Patient Information Reconciliation
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 augments Scheduled Workflow by providing the means to match images acquired for an unidentified patient 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.
Benefits
<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).>
Enabling after-the-fact matching greatly simplifies exception-handling situations.
<Get additional details from Radiology Handbook>
Extends Scheduled Workflow Handle unidentified/emergency patient Handle demographic information updates Changes propagated to all affected systems, affected data updated
Reduction of errors Reduces incorrectly identified or “lost” studies More complete medical record Supports maintenance of demographics to maintain database correspondence Flexible Trauma Workflow
Details
<A few paragraphs, if appropriate, providing more details (in user-speak, not tech-speak) on what the profile does and how it works.>
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
<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. >
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