Integrating the Healthcare Enterprise

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Integrating the Healthcare Enterprise

• The Radiology Workflow
• Present Future Extensions

Dr. Nikolaus Wirsz Siemens Medical Solutions
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The IHE Radiology Workflow
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IHE Technical Framework

• Objectives
• Reduce Redundancy of Data and Functions
• Enhance Data Integrity and Data Access
• Improve Data Consistency
• Close the Information Loop HIS - RIS - PACS -
  Modalities
• Functional Components
• Interactions in the Healthcare Enterprise
• Technical Framework Specification
• IHE Data Model
• IHE System Transactions Overview ( Enterprise
  Process Flow )
• IHE Actors / Roles ( Generic Functional Entities
  )
• IHE Transactions ( Interactions Between Actors )
• IHE Integration Profiles ( Solutions for
  Real-World Scenarios )

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IHE System Transactions Overview
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IHE System Transactions Overview
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IHE System Transactions Overview
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IHE A Standards Harmonization Approach
IHE Goes Beyond Standards IHE Multi-Vendor
Workflow-Driven INTEGRATION based on
established medical IT Standards
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The 2 Workflow Basics in IHE
1) Scheduled Workflow Enterprise Process Steps
Under Normal Conditions Admission /
Registration, Order Entry, Scheduling, Images
Acquisition, ... 2) Patient Information
Reconciliation Exception Handling Example Ima
ge Acquisition Completed for an Unidentified
Patient
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Scheduled Workflow
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Patient Information Reconciliation
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IHE Past Present Future( 1999 2002 ... )

• Year 1 Proof of Concept
• Basic Scheduled Workflow
• Year 2 Integration Profiles ( Solutions for
  Real-World Problems )
• Patient Information Reconciliation
• Access to Radiology Information
• Consistent Presentation of Images
• Presentation of Grouped Procedure
• Simple Image Numeric Reports
• Key Image Notes
• Year 3 Consolidation ( Catch-Up with Real
  Products ) Expansion to France

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IHE Past Present Future( 1999 2002 ... )

• Year 4 New Integration Profiles
• Post-Processing Workflow
• Charge Posting ( Billing Transactions )
• Basic Security ( Audit Trails Node
  Authentication )
• Expansion to Germany, Italy, Japan
• Year 5 Potential Integration Profiles for 2003
• Teaching Files
• Clinical Trials
• Reporting Workflow ( Interpretation Worklists )
• Desktop Integration ( HL7 CCOW )
• Expansion to UK Expansion into Other
  Domains ( Lab, Cardiology, ... )

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IHE Vision for Growth
A Multidimensional Expansion of Integration
1st Dimension Vertical Integration for
Radiology IHE Years 1, 2, 3, 4, ...
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IHE Vision for Growth
A Multidimensional Expansion of Integration
Patient Registration
ADT
Ordering Process
Master Patient Index
OrderMgt
Clinical Patient Record
. . .
DeptSched.
2nd Dimension Growing the Horizontal Healthcare
Enterprise Integration
ImageMgr
Modality
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IHE Vision for Growth
A Multidimensional Expansion of Integration
Patient Registration
Ordering Process
Master Patient Index
Clinical Patient Record
3rd Dimension Increasing the Number
of Vertically Integrated Departments
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IHE Vision for Growth
Lab/Path

Radiology



Cardiology

Int Med
ER

Endoscopy

Dental
Ophthalm

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Questions ?
ReferencesIHE Europe http//www.IHE-Europe.o
rg IHE North America http//www.rsna.org/IHE