IHE Radiology TF HL7 v2.5 refactoring

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Presentation transcript:

IHE Radiology TF HL7 v2.5 refactoring IHE Rad Tech

“HL7 Actors” in SWF HL7 Actors: ADT/Patient Registration Order Placer DSS / Order Filler Image Manager IHE Rad Tech

ADT Actor Primary Patient Info Entry IHE Rad Tech Move through Actor/Transaction Slides quickly Refer to Volume I for the list of required transactions for your actor Refer to Volume II for the details of what is required for each transaction IHE Rad Tech

ADT Use Cases RAD-1 RAD-1 - Patient Registration Replace with…. 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-12 RAD-12 - Patient Update Replace with…. 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) 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) IHE Rad Tech

ITI-31 Patient Encounter Management Use 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) Out of Scope IHE Rad Tech

Order Placer Actor Primary Order Entry IHE Rad Tech

Order Placer Use Cases RAD-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

Order Filler Actor Order Fulfillment IHE Rad Tech

Order Filler Use Cases Rad-3 - Order Filler Management Rename 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? Current SWF Proposed using v2.5 IHE Rad Tech

RAD-4 & RAD-13 Change Proposal RAD-4 - Procedure Scheduled ORM (procedure scheduled) Includes IHE defined overloaded definitions for OBR & ZBS segments Rename RAD-4 - Procedure Scheduled v.2.3.1 Add… Procedure Scheduled OMI (procedure scheduled) Replaces IHE defined OBR & ZBS segments with HL-7 IPC & OBR segments RAD-13 - Procedure Updated ORM (procedure updated) RAD-13 - Procedure Updated v.2.3.1 Procedure Updated OMI (procedure updated) IHE Rad Tech

Other HL7-based Transactions RAD-28 Structured Report Export Current HL7 2.3.1 Impact to v2.5 refactoring – none RAD-35 Charge Posted RAD-36 Account Management RAD-48 Appointment Notification Current HL7 2.4 IHE Rad Tech