Rad Tech Minutes 2024-11-11-15

RAD Tech Minutes - Profile Development Kick-off 2024-25 Cycle - Face-to-Face Meeting, RSNA Headquarters, Oak Brook

Quick Links

• Agenda for the week
• RAD Tech Working folder on Google Drive for 2024-25 cycle
• IHE Radiology Technical Committee Roster
• IHE International Member Organizations
• IHE Patent Disclosure Statement
• Current Patent Disclosure Statements

Monday, November 11, 2024

Participants: Andrei Leontiev (Visage), Antje Schroeder (Siemens), Wim Corbijn (Philips), Marc Kämmerer (VISUS), Harald Zachmann, Yasunari Shiokawa (JAHIS IHE Japan), TeRhonda McGee (RSNA), Jamie Dulkowski (RSNA), Chris Carr (RSNA), Kevin O'Donnell (Canon), John Paulett (Rad AI), Lynn Felhofer (IHE TPM), Steve Nichols (GE), Kinson Ho (Tempus), David Kwan (IHE Canada), Matt Blackmon (Sequoia), Harald Zachmann (Merge/Merative), Jason Nomura (Emergency Medicine Physician), Matthew Flannigan (Corwell Health Grand Rapids), Khalid Younis (SIIM), Brian Bialecki (ACR), Rob Ferre (Indiana U), Abhijit Deshmukh (Fovia), Charles Parisot (IHE)

• A1: 8:45am-9:00am Administrative Time
  • Introductions and Agenda Review
• S1: 9:00am-11:00am: POCUS EBIW Extensions (POCUS)
  • Review and discussion of POCUS use cases
  • Review and adjust POCUS Manager functions worksheet
• S2: 11:15am-12:15pm: Maintenance
  • CP-RAD-xxx-PREETHI_remove-outOfDate-ReviewOption - assigned to Lynn as CP-RAD-544. Approved as Completed & ready for ballot.
  • CP-RAD-xxx-Refactor-RAD-16-for-Retrieve-reuse - assigned to Lynn as CP-RAD-545; changes will be reviewed later in the week
  • CP-RAD-xxx-Refactor-RAD-30-and-31-for-reuse - assigned to Lynn as CP-RAD-546; changes will be reviewed later in the week
  • CP-RAD-xxx-PREETHI_PDI-Inconsistency in grouping requirements - this CP is related to (a subset of) changes proposed in Assigned CP-RAD-305 (Revise profile dependencies/grouping in Vol 1). We decided to reject Preethi's PDI-specific CP, and Lynn will review the proposed scope and changes and ensure that these are included in CP-RAD-305. We also decided to move forward with this old CP 305 in the coming year.
  • CP-RAD-537 - Misleading definition of Instance-Stored Audit trigger
    • decided to split editorial refactoring changes into new CP-RAD-547 assigned to Lynn. Keep original scope from Bruno in CP-RAD-537; 537 will be dependent on 547 and balloted together.
    • discussed/adjusted refactoring edits.
• A2: 1:00pm-1:30pm: Administrative Time
  • continue review of CP-RAD-547
• S3: 1:30pm-3:00pm: AI Results Assessment for Imaging (AIRAI)
  • discussed & clarified use cases
• S4: 3:15pm-4:45pm: Cross-Community Access for Imaging (XCA-I.b)
• A3: 4:45pm-5:00pm: Administrative Time
  • Explore idea of RAD Tech adopting work of moving IHE CARD Intravascular Imaging Option for CATH TI Supplement to Final Text
    • At first glance at the Supplement, it looks like the editorial work is straigt-forward to integrate the changes into CARD Vol 1 and 2
    • We agreed that the normal IHE Final Text process should be followed
    • Chris Carr reminded us that, for governance, there needs to be a sponsor for this work. RSNA does not want to be the sponsor of record in moving this Option/Supplement to Final Text.
    • Lynn reported that, though this option has been tested at Japanese Connectathons, the test cases for this option are not in Gazelle Master Model (GMM)
    • We agreed that the normal IHE Final Text process should be followed
    • TO DO (Kevin to contact Nakano-san): Seek a professional society in cardiology to sponsor the CARD domain for this official act (moving Supp from TI to FT). This professional society is potentially: https://www.j-circ.or.jp/english/
    • Once the sponsor is on-board,
      • IHE RAD Tech could set aside time at a future F2F (or tconn) for a joint RAD/CARD discussion of next steps (agreeing on ownership for tasks and ownership for approval). We expect that the sponsor would identify a person to take responsibility for doing the Final Text checklist. We also expect that someone from RAD Tech could do the editorial work to integrate the supplement and work with Mary on publication
      • Once the Final Text checklist is done, another joint RAD/CARD discussion would be scheduled to review and approve the checklist

