oncology data joseph adams elizabeth acord chirag patel
TRANSCRIPT
OncologyOncologyDataData
Joseph AdamsJoseph Adams
Elizabeth AcordElizabeth Acord
Chirag PatelChirag Patel
Information ArchitectureInformation Architecture
DICOM RTDICOM RTPossible treatment stepsPossible treatment steps
Radiation TherapyR
ad
iatio
n T
he
rap
yR
ad
iatio
n T
he
rap
yH
ISHIS
Ra
dia
tio
n
IS
Ra
dia
tio
n
ISC
linic
sC
linic
s
Start
Physician requests consult
Scheduler checks HIS schedule for
available times
Scheduler schedules
appointment in HIS
Radiation Oncologist Schedule
Consult Appt. TIme
Consult Appt. Time
MA takes vitals
Radiation Oncologist
assess patient & enters notes
Rad. Onc enters orders for CT
sim
Have Rad.Tx
Rad. not needed
Enters order for medical oncologist follow-up
Simulation Appt. (CT
scan)
Sim scheduled
Order
Nurse assess patient
Consult order
Scheduler sees orders and enters
into ES
Simulation Appt. (CT
scan)Vitals
Vitals
Nurse Assessment
Nurse Assessment
Notes
Notes Order
Radiation Therapy (page 2)
SISSIS
Sch
ed
ulin
gS
che
du
ling
Ra
dia
tion
IS
Ra
dia
tion
IS
HISHIS
Ra
dia
tion
Th
era
py
Ra
dia
tion
Th
era
py
Sim. Scheduled
Rad.Therapist & Rac. Onc. perform
simulation, or “mapping & planning” Tx
Rad Onc enters order for treatment
and duration
Patient’s Tx
schedule
Patient given checkout
procedures & schedules
appt.
Tx begins
CT sim
Surgery notrequired
Scheduler looks in HIS for available
times
Surgeryrequired
Schedules surgery
Surgery time
Orders
Surgery time
Surgery time
Scheduler checks availability in HIS
and schedules treatments
Worklist
Patient’s Tx
schedule
CT sim
Create tx plan
TX plan
Tx plan
Orders
Radiation Therapy (page 3)M
ed
ica
l R
eco
rds
Me
dic
al
Re
co
rds
Ra
dia
tio
n
IS
Ra
dia
tio
n
ISH
ISHIS
Ra
dia
tio
n T
he
rap
yR
ad
iatio
n T
he
rap
y
Tx begins
Rad. Onc. enters notes
Scheduler Schedules
weekly visits
Rad. Onc. physician visit dates
Radiation Treatment
Sch. Med. Onc. visit
Lab & Imaging
ordered in HIS
Surgery (if
needed)
Rad. Onc. physician
visitsOrders
Physician notes
Appears on scheduler worklist
WorklistResults
ResultsPhysician
notes
Radiation Therapy (page 4)M
ed
ica
l O
nco
log
ist
Me
dic
al
On
co
log
ist
HISHIS
Ra
dia
tio
n I
SR
ad
iatio
n I
SS
ch
ed
ulin
gS
ch
ed
ulin
gR
ad
iatio
n
Th
era
py
Ra
dia
tio
n
Th
era
py
Sch. Med. Onc. visit
Schedules Med. Onc. Appt.
Rad Onc enters order for Medical
Oncology follow-up post-radiation
Med. Onc. visit
Order
Enter order for additional visit
Continue Tx
Appointment
Rad. Onc & patient agree on
next step
Enter appointment
into HIS
Review results & medical chart
in HIS
Rad. Oncologist review results &medical chart
in HIS
Appointment
End
Worklist Order Worklist
IHE Simple Treatment Planning ProfileIHE Simple Treatment Planning Profile
http://wiki.ihe.net/index.php?title=Normal_Treatment_Planning-Simple
Multi-Modality Registration for Multi-Modality Registration for Radiation OncologyRadiation Oncology
http://wiki.ihe.net/index.php?title=Multimodality_Registration_for_Radiation_Oncology
Treatment Workflow Discrete Treatment Workflow Discrete TransactionsTransactions
http://wiki.ihe.net/index.php?title=RT_Treatment_Workflow
System Architecture Diagram System Architecture Diagram
Dataflow Between SystemsDataflow Between Systems
System Architecture Lays groundworkSystem Architecture Lays groundwork Interface Exchange Manager – Interface Interface Exchange Manager – Interface
EngineEngine Windows NT ServerWindows NT Server Microsoft SQL ServerMicrosoft SQL Server Internet information serverInternet information server
Dataflow Between SystemsDataflow Between Systems
Fluid Communication between clinical Fluid Communication between clinical departmentsdepartments
Integrated ComponentsIntegrated Components HL7 Custom InterfacesHL7 Custom Interfaces DICOMDICOM DICOM RTDICOM RT
Input and Output Dataflow Input and Output Dataflow
Oncology Information SystemOncology Information SystemInput Input Output to HISOutput to HIS
Imaging ModalityImaging ModalityInput from RISInput from RISOutputOutput
Virtual Stimulation ApplicationVirtual Stimulation ApplicationInput from Imaging modalityInput from Imaging modalityOutputOutput
Input and Output Dataflow Input and Output Dataflow
Treatment Planning SystemTreatment Planning SystemInput Input OutputOutput
Record and Verify SystemRecord and Verify SystemInputInputOutputOutput
ConclusionConclusion
Thanks!Thanks! Questions?Questions? Comments?Comments?