Difference between revisions of "Anatomic Pathology Workflow"

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'''Pathology Workflow (PWF)''' integrates the pathology department in the healthcare institution, and covers these specialties: surgical pathology, clinical autopsy, cytopathology.
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{| style="color: blue;"
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| '''This profile is part of the Pathology and Laboratory Medicine (PaLM) domain, which merged the former AP and LAB domains since 2016, January 4th.'''
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'''Anatomic Pathology Workflow (APW)''' integrates the pathology department in the healthcare institution, and covers these specialties: surgical pathology, clinical autopsy, cytopathology.
  
 
__TOC__
 
__TOC__
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==Summary==
 
==Summary==
  
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The Pathology Workflow Integration Profile establishes the continuity and integrity of basic pathology data acquired during examinations ordered for an identified inpatient or outpatient. This profile covers three main aspects of the workflow:
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APW establishes the continuity and integrity of basic pathology data acquired during examinations ordered for an identified inpatient or outpatient. This profile covers three main aspects of the workflow:
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* '''The ordering aspects of the workflow''' - The PWF profile specifies a number of transactions to maintain the consistency of ordering information and specimen management information.
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* '''The ordering aspects of the workflow''' - APW specifies a number of transactions to maintain the consistency of ordering information and specimen management information.
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* '''The reporting aspects of the workflow''' - The PWF profile specifies a number of transactions to create and store observations and reports outside the Pathology department and to maintain the consistency of these results.
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* '''The reporting aspects of the workflow''' - APW specifies a number of transactions to create and store observations and reports outside the Pathology department and to maintain the consistency of these results.
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* T'''he imaging aspects of the workflow''' - The PWF profile specifies a number of transactions to create and store images and to maintain the consistency of these images. Worklists for image acquisition is generated and can be queried. This Integration Profile also describes evidence creation.
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* T'''he imaging aspects of the workflow''' - APW specifies a number of transactions to create and store images and to maintain the consistency of these images. Worklists for image acquisition is generated and can be queried. This Integration Profile also describes evidence creation.
  
 
<center>[[Image:Ihe_pat_pwf_ip_last.jpg]]</center>
 
<center>[[Image:Ihe_pat_pwf_ip_last.jpg]]</center>
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'''Use cases:'''<br/>
 
'''Use cases:'''<br/>
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This profile supports 5major use cases:
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This profile supports 5 major use cases:
 
* Use case 1: Surgical pathology – Operative specimen
 
* Use case 1: Surgical pathology – Operative specimen
 
* Use case 2: Surgical pathology – Biopsies
 
* Use case 2: Surgical pathology – Biopsies
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'''Profile Status:''' [[Comments| Trial Implementation]]   
 
'''Profile Status:''' [[Comments| Trial Implementation]]   
  
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'''Documents:''' [http://www.ihe.net/Technical_Framework/index.cfm#laboratory IHE Laboratory Technical Framework:]
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'''Documents:''' [http://www.ihe.net/Technical_Framework/index.cfm#pathology IHE Pathology Technical Framework:]
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_lab_tf_rel2.pdf Vol. 1] - Section 4 (LTW profile overview)
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:* [http://www.ihe.net/Technical_Framework/upload/IHE_PAT_TF_Rev2-0_Vol1_TI_2010-07-23.pdf Vol. 1 Rev 2.0]
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_lab_tf_rel2-2.pdf Vol. 2] - Sections 4 through 8 (LTW transactions descriptions)
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:* [http://www.ihe.net/Technical_Framework/upload/IHE_PAT_TF_Rev2-0_Vol2_TI_2010-07-23.pdf Vol. 2 Rev 2.0]
 
'''Underlying Standards:'''
 
'''Underlying Standards:'''
 
:* [http://www.hl7.org HL7]
 
:* [http://www.hl7.org HL7]
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'''Related Profiles'''
 
'''Related Profiles'''
  
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* '''Integration Profiles LTW depends on'''
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* '''Integration Profiles APW depends on'''
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:* [[Patient Administration Management]] (PAM) and/or [[Patient Demographics Query]] (PDQ) provide accurate patient demographics used by LTW: An application implementing one of the Actors Order Placer, Order Result Tracker, Order Filler shall also implement the Actors Patient Demographics Consumer and Patient Encounter Consumer from either '''PAM''' or '''PDQ''' Profile or both.
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:* [[Patient Administration Management]] (PAM) provides accurate patient demographics to APW actors: An application implementing one of the Actors ''Order Placer'', ''Order Result Tracker'', ''Order Filler'' shall also implement the Actors ''Patient Demographics Consumer'' and ''Patient Encounter Consumer'' from the '''PAM''' profile.
  
