Difference between revisions of "Encounter-Based Imaging Workflow"

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'''Documents:'''  
 
'''Documents:'''  
  
[http://www.ihe.net/Technical_Framework/index.cfm#radiology IHE Radiology Technical Framework:]
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[https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_EBIW.pdf IHE Encounter-based Imaging Workflow Profile]
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 1] - Section 5 (SWF Profile)
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-2.pdf Vol. 2] - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-3.pdf Vol. 3] - Appendix E
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'''Underlying Standards:'''
 
'''Underlying Standards:'''
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==See Also==
 
==See Also==
 
  
 
'''Related Profiles'''
 
'''Related Profiles'''
  
''<List profiles this one depends on, profiles that depend on this one, profiles that are synergistic with this one. Start with the name of the other profile as a link and then explain the relationship.>''
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* [[Scheduled Workflow]] [SWF.b] provides equivalent integration for order-based imaging.
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* [[Cross-enterprise Document Sharing for Imaging]] [XDS-I] can be used to share encounter-based images between sites over a network.
  
* ''[[Reporting Workflow]] [RWF] may use Evidence Documents as inputs to the reporting process.''
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This page is based on the [[Profile Overview Template]]
* ''[[Simple Image & Numeric Reports]] [SINR] may include data copied from Evidence Documents.''
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* ''[[Cross-enterprise Document Sharing for Imaging]] [XDS-I] can be used to share Evidence Documents between sites over a network.''
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* ''[[Portable Data for Imaging]] [PDI] can store Evidence Documents on media such as CDs.''
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* ''[[Import Reconciliation Workflow]] [IRWF] can fix patient ids, etc. of Evidence Documents when importing.''
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'''Consumer Information'''
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The [[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>''
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The [[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>''
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'''Implementer Information'''
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The [[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>''
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'''Reference Articles'''
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''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis).  Go ahead, Google: IHE <Profile Name> abstract  or Google: IHE <Profile Name> and under the "more" select "Scholar".  You might be surprised. >''
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[[Category:Profiles]]
 
[[Category:Profiles]]
This page is based on the [[Profile Overview Template]]
 
 
 
[[Category:RAD Profile]]
 
[[Category:RAD Profile]]
 
[[Category:DICOM]]
 
[[Category:DICOM]]
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[[Category:DICOMweb]]
 
[[Category:HL7v2]]
 
[[Category:HL7v2]]

Latest revision as of 13:14, 15 December 2020

Encounter-Based Imaging Workflow (EBIW) captures images acquired in the context of an encounter between a patient and a healthcare provider, links them with critical metadata, and notifies the EMR.

Summary

Medical imaging that is encounter-driven (e.g. during a dermatology consultation, the physician decides to capture pictures of a mole for future comparison) continues to grow significantly.

Effective use of images depends on them being well-documented and integrated into the medical record. For order-based imaging (such as a CT scan, an echo work-up, or an angiography procedure), this is handled by the use of order-driven worklists and integrated systems as described in the Scheduled Workflow Profile. Encounter-based imaging needs similar robust integration, data management, and efficient workflows. Accurate metadata is key.

Essentially, in EBIW a patient ID or visit ID is used to query for full metadata (patient demographics, admission details, etc) which are applied to the image when stored, along with procedure details (anatomy, imaging procedure type, etc), making it possible to store, manage, find, and use the images when needed. To facilitate EMR entries, a notification is sent to the EMR containing all the details needed to index the images and link them to the medical record.

EBIW Diagram POCUS.png

The same pattern applies to tablets, smartphones and digital cameras. As long as the metadata is assembled before sending the images to storage, it is flexible as to whether the query happens before or after the images are acquired, and whether the procedure metadata is collected on the device or on a separate screen.

EBIW Diagram Tablet.png

EBIW Diagram SLR.png

Benefits

Details

<A few paragraphs, if appropriate, providing more details (mostly in user-speak, not tech-speak) on what the profile does and how it works.>

<If the user might be familiar with the mechanisms used by the profile, you can mention them here. E.g. Evidence Documents is based on DICOM Structured Report (SR) Templates.>

<If the user might have an appreciation for the problems addressed in the profile, you can mention them here, but keep it short. E.g. Mapping HL7 Order fields to DICOM Modality Worklist attributes can be inconsistent in the marketplace, so Scheduled Workflow provides vendors with more detailed instructions.>

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. and for each, how it would participate.>

  • PACS systems may store, manage, and/or display Evidence Documents.
  • Display systems may query, retrieve and display Evidence Documents.
  • Reporting workstations may retrieve, process and include details from Evidence Documents in reports

Actors & Transactions:

<Insert an actor-transaction diagram, and or list of Content Definitions>

Specification

Profile Status: Trial Implementation

Documents:

IHE Encounter-based Imaging Workflow Profile


Underlying Standards:

See Also

Related Profiles

This page is based on the Profile Overview Template