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'''Patient Information Reconciliation (PIR)''' coordinates reconciliation of the patient record when images are acquired for unidentified (e.g. trauma), or misidentified patients.
__TOC__
==Summary==
==Summary==
[[Image:rad_pir_profile_diag.jpg|right|Patient Information Reconciliation]]
PIR extends [[Scheduled Workflow]] to handle:
Patient Information Reconciliation extends Scheduled Workflow by providing the means to match images acquired for an unidentified patient (for example, during a trauma case) with the patient's registration and order history. In the example of the trauma case, this allows subsequent reconciliation of the patient record with images acquired (either without a prior registration or under a generic registration) before the patient's identity could be determined.
* unidentified/emergency patient
* demographic information updates
** patient name changes (marriage, etc.)
** correction of mistakes
** ID space mergers
 
Such changes are reliably propogated to all affected systems, which update all affected data.
The result is a complete patient record.


==Benefits==
In the example of the trauma case, images can be acquired (either without a prior registration or under a generic registration), and read and then later merged with the patients record when their identity is determined.
Enabling after-the-fact matching greatly simplifies exception-handling situations.


==Systems Affected==
[[Image:rad_pir_profile_diag.jpg|center|Patient Information Reconciliation]]
* Enterprise-wide information systems that manage patient registration and services ordering (ADT/registration system, HIS)
* Radiology departmental information systems that manage department scheduling (RIS) and image management/archiving (PACS)
* Acquisition modalities


==See Also==
==Benefits==


''<Tell a user in one sentence what the profile is about (including the acronym) so they can decide if they're on the right page (and copy this one sentence description into the [[Profiles]] page as well), e.g. Scheduled Workflow (SWF) integrates ordering, scheduling, imaging acquisition, storage and viewing for Radiology exams. >''
* Normal workflow proceeds even when the patient is unknown


}}}
* The patient record reconciles itself into a whole when the patient is identified.
__TOC__


==Summary==
* Eliminates confusion over which system should reconcile what where.
{{{2|''<Describe the profile in about a paragraph using user-oriented language.>''}}}


''<Insert a simple graphic that, at a glance, gives an impression of what the profile is about.  E.g. a graphic of a hospital, a clinic, and a lab with patient records moving between them.  Do not use an actor/transaction diagram here.>''
* Reduction of errors
** Reduces incorrectly identified or “lost” studies


''<See [[Help:Contents#Tips_.26_Tricks| Help - Tips and Tricks]] for details on inserting an image/graphic.>''
* More complete medical record
** Supports maintenance of demographics to maintain database correspondence


==Benefits==
* Flexible Trauma Workflow


''<List the key benefits the profile provides (e.g. error reduction, increased throughput) and how they come about (e.g. SWF reduces patient errors due to mistyped demographics at the modality by transfering demographics electronically from the Order Filler).>''
''<Get additional details from Radiology Handbook>''


==Details==
==Details==


''<A few paragraphs, if appropriate, providing more details (in user-speak, not tech-speak) on what the profile does and how it works.>''
''<Explain a few details about how ''
* ''the PACS is notified of demographics changes''
* ''the RIS backfills orders''
* ''the modality doesn't mess with anything''
>''


==Systems Affected==
==Systems Affected==
''<List (in user terms) the types of systems they might expect to have implemented actors from this profile, e.g. RIS, PACS, HIS, CAD Workstation, etc. >''
* Enterprise-wide information systems that manage patient registration and services ordering (ADT/registration system, HIS)
* Radiology departmental information systems that manage department scheduling (RIS) and image management/archiving (PACS)
* Acquisition modalities


'''Actors & Transactions:'''
'''Actors & Transactions:'''


''<Insert an actor-transaction diagram, and or list of Content Definitions>''
<center>[[Image:PIR-Actors.PNG]]</center>


==Specification==
==Specification==


'''Profile Status:''' [[Comments| Final Text]]   
'''Profile Status: ''' [https://wiki.ihe.net/index.php/Comments#Phases_of_Development Final Text]   
''<Replace "Final Text" with "Trial Implementation" or "Public Comment" as appropriate.>''


'''Documents:'''  
'''Documents:'''  


''<Provide direct links to the specific volumes or supplements, and list the volume sections relevant to this profile.  E.g.>''
:* [https://profiles.ihe.net/RAD/ IHE Radiology Technical Framework]
 
[http://www.ihe.net/Technical_Framework/index.cfm#radiology IHE Radiology Technical Framework:]
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 1] - Section 5 documents the profile
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 2] - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23 document specific transactions
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 3] - Appendix E provides additional informative text


'''Underlying Standards:'''
'''Underlying Standards:'''
:* ''<list standards on which this profile is based; if possible with links to sources>''
:* [http://dicom.nema.org DICOM]
:* [http://dicom.nema.org DICOM]
:* [http://www.hl7.org HL7]
:* [http://www.hl7.org HL7]
:* ...


