IHE Radiology Integration Profiles: ▪ Post-Processing Workflow ▪ Reporting Workflow IHE...
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Transcript of IHE Radiology Integration Profiles: ▪ Post-Processing Workflow ▪ Reporting Workflow IHE...
IHE Radiology Integration Profiles:▪ Post-Processing Workflow▪ Reporting Workflow
IHE Educational Workshop – June 11-13, 2007IHE Educational Workshop – June 11-13, 2007
Nikolaus Wirsz, PhD Nikolaus Wirsz, PhD Manager IT Standards / Siemens Medical SolutionsManager IT Standards / Siemens Medical SolutionsIHE Radiology Planning CommitteeIHE Radiology Planning Committee
IHE Radiology Integration Profiles
Patient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Scheduled Workflow
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Admit, Order, Schedule
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
Billing
Teaching/Research
Contents & Display
Common Infrastructure
Workflows
IHE Radiology Integration Profiles
Patient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Scheduled Workflow
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Admit, Order, Schedule
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
Billing
Teaching/Research
Contents & Display
Common Infrastructure
Workflows
PPWF RWF
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow
• Extension to the Scheduled Workflow toSupport Typical Reporting Workflow Tasks:– Interpretation– Dictation– Transcription– Verification– Review– Comparison
• Ability to Schedule and Track the Status of Reporting Tasks
Reporting Workflow (RWF) – Summary
Reporting WorklistReporting Worklist
Work Item ClaimedWork Item Claimed
ReportingProcedure Step
STARTED
Store ReportsStore Reports
ReportManager
RIS
ImageManager/Archive
PACS & Archive
Report Reader/Creator
Retrieve Images &Retrieve Images &Evidence DocumentsEvidence Documents
MeasurementsCAD Reports…………………
Released (Completed)Released (Completed)
Reporting Workflow (RWF) – Overview
ReportingProcedure Step
COMPLETED
ReportingProcedure Step
STARTED
ReportingProcedure Step
COMPLETED
• Reporting Actors:– Reporting Manager– Report Creator / Report Reader– Report Repository
• Transactions:– Reporting Worklist Provided– Work Item Claimed – Work Item PPS In Progress– Work Item PPS Completed – Work Item Completed– Performed Work Status Update– Retrieve Images / Evidence Documents– Submit / Retrieve / Issue Reports
RWF – Actors & Transactions
• Report Manager Grouped with Image Manager
IM/IA
Report Manager
Performed Work Status Update (optional)DSS/OF
• Report Manager NOT Grouped
Report Manager
IM/IADSS/OF
• Report Manager Grouped with DSS/OF
DSS/OF
Report Manager
IM/IAPerformed Work Status Update
RWF – Report Manager Grouping
DSS/OF
Image Display
Report Creator/Report ReaderReporting Worklist Provided
Work Item Claimed
Retrieve Images
Retrieve Evidence Documents
IM/IA
Work Item PPS In Progress
Work Item PPS Completed
Work Item Completed
Images Available
Performed Work Status Update
Report Submission
RWF – Actors & Transactions
Report Manager
• Improve Reporting Workflow Efficiency –Use of Worklists to Manage Reporting Tasks
• Eliminate Errors Associated with Paper and Film Handling
• Close the Information Loop - Proper Association of Reports with:– Corresponding Order– Acquired Images– Other Clinical Evidence
• Enable direct access to images and evidence documentsto be interpreted
• Enable access to prior reports and old images
Reporting Workflow – Value Proposition
• Extension to the Scheduled Workflow to SupportTypical Post-Processing Workflow Tasks:– Image Processing– Image Reconstruction – Computer Aided Detection– 3D View Generation– Quality Control
• Ability to Schedule and Track the Status of Post-Processing Tasks
Post-Processing Workflow (PPWF) – Summary
Post-ProcessingWorklist
RetrieveImages
StoreReports Measurements
CAD Reports……....……… Archive
Images
Post-ProcessingProcedure Step
STARTED
Work Item Claimed
Post-ProcessingProcedure Step
STARTED
Image &Post-Proc.Manager
RISDepartmentalSystem SchedulerOrder Filler
Completed
Post-Processing Workflow (PPWF) – Overview
