Rad Tech Minutes 2017-10-31 to 2017-11-03
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Location
- RSNA
- 820 Jorie Blvd.
- Oak Brook, IL 60523
Meeting Directory
Topics
- A. Rad TF Maintenance 2017-18 - Effort: 40% - Automatically Selected (~11 hours)
- B. Import and Display of External Priors-_Proposal - Effort: 40% - presented by Teri Sippel Schmidt and David Koff, MD (~11 hours)
- C. Encounter Based Imaging Workflow - Proposal - Effort: 25% presented by Kevin O'Donnell (7 hours)
Tuesday, October 31, 2017 Minutes
(Number in parentheses is cumulative total hours for week)
Tuesday, Oct 31, 2017: 8:15 am - 5:30 pm CST
- 08:15-08:30: Welcome , Agenda Review
- Introductions
- Wim Corbijn, Philips
- Kinson Ho, Change Healthcare
- Elliot Silver, Change Healthcare
- Rob Horn, Agfa
- Hamid Neshat, Agfa
- Teri Sippel Schmidt, Toshiba/Vital Images
- Alex Goel, Cancer Care Ontario
- David Kwan, Cancer Care Ontario
- Steve Winnett, Carestream Health
- Michael Bohl, Radiology Group
- Antje Schroeder, Siemens Healthineers
- Yasunari Shiokawa, IHE-J/Toshiba
- Jason Nagels, HDIRS
- Kevin O'Donnell, Toshiba
- Andrei Leontiev, Visage Imaging
- Ken Meyer, Merge Healthcare
- Emmanuel Everett, GE
- Charles Parisot, GE
- David Clunie, PixelMed
- Lynn Felhofer, IHE Radiology Technical Project Manager
- Chris Carr, RSNA
- Nichole Drye-Mayo, RSNA
- Guest
- Dan Kayhart, Marshfield Clinic Health System
- Introductions
- Agenda approved
- Roster Review of IHE member organizations and voting rights
- Patent Disclosure Announcement
- Patent disclosure should say "might" instead of would (request for change needs to be given to the IHE International Board)
- Patent disclosure given by company
- 08:30-10:30: Import and Display of External Priors (2)
- Focused discussion on review of the wiki proposal and sequence diagram
- 10:30-12:00: Encounter-based Imaging Workflow (1.5)
- Committee agreed the use case focus is point of care ultrasound. App or camera issues will be submitted as a work item next year.
- 12:00-13:00: Lunch
- 13:00-15:00: Technical Framework Maintenance - Identify CPs to focus on this week, CP Ballot Review (2)
- CP Ballot Resolutions can be found by clicking on comments.
- CP-RAD-375: Clarify De-identification Method Documentation Requirements
- Still outstanding
- CP-RAD-376: Correct Presentation State tags to match DICOM names
- Approved.
- CP-RAD-377: Fix to Appendix E for RAD-4 Accession Number
- Approved.
- CP-RAD-381: Update Codes for Biopsy Target Sequence
- Approved.
- CP-RAD-383: SOLE – updates for consistent terminology and alignment of table contents
- Approved.
- CP-RAD-386: SOLE fix to object event, location, and patient encoding
- Approved.
- CP-RAD-387: RAD-124 is a POST (not PUT)
- Approved.
- CP-RAD-388: Align Actor-Config audit event with DICOM Part 15
- Approved.
- CP-RAD-389: Mandate Study and Series level query support for Image Display
- Approved.
- CP-RAD-390: Put back critical note on Referenced Study Sequence in MWL
- Approved.
