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

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Pt registration: 1 Pt Update: 12 2: Placer Order Management

3: Filler Order Management

ADT Master Patient Index


Image Manager


ADT ActorADT Actor

Primary Patient Info Entry

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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)

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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)

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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)

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Image Manager


Order Placer ActorOrder Placer Actor

Primary Order Entry

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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)

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Image Manager


Order Filler ActorOrder Filler Actor

Order Fulfillment

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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)



Enterprise

Imaging Department

DICOM

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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


RAD-36 Account Management– Current HL7 2.3.1


RAD-48 Appointment Notification – Current HL7 2.4


IHE Rad Tech IHE Radiology TF HL7 v2.5 refactoring.

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