RIS and Pacs integration querys
Very thanks advance
we have doubt. let us think " we have raised the order against in
HIS , A patient is scheduled in the RIS and the modality has reterived
the worlist and the scan is in progress and the radiographer wanted to
do contrast study against the patient without taking the patient.
Whether we have to reschedule the patient or IHE standard say of doing
it anyother way.
Re: RIS and Pacs integration querys
On Mar 7, 12:02 pm, dinesh.karumat...@gmail.com wrote:[color=blue]
> Dear All
> Very thanks advance
> we have doubt. let us think " we have raised the order against in
> HIS , A patient is scheduled in the RIS and the modality has reterived
> the worlist and the scan is in progress and the radiographer wanted to
> do contrast study against the patient without taking the patient.
> Whether we have to reschedule the patient or IHE standard say of doing
> it anyother way.
> with regards
The IHE scjeduled radiology workflow profile does provide a mechanism
for a modality to report additional performed steps or performed steps
different from requested procedure/scheduled steps which were
originally ordered/requested. It is referred to the "Append Case"
under modality performed procedure step. Another case documented is an
Order Replacement by the DSS/Order Filler. Both these cases are
diagramed in a presentation by Dr Nicholaus Wirsz from the 2002 IHE
Europe Workshop here
Further details are available in the SWF Tech Framework Documentation
It should be noted, these off-normal use cases may not be fully
implemented by all the applications in an environment, even when those
vendors claim compliance to the IHE SWF profile. Thus while your
modality may support transmitting added procedure information, your
RIS/PACS may not support PPS, or may not support picking up new
procedures in the PPS and integrating them into procedure records.
Or, while the RIS/PACS might support picking the information up from
the PPS message, the modality may lack suffiicent information or
codes neccessary for the RIS or HIS to integrated the information
into their records. Consider in the Append case that you've outlined.
You're trying to avoid having to go back to the HIS or RIS to re-order
and schedule the procedure with the added information. In essence
you're asking to be able to to invoke an order update function right
on the modality console. Most modalities will happily allow you to
add a contrast series to an exam being performed. They will even
incorporate the information into the dicom image headers and include
the added information into the PPS message sent back the PPS manager
(RIS or PACS). But in most cases the modality won't have loaded the
codes that the HIS or RIS would use to index it into their database,
propagate the added information onto their worklists, and pass it on
their billing system etc. Usually the modalities have their protocols
and code sets which are independent of those used in the other systems
in place. For the end to end integration to work, not only do the
interfaces have to be in place, the modality has to have mapped its
acquisition protocols to a common codeset also used by the RIS and
HIS. The IHE Append case provides the interfaces to make it happen,
but I've yet to see it happen in a real clinical setting. Usually its
easier just reorder/reschedule in the HIS/RIS