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

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

3. 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

4. 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

5. 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

6. 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

7. Order Placer Actor
Primary Order Entry
IHE Rad Tech

8. 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

9. Order Filler Actor
Order Fulfillment
IHE Rad Tech

10. 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

11. RAD-4/RAD-13 What is wrong?
Current SWF
Proposed using v2.5
IHE Rad Tech

12. 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

13. Other HL7-based Transactions
RAD-28 Structured Report Export
Current HL
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