3D Workstation PACS & Archive
Post-ProcessingProcedure Step
COMPLETED
Post-ProcessingProcedure Step
COMPLETED
AcquisitionModality
Modality and Post-Processing Steps
ORDERA request for RadiologicalService
Radiology Department
Set of Codifiable,
Billable ActsOne or more series of images
M-Perf.Procedure
Step P1RequestedProcedure
1
ScheduledProcedure
Step B
ScheduledProcedure
Step A
Report
DICOMModality Worklist
DICOMPost-Processing Worklist
Post-Processing
One or more series of images
PP-Perf.Procedure
Step P2
• Additional Actor:– Post-Processing Manager
• Transactions:– Worklist Provided– Work Item Claimed – Work Item PPS In Progress– Work Item PPS Completed – Work Item Completed– Performed Work Status Update– Evidence Documents Stored– Query Evidence Documents– Retrieve Evidence Documents
PPWF – Actors & Transactions
• Post-Processing Manager Grouped with Image Manager (PACS)
Post-Processing Manager
IM/IA
DSS/OF
Performed Work Status Update (optional)
PPWF – Post-Processing Manager Grouping
• Post-Processing Manager Grouped with Departmental System Scheduler / Order Filler (RIS)
IM/IA
Performed Work Status Update
Post-Processing Manager
DSS/OF
DSS/OF
ImageDisplay
Evidence Creator
Imag
e A
vail
abil
ity
Qu
ery
Per
form
ed W
ork
Sta
tus
Up
dat
e
Worklist Provided
Work Item Claimed
Work Item PPS In Progress
Work Item PPS Completed
Work Item Completed
Retrieve Images
Query Evidence Documents
Retrieve Evidence Documents
Images Stored
Storage Commitment
Evidence Documents Stored
IM/IA
Query Images
PPWF – Actors & Transactions
Post-Processing Manager
Wrap UpPost-Processing Workflow (Multiple Steps)
with Post-Processing Manager Grouped with Image Manager
RIS PACS
Modality
DICOM MWL
DICOM Image StorageDICOM Storage CommitmentDICOM MPPS
DICOM MPPS
CAD StationPost-Processing
Station
DICOMPP-WL
DICOMPP-SPS
DICOMPP-WL
DICOMPP-SPS
DICOM PP-PPS
DICOM PP-PPS
DICOMPP-PPSDICOM
PP-PPS
DICOM Storage& Commitment
DICOMQ/R
DICOMQ/R
DICOM Storage& Commitment
• Improve Post-Processing Workflow Efficiency –Use of Worklists to Manage Post-Processing Tasks
• Eliminate Errors Associated with Paper and Film Handling
• Close the Information Loop:– Integrating Post-Processing Results with Acquired Images
– Associate Post-Processing Results with Correct Order
• Enable Sub-sequent Workflow Steps:– Initiate Reporting Workflow
– Support for Billing Based on Post-Processing Results
Post-Processing Workflow – Value Proposition
IHE Radiology Integration Profiles
Patient Information
Reconciliat
ion
Reconcile worklists,
status, and data objects for unknown
patients and demographics
changes
Access to Radiology Information - Consistent access to images and reports
Consistent Presentation
of ImagesManage, retrieve &
use objects for hardcopy and
softcopy grayscale presentation states
Key Image Notes
Create, store, manage, retrieve & use objects to flag significant
images
Simple Image and Numeric
ReportsManage simple
diagnostic reports with
optional images,
measurements
Scheduled Workflow
Presentation of Grouped ProcsManage individual procedure image subsets from a multi-procedure acquisition for
viewing & reporting
Charge Posting
Collect and post timely billable
procedure details
ITI ATNA – Radiology Option (Replaces Basic Security)
Evidence Documents
Manage, retrieve & use
objects to record study
evidence
Manage worklists, track status, perform
& notify acquisition
related step,
create, store,
manage, retrieve &
use images
NM Image
Create, store, manage,
retrieve & use NM image objects
Portable Data for Imaging - Consistent access to images and reports on CD Media
Admit, Order, Schedule
Teaching Files & Clinical
Trials Export
Standardize Clinical Trial Data
and Anonymization
XDS for Imaging - Sharing of Imaging Information across health enterprises
Billing
Teaching/Research
Contents & Display
Common Infrastructure
Workflows
PPWF RWF
Reporting Workflow
Manage worklists, track status, perform
& notify diagnostic
reporting steps
Manage worklists, track status, perform & notify image processing & CAD steps
Post-Processing Workflow