1. IHE needs SOLE! Standardized Operational Log of Events Bradley J Erickson, MD PhD Mayo Clinic / RSNA

2. The Problem Effective and Efficient Practice Management Requires Good Business Intelligence Until SWIM, there were no standards for representing the workflow steps in medicine A consequence is that it is hard to – Combine information from different systems into 1 BI tool for 1 enterprise – Compare information from different enterprises to determine best practices

3. What is SWIM? SIIM Workflow Initiative in Medicine First effort was set of about 140 events in imaging department, about 10 states, and about 10 KPIs defined in terms of events SWIM was adopted by RadLEX and now have RadLEX IDs But, a Lexicon is not enough, just as DICOM was not enough to allow image interoperability

4. Basic Use Case Systems which perform events send messages to an event logger – Time, EventID (RadLEX), SystemID Events Consumers query Event Logger – BI tools for dashboards – WFEs for practice management

5. The Pieces vs Standards Event Creators: must use accept list of event terms (RadLEX – SWIM for medical imaging events. May expand outside imaging) Event Log: similar to ATNA Log? Event Consumers: Query mechanism that may mirror the ATNA log / REST?