Rad Tech Minutes 2021-11-15-19

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Location

  • Virtual
  • Via Zoom

Meeting Directory

Topics

  • Interactive Multimedia Reporting (55%)
  • AIR Datasets and Root Results (30%)
  • Maintenance (25%) (for this meeting we will work at 15% for Maintenance)

Notes to Explain Agenda

  • (Number in parentheses is cumulative total hours for week)
  • Times are in U.S. Central Time (CT)
  • One action item that came out from the retrospective meeting is try to schedule some ‘editorial time’ vs ‘discussion time’.
    • Discussion Time: Focus on the actual design discussion
    • Editorial Time: Smaller group discussion with focus on getting the text in a good shape

Monday, Nov 15 8:30am-3:15pm (CT)

  • A1: 8:30am-9:00am Administrative Time
    • Introductions (Name and IHE Member Organization)
    • IHE Radiology Technical Committee Roster
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Matt Hayes, Radiology Partners
      • Kinson Ho, Change Healthcare
      • David Kwan, Insygnia Consulting
      • Chris Lindop, GE
      • Weber Marrett, IBM Watson Health
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
      • Jonathan Whitby
      • Khaled Younis, Philips
    • Non-Voting
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
    • IHE International Member Organizations
    • IHE Patent Disclosure
      • No disclosures
  • Brief description of IHE Radiology cycle and goal of this meeting (Kevin)
    • Two profiles selected for development. IMR and AIR Datasets and Root Results. Maintenance will focus on new and existing Change Proposals (CPs).
    • The kickoff meeting goal is to work on areas of uncertainty and agree to technology that will be used.
      • February 7-11, 2022 meeting: Bulk of the profile should be completed by the end of the meeting. Review text and make sure complexity is correct. Then the document goes to Public Comment (PC)
      • April 11-15, 2022 meeting: Review and resolve public comments and prepare documents for Trial Implementation.
  • S1: 9:00am-10:30am: AIR Datasets and Root Results (AIR)
    • Discussed scope and areas of uncertainty. Made notes directly in document. Continue discussion tomorrow.
    • Introductions for IMR Session
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Matt Hayes, Radiology Partners
      • Kinson Ho, Change Healthcare
      • David Kwan, Insygnia Consulting
      • Chris Lindop, GE
      • Weber Marrett, IBM Watson Health
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
      • Jonathan Whitby, Canon Medical
      • Khaled Younis, Philips
    • Non-Voting and Guests
      • Alex Aisen, IU
      • Daniel Bach
      • Adam Cole, Smile CDR
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
      • Ed Sabean-Untermann, Smile CDR
      • Sophie Tekeste, Smile CDR
      • David Vining, MD, MD Anderson Cancer Center
    • IHE Patent Disclosure
      • Disclosures from Dr. David Vining
        • US Patent 6,785,410. Image reporting method and system. Inventors: David Vining, Yaorong Ge, David Ahn, David Stelts. Filed November 21, 2001. Issued August 31, 2004.
        • US Patent 6,819,785. Image reporting method and system. Inventors: David Vining, Yaorong Ge, David Ahn, David Stelts. Filed August 9, 2000. Issued November 16, 2004.
        • US Patent 7,289,651. Image reporting method and system. Inventors: David Vining, Yaorong Ge, David Ahn, David Stelts. Filed August 31, 2004. Issued October 30, 2007.
        • US Patent 7,693,317. Image reporting method and system. Inventors: David Vining, Yaorong Ge, David Ahn, David Stelts. Filed November 12, 2004. Issued April 6, 2010.
        • US Patent 7,835,560. Image reporting method and system. Inventors: David Vining, Yaorong Ge, David Ahn, David Stelts. Filed October 30, 2007. Issued November 16, 2010.
        • US Patent 7,995,823. Image reporting method and system. Inventors: David Vining, Yaorong Ge, David Ahn, David Stelts. Filed November 16, 2010. Issued August 9, 2011.
        • US Patent 8,320,651. Image
  • S2: 10:45am-12:45pm: Interactive Multimedia Reporting (IMR)
  • A2: 1:15pm-1:45pm: Administrative Time
  • S3: 1:45pm-3:15pm: Interactive Multimedia Reporting (IMR)
    • Get an overview of IMR, scope and questions to discuss and to be continued tomorrow.


