Radiology 2007 Update Chris Lindop GE Healthcare

Radiology 2007 Update Chris Lindop , GE Healthcare Co-chair, IHE Radiology Planning Committee 3/20/2018 1

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

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

IHE Radiology - Achievements Now entering 10 th year Ø Ø 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 Ø Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials Have addressed imaging content handling Ø Measurements, CAD Results, NM, Mammo, Presentation States, Reports, Key Image Notes Have addressed distribution of imaging information Ø on CDs, to enterprise, to EHRs, keeping Audit Trails 4

IHE Radiology – Recent Development Activities Expand focus to integration and workflow spanning departments/enterprises/regions Ø XDS-I ** Ø Import Reconciliation Workflow ** Expand support for specialties Ø Ø Ø NM Image Cardiology Option * Image Fusion * Mammography ** International Focus - National Extensions Ø Spain ** Ø Canada ** * Carried over for Trial Implementation in 2008 ** Approved for release in Technical Framework V 8. 0 5

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

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

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

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

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

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

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

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

Mammography Image 14

Scheduled Workflow II Scheduled Workflow Scope Ø Ø Volume 1 only PAM Adoption Use of Current HL-7 Version (v 2. 5) Options Review • Incorporate, remove or maintain status Ø Actor Evaluation • Examples – MPPS Mgr – is it needed – Image Archive/Manager should they be grouped? Ø Transactions • Examples – Image availability Query Ø Profile Grouping • Incorporate PIR 15

2008 Development Schedule 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 Oct. PC makes Final Selection of Proposals for this year Oct 24 T-Con Nov. TC Profile development kickoff meeting Nov. 5 -7 Chicago T-Con 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 16

Participating Vendors Ø Ø Ø Implement IHE Profiles in your products Test your products at the IHE Connectathon Publish IHE Integration Statements Users Ø Learn about the IHE Profiles Ø Include specific IHE Profiles in your RFPs IHE Process Ø Review Draft Profiles during Public Comment phase Ø 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 17

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