Difference between revisions of "Encounter-Based Imaging Workflow"

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==Summary==
 
==Summary==
Increasingly medical imaging is done outside the context of an ordered procedure. Such "encounter-based imaging" needs robust integration, data management and workflow for the same reasons order-based imaging needed the [[Scheduled Workflow]] Profile.
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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.  
  
Essentially, 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.  A notification to the EMR contains the details needed to index the images and link them to the medical record.
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Effective use of images depends on them being well-documented and integrated into the medical record.  Accurate metadata is key.  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.
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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.
  
 
[[Image:EBIW_Diagram_POCUS.png|500px]]  
 
[[Image:EBIW_Diagram_POCUS.png|500px]]  

Revision as of 13:07, 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. Accurate metadata is key. 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.

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 Radiology Technical Framework:

  • Vol. 1 - Section 5 (SWF Profile)
  • Vol. 2 - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
  • Vol. 3 - Appendix E

Underlying Standards:

See Also

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.>


Consumer Information

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>

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>

Implementer Information

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>

Reference Articles

<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. > This page is based on the Profile Overview Template