Tuesday, Nov 16 8:30am-3:15pm (CT)

  • A1: 8:30am-9:00am Administrative Time
    • Introductions (Name and IHE Member Organization)
    • IHE Radiology Technical Committee Roster
    • IHE International Member Organizations
    • IHE Patent Disclosure
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Chris Carr, RSNA
      • Matt Hayes, Radiology Partners
      • Kinson Ho, Change Healthcare
      • David Kwan, Insygnia Consulting
      • Chris Lindop, GE
      • Weber Marrett, IBM Watson Health
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
      • Jonathan Whitby, Canon Medical
      • Khaled Younis, Philips
    • Non-Voting and Guests
      • Alex Aisen, IU
      • Daniel Bach
      • Adam Cole, Smile CDR
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
      • Ed Sabean-Untermann, Smile CDR
      • Sophie Tekeste, Smile CDR
  • S1: 9:00am-10:30am: Maintenance
  • S2: 10:45am-12:45pm: Interactive Multimedia Reporting (IMR)
  • A2: 1:15pm-1:45pm: Administrative Time
  • S3: 1:45pm-2:45pm: AIR Datasets and Root Results (AIR)

Wednesday, Nov 17 8:30am-3:15pm (CT)

  • A1: 8:30am-9:00am Administrative Time
    • Introductions (Name and IHE Member Organization)
    • IHE Radiology Technical Committee Roster
    • IHE International Member Organizations
    • IHE Patent Disclosure
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Chris Lindop, GE
      • Weber Marrett, IBM Watson Health
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
      • Jonathan Whitby, Canon Medical
      • Khaled Younis, Philips
    • Non-Voting and Guests
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
  • S1: 9:00am-10:00am: AIR Datasets and Root Results (AIR)
  • S2: 10:45am-12:45pm: Interactive Multimedia Reporting (IMR)
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Chris Carr, RSNA
      • Kinson Ho, Change Healthcare
      • David Kwan, Insygnia Consulting
      • Chris Lindop, GE
      • Weber Marrett, IBM Watson Health
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
      • Jonathan Whitby, Canon Medical
      • Khaled Younis, Philips
    • Non-Voting and Guests
      • Alex Aisen, IU
      • Daniel Bach
      • Adam Cole, Smile CDR
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
      • Ed Sabean-Untermann, Smile CDR
      • Sophie Tekeste, Smile CDR
  • A2: 1:15pm-1:45pm: Administrative Time - Steve Drew visit
  • S3: 1:45pm-3:15pm: Interactive Multimedia Reporting (IMR)

Thursday, Nov 18 8:30am-3:15pm (CT)

  • A1: 8:30am-9:00am Administrative Time
    • Introductions (Name and IHE Member Organization)
    • IHE Radiology Technical Committee Roster
    • Attendees
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Alex Goel, Purajuniper
      • Kinson Ho, Change Healthcare
      • David Kwan, Insygnia Consulting
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
      • Jonathan Whitby, Canon Medical
    • Non-Voting and Guests
      • Daniel Bach, Smile CDR
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
      • Ed Sabean-Untermann, Smile CDR
      • Sophie Tekeste, Smile CDR
    • IHE International Member Organizations
    • IHE Patent Disclosure
  • S1: 9:00am-10:30am: Interactive Multimedia Reporting (IMR)
  • S2: 10:45am-12:45pm: Maintenance
  • A2: 1:15pm-1:45pm: Joint meeting with PaLM domain regarding RPC profile
  • S3: 1:45pm-3:15pm: IMR? Maintenance?
  • S3: 3:00pm - 3:15pm: Maintenance
    • The following are in the Assigned folder for further work:
      • CP-RAD-468-00 - WIC Update Security Considerations - assigned to Steve Nichols
    • The following are Ready to publish in ballot. I put them in the Approved for Ballot > for 2021E folder. (Sorry to create a sub-folder, but there are left-over CPs from a previous in “Approved for Ballot” and I did not want to mix them together)
      • CP-RAD-470-CM - Vol 4 URL fix
      • CP-RAD-469-CM - WIC - Remove out-of-date options
      • CP-RAD-473-CM - MAWF - fix out-of-date codes
      • CP-RAD-466-CM - WIC - Update out-of-date language for RAD-108
      • CP-RAD-462-CM - WIA - Update out-of-date language for RAD-108 and RA-129
    • The following is in the Approved for Final Text folder. It will not be balloted because it is a update to a white paper:
      • CP-RAD-472-FT - Fix out-of-date codes in white paper

