OncologyOncologyDataData

Joseph AdamsJoseph Adams

Elizabeth AcordElizabeth Acord

Chirag PatelChirag Patel

Information ArchitectureInformation Architecture

DICOM RTDICOM RTPossible treatment stepsPossible treatment steps

Radiation TherapyR

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ISHIS

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ISC

linic

sC

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s

Start

Physician requests consult

Scheduler checks HIS schedule for

available times

Scheduler schedules

appointment in HIS

Radiation Oncologist Schedule

Consult Appt. TIme

Consult Appt. Time

MA takes vitals

Radiation Oncologist

assess patient & enters notes

Rad. Onc enters orders for CT

sim

Have Rad.Tx

Rad. not needed

Enters order for medical oncologist follow-up

Simulation Appt. (CT

scan)

Sim scheduled

Order

Nurse assess patient

Consult order

Scheduler sees orders and enters

into ES

Simulation Appt. (CT

scan)Vitals

Vitals

Nurse Assessment

Nurse Assessment

Notes

Notes Order

Radiation Therapy (page 2)

SISSIS

Sch

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Ra

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IS

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IS

HISHIS

Ra

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tion

Th

era

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Ra

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Sim. Scheduled

Rad.Therapist & Rac. Onc. perform

simulation, or “mapping & planning” Tx

Rad Onc enters order for treatment

and duration

Patient’s Tx

schedule

Patient given checkout

procedures & schedules

appt.

Tx begins

CT sim

Surgery notrequired

Scheduler looks in HIS for available

times

Surgeryrequired

Schedules surgery

Surgery time

Orders

Surgery time

Surgery time

Scheduler checks availability in HIS

and schedules treatments

Worklist

Patient’s Tx

schedule

CT sim

Create tx plan

TX plan

Tx plan

Orders

Radiation Therapy (page 3)M

ed

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IS

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ISH

ISHIS

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Tx begins

Rad. Onc. enters notes

Scheduler Schedules

weekly visits

Rad. Onc. physician visit dates

Radiation Treatment

Sch. Med. Onc. visit

Lab & Imaging

ordered in HIS

Surgery (if

needed)

Rad. Onc. physician

visitsOrders

Physician notes

Appears on scheduler worklist

WorklistResults

ResultsPhysician

notes

Radiation Therapy (page 4)M

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On

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HISHIS

Ra

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SR

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SS

ch

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gS

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Sch. Med. Onc. visit

Schedules Med. Onc. Appt.

Rad Onc enters order for Medical

Oncology follow-up post-radiation

Med. Onc. visit

Order

Enter order for additional visit

Continue Tx

Appointment

Rad. Onc & patient agree on

next step

Enter appointment

into HIS

Review results & medical chart

in HIS

Rad. Oncologist review results &medical chart

in HIS

Appointment

End

Worklist Order Worklist

IHE Simple Treatment Planning ProfileIHE Simple Treatment Planning Profile

http://wiki.ihe.net/index.php?title=Normal_Treatment_Planning-Simple

Multi-Modality Registration for Multi-Modality Registration for Radiation OncologyRadiation Oncology

http://wiki.ihe.net/index.php?title=Multimodality_Registration_for_Radiation_Oncology

Treatment Workflow Discrete Treatment Workflow Discrete TransactionsTransactions

http://wiki.ihe.net/index.php?title=RT_Treatment_Workflow

System Architecture Diagram System Architecture Diagram

Dataflow Between SystemsDataflow Between Systems

System Architecture Lays groundworkSystem Architecture Lays groundwork Interface Exchange Manager – Interface Interface Exchange Manager – Interface

EngineEngine Windows NT ServerWindows NT Server Microsoft SQL ServerMicrosoft SQL Server Internet information serverInternet information server

Dataflow Between SystemsDataflow Between Systems

Fluid Communication between clinical Fluid Communication between clinical departmentsdepartments

Integrated ComponentsIntegrated Components HL7 Custom InterfacesHL7 Custom Interfaces DICOMDICOM DICOM RTDICOM RT

Input and Output Dataflow Input and Output Dataflow

Oncology Information SystemOncology Information SystemInput Input Output to HISOutput to HIS

Imaging ModalityImaging ModalityInput from RISInput from RISOutputOutput

Virtual Stimulation ApplicationVirtual Stimulation ApplicationInput from Imaging modalityInput from Imaging modalityOutputOutput

Input and Output Dataflow Input and Output Dataflow

Treatment Planning SystemTreatment Planning SystemInput Input OutputOutput

Record and Verify SystemRecord and Verify SystemInputInputOutputOutput

ConclusionConclusion

Thanks!Thanks! Questions?Questions? Comments?Comments?