IHE 2010 Webinar Series

IHE Radiology – 2010 Update

Chris Lindop, GE HealthcareIHE Radiology Committee Co-Chair

Radiology Webinar Overview• Radiology Overview Chris Lindop – Domain Overview– HL7 v 2.5 refactoring

• Trial Implementation Profiles Updates– MAWF Antje Schroeder – REM Kevin O’Donnell– XDS-I.b Kingson Ho

• Trial Implementation Profiles New– CXCAD Ellie Avraham – MIMA David Heaney

IHE Radiology Profiles

Access to Radiology Information

ConsistentPresentation

of Images

EvidenceDocument

KeyImageNotes

Simple Image & Numeric

Reports

Presentation of Grouped

Procedures

Post-Processing Workflow

Reporting Workflow

Charge Posting

Patien

t Info

. Reco

nciliatio

n

Scheduled Workflow

Portable Data for Imaging

MammographyImage

Audit Trail & Node Authentication – Radiology

Teaching Files & Clinical Export

Import Reconciliation

Workflow

NM Image

Infrastructure

Presentation & Content

Workflow

Users Guides

Radiology Departmental Workflow Mammography Workflow

IHE Radiology Deployment Priorities

• Global Deployment priority– PDI/IRWF• Globally significant for first stage toward Imaging

Exchange– SWF/PIR• Most Global Interoperability profile• Focus on value-add options• New HL7 v2.5.1 re-baseline

HL-7 v2.5.1 Baseline Refactoring

• Purpose– Enhance extensibility & re-use• Enabler for new profiles • Provide synergy with ITI PAM (Patient Encounter Option)• Provide synergy with National initiatives • Maintain base interoperability with IHE legacy Systems

• Introducing NO NEW CONTENT

HL-7 v2.5.1 Baseline Refactoring

• Details– Replaces overloaded fields– Replaces Z-segments – Replaces user-defined fields– Replaces overloaded messages– Maintain base interoperability with legacy

HL7 V2.5.1 Refactoring DetailsTransaction Legacy HL7 Refactored HL7 Notes

RAD-1 Registration ADT v2.3.1 ADT v2.5.1 Synergized with ITI PAM

RAD-2 Placer Order Mgt ORM v2.3.1 OMG v2.5.1 Legacy ORM support

RAD-3 Filler Order Mgt ORM v2.3.1 OMG v2.5.1 Legacy ORM support

RAD-4 Procedure Scheduled ORM v2.3.1 OMI v2.5.1 Legacy ORM support

RAD-12 Patient Update ADT v2.3.1 ADT v2.5.1 Synergized with ITI PAM

RAD-13 Procedure Update ORM v2.3.1 OMI v2.5.1 Legacy ORM support

RAD-38 Structured Report Export ORU v2.3.1 ORU v2.3.1 Fully compatible

RAD-35 Charge Posted DFT v2.3.1 DFT v2.5.1 Fully compatible

RAD-36 Appointment BAR v2.3.1 BAR v2.5.1 Fully compatible

RAD-48 Appointment Notification SIU v2.4 SIU v2.5.1 Fully compatible

Trial Implementation Profiles

Portable Data for Imaging

Image Fusion

Cross-Enterprise Document Sharing for Imaging.b

NM Image

Card Option

Radiation Exposure

Monitoring

Mammography Acquisition Workflow

Infrastructure

Presentation & Content

Workflow

extensions

BasicImage

Review

MR Diffusion

Image

CT/MR Perfusion Image

w/Contrast

Image Fusion

Chest XR CAD

New 2010

Multi-Image Manager/Archive New 2010

TI Considerations

• PDI Extensions – Security Option• NMI Cardiology – Display Actor• DIFF/PERF/FUSION – All Actor• BIR – Display Actor• MAWF – Order Filler• REM – Dose Information Report/Consumer• XDS-I.b – Image Document Consumer– Webservices Image Retrieve Option (RAD-69)

XDS-I.b and MIMA• XDS-I.b– Cross Enterprise Imaging– Linked Images and Reports– Integrated EHR

• MIMA– Multi Image Manager/Archive integration within

an Enterprise– DICOM ONLY (no integrated EHR or non-DICOM

linked reports

• Trial Implementation Profiles Updates– MAWF Antje Schroeder – REM Kevin O’Donnell– XDS-I.b Kingson Ho

• Trial Implementation Profiles New– CXCAD Ellie Avraham – MIMA David Heaney