IHEの活動 - 日本画像医療システム工業会

jira.net.or.jp

IHEの活動 - 日本画像医療システム工業会

JIRA JIRA


IHE IHE (International) Strategic Development CommitteeSponsorCo-ChairssupervisesreportsGlobalIHE NorthAmericaIHE EuropeIHE Asia/OceaniaRegional &NationalDeploymentDelegatesIHE Planning TechnicalMedical Professionaland IndustryParticipantsGlobal Development:Radiology,IT Infrastructure,Cardiology,Lab, etc.Interoperability2


IHE IHE IHEIHEIHEIHEIntegrationProfilesB AIHEIHEIHE– – – ROI– – 19983RFP


:‣ ‣ADTOrderPlacerRegister J.DoePatientRegistration [RAD-1]One or theother methodsof creating anorder is usedDepartment SystemImageScheduler/AcquisitionManager/Order FillerPPS ManagerModalityPlacer OrderManagement –New [RAD-2]Filler OrderManagement -ScheduleNew [RAD-3]ProcedureProcedureScheduled [RAD-4]Query Modality Worklist [RAD-5]Modality ProcedureModality ProcedurePerformFiller OrderStep In ProgressStep In ProgressAcquisitionMgmt - Status[CARD-1][CARD-1]Update [RAD-3]Patient ReconciliationJ.Doe ->J.SmithFiller OrderMgmt - StatusUpdate [RAD-3]Modality ProcedureStep Completed[RAD-7]Modality ProcedureStep Completed[RAD-7]ADTPt. Registration [RAD-1] ↓Patient Update [RAD-12] ↓↓Pt. Registration [RAD-1]DSS/ Order Filler←Placer Order Management [RAD-2]→Filler Order Management [RAD-3]↓Patient Update [RAD-12]Order Placer↑Modality PS in Progress [CARD-1]↓Procedure Scheduled [RAD-4]↑Modality PS Completed [RAD-7]↓Patient Update [RAD-12]↓Procedure Updated [RAD-13]↑ Instance Availability Notification [RAD-49]Evidence←Modality PS in Progress [CARD-1]CreatorImage Display←Modality PS Completed [RAD-7]:‣ ‣ ‣ Patient Update/Merge [RAD-12]Patient Update/Merge [RAD-12]PerformedProcedureStep ManagerStorage↓Commitment[CARD-3]↓Modality Image/EvidenceStored [CARD-2]↓Query Images [RAD-14]↓Retrieve Images/Evidence [CARD-4]→Modality PS in Progress [CARD-1]→Modality PS Completed [RAD-7]ImageManagerImageArchive←Modality PS in Progress [CARD-1]←Modality PS Completed [RAD-7]←Query Modality Worklist [RAD-5]Storage↑Modality Image/EvidenceCommitment↑Stored [CARD-2][CARD-3]AcquisitionModality4


100 EHRElectronic Health Record1 Integration Profiles5 Integration ProfilesFutureDomainsIHEIT 13 Integration ProfilesPatient CareCoordination1 Integration Profile4 Integration ProfilesPatient CareDevices5


DICOM,HL7IHEPlanning Committee, TechnicalCommitteeRSNA,HIMSS20016JIRAJAHISJRSJSRTJAMIMEDISIHE-JIHE 6


•300+participants, 120+ systems•60+ systems developers•Four Domains: Cardiology, IT Infrastructure,Patient Care Coordination, Radiology•2800+ monitored test cases7


ADTOrder PlacerDSS / Order FilerAcquisition ModalityPerformed Procedure Step ManagImage Manager / Image ArchiveImage DisplayEvidence CreatorADTOrder PlacerDSS / Order FilerAcquisition ModalityImage Manager / Image ArchiveAcquisition ModalityImage Manager / Image ArchiveImage DisplayEvidence CreatorPrint ComposerPrint ServerImage Manager / Image ArchiveImage DisplayEvidence CreatorReport CreaterReport ManagerReport RepositoryReport ReaderImage Manager / Image ArchiveImage DisplayReport RepositoryReport ReaderSecure NodePortable Media CreatorPortable Media ImporterImage DisplayReport ReaderPrint ComposerImage Manager / Image ArchiveAcquisition ModalityImage Manager / Image Archive 8


IT eMPI --HISImg AcqRISPACSCISCathECGAuto MgrLISAnalyzer--Patient CareDevices--9


IT eMPIImg AcqRISPACS --HIS• • • • • CISLIS• • CathECGAuto MgrAnalyzer• • • • • • • • • 10--Patient CareDevices--