Tuesday, November 12, 2024

Participants: Andrei L, Antje S, Marc K, Steve N, TeRhonda M, Yasunari S, Kevin O, Wim C, John P, Kinson H, Jamie D, Lynn F, David K, Harald Z, Brad G, Chris C, Brian B, Matt B, Rob Ferre, Jason Nomura, Matthew Flannigan

Guests for Clinical Consult session: Ali Ganjizadeh, Ali Tejani, Audrey Verde, Dorothy Sippo, Kent Huntson, Krishna Juluru, Nina Kottler, Paty Balthazar, Stacy O'Connor, Valerie Geisendorfer, Wende Gibbs, Peter Mildenberger, Keith Houston, Marta Heilbrun, David Koff, Tarik Alkasab, Alex Towbin, Teri Sippel-Schmidt

• A1: 8:45am-9:00am Administrative Time
• S1: 9:30am-10:30am: AI Results Assessment for Imaging (AIRAI) - Clinical Consult
  • Discussion of prepared clinical questions. Session was recorded:
    • Recording link. Passcode: iv*c$9E*
  • Related articles shared in the chat:
    • https://www.ajronline.org/doi/10.2214/AJR.21.27224
    • https://sergeiai.substack.com/p/german-doktors-dont-go-to-jail-german?utm_campaign=post&utm_medium=web&triedRedirect=true
    • Slides for AI Metrics To Consider For Standardization
• S2: 10:45am-12:15pm: POCUS EBIW Extensions (POCUS)
  • Continue refining POCUS Manager functions worksheet
• A2: 1:00pm-1:30pm: Administrative Time
  • Group photo
• S3: 1:30pm-3:00pm: POCUS EBIW Extensions (POCUS)
  • Discuss alternatives for either extending EBIW with a POCUS option, or creating a separate profile, Evaluate how those alternatives affect profile actors and associated profile documentation
• S4: 3:15pm-4:45pm: AI Results Assessment for Imaging (AIRAI)
  • Continue scope discussions and evaluation of methods of using KOS objects
  • See Encoding Approaches
• A3: 4:45pm-5:00pm: Administrative Time
  • Dinner at Wildfire @ 6:15pm

Wednesday, November 13, 2024

Participants: Andrei L, TeRhonda M, Yasunari S, Lynn F, John P, Kevin O, Steve N, David K, Wim C, Harald Z, Kinson H, Jason Nomura, Allan Bottemiller, Frank F, Charles Parisot, Rick Busbridge (Nictiz NL)

• A1: 8:45am-9:00am Administrative Time
• S1: 9:00am-10:30am: POCUS EBIW Extensions (POCUS)
  • Clarify direction on actor model for the POCUS option
• S2: 10:45am-12:15pm: Maintenance
  • Identified new Top 10 list, prioritizing CPs for profiles targeted for potential Final Text promotion in 2025. See Col F in the RAD CP Tracking sheet.
  • We have approx 88 CPs assigned to active RAD Tech members and another 33 CPs assigned to inactive/former members. We discussed ways to reduce the number of out-of-date CPs. Lynn described two strategies used by ITI: (1) At a F2F meeting, Tech Cmte members are divided into groups of 2-3. Each group examines 20-ish old/assigned CP to make a recommendation for resolution. (2) Very old CPs were identified (e.g. > 10 years old). The list of CPs was announced on the ITI Tech list with a message that the committee proposed to Cancel these CPs, allowing the community to identify CPs that should NOT be cancelled (speak now or forever hold your peace). CPs with no objection were cancelled as stale (apparently not needed because we survived for a decade with the problem).
  • UpdatedAssessment of RAD profiles sheet to identify profiles to target for Final Text, Retirement, or Deprecation in 2025. Also added/updated the definitions of 'Retired' and 'Deprecated' in Row 1 of that sheet. For RAD Tech members who volunteered as advocates, see:
    • Final Text Process template
    • See link to Profile Evaluation Form template on this page: https://wiki.ihe.net/index.php/Evaluation_of_Published_Profiles
• A2: 1:00pm-1:30pm: Administrative Time
• S3: 1:30pm-2:45pm: POCUS EBIW Extensions (POCUS)
  • Continue review of RAD-128 for changes in the context of POCUS use cases
• S4: 3:00pm-3:30pm: POCUS EBIW Extensions (POCUS) - Clinical Consult
• S5: 3;30pm-4:45pm: Cross-Community Access for Imaging (XCA-I.b)
  • Discuss structure of actor diagram and swimlane description in the context of existing XCA-I documentation
• A3: 4:45pm-5:00pm: Administrative Time

Thursday, November 14, 2024

Participants: Andrei L, TeRhonda M, Yasunari S, Lynn F, Brian B, Marc K, Antje S, Harald Z, Kevin O, John P, Wim C, Jamie D, Khaled Y, Charles P

