1 / 40

Chapter 7 Integrating the Health Enterprise 醫療系統整合的應用與發展

Chapter 7 Integrating the Health Enterprise 醫療系統整合的應用與發展. IHE 的整合發展與應用. IHE 技術發展背景 IHE 第五年技術架構簡介 醫療資訊相關標準 之應用 醫療資訊整合 IHE 發展的新趨勢. IHE 技術發展背景. 美國 RSNA 及 HIMSS 主導 IHE 五年計畫 (1999~2003) 目的 : 應用及整合 HL7 、 DICOM 及 XML 等現有醫療資訊及醫療影像傳輸標準，以減少醫療資源之浪費 協會、產業界、學者專家、使用者 嚴謹的發展流程 IHE 第五年 :

kermit
Download Presentation

Chapter 7 Integrating the Health Enterprise 醫療系統整合的應用與發展

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 7 Integrating the Health Enterprise 醫療系統整合的應用與發展

  2. IHE的整合發展與應用 • IHE技術發展背景 • IHE第五年技術架構簡介 • 醫療資訊相關標準之應用 • 醫療資訊整合 • IHE發展的新趨勢

  3. IHE技術發展背景 • 美國RSNA及HIMSS主導IHE五年計畫(1999~2003) • 目的:應用及整合HL7、DICOM及XML等現有醫療資訊及醫療影像傳輸標準，以減少醫療資源之浪費 • 協會、產業界、學者專家、使用者 • 嚴謹的發展流程 IHE第五年: (1)92年初 ：技術架構(Technical Framework)擬訂 (2)92.02.01~03.03：技術架構公開討論 (3)92.04.24~04.25：產業界說明會 (4)92.04.25~05.30：產業界報名 (5)92.07.09 ：視訊會議(研習會)(分組討論) (6)92.08/09：MESA測試及回報 (7)92.10.06~10.10：Connect-A-Thon整合測試 (8)92.11.30~12.05：RSNA2003年會IHE(動態展示->研討會)

  4. IHE技術發展背景 http://www.rsna.org/IHE/tf/ihe_tf_index.shtml • 技術架構公開討論(Submit and review comments) • 技術架構文件: • 討論區: • 公開討論截止日期: 92.03.03 • 2003年公開討論版本: Revision 5.5 http://forums.rsna.org/

  5. IHE技術發展背景 • 產業界說明會(IHE Radiology Vendor Workshop 2003) • 說明會時間: 92.04 • 說明會內容(Documents) • 說明會簡報資料 Introduction To IHE Review of Mature IHE Integration Profiles New IHE Integration Profiles Planning and Participation for IHE Radiology 2003 http://www.rsna.org/IHE/presentations/ihe_pres_index.shtml

  6. IHE技術發展背景 圖片摘錄自RSNA IHE網頁

  7. IHE技術發展背景 • 產業界報名(續)(Participation) • 1999/2000/2001/2002年參與廠家數: 24/32/31/35 • 2002年參與廠家:

  8. Num Company Roles (Image Manager) Notes 1 IDX ADT/Order Placer 2 Siemens Order Filler 3 Tiani Image Manager 4 Agfa Modality (CR) (Tiani) 5 Philips Modality (US) (GE) Large US cart Backside 6 Swissray Modality (DX) (Fuji) 7 GE Image Manager Large Server box 8 Fuji Image Manager 9 ALI Modality (DX) (Emageon) 10 Emageon Image Manager 11 CSIST Image Display IHE技術發展背景 RSNA 2001/ HIMSS 2002 IHE 展示分組A • 分組討論(Participant Workshop) • 視訊會議(Participant Web Conference， 2003.07) Scheduled Workflow/Patient Information Reconciliation: Group A

  9. IHE技術發展背景 • MESA測試 • 系統發展及MESA測試結果回報 • Medical Enterprise Simulators and Analyzers • O.S. : • Component : • Developed by the Electronic Radiology Laboratory at the Mallinckrodt Institute of Radiology, Washington University of St. Louis(由Steve Moore教授所帶領的技術團隊) • MESA下載網址: Linux/Solaris/Windows NT/2000/Other Unix Facilities/Simulators/Utility_Programs/Documentation http://www.erl.wustl.edu/mesa/index.html

  10. IHE技術發展背景 • Connect-A-Thon整合測試 • 整合測試時間: 2003.10 • 整合測試地點: 美國芝加哥RSNA總部 圖片摘錄自RSNA IHE網頁

  11. IHE技術發展背景 • RSNA/HIMSS年會展示

  12. IHE第五年技術架構簡介 • IHE Integration Profiles (T.F. Rev. 5.5) • 第一冊: Integration Profiles • 第二冊: Transactions 1-31 • 第三冊: Transactions 32-46 • 第四冊: National Extensions • 法國 • 德國 • 美國 • 義大利 • 英國 圖片摘錄自 IHE Technical Framework

