Integrating the Healthcare Enterprise - IHE in Europe

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Image Availability Query• Allows DSS to know when acquired imageshave reached Image Archive and are readyto be interpreted• Minimizes delays in workflow• MPPS does not guarantee that images weresent to the Archive or will ever be• No notification mechanism in DICOM• Specialized Query (C-FIND) is definedIHE Integration ProfileSCHEDULED WORKFLOW60IHE – Europe WorkshopAachen – 27 January 2002
Image Availability QueryDSS/Order FillerC-FIND-RQ (with matching keys)C-FIND-RSP (matches with return keys)ImageManager• Instance UID returned in the query responsesignifies availability.• Storage Location - a system that is a holder ofimages at a particular period in time (AE Title).• Instance Availability - a period of time for images tobe moved from a storage location to be ready fordistribution (OFFLINE,NEARLINE, ONLINEIHE Integration ProfileSCHEDULED WORKFLOW61IHE – Europe WorkshopAachen – 27 January 2002
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Integrating the Healthcare Enterpri
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The Radiology WorkflowIHE Integrati
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IHE & DICOM / HL7• Standards are
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IHE System Transactions OverviewPat
Page 9 and 10: IHE = A Standards Harmonization App
Page 11 and 12: IHE Year 4 Integration ProfilesSche
Page 13 and 14: IHEActors&Transactionsin theSchedul
Page 15 and 16: • Part I - HL7HIS & RIS - Adminis
Page 17 and 18: ADT ActorADTPt Registration: 1↓
Page 19 and 20: ADT Actor (cont.)• 12 - ADT Patie
Page 21 and 22: Order Placer Actor• 2 - Placer Or
Page 23 and 24: DSS / Order Filler ActorADTPt Regis
Page 25 and 26: DSS/Order Filler Actor (Cont.)• 1
Page 27 and 28: Image Manager Actor• 4 - Procedur
Page 29 and 30: Procedure PerformanceNormal Process
Page 31 and 32: Patient UpdateAfter Order EntryADTO
Page 33 and 34: Order ReplacementBy the Order Place
Page 35 and 36: • Part II - DICOMImage Informatio
Page 37 and 38: IHE Scheduled Workflow ConceptsIHE
Page 39 and 40: Normal WorkflowTypical workflow: On
Page 41 and 42: Actors and TransactionsDepartmentSy
Page 43 and 44: MWL Actors and TransactionImage Dis
Page 45 and 46: Modality WorklistModalityC-FIND-RQ
Page 47 and 48: PPS Actors and TransactionsImage Di
Page 49 and 50: Performed Procedure StepModality or
Page 51 and 52: Images StoredIHE Integration Profil
Page 53 and 54: Images StoredModality orImageCreato
Page 55 and 56: Storage Commitment Actors and Trans
Page 57 and 58: Storage Commit. - Push ModelModalit
Page 59: Image Availability Query Actors and
Page 63 and 64: Query/Retrieve Actors and Transacti
Page 65 and 66: Study LevelAttributes NameTagIHE In
Page 67: References:Questions ?IHE Europe: h
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Integrating the Healthcare Enterprise - IHE in Europe

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