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

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Presentation on theme: "IHE Rad Tech IHE Radiology TF HL7 v2.5 refactoring."— Presentation transcript:

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

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

3 IHE Rad Tech ADT Actor Primary Patient Info Entry

4 IHE Rad Tech ADT Use Cases RAD-1 RAD-1 - Patient Registration 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)

5 IHE Rad Tech ADT Use Cases RAD-12 RAD-12 - Patient Update 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) Update Patient Information: A08 (Update) 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) Merge Patients: A40 (Merge)

6 IHE Rad Tech 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)

7 IHE Rad Tech Order Placer Actor Primary Order Entry

8 IHE Rad Tech 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 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)

9 IHE Rad Tech Order Filler Actor Order Fulfillment

10 IHE Rad Tech Order Filler Use Cases Rad-3 - Order Filler Management – 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 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)

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

12 IHE Rad Tech 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 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) –Includes IHE defined overloaded definitions for OBR & ZBS segments Rename RAD-13 - Procedure Updated v Add… Procedure Updated OMI (procedure updated) –Replaces IHE defined OBR & ZBS segments with HL-7 IPC & OBR segments

13 IHE Rad Tech Other HL7-based Transactions RAD-28 Structured Report Export – Current HL Impact to v2.5 refactoring – none RAD-35 Charge Posted – Current HL Impact to v2.5 refactoring – none RAD-36 Account Management – Current HL Impact to v2.5 refactoring – none RAD-48 Appointment Notification – Current HL7 2.4 Impact to v2.5 refactoring – none


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