- 15:00-17:30: Import and Display of External Priors (4)
Wednesday, Nov 1, 2017 Minutes
Wednesday, November 1, 2017: 8:15 am - 5:45 pm CST
- 08:25-08:30: Welcome, Agenda Review
- Attendees
- Wim Corbijn, Philips
- Kinson Ho, Change Healthcare
- Elliot Silver, Change Healthcare
- Rob Horn, Agfa
- Hamid Neshat, Agfa
- Alex Goel, Cancer Care Ontario
- David Kwan, Cancer Care Ontario
- Steve Winnett, Carestream Health
- Charles Parisot, GE
- Emmanuel Everett, GE
- Jason Nagels, HDIRS
- Yasunari Shiokawa, IHE-J/Toshiba
- Michael Bohl, Radiology Group
- Antje Schroeder, Siemens Healthineers
- Teri Sippel Schmidt, Toshiba
- Kevin O'Donnell, Toshiba
- Andrei Leontiev, Visage Imaging
- Lynn Felhofer, IHE Radiology Technical Project Manager
- Chris Carr, RSNA
- Nichole Drye-Mayo, RSNA
- Guest
- Dan Kayhart, Marshfield Clinic Health System
- Agenda approved
- Attendees
- 08:30-10:30: Encounter-based Imaging Workflow Discussions(3.5)
- Notes made directly into their documents
- 10:30-12:00: Import and Display of External Priors Discussions (5.5)
- Notes made directly into their documents
- 12:00-13:00: Lunch
- 13:00-15:00: Technical Framework Maintenance - WIA (4)
- Worked on resolving comments
- 15:00-17:00: Import and Display of External Priors Discussions (7.5)
- Notes made directly into their documents
- 17:00-17:45: Scheduling
- Nichole will schedule the following tcons
- December 12, 13, 20 - 10:00 am - 12:00 pm CT
- January 9, 11, 18 - 10:00 am - 12:00 pm CT
- Nichole will adjust the following 2018 meeting dates
- February 5-8, 2018 instead of February 6-9
- November 12-15, 2018 instead of November 12-14, 2018
- Nichole will schedule the following tcons
Thursday, Nov 2, 2017 Minutes
Thursday, November 2, 2017, 8:15 am - 5:30 pm CST
- Attendees
- Wim Corbijn, Philips
- Kinson Ho, Change Healthcare
- Elliot Silver, Change Healthcare
- Rob Horn, Agfa
- Hamid Neshat, Agfa
- Alex Goel, Cancer Care Ontario
- David Kwan, Cancer Care Ontario
- Steve Winnett, Carestream Health
- Charles Parisot, GE
- Yasunari Shiokawa, IHE-J/Toshiba
- Ken Meyer, Merge
- David Clunie, PixelMed
- Michael Bohl, Radiology Group
- Antje Schroeder, Siemens Healthineers
- Teri Sippel Schmidt, Toshiba
- Kevin O'Donnell, Toshiba
- Andrei Leontiev, Visage Imaging
- Lynn Felhofer, IHE Radiology Technical Project Manager
- Nichole Drye-Mayo, RSNA
- Guest
- Dan Kayhart, Marshfield Clinic Health System
- Attendees
- Agenda approved
- 08:30-10:30: Technical Framework Maintenance - WIA (6)
- 10:30-12:00: Encounter-based Imaging Workflow (5)
- Notes made directly into their documents
- 10:30-12:00: Encounter-based Imaging Workflow (5)
- 12:00-13:00: Lunch
- 13:00-15:00: Import and Display of External Priors (9.5)
- Notes made directly into their documents
- 13:00-15:00: Import and Display of External Priors (9.5)
- 15:00-17:30: Technical Framework Maintenance - CP works (8)
- Change Proposals
- CP-RAD-281 - Ready for Ballot
- CP-RAD-265 - Will be reviewed by Kinson and Elliot
- CP-RAD-323 - Keep it assigned. Will be updated according to discussion.
- CP-RAD-371 - Ready for Ballot
- CP-RAD-261 - Cancel
- CP-RAD-264 - Elliot will finalize tonight for review on 11/3
- Radiology at IHE NA Connectathon 2018
- Ideas on how to get profiles adopted
- Suggestions include: ask planning committee to write marketing brochure after profile prioritization. Highlight profiles at RSNA annual conferences.
