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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?