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«Integrating the Healthcare Enterprise IHE Eye Care (EYECARE) Technical Framework Volume 2 IHE EYECARE TF-2 Transactions Revision 4.0 – Final Text ...»

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Integrating the Healthcare Enterprise


Technical Framework

Volume 2



Revision 4.0 – Final Text

June 14, 2016

25 Please verify you have the most recent version of this document, which is published here.

Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions



1 Introduction

30 1.1 Introduction to IHE

1.2 Intended Audience

1.3 Overview of Technical Framework Volume 2

1.4 Comment Process

1.5 Copyright Licenses

35 1.5.1 Copyright of Base Standards

1.6 Trademark

1.7 Disclaimer Regarding Patent Rights

1.8 History of Document Changes

2 Conventions

40 2.1 The Generic IHE Transaction Model

2.2 DICOM® Usage Conventions

2.3 Use of Coded Entities and Coding Schemes

3 Framework Overview

4 IHE Transactions

45 4.1 Query Modality Worklist [EYECARE-1]

4.1.1 Scope

4.1.2 Use Case Roles

4.1.3 Referenced Standards

4.1.4 Interaction Diagram

50 4.1.5 Issuer of Patient ID

4.1.6 Imaging Procedure Instructions Option

4.2 Modality Images/Evidence Stored [EYECARE-2]

4.2.1 Scope

4.2.2 Use Case Roles

55 4.2.3 Referenced Standards

4.2.4 Interaction Diagram

4.2.5 Eye Care Image Option

4.2.6 Encapsulated PDF Option for Evidence Documents

4.2.7 Eye Care Measurements Option

60 4.2.8 Relative Image Position Coding Option

4.2.9 Stereo Relationship Option

4.2.10 Contrast Start Time Reporting in OP Images

4.2.11 Acquisition Modality Importer Actor Storage

4.3 Retrieve Images and Measurements [EYECARE-3]

65 4.3.1 Scope

4.3.2 Use Case Roles

4.3.3 Referenced Standards

4.3.4 Interaction Diagram

4.3.5 Eye Care Image Option

70 4.3.6 Relative Image Position Coding Option

4.3.7 Stereo Relationship Option


Rev. 4.0 – Final Text 2016-06-14 2 Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions ______________________________________________________________________________

4.4 Query Evidence Documents [EYECARE-4]

4.4.1 Scope

4.4.2 Use Case Roles

75 4.4.3 Referenced Standards

4.4.4 Interaction Diagram

4.4.5 DICOM Encapsulated PDF Query Attributes

4.5 Query Images, Measurements and Encapsulated Documents [EYECARE-5]................. 34 4.5.1 Scope

80 4.5.2 Use Case Roles

4.5.3 Referenced Standards

4.5.4 Interaction Diagram

4.5.5 Support Issuer of Patient ID

4.6 Modality Procedure Step Completed/Discontinued [EYECARE-6]

85 4.6.1 Scope

4.6.2 Use Case Roles

4.6.3 Referenced Standards

4.6.4 Interaction Diagram

4.7 Displayable Report Storage [EYECARE-7]

90 4.7.1 Scope

4.7.2 Use Case Roles

4.7.3 Referenced Standards

4.7.4 Interaction Diagram

4.7.5 DICOM Encapsulated Document Standard Extended Attributes

95 4.8 Query Displayable Report [EYECARE-8]

4.8.1 Scope

4.8.2 Use Case Roles

4.8.3 Referenced Standards

4.8.4 Interaction Diagram

100 4.9 Retrieve Displayable Reports [EYECARE-9]

4.9.1 Scope

4.9.2 Use Case Roles

4.9.3 Referenced Standards

4.9.4 Interaction Diagram

105 4.10 Instructions for Performing a Procedure- Placer Order Management [EYECARE-10]... 51 4.10.1 Scope

4.10.2 Use Case Roles

4.10.3 Referenced Standards

4.10.4 Interaction Diagrams

110 4.11 Instructions for Performing a Procedure- Filler Order Management [EYECARE-11].... 53 4.11.1 Scope

4.11.2 Use Case Roles

4.11.3 Referenced Standards

4.11.4 Interaction Diagrams

115 4.12 Not Currently Used

4.13 Not Currently Used


Rev. 4.0 – Final Text 2016-06-14 3 Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions ______________________________________________________________________________

4.14 Not Currently Used

4.15 Eye Care Patient Registration [EYECARE-15]

4.15.1 Scope

120 4.15.2 Use Case Roles

4.15.3 Referenced Standards

4.15.4 Interaction Diagram

4.15.5 Common HL7 Message Implementation Requirements

4.15.6 Security Considerations

125 4.16 Appointment Scheduling Management [EYECARE-16]

4.16.1 Scope

4.16.2 Use Case Roles

4.16.3 Standards Referenced

4.16.4 Interaction Diagram

130 4.16.5 Common HL7 Message Implementation Requirements

4.16.6 Security Considerations

4.17 Eye Care Charge Posted [EYECARE-17]

4.17.1 Scope

4.17.2 Use Case Roles

135 4.17.3 Referenced Standards

4.17.4 Interaction Diagram

4.18 Modality Images/Evidence Key Objects Stored [EYECARE-18]

4.18.1 Scope

4.18.2 Use Case Roles

140 4.18.3 Referenced Standards

4.18.4 Interaction Diagram

4.18.5 Eye Care Image Option

4.18.6 Radiological Studies of the Eye

4.18.7 Encapsulated PDF Option for Evidence Documents

145 4.18.8 Eye Care Measurements Option

4.18.9 Relative Image Position Coding Option

4.18.10 Stereo Relationship Option

4.18.11 Contrast Start Time Reporting in OP Images

4.18.12 Acquisition Modality Importer Actor Storage

150 4.18.13 Security Considerations

4.19 Patient Demographics Update [EYECARE-19]

4.19.1 Scope

4.19.2 Use Case Roles

4.19.3 Referenced Standards

155 4.19.4 Interaction Diagram

4.19.5 Common HL7 Message Implementation Requirements

4.19.6 Security Considerations

4.20 Merge Patient IDs [EYECARE-20]

4.20.1 Scope

160 4.20.2 Use Case Roles

4.20.3 Standards Referenced


Rev. 4.0 – Final Text 2016-06-14 4 Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions ______________________________________________________________________________

