aravind gundurao philips healthcare april 09, 2008
TRANSCRIPT
Aravind GunduRaoPhilips Healthcare
April 09, 2008
Implementing a Unified DICOM Broker for Cardiology – An Experience
2Philips Healthcare, Apr 09, 2008
Agenda
Dynamics in Echo and Cath Workflow
Xcelera Connect Unified Broker
Implementing DICOM MWL & MPPS
Using MWL and MPPS in a Multi-Modality Cath Lab
Realizing DICOM compliant Hemodynamic modality
Challenges faced during deployment
Summary
3Philips Healthcare, Apr 09, 2008
Dynamics in Echo Workflow
Finalize Report• Review serial studies & stress• Measurements & calculations• Score wall motion• Record clinical finding codes
Transfer exams & measurements
to PACS
Automatically transfer demographics & MRN
Perform Exam• Acquire, review, select & edit images
• Perform measurements
& calculations• Export to PACS (Xcelera)
Demographics& Schedule info to
Modalities
Check in Patient
• Receive ADT from HIS
• Order a Study
Inbound HL7
• Finalized Echo reports• Clinical data to Repository• Finding codes to HIS
Outbound HL7
4Philips Healthcare, Apr 09, 2008
Dynamics in Cath Workflow
Control room Cardiologist’s office
• Add images to report
• Create clinical report
Control room
• View previous Cath lab reports
• Procedure logging• Enter technical
details
Cath Lab front desk
• Make worklist for Cath lab rooms
• Enter pre-procedure details
5Philips Healthcare, Apr 09, 2008
Xcelera Connect Unified Broker
EPRLaptop com puter
Laptop com puter
Laptop com puter
CV HemoUS EchoUS Vascular
Archive
DICOM
DICOM Modalities
Xcelera Workstations
Xcelera
HIS
HL7
CVIS
HL7
HL7
Prop
Order MgmtResult Mgmt
Patient MgmtFinancial Mgmt
Clinical History
Xcelera Connect
MR
6Philips Healthcare, Apr 09, 2008
Modality Worklist
Xcelera Connect
DICOM MWL
(Cath/Echo Orders)
HL7
Schedule/Update Study
CVIS
(Echo Orders)
Appointment System
Patient Update
Schedule/Update Study
Xcelera
PACSHL7
Sonos
Non DICOM Modality
SCP
US CV
DICOM Modality
Prepare exam/patient Perform Exam(s)
Demographics
HIS
SCU
HL7
7Philips Healthcare, Apr 09, 2008
Modality Performed Procedure Step
Xcelera Connect
DICOM MPPS
CVIS
HL7
USCV
DICOM Modality
Examination ResultsForward Examination Results
HL7 Compliant
CVIS
DICOM Compliant
Forward MPPS
Xcelera
PACS
DICOM
SCP
SCU
8Philips Healthcare, Apr 09, 2008
Multi Modality Cath Lab
IVUS CV
Xcelera Connect
DICOM
DICOM Modality
Prepare exam/patient Perform Exam(s)
Xcelera CLM
CVIS
PACS
Schedule Study / Update Study
HL7
Hemo
Procedure starts on a modality
PPS Status
Issue MWL Query / Send
MPPS
MR
9Philips Healthcare, Apr 09, 2008
DICOM Compliant Hemo Modality
Xcelera Connect
CVIS
Hemo
DICOM MWLSCU SCP
DICOM MPPS
SCU SCP
10Philips Healthcare, Apr 09, 2008
Challenges in Deploying the Broker• Migration from the pre-existing broker at the hospital to the
new interface engine without affecting the modality topology • Custom requirements at the hospital site
– Custom query– Worklist filtering
• Diagnosing the field issues• DICOM to HL7 Mapping and Vice-Versa
11Philips Healthcare, Apr 09, 2008
Summary• It is possible to integrate the DICOM needs of
Echocardiography workflow and Cardiac Catheterization workflow
• This solution can be extended to other departments with in cardiology domain, say Electrophysiology department, to have a unified DICOM broker for Cardiology department
• Interoperability, Enterprise brokering and Customization will be the challenge moving ahead