Displayable Reports

Displayable Reports (DRPT) manages creation and distribution of “display ready” (PDF or CDA) clinical reports from the creating application, to the department, and to the enterprise.

Summary

The Displayable Reports Profile supports the creation, revision, intra/inter-department transmission, and reading of display-ready clinical reports. In the imaging procedure context, it provides linkage between the report, the imaging and other evidence of the procedure. The report is provided to actors outside the department for broad distribution (e.g., using other profiles such as XDS or RID).

The DRPT Profile requires the use of the Portable Document Format (PDF) or the HL7 Clinical Document Architecture (CDA), which are both means of encoding documents ready for presentation, including graphical content. For reporting on imaging procedures, especially on cardiac procedures, they are able to present the full range of documentation generated by a wide variety of reporting packages.

Benefits

The DRPT profile defines a consistent approach to handling report creation and management. This allows independently developed analysis applications to be used seemlessly in departmental workflow, and thus enables clinicians to purchase best of breed reporting applications.

The profile also defines a mechanism for archiving reports in the PACS. This allows leveraging the robust srchival capabilities of the PACS, as well as aggregation of the complete imaging study data (images, analyses, and reports) in a consistent format and single location. This facilitates subsequent single point access to the study for coparison or export.

Details

The most common displayable report format currently in use is PDF, which allows both textual and graphical content. In the past few years, the HL7 Clinical Document Architecture (CDA) has emerged as a consensus format for a wide variety of clinical reports (see PCC Content Profiles, especially Medical Summary). The DRPT Profiles permits the use of both of these formats.

Reports are transmitted from the Report Creator application to a Report Manager, typically a Cardiovascular or Radiology Information System (CVIS or RIS). The Report Manager is responsible for ensuring signature and release of the report. It maintains a copy of the report within the department (either in its own data store, or in the PACS), and also forwards a copy or a link to an Enterprise Report Repository. Yet another copy of the report is submitted to close out the order for the study.

Systems Affected

• Reporting applications on image display workstations create reports in a displayable format (PDF or CDA)
• CVIS/RIS systems manage the report signature cycle, storage, and distribution
• PACS systems may store, manage, and/or display the reports
• Enterprise repositories (clinical data record systems) store and manage the reports for broad institutional use
• Image display systems may query, retrieve and display reports from the PACS using DICOM
• Other clinical workstations may retrieve and display reports from the departmental data store (the PACS or the CVIS/RIS), or from the Enterprise repository using web integration techniques.

Actors & Transactions:

Specification

Profile Status: Trial Implementation

DRPT was originally issed in a 2005 Supplement to the IHE Cardiology Technical Framework. During the Trial Implementation period of June 2005 through March 2006, inconsistencies were noted between the Profile and current understandings for the use of the HL7 Standard. Indeed, finding such inconsistencies is precisely the point of the Trial Implementation period. The IHE Cardiology Technical Committee reissued the Supplement in 2007 for a further Trial Implementation period with a major revision to correct this inconsistency.

Since 2007, CDA has emerged as the pricipal format for new health report document specifications. The IHE Cardiology Technical Committee has again updated and reissued the Supplement in 2010 for a continued Trial Implementation, this time with support for CDA as well as PDF documents.

Documents:

https://www.ihe.net/uploadedFiles/Documents/Cardiology/IHE_CARD_Suppl_DRPT.pdf

Underlying Standards:

• HL7 is used for report communication from the creator, to the manager, to the enterprise repository.
• DICOMis used for the (optional) storage of the report in the PACS.

See Also

Related Profiles

• Radiology Simple Image and Numeric Report [SINR] defines a similar function, and was one basis for DRPT
• IT Infrastructure Retrieve Information for Display [RID] provides a web-integration function for clinical workstation access to reports stored in the department. This is a required adjunct to DRPT.
• IT Infrastructure Patient Administration Management [PAM] provides the mechanism to update patient demographics for the metadata associated with a stored report
• Cardiology Cardiac Imaging Report Content [CIRC] defines the content of a Cardiac Imaging Report (encoded as an HL7 CDA document) that can be created, stored and exchanged using the mechanism defined in DRPT.

This page is based on the Profile Overview Template