Friday, Nov 19 8:30am-3:15pm (CT)

  • A1: 8:30am-9:00am Administrative Time
    • Introductions (Name and IHE Member Organization)
    • IHE Radiology Technical Committee Roster
    • Attendees
      • Wim Corbijn, Rad Tech Co-Chair, Philips
      • Andrei Leontiev, Rad Tech Co-Chair, Visage Imaging
      • Chris Carr, RSNA
      • Chris Lindop, GE
      • Matt Hayes, Radiology Partners
      • Kinson Ho, Change Healthcare
      • David Kwan, Insygnia Consulting
      • Steve Nichols, GE
      • Kevin O'Donnell, Canon Medical
      • Antje Schroeder, Siemens Healthineers
    • Non-Voting and Guests
      • Daniel Bach, Smile CDR
      • Lynn Felhofer, IHE Radiology Technical Project Manager, IHE USA Contractor
      • Nichole Knox, RSNA, IHE Radiology Secretary
      • Sophie Tekeste, Smile CDR
  • S1: 9:00am-10:30am: Interactive Multimedia Reporting (IMR)
  • S2: 10:45am-12:00pm: Interactive Multimedia Reporting (IMR)
  • A2: 12:15pm-1:45pm: Administrative Time


  • Kickoff Assessments
  • Profile Name: AIR+
    • Describe gaps in Use Case coverage
      • Split the use case into two chunks, but no gaps.
    • Review ALL "uncertainty points" in the evaluation. Is there a resolution plan for each?
      • Yes, all reviewed. Each has a TODO text for resolution/next step.
    • Do the effort points in the evaluation still seem right?
      • Mostly yes, little adjustments. But the examples are likely a bit more than a 2.
    • Did the Breakdown of Tasks accurately reflect the work? What extra tasks arose?
      • Accurate.
    • Describe unresolved technical issues/tasks
      • Some will derive from the feedback from the "focus group". Mostly well in hand.
    • Describe potential practical issues
      • Will need to get tooling for example object generation.
    • Review the open issue list. Does it feel complete
      • Will populate OI for PC. Most other questions are in the TODO plans. Feels complete.
    • Which open issues feel most risky; what other risks exist?
      • Main risk might be aggressive expectations for display capabilities from the focus group
      • Also risk of not being able to pull focus group together quickly (get on it now)
      • Potential for examples to experience gold-plating/runaway complexity
    • How is the work fitting in the allocated bandwidth? (Time to spare? Just right? Things were left undone?)
      • A bit of time to spare (partly because deferred a slot to a future tcon)
    • How does the scope feel? (Room to expand? Just right? Pretty ambitious?)
      • Feels good.
    • If you had to reduce scope, what would you drop?
      • Binary examples. (if need to drop more, would drop some paper examples)
    • Have the promised resources manifested?
      • Mostly, will look for focus participants and help with tooling.
    • What tasks would benefit from additional expertise?
      • Need good focus groups participants and experience with creating objects.
    • What vendors are engaged for each actor? Record how many.
      • Evidence Creators: Canon, Philips?, GE, Siemens,
      • Image Displays: Canon, Philips, GE, Siemens,
    • Was the profile where it needed to be at the start of the Kickoff meeting (See "Kickoff Meeting" above), if not what was the gap
      • Yes.
    • Was the profile where it needed to be at the end of the Kickoff meeting, if not what was the gap
      • Mostly. Will do some work based on the initial input for the next tcon
    • How many tcons would you like between now and the PC Prep Meeting?
      • One or two. (The focus group will be separate)