- Change Proposals
- 15:00-17:30: Technical Framework Maintenance - CP works (8)
Friday, Nov 3, 2017 Minutes
Friday, November 3, 2017, 8:15 am - 3:00 pm CST
- Attendees
- Wim Corbijn, Philips
- Kinson Ho, Change Healthcare
- Elliot Silver, Change Healthcare
- Rob Horn, Agfa
- Hamid Neshat, Agfa
- Alex Goel, Cancer Care Ontario
- David Kwan, Cancer Care Ontario
- Steve Winnett, Carestream Health
- Charles Parisot, GE
- Jason Nagels, HDIRS
- Yasunari Shiokawa, IHE-J/Toshiba
- Ken Meyer, Merge
- David Clunie, PixelMed
- Michael Bohl, Radiology Group
- Antje Schroeder, Siemens Healthineers
- Teri Sippel Schmidt, Toshiba
- Kevin O'Donnell, Toshiba
- Andrei Leontiev, Visage Imaging
- Lynn Felhofer, IHE Radiology Technical Project Manager
- Chris Carr, RSNA
- Nichole Drye-Mayo, RSNA
- Guest
- Dan Kayhart, Marshfield Clinic Health System
- Attendees
- 08:30-10:00: Import and Display of External Priors (11)
- 10:00-12:00: Encounter-based Imaging Workflow (7)
- Technical action items documented in profile draft
- Action: Re-activate weekly EBIW calls. Kinson, Kevin and Nichole will work off line regarding schedule
- Action: Reach out to other domains to make sure no overlap regarding EBIW.
- David C - PaLM and Pathology
- Antje - CARD
- Kevin - Endoscopy
- Wim - Eyecare (Don VanSyckle) and PCD John Rhoads
- Kinson - PCD (Monroe Patillo)
Kick-off Status Evaluations:
Profile Name: EBIW
- Describe gaps in Use Case coverage
- Don't need to talk about other portable modalities - portable x-ray (don't disrupt current practices, maybe don't discuss?), endoscopy, ophthalmology
- Can compare to the (order-based) workflow profiles for endo and eyecare
- Describe unresolved technical issues/tasks
- Transaction details
- Detailed mapping to worklist
- Detailed notification transaction.
- (EMR->EnctMgr->Modality->IM/IA->EMR)
- Do we need to define a query for these images? - relook at the query transactions
- And look at PACS rejecting for lack of accession - cover that case.
- Transaction details
- Describe potential practical issues
- Doctors don't want to do ANYTHING with a GUI other than see the patient
- Too many clicks
- Pre-post nonunity of studies
- Will too much of this be mandatory (high implementation load)
- Maybe not meeting query requirements with our attributes
- Does the open issue list feel complete
- Not yet. Its all in the discussion sections but needs to migrate
- Some unknown unknowns.
- Which open issues feel most risky
- Rob: Security
- Dan: Device and people mobility issues and associated complexity
- Andrei: Encounter identification concept - how it fits into MWL
- How is the work fitting in the allocated bandwidth? (Time to spare? Just right? Things were left undone?)
- About right.
- How does the scope feel? (Room to expand? Just right? Pretty ambitious?)
- Doing well on constraining scope.
- If you had to reduce scope, what would you drop?
- EMR Notification (but its still really useful so don't drop it)
- Have the promised resources manifested?
- Partly/mostly
- EMR vendors is a gap
- What tasks would benefit from additional expertise?
- Review of notification mechanisms by EMR
- Overall review of profiles by sites that have done this already.
- Review of metadata
- What vendors are engaged for each actor?
- EMR is light, Encounter Mgr is new, Modality is OK (poke), PACS is OK (poke),
- How many tcons would you like between now and the PC Prep Meeting?
- 1 or 2 maybe for TC (already scheduled)
- Re-engage the EBIW subgroup for a few weekly calls.
