cor loef, philips medical systems implementation of ihe in a radiology department
TRANSCRIPT
Cor Loef, Cor Loef, Philips Medical SystemsPhilips Medical Systems
Implementation of IHE in a Implementation of IHE in a Radiology DepartmentRadiology Department
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA2
Content:Content:
• Objective: Objective: Integrating (part of) the Healthcare EnterpriseIntegrating (part of) the Healthcare Enterprise
• ApproachApproach• How to specify and judge vendor offeringsHow to specify and judge vendor offerings• Examples of how to use IHE in practiceExamples of how to use IHE in practice• ConclusionConclusion
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA3
The objectiveThe objective
• Integrating (part of) the Healthcare EnterpriseIntegrating (part of) the Healthcare Enterprise• Optimal support for workflowOptimal support for workflow• Integrated IT solutionsIntegrated IT solutions• Seamless information flowSeamless information flow• Enable the EPREnable the EPR
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA4
The Healthcare Information The Healthcare Information System ComplexSystem Complex
MPI
ADT
RIS
PACS
Modality
Display
HIS
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA5
The approachThe approach• Focus on Operational Workflow analysis, Focus on Operational Workflow analysis,
information flow required for applications, information flow required for applications, current situation of products and transactions, current situation of products and transactions, desired situation, gap analysis, resulting in desired situation, gap analysis, resulting in requirements for new products and upgradesrequirements for new products and upgrades
• Expectation managementExpectation management
• IHE supports this process with a common IHE supports this process with a common framework all involved parties can understand framework all involved parties can understand and commit to.and commit to.
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA6
Integration ProfilesIntegration Profiles
• IHE is not a product itself.
• Functions are grouped in a set of Integration Profiles, Actors, and Transactions. Need to map integration solution requirements on these IHE concepts.
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA7
The Product World…..The Product World…..
Poduct XYZfrom Vendor T
ADT
MPI
HIS
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA8
The IHE The IHE WWorld….orld….
IHE Actor
ActorActor
Actor
IHEIHETransactionTransactionIHEIHE
TransactionTransaction
IHEIHETransactionTransaction
IHE Actor
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA9
ADT
MPI
HIS
Mapping IHE to ProductsMapping IHE to Products
Poduct XYZfrom Vendor T
IHE Actor
ActorActor
Actor
IHEIHETransactionTransactionIHEIHE
TransactionTransaction
IHEIHETransactionTransaction
IHE Actor
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA10
Integration ProfilesIntegration Profiles
• Examples:– SWF(Scheduled WorkFlow),KIN(Key Image Note)– Consistent presentation of images
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA11
IHE IHE : : An Integration ProfileAn Integration Profile
24: Report Submission
Structured Report Export: 28
25: Report Issuing
Report Creator
26: Query Reports27: Retrieve Reports
Report Repository
Report Reader
External Report Repository Access
Report Manager
Enterprise Report Repository
A set of Actors cooperating
through TTransactionransactionss to perform a specific task
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA12
Integration profiles, the easy way to Integration profiles, the easy way to deal with transactionsdeal with transactions
• easy-to-understandeasy-to-understand, , coherent coherent functionalfunctional sets and sets and
• a a convenient wayconvenient way for users and for users and vendors to communicate vendors to communicate
• about about integration requirementsintegration requirements and and needed functionalityneeded functionality in daily life. in daily life.
