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Radiology 2007 Update

The IHE Radiology initiative aims to improve access to clinical information, ensure data integrity, and foster communication between healthcare vendors. It has achieved significant milestones in radiology workflows and imaging content handling, and continues to expand its support for specialties. The initiative also focuses on international collaborations and deployment of cross-domain integration profiles.

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Radiology 2007 Update

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  1. Radiology2007 Update Chris Lindop , GE Healthcare Co-chair, IHE Radiology Planning Committee

  2. The IHE Initiative An Incremental Multi-Year ProjectLaunched in 1998 • Goal: • Enhance the Access to Clinical Information • Ensure Continuity and Integrity of Patient Information • Speed Up the Integration in Healthcare Environments • Fosters Communication Between Vendors ofMedical Information Technology • Prove that Integration is Attainable Based on Standards • Participants: • Representatives of Healthcare Providers • Information Systems Vendors • Imaging Systems Vendors • Standardization Groups

  3. IHE Radiology • Scope: • Radiology including Nuclear Medicine, Mammography • Vendors • Acquisition Modalities, RIS, PACS, Workstations, Displays, Printers • Established 1998 (first IHE domain) • Sponsor: RSNA • Supporters: COCIR, DRG, EAR, ECR, EuroPACS, GMSIH, JIRA, JAHIS, JRS, JSRT, METI, MEDIS-DC, SFR, SIRM

  4. IHE Radiology - Achievements • Now entering 10th year • Robust Vendor Participation at Connectathons • Over 200 IHE Integration Statements published • Over 1000 Actors in Radiology implemented • IHE Profiles appearing in User Purchasing Processes • Have addressed basic radiology workflows • Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials • Have addressed imaging content handling • Measurements, CAD Results, NM, Mammo, Presentation States, Reports, Key Image Notes • Have addressed distribution of imaging information • on CDs, to enterprise, to EHRs, keeping Audit Trails

  5. IHE Radiology – Recent Development Activities • Expand focus to integration and workflow spanning departments/enterprises/regions • XDS-I ** • Import Reconciliation Workflow ** • Expand support for specialties • NM Image Cardiology Option * • Image Fusion * • Mammography ** • International Focus - National Extensions • Spain ** • Canada ** * Carried over for Trial Implementation in 2008 ** Approved for release in Technical Framework V8.0

  6. Strategic/Deployment • Clinical deployment • Mammography Users Handbook (New for 2007) • RSNA 2007 Product Showcase (TCE) • RSNA 2007 Imaging Interoperability Demonstration (TCE & XDS-I) • HIMSS 2008 Interoperability Showcase • Strategic • Cross-domain Integration Profile Review • Adopted cross-domain extensions with CP process

  7. Connectathon Status • North American • Jan 28 – Feb 1, Chicago, IL • 70 Vendors, 136 products • Japan • 5-9 February 2007, Tokyo, Japan • 36 Vendors, 60 systems • Europe • 20-26 April 2007, Berlin , Germany • 72 Vendors, 120 products • China • November 2007, Shanghai

  8. Access to Radiology Information Audit Trail & Node Authentication – Radiology Option Portable Data for Imaging Cross-Enterprise Document Sharing for Imaging Radiology Profiles Charge Posting Patient Info. Reconciliation Scheduled Workflow - Presentation of Grouped Procedures Reporting Workflow Import Reconciliation Workflow Teaching Files & Clinical Export Post-Processing Workflow NMImage MammographyImage Image Fusion EvidenceDocument Consistent Presentation of Images KeyImageNotes Simple Image & Numeric Reports Card Option

  9. IHE Radiology – Integration Profiles Presentation & Content Consistent Presentation of Images Key Image Notes Image Fusion ** Presentation of Grouped Procedure Evidence Documents Simple Image & Numeric Reports NM Image* Mammography Image Workflow Scheduled Workflow Patient Information Reconciliation Post-Processing Workflow Reporting Workflow Import Reconciliation Workflow Infrastructure Access to Radiology Information Portable Data for Imaging Cross-Enterprise Data Sharing for Images Security: Audit Trails & Node Authentication Charge Posting Teaching Files & Clinical Trials Export * Cardiology Option – in Trial Implementation ** in Trial Implementation Publications Radiology Users Guide Mammography Users Guide