- Profile Name: IDEP
- Describe gaps in Use Case coverage
- discuss Display in more detail, e.g., hanging protocol requirements, fine grain relevancy
- discrepancy between content (IOCM-like issues)
- Describe unresolved technical issues/tasks
- query interface Report Gateway, use of MHD
- IOCM integration - specifically how tightly to couple
- metadata mappings between transport technologies
- architectural concept: focus is on "target" relevancy and display (contextual knowledge and, e.g., procedure codes; centralized architecture needs to understand that all local details need to be understood)
- one Acc Num: multiple SIUID - opportunity to mediate - PACS to PACS compatibility issues
- Security section
- Describe potential practical issues
- deployment models
- consumption bandwidth, performance issues, processing bandwidth on Import Mgr and/or Report Converter
- data duplication, version sync, and de-duplication tasks:
- self-replication because SIUID
- re-forwarding studies back to central archive after being moved as priors
- challenge of relevancy models
- Consent Management
- national privacy regulations range from realistic to delusional
- Does the open issue list feel complete
- will complete notes, many open issues identified
- Which open issues feel most risky
- "everything" to do with reports :) - esp GW i/f
- security - scope it not address it
- How is the work fitting in the allocated bandwidth? (Time to spare? Just right? Things were left undone?)
- workable, but tight, slightly over time
- How does the scope feel? (Room to expand? Just right? Pretty ambitious?)
- pretty ambitious -> reports
- If you had to reduce scope, what would you drop?
- reports, as HL7 external reports
- Have the promised resources manifested?
- mostly
- What tasks would benefit from additional expertise?
- seems ok
- What vendors are engaged for each actor?
- DSS/OF- no special reqmnts
- IM- have a few, no special requirements
- Import Manager - new actor, VNA vendors, interface vendors, tool vendors - DSS/OF and IM may be hard to get for Connectathon -poke
- Report Converter - new actor, VNA vendors, interface vendors, tool vendors - DSS/OF and IM may be hard to get for Connectathon -poke
- Report Manager - poke Report Creator; VNA vendors will pick up as well
- XDS Reg/Rep - have a few, no special requirements - poke
- reporting vendors not here once again. will design profiles to proxy.
- How many tcons would you like between now and the PC Prep Meeting?
- one or two; already scheduled
It will be the responsibility of the Profile Editor to lead resolution of these issues before the Public Comment preparation meeting.
Resolution may involve:
- Scheduling additional Tcons to complete the technical discussion
- Reducing the scope of the profile to fit within the allocated % bandwidth
- Including open issues in the PC Profile draft for wider comment (generally for issues that would not radically change the profile)
- Changing the workitem from a profile to a whitepaper to explore the solution space if it is not ready for profiling.
- Hopefully the whitepaper work is solid enough that it will be ready to profile next year and the same proposal will be selected again
- Dismissing the workitem as not ready for profiling in the forseeable future.
- This likely means there was something the TC should have caught during evaluation
- Action
- Schedule an IDEP preview webinar in mid-January 2018, prior to public comment.
- Planning committee will help plan.
- Nichole will reach out to Dr. Koff to identify date/time. Will also reach out to Canada Health Infoway (Jason Nagels).
- Promote at RSNA 2017.
- Action
- 12:00-13:00: Lunch
- 13:00-15:00: Technical Framework Maintenance - CP works (10)
- CP-RAD-394: assigned to Antje
- CP-RAD-395: assigned to Kinson
- CP-RAD-396: assigned to Kinson; he may withdraw
- CP-RAD-397: assigned to Wim; completed and ready for ballot
- Need to keep radiology public comment page up to date
- Keep profile pages updated
- Add profile tags to DCC November call. Need to decide if committee's should use tags or icons. Need consistency across domains.
- 2:55 meeting adjourned.
Scope for Maintenance
- Resolve WIA public comments
- Identify CPs that should be focused on this cycle and assign owners
- Review ballot comments
- Review CPs that have been worked on
- Review assigned CP list to identify those needing new owners
- Discuss how to maintain continuous effort on CP throughout the cycle rather than limited to the three face-to-face meetings
- Discuss how to maintain the Radiology Profile wiki page (http://wiki.ihe.net/index.php/Profiles) to be update
- Review how to maintain the public comment solution wiki page (http://wiki.ihe.net/index.php/Radiology_-_Public_Comment_Resolutions)
- Review profile page and assign people to update (http://wiki.ihe.net/index.php/Profiles)