Sept 13-15, 2004 IHE Interoperability Workshop1
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise...
Sept 13-15, 2004 IHE Interoperability Wo2
IHE Integration profilesIHE Integration profiles
Patient
Informa-
tion
Reconci-
...
Sept 13-15, 2004 IHE Interoperability Wo3
OverviewOverview
Context
Access Transactions
Actor Requirements
Multiple Sources...
Sept 13-15, 2004 IHE Interoperability Wo4
Access to Radiology Information ProfileAccess to Radiology Information Profile
R...
Sept 13-15, 2004 IHE Interoperability Wo5
Access to Radiology InformationAccess to Radiology Information
• Access to Infor...
Sept 13-15, 2004 IHE Interoperability Wo6
Access to Radiology InformationAccess to Radiology Information
Query and
Retriev...
Sept 13-15, 2004 IHE Interoperability Wo7
Query Retrieve of ImagesQuery Retrieve of Images
 Defines Matching keys for res...
Sept 13-15, 2004 IHE Interoperability Wo13
Access to Radiology InformationAccess to Radiology Information
The relevant Que...
Sept 13-15, 2004 IHE Interoperability Wo14
Multiple Sources OptionMultiple Sources Option
• Describes how both Image Displ...
Sept 13-15, 2004 IHE Interoperability Wo15
MotivationMotivation
• Historical tight coupling between Image Displays
and Ima...
Sept 13-15, 2004 IHE Interoperability Wo16
Actor RequirementsActor Requirements
To claim support for this profile option…
...
Sept 13-15, 2004 IHE Interoperability Wo17
Actor Requirements, cont’dActor Requirements, cont’d
To claim support for this ...
Sept 13-15, 2004 IHE Interoperability Wo19
More information….More information….
IHE Web sites:
http://www.himss.org/IHE
ht...
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Access to Radiology Information: Cor Loef

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  • <number>
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    An Image Display that implements this option supports a user that desires to view information consolidated from multiple sources. (e.g. ultrasound miniPACS, cardiology PACS, and radiology PACS).
  • <number>
    Image Displays, in particular, are typically closely associated with, and draw information from, a single Image Manager/Image Archive. An Image Display that implements this option supports a user that desires to view information consolidated from multiple sources. (e.g. ultrasound miniPACS, cardiology PACS, and radiology PACS).
    Querying multiple sources also provides an opportunity for an Image Display to access objects stored in a “legacy” archive that has been replaced by, and is possibly having its information migrated to, a new Image Manager/Image Archive.
  • <number>
    There is no requirement as to whether the multiple queries or retrieves are done concurrently or sequentially.
  • <number>
    Image Managers and Report Managers shall also support the Patient Information Reconciliation integration profile in order to ensure that the information gathered from them is as accurate as possible. Since having actors in different ADT (patient identifier) domains could result in unpredictable query results, this option assumes that all actors are members of the same ADT domain (i.e., it can be assumed that a given patient identifier uniquely refers to a single patient).
  • <number>
    An Image Display or Report Reader supporting this profile option may be configured to initially query only its local information source; however, it shall be possible to query multiple sources with a single user request.
    When an Image Display and Report Reader are combined, a single user request shall suffice to trigger a query of multiple sources for both images (and anything else stored in an Image Manager/Image Archive) and reports.
    If communication with an information source fails, an Image Display or Report Reader shall provide the information it received from the other sources. In addition, the Image Display and Report Reader shall inform the user that they are viewing potentially incomplete results.
    When an Image Display or Report Reader performs a study-level or series-level query to multiple sources and finds the study/series referenced in multiple places, the study/series is either duplicated or the study/series is split across the systems. When the user requests a retrieval of the study/series an Image Display and Report Reader shall collate the information, determine if the information is actually duplicated or split, and present to the user a consolidated view of results. The consolidated view of results may be shown and updated either as responses are received or when the final response has been received from the last responding information source.
    A participating Image Display or Report Reader shall manage duplicate instances in a manner that avoids redundant retrieval.
  • Access to Radiology Information: Cor Loef