IT eMPI - Img AcqRISPACSCISCathECGAuto MgrLISAnalyzer--Patient CareDevices--• • • ECG• • 11


IT eMPI - RISCISImg AcqPACSCath• Laboratory Scheduled Workflow• Laboratory Information Reconciliation• Laboratory Point Of Care Testing• Laboratory Device Automation• Laboratory Code Set DistributionECGAuto MgrLISAnalyzer--Patient CareDevices--12


IT eMPI - HISImg AcqRISIT CIS• • • PACSIDCathECG• Cardiology• • • • • • • • Auto MgrLISAnalyzer-RadiationTherapy-Patient CareDevices-Pathology-Eye Care13


IHE-J • : : 20053• : : 20054• : : 20061• (NIRS) 2006414


16 ()


• – SWF(Scheduled Workflow)– PIR(Patient Information Reconciliation)– CPI(Consistent Presentation of Image)188– KIN(Key Image Note)– SINR(Simple Image & Numeric Report)• IT-Infrastructure– CT(Consistent Time)• – LSWF(Laboratory Scheduled Workflow)– LPIR (Laboratory Patient InformationReconciliation)17–SWF,(PIR)–SWF–SWF,(PIR)


ADTOrder PlacerOrder ResultTrackerOrder PlacerOrder PlacerPrint ComposerJLAC10JJ1017Ver.3JJ1017Ver.3Order FillerAutomationManagerJLAC10PPS ManagerDSSOrder FillerJJ1017Ver.3Image ArchiveImage ManagerReport Repository Order FillerAcquisition ModalityPrint Server18


DomainRadiologyIntegration ProfileSWF PIR CPI ARI KIN SINR SECActorVender DomainIntegration ProfileIT InfrastructureLaboratoryATNA CT LSWF LIRActorSecure NodePrint ComposerPrint ServerAudit RepositoryTime ServerTime ClientADTOrder PlacerOeder Result TrackerOrder FillerAutomation ManagerADTOrder PlacerOrder Result TrackerOrder FillerAutomation ManagerLaboratory DeviceADTOrder PlacerDSS/Order FillerAcquisition ModalityImage Manager/ArchivePPS ManagerImage DisplayEvidence CreatorADTOrder PlacerDSS/Order FillerAcquisition ModalityImage Manager/ArchivePPS ManagerReport ManagerAcquisiton ModalityImage Manager/ArchiveImage DisplayEvidence CreatorPrint ComposerPrint ServerImage Manager/ArchiveImage DisplayReport RepositoryExternal Report Repository AccessReport ReaderAcquisiton ModalityEvidence CreatorImage Manager/ArchiveImage DisplayReport ManagerReport CreatorReport RepositoryReport ReaderEnterprise Report RepositoryExternal Report Repository AccessSecure NodePrint ComposerPrint ServerVender 19


IHE-JSWFIHE TechnicalFramework Revision5.5Table3.1-1ActorTransaction2004IHE-J1.1.3OPOP1.1.5RIS1.2.21.2.520


• GSPS– LUT,Shutter,Area,Annotation,Transformation• GSDF---CPI---JIRJESRA X-0093X0093-2005(http://www.jiranet.or.jp/commission/system/04_information/files/http://www.jiranet.or.jp/commission/system/04_information/files/JESRAX-0093.pdf)– • M-LCD• M-LCD• M-LCD• M-LCD• -• 1M-LCD 22 David Clunie


http://www.jira-net.or.jp/commission/system/index.html23


IDIDWADOWebAccess to DICOMPersistent ObjectWADO30


DICOM ManifestManifestManifest Manifest ManifestManifestManifestDICOMDICOM ManifestManifestClinical ITSystem31


NAVEMRDocumentRegistryEMR32


XDSXDSPACSPACS PMS Retrieve DocumentQuery DocumentRetrieve DocumentRecord AuditMaintainEventATNATimeRecord AuditEventRegister DocumentMaintain TimeCT MaintainTimeRecord AuditEventProvide & Register Docs33XDS Affinity Domain


PDQ Affinity Domain Patient IDIDA87631M8354673993M8354673993M835467399314355L-716 L-716 A87631IDM8354673993IDAffinity DomainIDL-716XDSPIXQueryPIXQueryXDSPACSA87631PACSQuery Document (using Pt Id)ATNARetrieve DocumentRegister (using Pt ID)CT 34XDS Affinity Domain


XDS • (DICOM) XDS-I• XDS-MS (HL7 CDA/CRS+V3)•ECG (PDF+)• , , XDS (37


– XDS (Italy, France, Canada,Austria, USA, etc.)38

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