4.20.4 Interaction Diagram

4.20.5 Common HL7 Message Implementation Requirements

4.20.6 Security Considerations

165 4.21 Procedure Scheduled [EYECARE-21]

4.21.1 Scope

4.21.2 Use Case Roles

4.21.3 Referenced Standards

4.21.4 Interaction Diagram

170 4.21.5 Common HL7 Message Implementation Requirements

4.21.6 Security Considerations

4.22 Procedure Status Update [EYECARE-22]

4.22.1 Scope

4.22.2 Use Case Roles

175 4.22.3 Referenced Standards

4.22.4 Interaction Diagram


Rev. 4.0 – Final Text 2016-06-14 5 Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions ______________________________________________________________________________

1 Introduction This document, Volume 2 of the IHE Eye Care (EYECARE) Technical Framework, defines transactions used in IHE Eye Care profiles.

1.1 Introduction to IHE Integrating the Healthcare Enterprise (IHE) is an international initiative to promote the use of standards to achieve interoperability among health information technology (HIT) systems and effective use of electronic health records (EHRs). IHE provides a forum for care providers, HIT experts and other stakeholders in several clinical and operational domains to reach consensus on 195 standards-based solutions to critical interoperability issues.

The primary output of IHE is system implementation guides, called IHE Profiles. IHE publishes each profile through a well-defined process of public review and trial implementation and gathers profiles that have reached final text status into an IHE Technical Framework, of which this volume is a part.

200 For more general information regarding IHE, refer to www.ihe.net. It is strongly recommended that, prior to reading this volume, the reader familiarizes themselves with the concepts defined in the IHE Technical Frameworks General Introduction.

1.2 Intended Audience

The intended audience of IHE Technical Frameworks Volume 2 is:

• 205 IT departments of healthcare institutions

• Technical staff of vendors participating in the IHE initiative

• Experts involved in standards development

1.3 Overview of Technical Framework Volume 2

Volume 2 is comprised of several distinct sections:

• 210 Section 1 provides background and reference material.

• Section 2 presents the conventions used in this volume to define the transactions.

• Section 3 provides a simple Framework Overview.

• Section 4 defines IHE Eye Care transactions in detail, specifying the roles for each actor, the standards employed, the information exchanged, and in some cases, implementation 215 options for the transaction.

The appendices in Volume 2 provide clarification of technical details of the IHE data model and transactions. A glossary of terms and acronyms used in the IHE Technical Framework, including those from relevant standards, is provided in the IHE Technical Frameworks General Introduction. Due to the length of the document, some domains may divide Volume 2 into 220 smaller volumes labeled 2a, 2b, etc. In this case, the Volume 2 appendices are gathered in ______________________________________________________________________________

Rev. 4.0 – Final Text 2016-06-14 6 Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions ______________________________________________________________________________

Volume 2x. Code and message samples may also be stored on the IHE ftp server. In this case, explicit links to the ftp server will be provided in the transaction text.

1.4 Comment Process IHE International welcomes comments on this document and the IHE initiative. They can be 225 submitted by sending an email to the co-chairs and secretary of the Eye Care domain committees at eyecare@ihe.net.

1.5 Copyright Licenses IHE International hereby grants to each Member Organization, and to any other user of these documents, an irrevocable, worldwide, perpetual, royalty-free, nontransferable, nonexclusive, 230 non-sublicensable license under its copyrights in any IHE profiles and Technical Framework documents, as well as any additional copyrighted materials that will be owned by IHE International and will be made available for use by Member Organizations, to reproduce and distribute (in any and all print, electronic or other means of reproduction, storage or transmission) such IHE Technical Documents.

235 The licenses covered by this Copyright License are only to those copyrights owned or controlled by IHE International itself. If parts of the Technical Framework are included in products that also include materials owned or controlled by other parties, licenses to use those products are beyond the scope of this IHE document and would have to be obtained from that other party.

1.5.1 Copyright of Base Standards 240 IHE technical documents refer to and make use of a number of standards developed and published by several standards development organizations. All rights for their respective base standards are reserved by these organizations. This agreement does not supersede any copyright provisions applicable to such base standards.

Health Level Seven®1, Inc. has granted permission to IHE to reproduce tables from the HL7®2 245 standard. The HL7 tables in this document are copyrighted by Health Level Seven, Inc. All rights reserved. Material drawn from these documents is credited where used.

1.6 Trademark IHE® and the IHE logo are trademarks of the Healthcare Information Management Systems Society in the United States and trademarks of IHE Europe in the European Community. They 250 may only be used with the written consent of the IHE International Board Operations Committee, which may be given to a Member Organization in broad terms for any use that is consistent with the IHE mission and operating principles.

Health Level Seven is the registered trademark of Health Level Seven International.

HL7 is the registered trademark of Health Level Seven International.


Rev. 4.0 – Final Text 2016-06-14 7 Copyright © 2016: IHE International, Inc.

IHE Eye Care Technical Framework, Volume 2 (EYECARE TF-2): Transactions ______________________________________________________________________________

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