  13. IHE第五年技術架構簡介 • IHE Radiology Integration Profiles (T.F. Rev. 5.5 Vol. I) 圖片摘錄自 IHE Technical Framework

  14. IHE第五年技術架構簡介 圖片摘錄自RSNA IHE網頁

  15. IHE第五年技術架構簡介 Scheduled Workflow Integration Profile ADT ADT ↓Pt. Registration [1] ↓Patient Update [12] ↓Pt. Registration [1] ↓Patient Update [12] ←Placer Order Management [2] →Filler Order Management [3] DSS/ Order Filler DSS/ Order Filler Order Placer Order Placer Image Display Image Display ↓Procedure Scheduled [4] ↑Image Availability Query [11] ↓Procedure Updated [13] ↑Performed Work Status Update [42] ↓Performed Work Status Update [42] ↑Modality PS in Progress [6] ↑Modality PS Completed [7] ↑Creator PS in Progress [20] ↑Creator PS Completed [21] ↑Query Images [14] ↑Retrieve Images [16] Evidence Creator Evidence Creator ↓Creator PS in Progress [20] ↓Creator PS Completed [21] Storage Commitment [10]↓ ↓Creator Images Stored [18] PPS Manager PPS Manager Image Manager Image Manager Image Archive →Modality PS in Progress [6] →Modality PS Completed [7] →Creator PS in Progress [20] →Creator PS Completed [21] Storage Commitment [10] ↑ ↑Modality Image Stored [8] ←Modality PS in Progress [6] ←Modality PS Completed [7] Acquisition Modality Acquisition Modality →Modality Worklist Provided [5] continue

  16. IHE第五年技術架構簡介 Scheduled Workflow Integration Profile 圖片摘錄自 IHE Technical Framework

  17. IHE第五年技術架構簡介 Scheduled Workflow Integration Profile 圖片摘錄自 IHE Technical Framework

  18. Acquisition Modality ADT Patient Registration Audit Record Repository Charge Processor Department System Scheduler /Order Filler Enterprise Report Repository Evidence Creator External Report Repository Access Image Archive Image Display Image Manager Master Patient Index (MPI) Order Placer Performed Procedure Step Manager Post-Processing Manager Print Composer Print Server Report Creator Report Manager Report Reader Report Repository Secure Node Time Server IHE第五年技術架構簡介 共23個Actors 圖片摘錄自 IHE Technical Framework

  19. IHE第五年技術架構簡介 圖片摘錄自 IHE Technical Framework

  20. ADT ↓Pt. Registration [1] ↓Patient Update [12] ↓Pt. Registration [1] ↓Patient Update [12] ←Placer Order Management [2] →Filler Order Management [3] DSS/ Order Filler Order Placer Image Display ↓Procedure Scheduled [4] ↑Image Availability Query [11] ↓Procedure Updated [13] ↑Performed Work Status Update [42] ↓Performed Work Status Update [42] ↑Modality PS in Progress [6] ↑Modality PS Completed [7] ↑Creator PS in Progress [20] ↑Creator PS Completed [21] ↑Query Images [14] ↑Retrieve Images [16] Evidence Creator ↓Creator PS in Progress [20] ↓Creator PS Completed [21] Storage Commitment [10]↓ ↓Creator Images Stored [18] PPS Manager Image Manager Image Archive →Modality PS in Progress [6] →Modality PS Completed [7] →Creator PS in Progress [20] →Creator PS Completed [21] Storage Commitment [10] ↑ ↑Modality Image Stored [8] ←Modality PS in Progress [6] ←Modality PS Completed [7] Acquisition Modality →Modality Worklist Provided [5] 醫療資訊相關標準之應用 • 協定1 : Patient Registration，病患掛號資料，HL7 • 協定2 : Placer Order Management，醫令產生或取消訊息，HL7 • 協定3 : Filler Order Management，醫令產生、取消或更改訊息，HL7 • 協定4 : Procedure Scheduled，造影取像排程訊息，HL7 • 協定5 : Modality Worklist Provided，造影取像排程訊息，DICOM • 協定6 : Modality Procedure Step In Progress，取像回報，DICOM • 協定7 : Modality Procedure Step Completed，取像完成回報，DICOM • 協定8 : Modality Images Stored，造影儀器影像儲存，DICOM • 協定9 : Modality Presentation State Stored，描繪參數儲存，DICOM • 協定10: Storage Commitment，儲存確認，DICOM • 協定11: Image Availability Query，影像查詢，DICOM • 協定12: Patient Update，病患資料更新，HL7 • 協定13: Procedure Update，造影取像排程更新訊息，HL7 • 協定14: Query Images，影像查詢，DICOM • 協定15: Query Presentation States，描繪參數查詢，DICOM