    1. 1. Sept 13-15, 2004 IHE Interoperability Workshop1 Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise Access to Radiology Information Cor Loef Co-chair IHE Radiology Technical Committee
    2. 2. Sept 13-15, 2004 IHE Interoperability Wo2 IHE Integration profilesIHE Integration profiles Patient Informa- tion Reconci- liation Access to Radiology Information Consistent Presentation of Images Scheduled Workflow Basic Security - Evidence Documents Key Image Notes Simple Image and Numeric Reports Presentation of Grouped Procedures Post- Processing Workflow Reporting Workflow Charge Posting
    3. 3. Sept 13-15, 2004 IHE Interoperability Wo3 OverviewOverview Context Access Transactions Actor Requirements Multiple Sources Option
    4. 4. Sept 13-15, 2004 IHE Interoperability Wo4 Access to Radiology Information ProfileAccess to Radiology Information Profile Radiology Department – Images and Reports Emergency Department Referring Physician Other Departments: - Oncology - Surgery - Neurology - Pediatrics - etc. Remote Clinics Electronic Medical Record
    5. 5. Sept 13-15, 2004 IHE Interoperability Wo5 Access to Radiology InformationAccess to Radiology Information • Access to Information Generated in Radiology: • Radiological Results ( Reports ) • Radiological Images • Image Presentations ( Display Consistency, Layout, Graphics, ... ) • Key Image Notes ( Flagged Significant Images, Physician Notes ) • Providing Easy Access Throughout the Healthcare Enterprise: • Internally to Radiology, but also • From Other Departments Such As: • Cardiology • Oncology • Operating Room / Surgery • ... • Consistent Information Access: DICOM Query/Retrieve • Provides the Premises for Enabling EMR Solutions ( Electronic Medical Record )
    6. 6. Sept 13-15, 2004 IHE Interoperability Wo6 Access to Radiology InformationAccess to Radiology Information Query and Retrieve Images Image ArchiveImage Manager Image Display Report Reader Report Repository Query and Retrieve Presentation States Query and Retrieve Key Image Notes External Report Repository Query and Retrieve Reports
    7. 7. Sept 13-15, 2004 IHE Interoperability Wo7 Query Retrieve of ImagesQuery Retrieve of Images  Defines Matching keys for response filtering by Image Archive  Defines Return keys to be requested by Image Display  Defines Returned attributes by Image Archive in query responses  Defines Returned attributes required to be displayed on Image Display C-FIND-RQ (with matching and return keys)C-FIND-RQ (with matching and return keys) C-FIND-RSP (matches with return keys)C-FIND-RSP (matches with return keys) Image Display Image Archive
    8. 8. Sept 13-15, 2004 IHE Interoperability Wo13 Access to Radiology InformationAccess to Radiology Information The relevant Query Matching and Return key are required to enable an easy search for the pertinent objects in the Radiology domain Access to this Radiology information may also be achieved by means of these DICOM methods from other departments. However, it’s likely that web distribution standards will have an impact here. This IHE Integration Profile is the cost effective solution for finding the pertinent information for the patient in the Radiology domain.
    9. 9. Sept 13-15, 2004 IHE Interoperability Wo14 Multiple Sources OptionMultiple Sources Option • Describes how both Image Displays and Report Readers can query multiple information sources. • Allows user access to distributed Radiology information • This is not prohibited by current ARI definition, this option just calls out specific support for a particular feature.
    10. 10. Sept 13-15, 2004 IHE Interoperability Wo15 MotivationMotivation • Historical tight coupling between Image Displays and Image Manager/Archive • Information stored in other systems was either ignored or simply unavailable • Ultrasound mini-PACS • Cardiology PACS • Another Radiology PACS • “Legacy” Archive • …
    11. 11. Sept 13-15, 2004 IHE Interoperability Wo16 Actor RequirementsActor Requirements To claim support for this profile option…  Image Display shall be able to query and retrieve from multiple Image Manager / Image Archives.  Report Reader shall be able to query and retrieve from multiple Report Repositories.
    12. 12. Sept 13-15, 2004 IHE Interoperability Wo17 Actor Requirements, cont’dActor Requirements, cont’d To claim support for this profile option…  Image Manager and Report Manager shall support the Patient Information Reconciliation integration profile. • This profile option assumes all actors are members of the same ADT domain.
    13. 13. Sept 13-15, 2004 IHE Interoperability Wo19 More information….More information…. IHE Web sites: http://www.himss.org/IHE http://www.rsna.org/IHE http://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

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