GE Healthcare

IHE Case Study: Transforming Image Distribution Hainan RegionChina

2 /GE /

ASP Pilot site In HaiNan

GE Healthcare IT ASP Services in HaiNan

•Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL

•1st phase: installed in HNPPH + two remote sites

•2nd phase: expand to more hospitals

•3rd phase: expand to HIS/LIS for rural hospitals.

HAINAN

Haikou

Sanya

3 /GE /

ASP Pilot site In HaiNan

Data Center Infrastructure

HNPPH with PACS/RIS

Remote site#1Modality + WKS

Remote site#2Modality + WKS

10M 10

M

30M

•Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL

•Workstation in hospitals

• 10M network by China Telecom

• Dell 2950 Server

• EMC Storage 3T

HAINAN

Haikou

Sanya

4 /GE /

ASP Pilot site In HaiNan

Data Center Infrastructure

HNPPH with PACS/RIS

Remote site#1Modality + WKSNo Server & Storage

Remote site#2Modality + WKSNo Server & Storage

10M 10

M

30M

•Try to No.1 PACS/RIS ASP demo site in China to show real ASP model in China and GE leadership.•Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL•1st phase: installed in HNPPH + two remote sites•2nd phase: expand to more hospitals•3rd phase: expand to HIS/LIS for rural hospitals.

HAINAN

Haikou

Sanya

5 /GE /

Current Architecture of HaiNan ASP•RIS/PACS Hosted Services operate independent with each

site

•Remote Consultant for cross-enterprise workflow

•Manual verification of image transfer with Centricity Web

•3 Independent IDN’s

•3 separate patient ID domains

•> 5% of studies require Consultancy

•Est. 15-25% Patient overlap between HNPPH and remote hospitals

•Est. 5-15% Patient overlap between remote hospitals

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Current• 2 step process• Manual verification

Next phase - Improved using IHE Scheduled Workflow• Single integrated step• Integrated Verification

IHE enabling improved departmental workflow

Modality Worklist

Images

Verify Images

Modality Worklist

Images

Storage Commitment

MPPS Complete

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Enabling Image Exchange, relevant PriorsCurrent• Patient informs hospital of relevant

priors at other hospital• Manual search for patient in other C

PACS• Manual search for relevant priors• Review prior images with other C PACS• Review current study with your C PACS

• PACS queries PIX Mgr for global patient id

• PACS queries XDS registry for relevant priors

• PACS retrieves Image manifest from XDS repository

• PACS imports relevant priors into short term storage using IHE IRWF

• Review current with priors

Patient search

Retrieve Priors

Retrieve current

Next Phase- Improved Image Exchange using IHE IRWF, XDS-I & PIX

Studies search

Remote Hospital

PIX Query

XDS Query

XDS Doc Retrieve

XDS Image Retrieve

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Consult Workflow enhanced with XDSCurrent• Patient health data is collected by RIS• RIS notifies Consultancy Server of workitem with patient

data• Remote radiologist selects workitem from Consultancy

application• Reviews current study using your server

Enhanced with XDS• Patient health data is collected by RIS• RIS creates an XDS-MS Referral & provides XDS document

to XDS Repository• RIS notifies consultancy server of workitem• Remote radiologist selects workitem from consultancy

application• Retrieves patient data and image data using XDS profiles• Reviews current study and patient data• Creates an XDS Radiology Report & provides XDS document

to XDS Repository

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Other Benefits to adopting the XDS InfrastructureScalability• XDS infrastructure is highly scalable when adding new hospitals

– New patient IDs are added to the PIX mgr – leverages a common XDS registry/repository

As the Hainan ASP project expands with more sites, the complexity will not

Extensibility• IHE has defined many common templates for patient health data,

including Lab, Referrals, Discharge Summaries, etc• IHE supports many generic health data formats as well, including CDA,

text wrapped CDA

HainNan ASP project can leverage the XSD infrastructure to add new services providing a more comprehensive view the Patient’s Health Record

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XDS/Application Services Architecture, enabling future growth in HaiNan

HiaNan ASPData Centre

DocumentDocumentRegistryRegistry

HiaNan ASP InfrastructureDocumentDocumentRepositoryRepository

PatientRegistry

IHE Based ServicesIHE Based ServicesXDS, XDS-I, PIX, PDQ, BPPCXDS, XDS-I, PIX, PDQ, BPPC

DocumentRegistry

DocumentRepository

Other HIE Other HIE InfrastructureInfrastructure

Patient Registry

IHE ServicesIHE ServicesPIX; PDQ, XDS, BPPCPIX; PDQ, XDS, BPPC

Rural HospitalServices

IHE ClientIHE ClientServicesServices

Scalability, Extensibility and adaptability – necessary for the changing needs of the region

Large Hospital Services

IHE Client IHE Client ServicesServices

ImageRepository

Application ServicesApplication ServicesRIS, PACS, HIS, LISRIS, PACS, HIS, LIS

Other ServicesRegistry

Other Services

Repository

Other HIEData Centers

RIS PACSEMR