Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise Post-Processing Workflow Sanjay Jain Co-Chair, Radiology Planning.

Sept 13-15, 2004 IHE Interoperability Workshop1

Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise

Post-Processing Workflow

Sanjay Jain

Co-Chair, Radiology Planning Committee

Sept 13-15, 2004 IHE Interoperability Workshop2

IHE Radiology Integration profilesIHE Radiology Integration profiles

Patient Informa-

tion Reconci-

liation

Consistent Presentation

of Images

Scheduled Workflow

Evidence Documents

Key Image Notes

Simple Image and Numeric Reports

Presentation of Grouped Procedures

Post-Processing Workflow

Reporting Workflow

Charge Postingtriggersrequired for workflow management

required for content

Access to Radiology Information

Basic Security

Portable Data for Imaging

Sept 13-15, 2004 IHE Interoperability Workshop3

Post-processing Post-processing Workflow Workflow ObjectivesObjectives

Schedule, distribute and track post-processing workflow steps using standardized mechanisms Worklists for each task are generated and can be

queried Workitems can be performed and the resulting

status known and shared

Sept 13-15, 2004 IHE Interoperability Workshop4

MeasurementsCAD report……………………………… Store ImagesStore Images

Store SRStore SR

Storage Commitment

StorageCommitment

List of Images/SR

Post-Processing WorkflowPost-Processing Workflowwith Post-Processing Manager grouped with Image Managerwith Post-Processing Manager grouped with Image Manager

Post-ProcessingPost-ProcessingWorklistWorklist

Worklist

Workitem Claimed

PP-Performed Step Started

Workitem Completed

PP-Performed Step Completed

PP-Performed Step:

Pat Name/ID Accession #, Study UID Performed Status = Started

Post-Post-ProcessingProcessingPerformedPerformedProcedure Procedure StepStep

PP-Performed Step:

Complete List of Images/SRComplete List of Images/SR

Performed Status = Completed

Image Manager/Archive & Post Processing

Manager

OF/DSS

3-DWorkstation

Sept 13-15, 2004 IHE Interoperability Workshop5

AcquisitionModality

Post-Processing

Modality and Post-Processing StepsModality and Post-Processing Steps

ORDERA request for RadiologicalService

Radiology Department

Set of Codifiable,

Billable ActsOne or more series of images

M-Perf.Procedure

Step P1RequestedProcedure

1

ScheduledProcedure

Step B

ScheduledProcedure

Step A

Report

One or more series of images

PP-Perf.Procedure

Step P2

DICOMModality Worklist

DICOMPost-Processing Worklist

Sept 13-15, 2004 IHE Interoperability Workshop6

Actors & TransactionsActors & Transactionsadditional actor: Post-Processing Manager

transactions: Worklist Provided Workitem Claimed Workitem PPS In Progress Workitem PPS Completed Workitem Completed Performed Work Status Update Evidence Documents Stored Query Evidence Documents Retrieve Evidence Documents

Sept 13-15, 2004 IHE Interoperability Workshop7

Post-Processing Manager Post-Processing Manager GroupingGrouping

Post-Processing Manager is grouped either with Image Manager

Post-Processing Manager

IM/IA

DSS/OF

Performed Work Status Update (optional)

PWF ProfileSWF Profile

Sept 13-15, 2004 IHE Interoperability Workshop8

or with DSS/OF

Post Processing

Manager

IM/IADSS/OF

PWF Profile

SWF Profile

Performed Work Status Update

Post-Processing Manager Post-Processing Manager GroupingGrouping

Sept 13-15, 2004 IHE Interoperability Workshop10

Worklist ProvidedWorklist Provided

Evidence Creator finds out what post-processing tasks have been scheduled or assigned to it by the Post-Processing Manager

Worklist provided for workitem codes e.g. Image Processing or Computer Aided Detection.

Evidence Creator includes received information in the resulting instances

Sept 13-15, 2004 IHE Interoperability Workshop12

Patient Oriented QueryPatient Oriented Query

Worklist for a specific patient/procedure

SCU shall support all combinations of the matching keys

Patient's Name

Patient ID

Referenced Request Sequence

>Accession Number

>Requested Procedure ID

Scheduled Workitem Code Sequence>Code Value

>Coding Scheme Designator

Sept 13-15, 2004 IHE Interoperability Workshop13

StationStation Oriented Query Oriented QueryBroad worklist for a particular workstation

SCU must support all combinations of the matching keys

General Purpose Scheduled Procedure Step Status

Scheduled Station Name Code Sequence

>Code Value

>Coding Scheme Designator

Scheduled Procedure Step Start Date and TimeScheduled Workitem Code Sequence

>Code Value

>Coding Scheme Designator

Sept 13-15, 2004 IHE Interoperability Workshop14

ClassClass Oriented Query Oriented QueryBroad worklist for a particular class of workstations

SCU must support all combinations of the matching keys

General Purpose Scheduled Procedure Step Status

Scheduled Station Name Code Sequence

>Code Value

>Coding Scheme Designator

Scheduled Procedure Step Start Date and TimeScheduled Workitem Code Sequence

>Code Value

>Coding Scheme Designator

Sept 13-15, 2004 IHE Interoperability Workshop15

Input AvailabilityInput Availability

Needed in case the Post-Processing Manager is not being grouped with the Image Manger

The Post-Processing Manager uses Image Availability Query to know when images are available.

Post-Processing Manager and Evidence Creator must be able to handle workitems with PARTIAL Image Availability in a stable way.

Sept 13-15, 2004 IHE Interoperability Workshop28

More information….More information….IHE Web sites:

http://www.himss.org/IHEhttp://www.rsna.org/IHEhttp://www.acc.org/quality/ihe.htm.

Technical Frameworks:• ITI V1.0, RAD V5.5, LAB V1.0

Technical Framework Supplements - Trial Implementation• May 2004: Radiology• August 2004: Cardiology, IT Infrastructure

Non-Technical Brochures :• Calls for Participation• IHE Fact Sheet and FAQ• IHE Integration Profiles: Guidelines for Buyers• IHE Connect-a-thon Results• Vendor Products Integration Statements

Questions?

Questions?