==See Also==
==See Also==
''<The following sections can be left out if there is nothing to point to.  This is just to show where such information can go.>''


'''Related Profiles'''
'''Related Profiles'''


''<List profiles this one depends on, profiles that depend on this one, profiles that are synergistic with this one>''
* [[Scheduled Workflow]] provides the data handling framework and is a pre-requisite for PIR
* [[Patient Identifier Cross Referencing]] and [[Patient Demographics Query]] can be useful to establish the demographics to reconcile
* Systems implementing PIR are expected to operate on all relevant objects, including those created as part of Radiology Content Profiles.
* Workflow profiles in other domains were developed after PIR was written and were able to embed the transactions directly.


'''Consumer Information'''
'''Consumer Information'''


The [[{{{3|Profile FAQ Template}}}]] answers typical questions about what the Profile does. ''<Replace the link with a link to the actual FAQ page for the Profile>''
The [[Patient Information Reconciliation FAQ]] answers typical questions about what the Profile does.


The [[{{{3|Profile Purchasing Template}}}]] describes considerations when purchasing equipment to deploy this Profile. ''<Replace the link with a link to the actual Purchasing page for the Profile>''
[[Patient Information Purchasing]] describes considerations when purchasing equipment to deploy this Profile.


'''Implementer Information'''
'''Implementer Information'''


The [[{{{3|Profile Implementation Template}}}]] provides additional information about implementing this Profile in software. ''<Replace the link with a link to the actual Implementation page for the Profile>''
[[Patient Information Reconciliation Implementation]] provides additional information about implementing this Profile in software.


'''Reference Articles'''
'''Reference Articles'''


''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis) >''
''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis) >''




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[[Category:Profiles]]
[[Category:Profiles]]
[[Category:RAD Profile]]
[[Category:DICOM]]
[[Category:HL7v2]]

Latest revision as of 09:01, 26 June 2024

Patient Information Reconciliation (PIR) coordinates reconciliation of the patient record when images are acquired for unidentified (e.g. trauma), or misidentified patients.

Summary

PIR extends Scheduled Workflow to handle:

  • unidentified/emergency patient
  • demographic information updates
    • patient name changes (marriage, etc.)
    • correction of mistakes
    • ID space mergers

Such changes are reliably propogated to all affected systems, which update all affected data. The result is a complete patient record.

In the example of the trauma case, images can be acquired (either without a prior registration or under a generic registration), and read and then later merged with the patients record when their identity is determined.

Patient Information Reconciliation
Patient Information Reconciliation

Benefits

  • Normal workflow proceeds even when the patient is unknown
  • The patient record reconciles itself into a whole when the patient is identified.
  • Eliminates confusion over which system should reconcile what where.
  • Reduction of errors
    • Reduces incorrectly identified or “lost” studies
  • More complete medical record
    • Supports maintenance of demographics to maintain database correspondence
  • Flexible Trauma Workflow

<Get additional details from Radiology Handbook>

Details

<Explain a few details about how

  • the PACS is notified of demographics changes
  • the RIS backfills orders
  • the modality doesn't mess with anything

>

Systems Affected

  • Enterprise-wide information systems that manage patient registration and services ordering (ADT/registration system, HIS)
  • Radiology departmental information systems that manage department scheduling (RIS) and image management/archiving (PACS)
  • Acquisition modalities

Actors & Transactions:

Specification

Profile Status: Final Text

Documents:

Underlying Standards:

See Also

Related Profiles

  • Scheduled Workflow provides the data handling framework and is a pre-requisite for PIR
  • Patient Identifier Cross Referencing and Patient Demographics Query can be useful to establish the demographics to reconcile
  • Systems implementing PIR are expected to operate on all relevant objects, including those created as part of Radiology Content Profiles.
  • Workflow profiles in other domains were developed after PIR was written and were able to embed the transactions directly.

Consumer Information

The Patient Information Reconciliation FAQ answers typical questions about what the Profile does.

Patient Information Purchasing describes considerations when purchasing equipment to deploy this Profile.

Implementer Information

Patient Information Reconciliation Implementation provides additional information about implementing this Profile in software.

Reference Articles

<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis) >


This page is based on the Profile Template

Retrieved from "http://wiki.ihe.net/index.php?title=Patient_Information_Reconciliation&oldid=132929"