IHE 2010 Webinar Series IHE Radiology – 2010 Update Chris Lindop, GE Healthcare IHE Radiology...
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Transcript of IHE 2010 Webinar Series IHE Radiology – 2010 Update Chris Lindop, GE Healthcare IHE Radiology...
IHE 2010 Webinar Series
IHE Radiology – 2010 Update
Chris Lindop, GE HealthcareIHE Radiology Committee Co-Chair
Radiology Webinar Overview• Radiology Overview Chris Lindop – Domain Overview– HL7 v 2.5 refactoring
• Trial Implementation Profiles Updates– MAWF Antje Schroeder – REM Kevin O’Donnell– XDS-I.b Kingson Ho
• Trial Implementation Profiles New– CXCAD Ellie Avraham – MIMA David Heaney
IHE Radiology Profiles
Access to Radiology Information
ConsistentPresentation
of Images
EvidenceDocument
KeyImageNotes
Simple Image & Numeric
Reports
Presentation of Grouped
Procedures
Post-Processing Workflow
Reporting Workflow
Charge Posting
Patien
t Info
. Reco
nciliatio
n
Scheduled Workflow
Portable Data for Imaging
MammographyImage
Audit Trail & Node Authentication – Radiology
Teaching Files & Clinical Export
Import Reconciliation
Workflow
NM Image
Infrastructure
Presentation & Content
Workflow
Users Guides
Radiology Departmental Workflow Mammography Workflow
IHE Radiology Deployment Priorities
• Global Deployment priority– PDI/IRWF• Globally significant for first stage toward Imaging
Exchange– SWF/PIR• Most Global Interoperability profile• Focus on value-add options• New HL7 v2.5.1 re-baseline
HL-7 v2.5.1 Baseline Refactoring
• Purpose– Enhance extensibility & re-use• Enabler for new profiles • Provide synergy with ITI PAM (Patient Encounter Option)• Provide synergy with National initiatives • Maintain base interoperability with IHE legacy Systems
• Introducing NO NEW CONTENT
HL-7 v2.5.1 Baseline Refactoring
• Details– Replaces overloaded fields– Replaces Z-segments – Replaces user-defined fields– Replaces overloaded messages– Maintain base interoperability with legacy
HL7 V2.5.1 Refactoring DetailsTransaction Legacy HL7 Refactored HL7 Notes
RAD-1 Registration ADT v2.3.1 ADT v2.5.1 Synergized with ITI PAM
RAD-2 Placer Order Mgt ORM v2.3.1 OMG v2.5.1 Legacy ORM support
RAD-3 Filler Order Mgt ORM v2.3.1 OMG v2.5.1 Legacy ORM support
RAD-4 Procedure Scheduled ORM v2.3.1 OMI v2.5.1 Legacy ORM support
RAD-12 Patient Update ADT v2.3.1 ADT v2.5.1 Synergized with ITI PAM
RAD-13 Procedure Update ORM v2.3.1 OMI v2.5.1 Legacy ORM support
RAD-38 Structured Report Export ORU v2.3.1 ORU v2.3.1 Fully compatible
RAD-35 Charge Posted DFT v2.3.1 DFT v2.5.1 Fully compatible
RAD-36 Appointment BAR v2.3.1 BAR v2.5.1 Fully compatible
RAD-48 Appointment Notification SIU v2.4 SIU v2.5.1 Fully compatible
Trial Implementation Profiles
Portable Data for Imaging
Image Fusion
Cross-Enterprise Document Sharing for Imaging.b
NM Image
Card Option
Radiation Exposure
Monitoring
Mammography Acquisition Workflow
Infrastructure
Presentation & Content
Workflow
extensions
BasicImage
Review
MR Diffusion
Image
CT/MR Perfusion Image
w/Contrast
Image Fusion
Chest XR CAD
New 2010
Multi-Image Manager/Archive New 2010
TI Considerations
• PDI Extensions – Security Option• NMI Cardiology – Display Actor• DIFF/PERF/FUSION – All Actor• BIR – Display Actor• MAWF – Order Filler• REM – Dose Information Report/Consumer• XDS-I.b – Image Document Consumer– Webservices Image Retrieve Option (RAD-69)
XDS-I.b and MIMA• XDS-I.b– Cross Enterprise Imaging– Linked Images and Reports– Integrated EHR
• MIMA– Multi Image Manager/Archive integration within
an Enterprise– DICOM ONLY (no integrated EHR or non-DICOM
linked reports
• Trial Implementation Profiles Updates– MAWF Antje Schroeder – REM Kevin O’Donnell– XDS-I.b Kingson Ho
• Trial Implementation Profiles New– CXCAD Ellie Avraham – MIMA David Heaney