• A1: 8:45am-9:00am Administrative Time
• S1: 9:00am-10:30am: AI Results Assessment for Imaging (AIRAI)
  • Evaluate KOS vs Result Tree approach
• S2: 10:45am-12:15pm: Maintenance
  • Top ten CPs ready for discussion:
    • CP-RAD-364 Clarify IID (Andrei) - review and refine CP contents
    • CP-RAD-474 Add Series-level display in IID (Kinson) - we discussed whether this requested change should be done to IID RAD-106. Andrei proposes putting this functionality in a separate transaction that would become part of IMR. Defer decision to when Kinson is present.
  • Other Assigned CPs ready for discussion:
    • Revisit decision to Reject Preethi's PDI CP as a subset of (large) CP 305 - agreed. CP-RAD_548 with PDI changes is assigned to Lynn. Reviewed; changes suggested; needs one more review before ballot ready.
    • CP-RAD-537 - Misleading definition for “Instances-stored” Audit Trigger (Lynn)
    • CP-RAD-547 - Update Radiology Audit Trail Option text for clarity (Lynn)
    • See more below
• A2: 1:00pm-1:30pm: Administrative Time
• S3: 1:30pm-3:00pm: Cross-Community Access for Imaging (XCA-I.b) - including Checkpoint assessment as follows:

• • Describe gaps in Use Case coverage
    • none identified
  • Review ALL "uncertainty points" in the evaluation. Is there a resolution plan for each?
    • all resolved. Some residual uncertainty/complexity around how firewalls/security mechanisms will affect retrieval pathways. Plan to write concept section for Public Comment.
  • Do the effort points in the evaluation still seem right?
    • Yes.
  • Did the Breakdown of Tasks accurately reflect the work? What extra tasks arose?
    • Yes. no extra tasks arose
  • Describe unresolved technical issues/tasks
    • the task of writing the concepts section esp re: security still needed
  • Describe potential practical issues
    • Need to consider many security environments this may be deployed into.
    • Should try the expert review on this topic.
  • Review the open issue list. Does it feel complete
    • Two main issues are included, expecting couple more arise during the PC prep
  • Which open issues feel most risky; what other risks exist?
    • both have straightforward resolution; main risk is security environment complexity.
  • 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?)
    • About right
  • If you had to reduce scope, what would you drop?
    • limit extent of Concepts section
  • Have the promised resources manifested?
    • yes
  • What tasks would benefit from additional expertise?
    • security review
  • What vendors are engaged for each actor? Record how many.
    • Expect that XCA-I gateway vendors would implement this (Siemens, Hyland, VISUAPPS); WIA Consumers/Sources would be good candidates as well.
    • Need to reach out to XCA-I Imaging Gateway vendors; also to MCWG for list of vendors they work with.
  • 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; pre-meeting helped
  • Was the profile where it needed to be at the end of the Kickoff meeting, if not what was the gap
    • yes
  • How many tcons would you like between now and the PC Prep Meeting?
    • none

• S4: 3:15-4:45pm: Maintenance - Triage Top 10 CPs
  • CPs to Cancel (now in Cancelled folder with rationale)
    • CP-RAD-446 AIR sample data (Kevin)
    • CP-RAD-447 AIR Diagram the structure of TID 1500 SR template (Kevin)
    • CP-RAD-502 AIR - RAD-137 fix (Andrei) (duplicate)
  • Confirmed Top 10 CPs
    • CP-RAD-257 Clearly add Admitting Diagnosis to SWF for REM and TCE (Kevin)
    • CP-RAD-293 Extend CT Dose Reporting (SSDE and Dose check logs) (Kevin)
    • CP-RAD-364 Clarify IID (Andrei)
    • CP-RAD-423 Add specificity to IOCM (unreject) (Steve)
    • CP-RAD-474 Extensions to RAD-106 for IMR (Kinson)
    • CP-RAD-494 Clarify Series Description Code Sequence in RAD-137 (Kevin)
    • CP-RAD-500 RAD-137 clarify request/response (Kevin)
    • CP-RAD-511 Fix Template identifier for Result Trees in AIR (Kevin)
    • CP-RAD-512 AIR - updates to Result Tree Node specification (Kevin)
• A3: 4:45pm-5:00pm: Administrative Time
  • We adjusted Friday's schedule

Friday, November 15, 2024

Participants: Andrei L, TeRhonda M, Yasunari S, Lynn F, Antje S, Harald Z, John P, Wim C, David K, Kinson H, Steve N