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA13
IHE Integration ProfilesIHE Integration Profiles
Access to Radiology InformationConsistent access to images and reports
Consistent Presentation of Images
Hardcopy and softcopy grayscale presentation state
Key ImageNotes
Flag significant images
Simple Image and Numeric Reports
Simple reports with image links and, optionally,
measurements
Basic SecurityAudit Trail Consolidation & Node Authentication
Presentation of Grouped Procedures
Subset of a single acquisition
Post- Processing Workflow
Schedule, perform, & notify image processing
& CAD steps
Charge Posting
Collection of billable procedure details
Scheduled Workflow
Admit, order, schedule, acquire images, notify of completed steps
Patient Information Reconciliation
Unknown patients and unscheduled orders
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA14
General Integration Profile tableGeneral Integration Profile table
ActorIntegration Profile
SWF PIR CPI PGP ARI KIN SINR SEC CHG PWF
Modality
Image Creator
Image Display
Image Manager/Archive
DSS/Order Filler
ADT
Report Creator
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA15
Vendor should provideVendor should provide IHE Claims IHE Claims
ProductProduct U UVWVW supports the supports the
IHE IHE KK Actor Actor withwith thethe
IHE IHE XX and and YY Integration Profiles Integration Profiles
IHE IHE JJ ActorActor with the with the
IHE IHE TT Integration ProfileIntegration Profile
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA16
Example: PACS X, vendor YExample: PACS X, vendor YActor SWF PIR CPI PGP ARI KIN SINR SEC CHG PWF
Image Display
Image Manager/Archive
Report Creator
Secure Node
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA17
Example: PACSExample: PACS
• StandardStandard: :
– Actors: Actors: Image Manager, Image Archive, and Image Manager, Image Archive, and Image DisplayImage Display
– Integration Profiles: Scheduled Workflow and Integration Profiles: Scheduled Workflow and Patient Information ReconciliationPatient Information Reconciliation
• Display and Printing Quality:Display and Printing Quality:– Actors: Image Display and Print ComposerActors: Image Display and Print Composer– Integration Profile: Consistent Presentation of Integration Profile: Consistent Presentation of
ImagesImages
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA18
Example: PACS, part 2Example: PACS, part 2
• Modalities with Procedure grouping:Modalities with Procedure grouping:– Actors: Image ArchiveActors: Image Archive– Integration Profile: Presentation of Grouped ProceduresIntegration Profile: Presentation of Grouped Procedures
• Flagging specific images:Flagging specific images:– Actors: Image Archive and/or Image DisplayActors: Image Archive and/or Image Display– Integration Profile: Key Image NoteIntegration Profile: Key Image Note
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA19
Example: RIS UpgradeExample: RIS Upgrade
• Standard: Standard: – Actors: Actors: Order FillerOrder Filler– Integration Profiles: Scheduled Workflow and Integration Profiles: Scheduled Workflow and
Patient Information ReconciliationPatient Information Reconciliation• DICOM Structured ReportingDICOM Structured Reporting
– Actors: Report Manager, Report Repository, Actors: Report Manager, Report Repository, Report Creator and Report ReaderReport Creator and Report Reader
– Integration Profile: Simple Image and Integration Profile: Simple Image and Numerical ReportsNumerical Reports
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA20
Example: other systems:Example: other systems:- Workstations- Workstations- Modalities- Modalities- Printers- Printers- Patient Registration- Patient Registration- Order Entry- Order Entry
• Just think about Just think about ActorsActors
and and Integration ProfilesIntegration Profiles
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA21
Will IHE do it all?Will IHE do it all?A lot, but:A lot, but:• Current scope is Radiology, first important step Current scope is Radiology, first important step
towards EPRtowards EPR• Need to address performance requirementsNeed to address performance requirements• Clinical applications requiredClinical applications required• Services are neededServices are needed
– Project managementProject management– TrainingTraining– Implementation/transition managementImplementation/transition management– Operational supportOperational support
MIR 2002Implementation of IHE in a Radiology Department
HIMSS / RSNA22
ConclusionConclusion
• Using IHE Integration Profiles when writing Using IHE Integration Profiles when writing specifications will make systems integration specifications will make systems integration faster, more efficient, less expensive and faster, more efficient, less expensive and successful.successful.
• Can go for a bigbang approach, but also for a Can go for a bigbang approach, but also for a focus on a specific smaller area.focus on a specific smaller area.
• Ask your vendors about the IHE Actors and Ask your vendors about the IHE Actors and Profiles they support in their products.Profiles they support in their products.
• Success stories will be presented at the RSNASuccess stories will be presented at the RSNA