Integrating the Healthcare Enterprise

Transcription

1 Integrating the Healthcare Enterprise -J -J JIRA 2004/10/7 1 -J

2 Process Users identify desired functionalities that require coordination and communication among multiple systems E.g., departmental workflow, single sign-on, cross-departmental sharing of documents and information Find and document standards-based transactions among systems to achieve desired functionality Apply necessary constraints to eliminate useless wiggle room Provide process and tools to encourage vendors to implement MESA software test tools Connectathon interoperability testing event Provide tools and education to help users acquire and integrate systems using these solutions Connectathon results and public demonstrations Integration statements RFP toolkit (soon) 2004/10/7 2 -J Participants Societies Representing Healthcare Segments RSNA, HIMSS, ACC, ACCE, Users Clinicians, Medical Staff, Administrators, CIOs, Consultants Information Systems Vendors Imaging Systems Vendors Standards Development Organizations (SDOs) HL7,, ASTM, NCCLS, OASIS, IETF, ISO 2004/10/7 3 -J

3 A Proven Standards Adoption Process Connect-a-thon Results Product Integration Statement Technical Framework Product With Easy to Integrate Products Standards Integration Integration Profiles B Profile A Connect-a-thon thon Demonstration User Site Integration Profiles at the heart of : Detailed selection of standards and options each solving a specific integration problem A growing set of effective provider/vendor agreed solutions Vendors can implement with ROI Providers can deploy with stability RFP 2004/10/7 4 -J -> -> -> : ( ) ( ) ( ) 2004/10/7 5 -J

4 2004/10/7 6 -J Detailed standards implementation guides Cardiology IT Infra Lab Radiology 2004/10/7 7 -J

5 Organization of TFs Volume 1: Integration Profiles Describes clinical need and use cases Identifies the actors and transactions Volume 2+ of Technical Framework Provides implementation specification for each transaction 2004/10/7 8 -J Radiology Integration profiles (2003), Scheduled Presentation of Grouped Procedures - Patient Information Reconciliation Post- ing Processing Charge Posting Consistent Presentation of s Evidence Documents Key Notes Simple and Numeric s Access to Radiology Information Basic Security 2004/10/7 9 -J

6 Radiology Integration Profiles (2004) Patient Info. Reconciliation Scheduled Presentation of Grouped Procedures Post- Processing - Charge Posting ing NM Consistent Presentation of s Evidence Docs Key Notes Simple & Numeric s Access to Radiology Information Portable Data for Imaging Basic Security 2004/10/7 10 -J 35. Charge Posted PPS 1. Pat. Registration 12. Pat. Update DDS / Order Filler 11. Availability Query 42. Performed Work Status Update 6. PPS In Progress 7. PPS Completed 20. Creator PPS In Progress 21. Creator PPS Completed RIS 5. Worklist Provided Print Server ADT 2. Placer Order Management 3. Filler Order Management 4. Procedure Scheduled 12. Pat. Update 13. Procedure Update Scheduled PIR, PGP, KIN 6. PPS In Progress 7. PPS Completed 20. Creator PPS In Progress 21. Creator PPS Completed 6. PPS In Progress 7. PPS Completed 20. Creator PPS In Progress 21. Creator PPS Completed 4. Procedure Scheduled 13. Procedure Update 3. Print Request with Presentation LUT 10. Storage Commitment 10. Storage Commitment Order Placer Evidence Creator Acquisition Print Composer 36. Account Management 1. Pat. Registration 12. Pat. Update 37. P-P Worklist Provided HIS 38. P-P Workitem Clamed 39. P-P Workitem Completed 40. P-P PPS In Progress 39. P-P PPS Completed ing Charge Processor Post-Processing Post-Processing Display 25. Issuing 26. Query 27. Retrieve Repository 34. Record Audit Event 32. Authenticate Node Audit Record Repository Secure Node Secure Node 28. Structured Export Enterprise Repository External Repository Access Consistent Presentation of s 2004/10/7 11 -J Reader 26. Query Transaction 27. REPORT Retrieve Radiology Actor Transaction Charge Posting Evidence Documents 14. Query s 33. Maintain Time 18. Creator Stored 15. Query Pres.State 19. Creator Pres.State Stored 16. Retrieve s Time Server 29. Key Note Stored 17. Retrieve Pres.State 30. Query Key Notes 43. Evidence Document Stored 31. Retrieve Key Notes Basic Security 44. Query Evidence Documents Archive PACS45. Retrieve Evidence Documents 8. Stored ARI Simple & 9. Pres.State Stored Numeric 29. Key Note Stored Creator 43. Evidence Document Stored 24. Submission 11. Availability Query 46. ing Worklist Provided 38. Workitem Clamed 40. Workitem PPS In Progress 41. Workitem PPS Completed 39. Workitem Completed

7 Example: Scheduled ADT (Registration) HIS patient information report Repository PACS report report Film Display Lightbox images retrieved Order Placer examination orders RIS Order Filler modality worklist acquisition in-progress completed procedure scheduled Prefetch any relevant prior studies Acquisition images stored & Archive acquisition completed images printed Film Folder Print Server 2004/10/7 12 -J SWF RIS MWM PPS HL7 HL7 Storage Storage Commitment Server Query & Retrieve Viewer Print Request r 2004/10/7 13 -J

8 SWF PPS Order Filler Aavil.Query Performed Work Status Update (o) PPS Pt.Registration Pt.Update Procedure Scheduled Procedure Update PPS ADT Placer Order Management Filler Order Management Creator PPS Evidence Creator Storage Commitment Stored Storage Commitment Archive Pt.Registration Pt.Update Stored Q/R s Order Placer Display Worklist PPS Acquisition 2004/10/7 14 -J SWF ADT Order Placer Order Filler Acquisition Register J.Doe Patient Registration SWF Patient Registration Placer Order Management Procedure Scheduled MWL Provoded MPPS In-Progress MPPS In-Progress Stored MPPS Completed MPPS Completed Storage Commitment Avail.Query Order Status Update 2004/10/7 15 -J

9 MWL Provided Transaction Patient Registration Placer Order Management Filler Order Management Procedure Scheduled PPS In-progress PPS Completed Availability Query Patient Update Procedure Update Creator PPS In-progress Creator PPS Completed Record Audit Event Charge Posted Performed Work Status Update SWF HL7 ADT HL7 ORM HL7 ORM HL7 ORM MWM MPPS MPPS Query HL7 ADT HL7 ORM MPPS MPPS syslog HL7 DFT GPPPS 2004/10/7 16 -J PIR PGP SEC CHG PWF RWF