Import Reconciliation Workflow
Import Reconciliation Workflow (IRWF) manages importing images from CDs, hardcopy, etc. and reconciling identifiers to match local values.
Summary
Import Reconciliation Workflow Integration Profile specifies how data Importers obtain local demographics, coerce patient and procedure attribute values in the imported data and report progress/status of the importation process.
Benefits
Reduce Errors and Enhance Patient Care
- Prevents missing data from other sites because the PACS is able to import data sent on interchange media and integrate it with the patient’s record
- Prevents mismatched patient identifiers in data imported from interchange media from other institutions because the PACS reconciles this information to local values at import time
Improve Data Accessibility
- Improves access to other sites’ data—the PACS can import and reconcile patient and diagnostic information on interchange media from other institutions and clinics
Details
The Import Reconciliation Workflow Integration Profile:
- Specifies both the data and workflow requirements for importing existing DICOM Evidence Objects and importing Hardcopy from an external Enterprise.
- Provides a process to reconcile imported patient and procedure information with local patient and procedure information through the use of Worklists and Patient Demographics Query.
- Specifies critical patient demographics (e.g. Patient Name, Patient ID) and order/procedure Information (e.g. Accession Number) which is important since the local Enterprise will typically have different identifiers (for patient, orders, etc.) from the Enterprise that created the Evidence Objects or Hardcopy being imported.
- Specifies a mechanism for preserving a copy of the original values inside the imported DICOM Composite Objects when attribute values must be changed.
- Ensures that DICOM images, reports and other evidence objects associated with a particular import have been archived.
- Ensures that the status of importation workflow steps are known throughout the department by specifying the use of DICOM Performed Procedure Step to convey that status from the Evidence Creator to the RIS and the PACS.
Systems Affected
Systems which are expected to have implemented actors from this profile include:
- Enterprise-wide information systems that manage patient registration and service ordering (Hospital information system (HIS))
- Radiology departmental information systems that manage department scheduling (i.e., radiology information system (RIS))
- Radiology image management/archiving (i.e. picture and communication systems (PACS)
- Importation Workstations that manage the reading and reconciliation of the data to be imported (e.g. CDs, digitized films, cross-enterprise networks).
Actors and Transactions
Specification
Profile Status: Final Text
Documents:
IHE Radiology Technical Framework:
IHE IT Infrastructure Technical Framework:
Underlying Standards:
See Also
Related Profiles
- Scheduled Workflow Profile is the foundation upon which IRFW is based. IRFW uses the existing workflow mechanisms for notification and storage of imported Evidence Objects.
- Patient Demographics Query [PDQ] provides a mechanism to retreive local Patient Demographics for use in the Patient Information importation.
- There are a number of "content profiles" describing the details of the DICOM Objects that may be imported into the Enterprise. This includes:
- Nuclear Medicine Image [NM] specifies Nuclear Medician images and result screens.
- Mammography Image [MAMMO] specifies Mammgoraphy images and evidence objects.
- Evidence Documents [ED{ specifies how data objects such as digital measuremens.
- Key Image Note [KIN] let users flag images as significant (e.g. for referring, for surgery, etc.) and adds notes.
- Simple Image and Numberic Report [SINR] specifies Diagnostic Radiology Reports.
- Portable Data for Imaging [PDI] provides reliable interchange of image data and diagnostic reports on CDs for importing.
References
van Ooijen, P.M.A, et al, Evaluation of the Use of CD-ROM Upload into the PACS or Institutional Web Server, Journal of Digital Imaging, Vol 19, Suppl 1, 2006, pp 72-77
- Discusses experiences with a process similar to the Scheduled Import Option of IRWF.
<Replace the Template links below with links to the actual pages for the Profile>
The Profile FAQ Template answers typical questions about what the Profile does.
The Profile Purchasing Template describes considerations when purchasing equipment to deploy this Profile.
The Profile Implementation Template provides additional information about implementing this Profile in software.
This page is based on the Profile Template