IHE Rad Tech IHE Radiology TF HL7 v2.5 refactoring.
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Transcript of IHE Rad Tech IHE Radiology TF HL7 v2.5 refactoring.
IHE Rad Tech
IHE Radiology TFIHE Radiology TFHL7 v2.5 refactoringHL7 v2.5 refactoring
IHE Rad Tech
““HL7 Actors” in SWFHL7 Actors” in SWF
HL7 Actors: ADT/Patient
Registration Order Placer DSS / Order Filler Image Manager
1: Pt registration 12: Pt Update
Pt registration: 1 Pt Update: 12
2: Placer Order Management 3: Filler Order Management
ADT
4: Procedure Scheduled 12: Patient Update 13: Procedure Update
Image Manager
Order Placer Order Filler
IHE Rad Tech
1: Pt registration 12: Pt Update
1: Pt registration 12: Pt Update
Pt registration: 1 Pt Update: 12 2: Placer Order Management
3: Filler Order Management
ADT Master Patient Index
4: Procedure Scheduled 12: Patient Update 13: Procedure Update
Image Manager
Order Placer Order Filler
ADT ActorADT Actor
Primary Patient Info Entry
IHE Rad Tech
ADT Use Cases RAD-1ADT Use Cases RAD-1RAD-1 - Patient Registration
Admit: A01 (In Patient), A04 (Out Patient), A05 (Pre-Admit) Cancel: A11 (Cancel Admit), A38 (Cancel Pre-admit)
Replace with….
ITI-31 – Patient Encounter Management – basic subset Admit: A01 (inpatient) A04 (outpatient) Cancel: A11 (Cancel Admit)
ITI-31 Patient Encounter Management – inpatient/outpatient option
Admit: A05 (Pre-admit) Cancel: A38 (Cancel Pre-admit)
IHE Rad Tech
ADT Use Cases RAD-12ADT Use Cases RAD-12RAD-12 - Patient Update
Transfer: A02 (Patient Transfer) Update Patient Class: A03 (Discharge), A06(to Inpatient), A07 (to Outpatient) Update Patient Information: A08 (Update) Merge Patients: A40 (Merge) Cancel: A12 (Cancel Transfer), A13 (Cancel Discharge)
Replace with….
ITI-31 Patient Encounter Management – basic subset: Discharge A03 (Discharge patient) Update Patient Information: A08 (Update) Cancel A13(Cancel Discharge)
ITI-31 Patient Encounter Management – inpatient/outpatient option Update patient class: A06 (to inpatient), A07 (to outpatient), A02 (transfer) Cancel: A12 (Cancel Transfer) Merge Patients: A40 (Merge)
IHE Rad Tech
ITI-31 Patient Encounter Management ITI-31 Patient Encounter Management Use Cases – not in current SWFUse Cases – not in current SWF
Pending Event Management Option Pending: A14 (admit), A15 (transfer), A16 (discharge)
Cancel: A27 (pending admit), A26 (pending transfer), A25 (pending discharge)
Advanced Option Change : A54 (attending doctor) Leave of absence: A21(patient leave), A22 (patient return) Move: A44 (account info)
Cancel: A55 (change attending doctor), A52 (leave of absence), A53 (Return from leave of absence)
IHE Rad Tech
1: Pt registration 12: Pt Update
1: Pt registration 12: Pt Update
Pt registration: 1 Pt Update: 12 2: Placer Order Management
3: Filler Order Management
ADT Master Patient Index
4: Procedure Scheduled 12: Patient Update 13: Procedure Update
Image Manager
Order Placer Order Filler
Order Placer ActorOrder Placer Actor
Primary Order Entry
IHE Rad Tech
Order Placer Use CasesOrder Placer Use CasesRAD-2 - Placer Order Management
– Current Use Case transactions (HL-7 v2.3.1) Placer New Order: ORM/NW (New Order)
– Overloads OBR-15 specimen source with laterality Cancel: ORM/CA (Cancel Order), ORM/DC (Discontinue) Change Order
– ORM/OC (Cancel Order) + ORM/NW (New Order)
Rename….RAD-2 - Placer Order Management v.2.3.1
Add…
RAD-xx Placer Order Management Placer New Order: OMG/NW (New Order)
– leverages OBR-46 Placer Supplemental Service for laterality and other supplemental information
Cancel: OMG/CA (Cancel Order), OMG/DC (Discontinue) Change: OMG/XO (Change Order)
IHE Rad Tech
1: Pt registration 12: Pt Update
1: Pt registration 12: Pt Update
Pt registration: 1 Pt Update: 12 2: Placer Order Management
3: Filler Order Management
ADT Master Patient Index
4: Procedure Scheduled 12: Patient Update 13: Procedure Update
Image Manager
Order Placer Order Filler
Order Filler ActorOrder Filler Actor
Order Fulfillment
IHE Rad Tech
Order Filler Use CasesOrder Filler Use CasesRad-3 - Order Filler Management
– Current Use Cases (HL-7 v2.3.1) New Order: ORM/SN (New Order)
– Overloads OBR-15 specimen source with laterality Order Status: ORM/SC (Status Change) Cancel: ORM/OC (Cancel Order) Modify Order
– ORM/OC (Cancel Order) + ORM/SN (New Order)
Rename Rad-3 - Order Filler Management v.2.3.1
Add….Order Filler Management
New Order: OMG/SN (New Order)– leverages OBR-47 Placer Supplemental Service for laterality and other supplemental information
Order Status: OMG/SC (Status Change) Cancel: OMG/OC (Cancel Order) Change: OMG/XX (Change Order)
IHE Rad Tech
RAD-4/RAD-13 What is wrong?RAD-4/RAD-13 What is wrong?