• A1: 8:45am-9:00am Administrative Time
  • The main RAD Tech wiki page is updated for 2024-25 cycle. 2023-24 is now linked from the past activities section
• S1: 9:00am-10:45am Results Assessment for Imaging (AIRAI)
  • AIRAI_Checkpoint_Assessment
• A1: 10:45am-11:15 Administrative Time
  • Tcon scheduling
• S2: 11;15am-1:00pm POCUS EBIW Extensions (POCUS)
  • Checkpoint assessment
• Maintenance as time allows
  • Target next CP ballot to be released after the January CP call
  • CP-RAD-364 - Clarify IID (Andrei) - reviewed, updated, and approved as Completed
  • CP-RAD-548 - PDI-Inconsistency in grouping requirements (lynn) - reviewed, updated, and approved as Completed
  • CP-RAD-547 - Update Radiology Audit Trail Option text for clarity (Lynn) - reviewed and updates; CP remains Assigned for one more review of final edits in Januar
  • CP-RAD-537 - Misleading definition for “Instances-stored” Audit Trigger (Lynn) - reviewed; needs consult with Rob Horn; remains Assigned

Maintenance Topics for the Week

Note: Strikethrough font marks topics completed as the week proceeds

==> CP-related links

• RAD CP Tracking Sheet
• RAD TF Maintenance folder on Google Drive

==> General topics:

• Rebuild the Top 10 list
• Review existing profiles; identify candidates for promotion or deprecation
• Determine target timing of next CP ballot

==> Process Submitted CPs:

link to Submitted folder on Google Drive

• CP-RAD-xxx-Refactor-RAD-16-for-Retrieve-reuse
• CP-RAD-xxx-Refactor-RAD-30-and-31-for-reuse
• CP-RAD-xxx-PREETHI_PDI-Inconsistency in grouping requirements
• CP-RAD-xxx-PREETHI_remove-outOfDate-ReviewOption

==> Process Assigned CPs:

link to Assigned folder on Google Drive

Top ten CPs

• Ready for Discussion
  • CP-RAD-364 Clarify IID (Andrei) - COMPLETED
• The other top tens:
  • CP-RAD-257 Clearly add Admitting Diagnosis to SWF for REM and TCE (Kevim)
  • CP-RAD-293 Extend CT Dose Reporting (SSDE and Dose check logs) (Kevin)
  • CP-RAD-423 Add specificity to IOCM (unreject) (Steve)
  • CP-RAD-446 AIR sample data (Kevin) -- TODO Cancel this CP
  • CP-RAD-447 AIR Diagram the structure of TID 1500 SR template (Kevin) -- TODO Cancel this CP (examples are adequate)
  • CP-RAD-474 Extensions to RAD-106 for IMR (Kinson)
  • CP-RAD-494 Clarify Series Description Code Sequence in RAD-137 (Kevin)
  • CP-RAD-500 RAD-137 clarify request/response (Kevin)
  • CP-RAD-502 AIR - RAD-137 fix (Andrei) - cancel; duplicate of 494
  • CP-RAD-511 Fix Template identifier for Result Trees in AIR (Kevin)
  • CP-RAD-512 AIR - updates to Result Tree Node specification (Kevin)

Other Assigned CPs ready for discussion:

• CP-RAD-548 - Inconsistencies in grouping rqmts for PDI profile (Lynn) - COMPLETED
• CP-RAD-537 - Misleading definition for “Instances-stored” Audit Trigger (Lynn)
• CP-RAD-547 - Update Radiology Audit Trail Option text for clarity (Lynn)
• CP-RAD-305-03 - Revise profile dependencies (grouping) in Vol 1) (Lynn; + input from Philips in Sep 2024) -- cmte input needed
• CP-RAD-410-03 - XCA-I is out of date for Async (Lynn)
• CP-RAD-436-02 - Fix inconsistencies in IOCM actor / transaction and grouping requirements (Lynn) -- cmte input needed
• CP-RAD-491-01 - Code Mapping WP update (Andrei)
• CP-RAD-541-01 - HL7 order messages – editorial fixes (Lynn)
• CP-RAD-493-00 - ARI Ambiguity (Lynn)
• CP-RAD-478-01 - Out-of-Date DICOM References (Lynn)

==> Profile targets for Final Text, Deprecation, or Retirement (advocate)

• Targets for Final Text promotion
  • AIR (Andrei)
  • DIFF (Wim)
  • IID (Andrei)
  • IRWF.b (??? none yet)
  • XDR-I (proposed Kinson, to be confirmed)

• Targets for Deprecation
  • CDS-OAT (Ask Teri & Brian for a recommendation on deprecation)
  • PAWF (Kevin)
  • PWF (Antje)
  • RWF (Antje)
  • XRR-WD (??? none yet)

• Target for Retirement
  • FUS (Wim)
  • PDI Extensions Supp (proposed Antje, to be confirmed)