  21. 醫療資訊相關標準之應用 • 協定16: Retrieve Images，影像讀取，DICOM • 協定17: Retrieve Presentation States，描繪參數讀取，DICOM • 協定18: Creator Images Stored，影像產生器影像儲存，DICOM • 協定19: Creator Presentation State Stored，描繪參數儲存，DICOM • 協定20: Creator Procedure Step In Progress，產像回報，DICOM • 協定21: Creator Procedure Step Completed，產像完成回報，DICOM • 協定23: Print Request with Presentation LUT，影像列印，DICOM • 協定24: Report Submission，報告資料儲存，DICOM • 協定25: Report Issuing，報告資料儲存，DICOM • 協定26: Query Reports，報告資料查詢，DICOM • 協定27: Retrieve Reports，報告資料讀取，DICOM • 協定28: Structured Report Export，結構化報告資料轉換，HL7 • 協定29: Key Image Note Stored，關鍵影像註解資料儲存，DICOM • 協定30: Query Key Image Notes，關鍵影像註解資料查詢，DICOM • 協定31: Retrieve Key Image Notes，關鍵影像註解資料讀取，DICOM

  22. 醫療資訊相關標準之應用 • 協定32: Authenticate Node，DICOM、TLS(RFC 2246)、X.509 • 協定33: Maintain Time，NTP(RFC 1305) • 協定34: Record Audit Event，BSD(RFC 3164)、PS 115-99、XML1.0 • 協定35: Charge Posted，HL7 • 協定36: Account Management，HL7 • 協定37: Worklist Provided，DICOM • 協定38: Workitem Claimed，DICOM • 協定39: Workitem PPS In Progress，DICOM • 協定40: Workitem PPS Completed，DICOM • 協定41: Workitem Completed，DICOM • 協定42: Performed Work Status Update，DICOM • 協定43: Evidence Document Stored，DICOM • 協定44: Query Evidence Documents，DICOM • 協定45: Retrieve Evidence Documents，DICOM • 協定46: Reporting Worklist Provided，DICOM

  23. 醫療資訊相關標準之應用 • IHE Transaction 1 (Patient Registration，HL7) 圖片摘錄自 IHE Technical Framework

  24. 醫療資訊相關標準之應用 • IHE Transaction 5 (Modality Worklist Provided，DICOM) 圖片摘錄自 IHE Technical Framework

  25. 醫療資訊相關標準之應用 • IHE Integration Security Process Flow 圖片摘錄自 IHE Technical Framework

  26. 醫療資訊整合 Scheduled Workflow Integration Profile HL7/DICOM Mapping ADT ↓Pt. Registration [1] ↓Patient Update [12] ↓Pt. Registration [1] ↓Patient Update [12] ←Placer Order Management [2] →Filler Order Management [3] DSS/ Order Filler DSS/ Order Filler Order Placer Image Display ↓Procedure Scheduled [4] ↑Image Availability Query [11] ↓Procedure Updated [13] ↑Performed Work Status Update [42] ↓Performed Work Status Update [42] ↑Modality PS in Progress [6] ↑Modality PS Completed [7] ↑Creator PS in Progress [20] ↑Creator PS Completed [21] ↑Query Images [14] ↑Retrieve Images [16] Evidence Creator ↓Creator PS in Progress [20] ↓Creator PS Completed [21] Storage Commitment [10]↓ ↓Creator Images Stored [18] PPS Manager Image Manager Image Archive →Modality PS in Progress [6] →Modality PS Completed [7] →Creator PS in Progress [20] →Creator PS Completed [21] Storage Commitment [10] ↑ ↑Modality Image Stored [8] ←Modality PS in Progress [6] ←Modality PS Completed [7] Acquisition Modality →Modality Worklist Provided [5]