Table 4.4-7. IHE Profile - ZDS Segment
SEQ LEN DT OPT TBL# ITEM#
ELEMENT NAME
1 200 RP R Z0001 Study Instance UID
Table 4.4-6: DSS mappings of the OBR Segment
Element Name Seq. Shall Contain:
Placer Field 1 OBR-18 Accession Number
Placer Field 2 OBR-19 Requested Procedure ID
Filler Field 1 OBR-20 Scheduled Procedure Step ID
Universal Service ID OBR-4 Both the Universal Service ID of the Order and a Scheduled Protocol Code of the Scheduled Procedure Step (see OBR-20).
Specimen Source OBR-15 The fifth component, Site Modifier, shall be used for the L/R indicator. The L/R value shall be appended to the Requested Procedure Description (0032,1060).
Diagnostic Service Section ID
OBR-24 DICOM Modality
Procedure Code OBR-44 Requested Procedure Code and Requested Procedure Description.
HL7 Attribute Table – IPC – Imaging Procedure Control Segment
SEQ LEN DT OPT RP/# ITEM
#
ELEMENT NAME
1 80 EI R 01330 Accession Identifier
2 22 EI R 01658 Requested Procedure ID
3 70 EI R 01659 Study Instance UID
4 22 EI R 01660 Scheduled Procedure Step ID
5 16 CE O 01661 Modality
6 250 CE O Y 01662 Protocol Code
7 22 EI O 01663 Scheduled Station Name
8 250 CE O Y 01664 Scheduled Procedure Step Location
9 16 ST O 01665 Scheduled AE Title
Current SWF Proposed using v2.5
OMImessage
used
Order EntrySystem
Imaging DepartmentInformation System
Imaging DepartmentInformation System
ImagingModality(Device)
ImagingModality(Device)
ImagingModality(Device)
Enterprise
Imaging Department
DICOM
IHE Rad Tech
RAD-4 & RAD-13 Change ProposalRAD-4 & RAD-13 Change ProposalRAD-4 - Procedure Scheduled
ORM (procedure scheduled)– Includes IHE defined overloaded definitions for OBR & ZBS segments
RenameRAD-4 - Procedure Scheduled v.2.3.1Add…Procedure Scheduled
OMI (procedure scheduled)– Replaces IHE defined OBR & ZBS segments with HL-7 IPC & OBR segments
RAD-13 - Procedure Updated ORM (procedure updated)
– Includes IHE defined overloaded definitions for OBR & ZBS segments
RenameRAD-13 - Procedure Updated v.2.3.1Add…Procedure Updated
OMI (procedure updated)– Replaces IHE defined OBR & ZBS segments with HL-7 IPC & OBR segments
IHE Rad Tech
Other HL7-based TransactionsOther HL7-based Transactions
RAD-28 Structured Report Export – Current HL7 2.3.1
Impact to v2.5 refactoring – none
RAD-35 Charge Posted– Current HL7 2.3.1
Impact to v2.5 refactoring – none
RAD-36 Account Management– Current HL7 2.3.1
Impact to v2.5 refactoring – none
RAD-48 Appointment Notification – Current HL7 2.4
Impact to v2.5 refactoring – none