  • Profile Name: IMR
    • Describe gaps in Use Case coverage
      • Working on clarification of how the multimedia capability relate to structured part of the report.
      • otherwise, cover the creation and display use cases, and several variations of the display use cases
    • Review ALL "uncertainty points" in the evaluation. Is there a resolution plan for each?
      • Review the updated IMR design with the IMR working group
      • Continue to develop and review the information model (important to clarify what is in scope and out of scope)
      • Terminology clarification for 'structured' (coded vs conceptual sections vs ...)
      • Continue to refine how we will profile DiagnosticReport and certain specific details (e.g. what and how different contents go into conclusion)
    • Do the effort points in the evaluation still seem right?
      • Effort may be a bit low, but with the complexity point as a buffer, the total is still in the ballpark
    • Did the Breakdown of Tasks accurately reflect the work? What extra tasks arose?
      • Mostly.
      • Should have called out the information model explicitly
    • Describe unresolved technical issues/tasks
      • Work through the DiagnosticReport mapping and how the presentedForm is created and corresponds to the content exist in the DiagnosticReport resource
    • Describe potential practical issues
      • How to 'allow' sections in report without explicitly profiling them
      • New to profiling FHIR resources by the Rad Tech
    • Review the open issue list. Does it feel complete
      • Good list of questions in the powerpoint to guide the discussion and capture resolution and action items
    • Which open issues feel most risky; what other risks exist?
      • DiagnosticReport mapping
      • How to profile FHIR resources, what constraints IMR need to impose on each resource
    • How is the work fitting in the allocated bandwidth? (Time to spare? Just right? Things were left undone?)
      • Would be better if a few more items were identified early and prepared ahead of time so we can discuss during the meeting (e.g. model mapping, FHIR resource packaging)
      • otherwise, time are okay.
    • How does the scope feel? (Room to expand? Just right? Pretty ambitious?)
      • Feel right from the perspective of what is requested to support interactive multimedia report with reasonable effort
      • Feel tricky that without full profiling radiology reports using FHIR, there may be gaps unidentified
      • Encourages Report Creator implementation to make up missing bits on their own
    • If you had to reduce scope, what would you drop?
      • PDF option
      • look at the different named options what can be dropped in what order
    • Have the promised resources manifested?
      • Yes, David Kwon, Dr. David Vining, representatives from Smile CDR, and others from the IMR working group
    • What tasks would benefit from additional expertise?
      • Content mapping
      • FHIR mapping / profiling
    • What vendors are engaged for each actor? Record how many.
      • Report Creator: Dr. David Vining, Smile CDR, Carestream, GE?
      • Report Reader: Change Healthcare, Carestream, Smile CDR, Dr. David Vining,
      • Image Display: Change Healthcare, GE?
      • Image Manager: Change Healthcare,
    • Was the profile where it needed to be at the start of the Kickoff meeting (See "Kickoff Meeting" above), if not what was the gap
      • A bit behind because the profile document is barely started
    • Was the profile where it needed to be at the end of the Kickoff meeting, if not what was the gap
      • Collected good feedback on all open questions. Enough materials to start
    • How many tcons would you like between now and the PC Prep Meeting?
      • Should schedule 1 or 2 meetings to review work-in-progress and confirm resolution to remaining uncertainties
      • Meetings with the IMR working group


  • Future Radiology Technical Committee Ballot
    • Lynn or Andrei will send profiles ready for ballot to Nichole. Nichole will prepare and send ballot 11/22 with a due date of 1/5/2022. Will review on the 1/6/2022 Radiology Technical Committee CP meeting
  • Start working with IHE Rad Tech and Plan on agenda for meeting at RSNA 2021.
  • S3: 14:00am-14:45?pm: Maintenance?