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:* [[Audit_Trail_and_Node_Authentication]] (ATNA) to audit creation and access to patient data during LTW. An application implementing one of the Actors Order Placer, Order Result Tracker, Order Filler shall also implement the Actor Secure Node from  '''ATNA'''.
 
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:* [[Consistent_Time]] (CT) to ensure timestamps in LTW data and audit messages are accurate.
 
  
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* '''Integration Profiles depending upon LTW'''
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* '''Integration Profiles depending upon PWF'''
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:* [[Laboratory_Device_Automation]] (LDA) from the Laboratory Technical Framework: The Actor Automation Manager from the LDA Profile must also be an Automation Manager in the LTW Profile.
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:* [[Laboratory_Point_Of_Care_Testing]] (LPOCT) from the Laboratory Technical Framework: The Actor Order Filler from the Laboratory LPOCT Profile must also be an Order Filler in the LTW Profile.
 
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:* [[Laboratory_Barcode_Labeling]] (LBL) from the Laboratory Technical Framework: The Label Information Provider Actor of the LBL profile shall be grouped with either the Order Filler or the Order Placer from the LTW profile.
 
  
 
'''Consumer Information'''
 
'''Consumer Information'''
  
 
This page is based on the [[Profile Template]]
 
This page is based on the [[Profile Template]]
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[[Category:Profiles]]
 
[[Category:Profiles]]
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[[Category:PaLM Profile]]
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[[Category:HL7v2]]
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[[Category:DICOM]]

Latest revision as of 10:43, 8 April 2020

This profile is part of the Pathology and Laboratory Medicine (PaLM) domain, which merged the former AP and LAB domains since 2016, January 4th.

Anatomic Pathology Workflow (APW) integrates the pathology department in the healthcare institution, and covers these specialties: surgical pathology, clinical autopsy, cytopathology.


Summary

APW establishes the continuity and integrity of basic pathology data acquired during examinations ordered for an identified inpatient or outpatient. This profile covers three main aspects of the workflow:

  • The ordering aspects of the workflow - APW specifies a number of transactions to maintain the consistency of ordering information and specimen management information.
  • The reporting aspects of the workflow - APW specifies a number of transactions to create and store observations and reports outside the Pathology department and to maintain the consistency of these results.
  • The imaging aspects of the workflow - APW specifies a number of transactions to create and store images and to maintain the consistency of these images. Worklists for image acquisition is generated and can be queried. This Integration Profile also describes evidence creation.
Ihe pat pwf ip last.jpg


Benefits

Reduces Errors and Enhances Patient Care

  • Prevents manual data entry errors by ensuring that each piece of information is entered only once, by the person closest to the source of this information, and from there, made available in due time to any system who needs it.


Details

The scope of this profile includes surgical pathology, biopsies pathology, cytopathology, autopsies, and related techniques (immunohistochemistry, molecular pathology, etc).

Use cases:
This profile supports 5 major use cases:

  • Use case 1: Surgical pathology – Operative specimen
  • Use case 2: Surgical pathology – Biopsies
  • Use case 3: Cytology
  • Use case 4: Autopsy
  • Use case 5: Tissue Micro Array (more than one specimen from more than one patient per container)

This profile leverages IT Infrastructure profiles [PAM] for sharing up to date patient and encounter data, and [ATNA] and [CT] for security.

Systems Affected

Systems involved in this profile are:

  • The hospital Clinical Information System
  • The system of the pathology laboratory
  • Imaging modalities
  • Multimodalities


Actors & Transactions:

Pwf-actor-transaction.JPG


Specification

Profile Status: Trial Implementation

Documents: IHE Pathology Technical Framework:

Underlying Standards:

See Also

Related Profiles

  • Integration Profiles APW depends on
  • Patient Administration Management (PAM) provides accurate patient demographics to APW actors: An application implementing one of the Actors Order Placer, Order Result Tracker, Order Filler shall also implement the Actors Patient Demographics Consumer and Patient Encounter Consumer from the PAM profile.


  • Integration Profiles depending upon PWF


Consumer Information

This page is based on the Profile Template

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