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Under Development - April - May 2011 

Eye Care Charge Posting*

(EC-CHG)



The Eye Care Charge Posting Integration Profile describes mechanisms to transfer charge information to the clinic or enterprise Charge Processing System. is used by the Department System Scheduler/Order Filler and Charge Processor actors. that is used by the ADT Patient Registration and Charge Processor Actors. This section will correlate the activities that occur in the eye care clinic with these IHE defined transactions.


The standards used are Health Level Seven, Version 2.3.1: Chapter 6 - Financial Management and DICOM 2007 PS 3.4 Modality Performed Procedure Step SOP Class.*

 

 

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

 

 

 IHE EyeCare "Actors"

 

 

 

Charge Processor

 

It processes and combines charges in order to issue an insurance claim or patient’s billing statement.


An eye care example could be a Practice Management System.



Transactions Required

- Charge Posted

- Account Management



Options

No options defined




Department System Scheduler/Order Filler


A department-based system that provides functions related to the management of orders received from external systems or through the department system’s user interface. An eye care example of a department based system could be an Eye Care Electronic Health Record (EHR).


The Department System Scheduler/Order Filler system sends charges to the Charge Processor.


Transactions Required

- Charge Posted

- Modality Procedure Step In Progress

- Modality Procedure Step Completed


Options:

No options defined





Performed Procedure Step Manager


A system that re-distributes the Modality Performed Procedure Step information from the Acquisition Modality or Acquisition Modality Importer to the Department System Scheduler/Order Filler and Image Manager.


Transactions Required

- Charge Posted

- Modality Procedure Step In Progress

- Modality Procedure Step Completed


Options

No options defined

 

 

Acquisition Modality



A system that acquires and creates medical images while a patient is present. A modality may also create other evidence objects such as Grayscale Softcopy Presentation States for the consistent viewing of images or Evidence Documents containing measurements, etc. In eye care, modalities acquire diagnostic 1300 information such as images and/or evidence documents.


Some examples of these may include photography, topography, refractive exams, corneal and retinal topography, visual fields, etc.


The Acquisition Modality is responsible for returning performed protocol code information as part of Eye Care Workflow.



Transactions Required

- Modality Procedure Step In Progress

- Modality Procedure Step Completed



Options:

No options defined

 


Acquisition Modality Importer


A system that interfaces to a non-DICOM ready modality in order to integrate that modality into the Eye Care Workflow.


The Acquisition Modality Importer is responsible for returning performed protocol code information as part of Eye Care Workflow.


Transactions Required

Modality Procedure Step In Progress

Modality Procedure Step Completed



Options:

No options defined


 Transaction Descriptions & "What they Do"

 

 

 

Required Transaction 

 

 

Transactions are interactions between actors that transfer the required information through standards-based messages.


 

 

Charge Posted * 

The Department System Scheduler/Order Filler sends descriptions of potential procedure and material charges. [RAD-35]

 

 

Account Management * 

- The ADT Patient Registration Actor informs the Charge Processor about creation, modification and ending of the patient’s account. [RAD-36]

 

 

Modality Procedure Step In Progress * An Acquisition Modality or Acquisition Modality Importer notifies the Performed Procedure Step Manager of the start of a new Procedure Step and the PPS Manager informs the Department System Scheduler/Order Filler and Image Manager. [RAD-6]

 

 

Modality Procedure Step Completed *

An Acquisition Modality or Acquisition Modality Importer notifies the Performed Procedure Step Manager of the completion of a Procedure Step and the PPS Manager informs the Department System Scheduler/Order Filler and Image Manager. [EYECARE-6], derived from [RAD-7]


*Information obtained,interpreted from and credit is given to : IHE EyeCare Technical Framework 2010 vol 1 & 2.

See: http://ophthalmictools.com/IHETechnicalFramework2010Volume1and2.aspx