Difference between revisions of "Patient Information Reconciliation"
| Line 4: | Line 4: | ||
==Summary== | ==Summary== | ||
| − | PIR | + | 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. | ||
[[Image:rad_pir_profile_diag.jpg|center|Patient Information Reconciliation]] | [[Image:rad_pir_profile_diag.jpg|center|Patient Information Reconciliation]] | ||
==Benefits== | ==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== | ==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== | ==Systems Affected== | ||
| Line 34: | Line 48: | ||
* Radiology departmental information systems that manage department scheduling (RIS) and image management/archiving (PACS) | * Radiology departmental information systems that manage department scheduling (RIS) and image management/archiving (PACS) | ||
* Acquisition modalities | * Acquisition modalities | ||
| − | |||
| − | |||
'''Actors & Transactions:''' | '''Actors & Transactions:''' | ||
Revision as of 00:55, 20 March 2008
The Patient Information Reconciliation (PIR) Profile 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.
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:
IHE Radiology Technical Framework:
- Vol. 1 - Section 4 documents the profile, Appendix C discusses relavent information exchange between the Order Filler and the Image Manager, and Appendix G discusses issues of reconciliation when using XDS-I
- Vol. 2 - Sections 4.5 to 4.7, 4.11 to 4.13, 4.16, 4.26, 4.27, and Vol. 3 - Section 4.46 document specific transactions
- Vol. 2 - Appendix D provides useful information for handling Patient Identifiers during a merge of records.
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