  27. 醫療資訊整合 HL7 Order Mapping to DICOM MWL 圖片摘錄自 IHE Technical Framework

  28. 醫療資訊整合 HL7 Order Mapping to DICOM MWL(續) 圖片摘錄自 IHE Technical Framework

  29. 醫療資訊整合 HL7 Order Mapping to DICOM MWL(續) 圖片摘錄自 IHE Technical Framework

  30. 醫療資訊整合 HL7 Order Mapping to DICOM MWL(續) 圖片摘錄自 IHE Technical Framework

  31. 醫療資訊整合 HL7 Order Mapping to DICOM MWL(續) 圖片摘錄自 IHE Technical Framework

  32. 醫療資訊整合 HL7 Order Mapping to DICOM MWL(續) 圖片摘錄自 IHE Technical Framework

  33. Patient Information Reconciliation Integration Profile HL7/DICOM Mapping 醫療資訊整合 ADT Order Placer → Patient Update [12] ↓Patient Update [12] DSS/ Order Filler ↓Patient Updated [12] ↓Procedure Updated [13] ↑Image Availability Query [11] ↓Patient Updated [12] ↓Procedure Updated [13] ↑Image Availability Query [11] ↓Patient Updated [12] ↓Procedure Updated [13] ↑Modality PS in Progress [6] ↑Modality PS Completed [7] Report Manager Report Manager Image Display ↓Reporting Worklist Provided [46] ↓Query Reports [26] ↓Retrieve Reports [27] ↑Query Images [14] ↑Retrieve Images [16] Report Creator/ Report Reader PPS Manager Image Manager Image Manager Image Arciive →Modality PS in Progress [6] →Modality PS Completed [7] ←Modality PS in Progress [6] ←Modality PS Completed [7] Acquisition Modality →Modality Worklist Provided [5]

  34. 醫療資訊整合 Charge Posting Integration Profile DICOM/ HL7 Mapping ADT ↓Patient Registration [1] ↓Account Management 36] ← Performed Work Status Update[42] ↓Account Management [36] DSS/ Order Filler DSS/ Order Filler Report Manager →Charge Posted [35] Charge Processor ↑Modality PS Completed [7] ↑ Creator PS Completed [21] ← Creator PS Completed [21] Evidence Creator PPS Manager ← Modality PS Completed [7] Acquisition Modality

  35. 醫療資訊整合 Simple Image and Numeric Report Integration Profile DICOM/ HL7 Mapping Report Creator ↓Report Submission [24] ↓Structured Report Export [28] Report Manager Report Manager Enterprise Report Repository ↓Report Issuing [25] Report Repository External Report Repository Access ↓Query Reports [26] ↓Retrieve Reports [27] ↓Query Reports [26] ↓Retrieve Reports [27] Report Reader

  36. IHE發展的新趨勢 IHE 國際化 • 歐洲IHE (IHE Europe) The second European IHE connect-a-thon, hosted by the Department of Diagnostic Radiology, University Hospital Aachen, Germany, in the week from 24th to 28th March 2003, was a big success. 46 vendors tested 79 systems within a period of 4.5 days from Monday to Friday in the worldwide biggest connect- a-thon. (會員國包括英國、法國、德國及義大利)

  37. IHE發展的新趨勢 IHE 國際化 • 亞太IHE (IHE-Asia & Oceania ，IHE-AO) • IHE Japan • 2002年6月26日至29日CARS(Computer Assisted Radiology and Surgery)會議，台灣、日本及韓國提議組織亞洲IHE(IHE ASIA)之可行性 • 2002年12月RSNA年會中舉行第一次IHE-Asia & Oceania (IHE-AO)會議，台灣、日本、韓國、中國及新加坡 • IHE Taiwan (92.08.21-22，HL7研討會IHE demo) • 2003年12月芝加哥RSNA年會

  38. IHE發展的新趨勢 IHE 技術架構延伸 • IHE Radiology -- RSNA • IHE IT Infrastructure -- HIMSS • IHE IT Infrastructure Integration Profiles Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Enterprise User Authentication Provide users a single name and centralized authentication process across all Systems Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Consistent Time Coordinate time across networked Systems

  39. IHE發展的新趨勢 IHE IT Infrastructure Timeline February 5-7 2003 First face to face meeting - Oakbrook, IL February 27 IT Planning t-con Select 2003/Year 5 IT profiles April 22-25 Face to face meeting to close all tech issues June 2-6 Face to face meeting to produce Public Comment TF July 14 Comments due on IT Profiles for Public Comment July 28-August 1 Face to face comments consolidation meeting August 10 IHE IT Integration Profiles (approved-final) September 10-11 Vendor workshop - Memphis, Reg. due October 1st. January 12-16 2004 IHE IT Connectathon - San Diego, CA February 22-26 2004 HIMSS HL7- IHE Demo – Orlando, FL

  40. IHE發展的新趨勢 臺灣IHE 發展近況 (1)92-06-18 ~ 92-07-11：參展廠商參與IHE連線展示意願調查 (2)92-07-15 ：IHE連線展示架構討論(北醫生物資訊中心) (3)92-07-16 ~ 92-08-11：各系統建置及自測(含Internet連測) (4)92-08-12 ：IHE連線測試(在中科院) (5)92-08-21 ~ 92-08-22：IHE連線展示(HL7研討會展示區) (6)參與廠商：新愷、先見、鉅仁、達亞、英飛特

More Related