINAN Sanya

  3. ASP Pilot site In HaiNan Haikou Remote site#1 Modality + WKS Remote site#2 Modality + WKS HAINAN Sanya 10M 10M • Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL • Workstation in hospitals • 10M network by China Telecom • Dell 2950 Server • EMC Storage 3T HNPPH with PACS/RIS 30M Data Center Infrastructure

  4. ASP Pilot site In HaiNan Haikou Remote site#1 Modality + WKS No Server & Storage Remote site#2 Modality + WKS No Server & Storage HAINAN Sanya 10M 10M • Try to No.1 PACS/RIS ASP demo site in China to show real ASP model in China and GE leadership. • Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL • 1st phase: installed in HNPPH + two remote sites • 2nd phase: expand to more hospitals • 3rd phase: expand to HIS/LIS for rural hospitals. HNPPH with PACS/RIS 30M Data Center Infrastructure

  5. Current Architecture of HaiNan ASP • RIS/PACS Hosted Services operate independent with each site • Remote Consultant for cross-enterprise workflow • Manual verification of image transfer with Centricity Web • 3 Independent IDN’s • 3 separate patient ID domains • > 5% of studies require Consultancy • Est. 15-25% Patient overlap between HNPPH and remote hospitals • Est. 5-15% Patient overlap between remote hospitals

  6. IHE enabling improved departmental workflow Modality Worklist Images • Current • 2 step process • Manual verification • Next phase - Improved using IHE Scheduled Workflow • Single integrated step • Integrated Verification Verify Images Modality Worklist Images Storage Commitment MPPS Complete

  7. Enabling Image Exchange, relevant Priors Remote Hospital Patient search • Current • Patient informs hospital of relevant priors at other hospital • Manual search for patient in other C PACS • Manual search for relevant priors • Review prior images with other C PACS • Review current study with your C PACS • PACS queries PIX Mgr for global patient id • PACS queries XDS registry for relevant priors • PACS retrieves Image manifest from XDS repository • PACS imports relevant priors into short term storage using IHE IRWF • Review current with priors Studies search Retrieve Priors Retrieve current Next Phase- Improved Image Exchange using IHE IRWF, XDS-I & PIX PIX Query XDS Query XDS Doc Retrieve XDS Image Retrieve

  8. Consult Workflow enhanced with XDS • Current • Patient health data is collected by RIS • RIS notifies Consultancy Server of workitem with patient data • Remote radiologist selects workitem from Consultancy application • Reviews current study using your server • Enhanced with XDS • Patient health data is collected by RIS • RIS creates an XDS-MS Referral & provides XDS document to XDS Repository • RIS notifies consultancy server of workitem • Remote radiologist selects workitem from consultancy application • Retrieves patient data and image data using XDS profiles • Reviews current study and patient data • Creates an XDS Radiology Report & provides XDS document to XDS Repository

  9. Other Benefits to adopting the XDS Infrastructure • Scalability • XDS infrastructure is highly scalable when adding new hospitals • New patient IDs are added to the PIX mgr • leverages a common XDS registry/repository As the Hainan ASP project expands with more sites, the complexity will not • Extensibility • IHE has defined many common templates for patient health data, including Lab, Referrals, Discharge Summaries, etc • IHE supports many generic health data formats as well, including CDA, text wrapped CDA HainNan ASP project can leverage the XSD infrastructure to add new services providing a more comprehensive view the Patient’s Health Record

  10. XDS/Application Services Architecture, enabling future growth in HaiNan Other HIE Infrastructure Patient Registry Document Registry Document Repository IHE Services PIX; PDQ, XDS, BPPC Other Services Registry Other Services Repository Other HIE Data Centers HiaNan ASP Data Centre HiaNan ASP Infrastructure Image Repository Document Repository Document Registry Patient Registry Application Services RIS, PACS, HIS, LIS IHE Based Services XDS, XDS-I, PIX, PDQ, BPPC Large Hospital Services Rural Hospital Services RIS EMR PACS IHE Client Services IHE Client Services Scalability, Extensibility and adaptability – necessary for the changing needs of the region

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