Radiation Oncology Workflow Exchange with HIS

1. Proposed Workitem: Radiation Oncology and HIS

Proposal Editor: Sam Brain
Editor: Sam Brain
Date: N/A (Wiki keeps history)
Version: N/A (Wiki keeps history)
Domain: Radiation Oncology

2. The Problem

There are three main areas where problems arise because of lack of information exchange between the Radiation Oncology Information System (ROIS) and the Hospital Information System (HIS). These are: (1) Patient Demographics, (2) Billing, and (3) Radiation Oncology scheduling and treatment summary.

1. Patient Demographics. During the Radiation Oncology clinical process, clinical staff typically enter patient demographic data multiple times. For example: into the ROIS at the patient's initial visit to the Radiation Oncology department; at the imaging modality; at the treatment planning workstation.

This information is often read manually from patient demographics displayed by the HIS application, and then typed into the Radiation Oncology application, a time-consuming and error-prone process.

In addition, if any of the patient's information changes in the HIS (for instance, medical record number), there is no well-defined mechanism for propagating those changes to the ROIS.

2. Billing. xxx

3. Rad Onc schedule, and Treatment summary. xxx

3. Key Use Case

<Describe a short use case scenario from the user perspective. The use case should demonstrate the integration/workflow problem.>

4. Standards & Systems

Existing HL7 transactions types for ADT and Billing

5. Discussion

This use case is similar to proposal Radiation Oncology Schedule Work Flow (ROSWF) (from IHE-JRO)

<Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.>

<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>

<What are some of the risks or open issues to be addressed?>

<This is the brief proposal. Try to keep it to 1 or at most 2 pages>