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Presentation of Grouped Procedures Profile

Presentation of Grouped Procedures Profile. IHE North America Webinar Series 2008 Chris Lindop IHE Radiology GE Healthcare. Presentation of Group Procedures. Grouping of Procedures – Use case. CT Chest/Abdomen/Pelvis Neuroradiology : CT Neck & CT Chest

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Presentation of Grouped Procedures Profile

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  1. Presentation of Grouped Procedures Profile IHE North America Webinar Series 2008 Chris Lindop IHE Radiology GE Healthcare

  2. Presentation of Group Procedures

  3. Grouping of Procedures – Use case • CT Chest/Abdomen/Pelvis • Neuroradiology: CT Neck & CT Chest • MR Imaging of different sections of the spine • MRI and MRA of vessels acquired together • MRI of the head and neck with specialized coils • Direct radiography (DR)in a trauma patient: AP images, then move the patient once to acquire a set of orthogonal images, and then regroup by body part • Sonographic evaluation of the kidneys and of the abdomen • CT of the pelvis with CT angiographic runoff • Angiographic studies of multiple vessels mixed with therapeutic interventions on selected segments.

  4. Presentation of Group ProceduresScope One Order – Two Procedures – One Acquisition - Two Reports Step Requested Procedure CT Chest Requested Procedure CTAbdomen One or more series of images Radiology Department ORDER A request for RadiologicService CT Chest & Abdomen Set of Codifiable, Billable, Acts Report CT Chest Acquisition Modality Report CT Abdo Set of Codifiable, Billable, Acts

  5. Grouping of Procedures – Value Proposition • Optimize patient comfort • Optimize time of image acquisition. But, there is the need to: • Maintain the link back to each one of the grouped procedures without breaking the acquisition apart. • Ensure that each image subset related to a requested procedure is identified and ready to be presented. This is key for quick display of new and prior studies. • In the film world, images are manually sorted. In the film-less world, images should be sorted automatically when displayed

  6. DICOMModality Worklist Requested Procedure 1 ScheduledProcedure Step A Requested Procedure 2 ScheduledProcedure Step B One or more series of images PerformedProcedure Step P1 Group Case Radiology Department Set of Codifiable, Billable, Acts ORDER A request for RadiologicService Report Set of Codifiable, Billable, Acts Report AcquisitionModality

  7. Grouping of Procedures in IHE Group Case support is required by the IHE Scheduled Workflow Integration Profile: • On Image Managers (PACS) • On Order Fillers (RIS). Group Case support is optional on Modalities. PGP requires support of the “Group Case Option” on Modalities.

  8. Scheduled Workflow Group Case Admit, order, schedule, acquire images, notify of completed steps Presentation ofGrouped Procedures Presentation of Subsets of a Single Acquisition Required for ConsistentPresentation of Images - GSPS Softcopy grayscale and presentation state Presentation of Grouped Proceduresbuilds upon SWF and CPI +

  9. Report:CHEST Report:ABDOMEN Abdomen View ScheduledProcedure Step Chest ScheduledProcedure Step Abdo Chest View Chest View Abdomen View Performs a single acquisition MODALITY Operator groups 2 procedures IHE – Presentation of Grouped Procedures Requested Procedure:CHEST Requested Procedure:ABDOMEN RIS / PACS

  10. Report:CHEST Report:ABDOMEN CPI only Actor Abdomen View Abdomen View ScheduledProcedure Step Chest ScheduledProcedure Step Abdo Image Display Chest View Chest View Chest View Abdomen View MODALITY Operator groups 2 procedures IHE PGP - Implementation Example Image Display Constraints SWF/PGP Actors Requested Procedure:CHEST Requested Procedure:ABDOMEN Image Mgr (Incl. Display) Order Filler Image Displayhas no access to fullRequested Procedure Information Performs a single acquisition

  11. Presentation of Grouped Procedures Value Proposition Improves workflow, overall efficiency of care and reduces costs of providing services: • Lowers barriers to migration to digital radiology practice • Optimizes use of newer & faster acquisition devices • Improves clarity and access to Radiology results • Simplifies and facilitates billing of grouped procedures • Enhances softcopy interpretation throughput

  12. Implementing PGP made easy ! Feedback from early implementors has resulted in significant improvement for the Technical Framework: • Appendix A has been entirely restructured to provide a thorough and unambiguous specifications of all SWF+PGP workflow cases. • The NewAppendix A defines precisely every details for information mappings in modalities between MWL, Images/Presentation States, Modality PPS. This is critical information for PACS and RIS implementations of SWF and PGP.

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