1. Integrating the Healthcare Enterprise
What’s New in IHE: New Profiles & New Options
John Paganini
IDX Systems
Rita Noumeir Ph.D.
Softmedical

2. Year 5 Additions to IHE Technical Framework
2 New Integration Profiles
Reporting Workflow
Evidence Documents
1 New Option for Access to Radiology Information
Multiple Sources
Profile reorganization: Workflow, Content and Infrastructure

3. IHE Integration Profiles – Year 5
Patient Information Reconciliation
Scheduled Workflow
Charge Posting
Presentation of Grouped Procedures
Post-Processing Workflow
Reporting Workflow
Consistent Presentation of Images
Evidence Documents
Key Image Notes
Simple Image and Numeric Reports
Access to Radiology Information
Basic Security

4. Infrastructure Profile
Addresses departmental issues
Access to Radiology Information
Basic Security

5. Workflow Integration Profile
Patient Informa-tion Reconci-liation
Scheduled Workflow
Charge Posting
Presentation of Grouped Procedures
Post-Processing Workflow
Reporting Workflow
Manages the workflow process by providing worklists and monitoring the progress and completion of tasks

6. Content Integration Profile
describes the creation, storage, management, retrieval and general use of a particular type of content object
Consistent Presentation of Images
Evidence Documents
Key Image Notes
Simple Image and Numeric Reports

7. Evidence Documents Profile

8. Evidence Document Stored
…..
Findings:
Image Refs.:
Header:
Report Type:
OB / Gyn
BPD
...
Query / Retrieve
Storage Commitment
Evidence Document Stored

9. Evidence Documents Measurements and coded data
DICOM SR document
Created by either Acquisition Modality or Evidence Creator
Produced during acquisition or post-processing workflows
Interpreted along with the images

10. Evidence Documents Examples
Mammography CAD
Chest CAD
OB-Gyn Ultrasound Measurements
Vascular Ultrasound Measurements
Vascular Intervention Results
Echocardiography Measurements

11. Simple Image & Numeric Report Evidence Documents
…..
Findings:
Image Refs.:
Header:
Report Type:
OB / Gyn
BPD
...
…..
Findings:
Image Refs.:
Header:
Report Type:
OB / Gyn
BPD
...
Radiology Report
Impressions:
Gestational
Age
Interpretation

12. Reporting Workflow Profile

13. Reporting Workflow Mechanisms
Worklists for managing reporting tasks
Tasks include references to images and evidence documents to be interpreted
Status tracking of reporting tasks

14. Reporting Workflow Reporting tasks include: Interpretation
Interpretation and dictation
Transcription
Verification
Review
Comparison
Coding

15. Reporting Workflow with Report Manager Grouped with Image Manager
Work Item Claimed
Reporting Worklist
RIS
Issue
Reports
Store
Report
Diagnostic
……....………
Reporting
Procedure Step
STARTED
Reporting
Procedure Step
STARTED
PACS & Report Mgr
Retrieve Images
Reporting
Procedure Step
COMPLETED
Reporting
Procedure Step
COMPLETED

16. Reporting Workflow: Technical Details
Based on DICOM
General Purpose Worklist
General Purpose Scheduled Procedure Step
General Purpose Performed Procedure Step
Report Manager Actor schedules and manages reporting tasks
Report Creator Actor performs reporting tasks
Report Creator tells the Report Manager what task has been performed and suggests the next one

17. Diagnostic Reporting Use Cases
Predefined report
Direct report creation
Interpretation and dictation
Transcription
Verification
Double reading, Comparison, Review, Over read
Task deferred
Partial completion

18. Predefined report
The user chooses a report from a list of pre-configured draft reports
The results are normal
I will also verify the report

19. Task deferred The user selects the task and decides not to perform it
Put this task back on the worklist.

20. Partial Completion
The user begins the task and then decides that this task cannot be completed at this moment
Bad data quality! New acquisition is required

21. Verification
The user may need to correct the report's content by dictation
Send report back to the transcriptionist for correction

22. Access to Radiology Information Profile Multiple Sources Option

23. Multiple Sources Motivation
Information may be scattered over multiple archives
Ultrasound mini-PACS
Cardiology PACS
Another Radiology PACS
“Legacy” Archive

24. Multiple Sources Query
...
Multiple Query
Single user request
Consolidated view
of results

25. Multiple Sources Details
Queries to multiple archives are triggered by only one user request
Duplicate instances are managed and redundant retrievals are avoided
Partial results are managed

26. More Information www.rsna.org/IHE
IHE Technical Framework for Year 5 – V5.5 Final Text
Non-Technical Brochures :
IHE Primer and IHE FAQ
IHE Integration Profiles: Guidelines for Buyers
IHE Connectathon Results
IHE Integration Statements from Vendors

27. Questions? www.rsna.org/IHE
Ask your vendors:
Which IHE Profiles do they support on which systems?
Questions?