  10. Radiology – Demonstrated @ HIMSS 2008 • Scheduled Workflow – Additional Clinical Information at Modality • Order Contact information (who and how) • Pregnancy Alert • Specified Contrast Instructions • Scheduled Workflow – Assisted Protocol Option • RIS-driven Protocol selection using common protocol codes • Scheduled Workflow – Image availability Notification • Auto-verify of images from Modality to PACS and to RIS • Consistent Presentation of Images • Modality defined text annotation displayed on PACS • Portable Data for Imaging – Web Option • Image Presentation for Clinicians (Outpatient EMR) • Cross-Enterprise Document Sharing for Imaging - WADO • Image Presentation for Clinicians (Outpatient EMR)

  11. New Profile Development for 2008 • PDI – DVD/USB Option • Dose Reporting • Mammography Acquisition Workflow • Scheduled Workflow II (Volume 1 only)

  12. PACS [Media Importer] PC Browser Image Display [Media Reader] Printer [Media Reader] John Doe Portable Data for Imaging DICOM Media Creator DICOM Data DICOM Web Data(Optional) CD DVD* USB* Required to cleanup Patient ID, Acc#, etc. * New Option DICOM Web Data

  13. Dose Reporting Acquisition Modality 2 (CT) Acquisition Modality 1 (XR) Image Archive Dose Information Monitor Dose Registry Store Dose Information (XR) PerformStudy Store Dose Information (CT) . . . Query Dose Information Initiate Weekly Report Task Retrieve Dose Information Generate Weekly Reports . . . Query Dose Information Prepare Monthly Submission Retrieve Dose Information Submit Dose Information Facilitates the collection and distribution of reports detailing patient radiation exposure resulting from imaging procedures.

  14. Mammography Image

  15. Scheduled Workflow II • Scheduled Workflow Scope • Volume 1 only • PAM Adoption • Use of Current HL-7 Version (v 2.5) • Options Review • Incorporate, remove or maintain status • Actor Evaluation • Examples • MPPS Mgr – is it needed • Image Archive/Manager should they be grouped? • Transactions • Examples • Image availability Query • Profile Grouping • Incorporate PIR

  16. Timeframe Activity Scheduled Location 2007 Aug. Submit Brief Profile Proposals to Planning Committee (PC) by Aug 31 E-mail Sept. PC Selects "Short List" of Proposals Sept 4 T-Con Sept. PC Drafts Detailed Profile Proposals for "Short Listed" Proposals by Sept 14 E-mail Oct. TC Completes technical review of Detailed Proposals T-Con Oct. PC makes Final Selection of Proposals for this year Oct 24 T-Con Nov. TC Profile development kickoff meeting Nov. 5-7 Chicago 2008 Jan. TC Finalizes profile supplements for public comment Feb 4-7 Chicago Feb. Publication of Public Comment Supplements approx. Feb 27 www.ihe.net Mar. Deadline for submission of public comments on profile supplements approx. Mar 27 www.ihe.net Mar./Apr. TC reconciles public comments Mar 31-Apr 2 Chicago Apr. Publication of Trial Implementation Supplements www.ihe.net Jun. Publication of Final Text Technical Framework (if appropriate) www.ihe.net 2009 Jan. First Test implementations at Connectathon Chicago 2008 Development Schedule

  17. Participating • Vendors • Implement IHE Profiles in your products • Test your products at the IHE Connectathon • Publish IHE Integration Statements • Users • Learn about the IHE Profiles • Include specific IHE Profiles in your RFPs • IHE Process • Review Draft Profiles during Public Comment phase • Participate on Committees • Radiology Planning Committee: • Kevin O’Donnell (Toshiba) & Chris Lindop (GE Healthcare) • Radiology Technical Committee: • Cindy Levy ( Cedara) • Chris Carr (RSNA) – ihe@rsna.org

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