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Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. Scheduled Workflow: The First Profile. Don Van Syckle, DVS Consulting, Inc. Modified version of profiles delivered in workshop identified below – delivered by Kevin O’Donnell. Profile Summary. Fundamental Starting Point of IHE

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise Scheduled Workflow:The First Profile Don Van Syckle, DVS Consulting, Inc. Modified version of profiles delivered in workshop identified below – delivered by Kevin O’Donnell IHE Interoperability Workshop

  2. Profile Summary • Fundamental Starting Point of IHE • Addresses Registration, Scheduling, Acquisition Workflow and Image Content • Bridges HL7 and DICOM Spaces IHE Interoperability Workshop

  3. Motivation • Preserve Order Continuity • “Close the Loop” • maintain accession number, avoid confusion with Filler #, Placer #, etc. • Improve Demographic Integrity • Data entry errors • significant occurrence • significant consequences • Enter once, pass from system to system IHE Interoperability Workshop

  4. Motivation • Improve Workflow Efficiency • Use of Worklists • less time spent doing data entry/selection • enables semi-automation of setup • Reliable Storage • Storage Commitment • fewer lost studies • more confidence in results IHE Interoperability Workshop

  5. Motivation • Improve Order Tracking • MPPS from Modality to RIS & PACS • more timely feedback • more precise feedback • Reduce Integration Effort at Site • Get Vendors on the Same Page • Provide Implementation Guidance • Pre-test at Connectathon IHE Interoperability Workshop

  6. Scheduled Workflow Profile report Registration Film Lightbox Image Manager & Archive Orders Filled Film Folder Diagnostic Workstation Film Report Repository Orders Placed AcquisitionModality acquisitioncompleted acquisitionin-progress imagesprinted Modality acquisitioncompleted IHE Interoperability Workshop

  7. IHE Workflow Concepts IHE has selected three UNAMBIGUOUS HL7/DICOM TERMS : PROCEDURE STEP : The smallest unit of work in the workflow:Scheduled Procedure Step: ‘A unit of work to do’Performed Procedure Step: ‘A unit of work done’ ORDER : A request for radiologic service REQUESTED PROCEDURE : A Unit of work resulting in one Report (with associated codified, billable acts)

  8. Workflow Concept Mapping CLINICIANOR REFERING DOC:The Imaging Dept Customer RADIOLOGIST : In Charge of producing theReport TECHNOLOGIST(and RADIOLOGIST)In charge of acquiring images, etc. This 3 level workflow structureis useroriented: ORDER:A request for imaging service (Accession Number) REQUESTED PROCEDURE : Units of work resulting in one Reportwith associated codified, billable acts(Requested Procedure ID) PROCEDURE STEP :The smallest unit of workin the workflow (modality worklist entry)

  9. Normal Workflow DICOMModality Worklist ScheduledProcedure Step One or more series of images PerformedProcedure Step AcquisitionModality Typical workflow: One Order – One Procedure – One Report Radiology Department ORDER A request for RadiologicService Set of Codifiable, Billable, Acts Report Requested Procedure

  10. Multiple Modality Steps DICOMModality Worklist ScheduledProcedure Step A Report ScheduledProcedure Step B One or more series of images One or more series of images DICOMModality Worklist PerformedProcedure Step P1 PerformedProcedure Step P2 AcquisitionModality AcquisitionModality Radiology Department ORDER A request for RadiologicService Set of Codifiable, Billable, Acts Requested Procedure 1

  11. Administrative Normal Process Flow IHE Interoperability Workshop

  12. Procedure PerformanceNormal Process Flow IHE Interoperability Workshop

  13. “HL7 Actors” in SWF HL7 Actors: • ADT/Patient Registration • Order Placer • DSS / Order Filler • Image Manager IHE Interoperability Workshop

  14. “DICOM Actors” in SWF DICOM Actors: • DSS / Order Filler • PPS Manager • Image Manager /Archive • Acquisition Modality • Evidence Creator • Image Display IHE Interoperability Workshop

  15. Acquisition Workflow Management DICOM: • Modality Worklist Management (MWL) • Modality Performed Procedure Step (MPPS) IHE Interoperability Workshop

  16. Image Management DICOM: • Image Storage • Storage Commitment • Query/Retrieve IHE Interoperability Workshop

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