Rad Tech Minutes 2025-01-27-31

Quick Links

• Daily Zoom meeting details
  • Meeting link: https://rsna-org.zoom.us/j/86452663729?pwd=j0wiPRgh06D0fdsBakWnSWoPdqcfV7.1
  • Meeting ID: 878 6907 9476
  • Find your local number: https://rsna-org.zoom.us/u/kclaF7ytyG
• Agenda for this meeting is here: https://wiki.ihe.net/index.php/Rad_Tech_Agenda_2025-01-27-31
• Working folder for IHE RAD Tech 2024-25 cycle: https://drive.google.com/drive/u/0/folders/198UThyCJQvL2vAjDaa-q3slp3Zcmi6rh

• AI Result Approval for Imaging AIRAI (Full 28%)
• POCUS EBIW Extensions (Full 41%)
• Cross-Community Access for Imaging XCA-I.b (Full 20%)

All times are U.S. Central Time.

Monday, January 27, 2025

Participants: Kevin O'Donnell (Canon), Andrei Leontiev (Visage), Antje Schroeder, Alexis Laugerette (Siemens), Steve Nichols (GE), Wim Corbijn (Philips), Yasunari Shiokawa-san (JAHIS), Marc Kämmerer (VISUS), Harald Zachman (Merge Healthcare), David Kwan (IHE-Canada), Kevin Kreeger, Abhijit Deshmukh (Fovia), Lynn Felhofer (IHE RAD TPM), Khaled Younis (SIIM), Jamie Dulkowski, TeRhonda McGee, Chris Carr (RSNA)

Joined for POCUS session: Rob Ferre, Jason Nomura

• A1: 8:45am-9:00am Administrative Time
  • Introductions (Name and IHE Member Organization)
  • IHE Radiology Technical Committee Roster
  • IHE International Member Organizations
  • IHE Patent Disclosure Statement
  • Current Patent Disclosure Statements
• S1: 9:00am-11:00am: AI Results Assessment for Imaging (AIRAI)
  • Review of workflows led by Marc and Antje
  • Discussion of SR structure, including use of Tracking UID to express relationships between Findings
• S2: 11:15am-12:15pm: Maintenance
  • Discuss assigned CP-RAD-513 - Intermittently Connected Mod (Steve)
• A2: 1:00pm-1:30pm: Administrative Time
  • Review / update IHE Radiology Domain report to DCC (Wim)
• S3: 1:30pm-3:00pm: POCUS EBIW Extensions (POCUS)
  • Review and edit Volume 2 content, including POCUS-required attributes
• S4: 3:15pm-4:45pm: Cross-Community Access for Imaging (XCA-I.b)
  • Review and update actor requirements sections in Vol 1
• A3: 4:45pm-5:00pm: Administrative Time

Tuesday, January 28, 2025

Participants: Kevin O, Andrei, Antje, Steve, Wim, Marc, Harald, David, Kevin K, Salt, Khaled, Jamie, Chris, TeRhonda, Jason Nomura

Joined for clinical consult session: Adam Flanders, Stacy O'Connor, Ali Tejani, Audrey Verde, Brad Erickson, Carol Wu, David Koff, Imon Banerjee, Kent Hutson, Lindsey Johnstone, Melissa Davis, Seth Berkowitz, Stacy O'Connor, Val G, Tara Retson, Valerie Geisendorfer, Krishna Juluru, Walter Wiggins, Alex Towbin, Sam Miller, Adan Flanders

• A1: 8:45am-9:00am Administrative Time
  • Introductions (Name and IHE Member Organization)
• S1: 9:30am-10:30am: AI Results Assessment for Imaging (AIRAI) - Clinical Consult
  • Session recording link.
  • There was a lively exchange in the Zoom chat. Here is the contents of the chat: https://docs.google.com/document/d/1MOOCcXIz_lfde7y5wrxwL1_zB80StWUdl0dJUPLHok4/edit?usp=sharing
  • Marc made comments on the exchange. Here is a link to the annotate chat: https://docs.google.com/document/d/1NGp3zsqu_tiF4urXlBpzKS2v67tGQBOK/edit?usp=drive_link&ouid=105005564211348147894&rtpof=true&sd=true
• S2: 10:45am-12:15pm: AI Results Assessment for Imaging (AIRAI)
• S3: 1:30pm-3:00pm: POCUS EBIW Extensions (POCUS)
  • Review / refine mapping of POCUS-critical attributes in new table in Appx A (Vol 2x)
  • Review query matching and return key requirements
  • Review links/flow between the appendix and Vol 2
  • Review/refine open issues
• S4: 3:15pm-4:45pm: POCUS EBIW Extensions (POCUS)
• A3: 4:45pm-5:00pm: Administrative Time
  • Group photo (including dinner) here

Wednesday, January 29, 2025

Participants: Kevin O, Andrei, Antje, Steve, Wim, Marc, Harald, David, Kevin K, Salt, Khaled, TeRhonda

Joined for clinical consult session: Allan Bottemiller, Jason Nomura, Matthew Flannigan, Rachel, Rob Ferre, Morozovm, F Fernández

• A1: 8:45am-9:00am Administrative Time
• S1: 9:00am-10:30am: AI Results Assessment for Imaging (AIRAI)
• S2: 10:45am-12:15pm: AI Results Assessment for Imaging (AIRAI)
• A2: 1:00pm-1:30pm: Administrative Time
  • Toronto Connect-a-thon testing scope (Lynn)
    • Two RAD profiles will be tested in Toronto: XDS-I.b (a few vendors doing Supportive testing) and IRA (3 vendors)
    • David emphasized the importance of early recruiting (before budget cycle). Antje commented on the need to recruit to the higher level marketing and financial folks. She said that direct recruiting (vs announcements by email) will be more successful.
  • IHE Europe Webinar in preparation for Vienna Connect-a-thon (Andrei)
    • We will do this and choose a day in the last week of Feb.
    • The 2024 slides and a draft of the new 2025 presentation are now in google drive here: https://drive.google.com/drive/folders/16YFcGhHz1FlUF9hyYDUN_Wvq12XpEeG2
• S3: 1:30pm-2:45pm: POCUS EBIW Extensions (POCUS)
  • Line-by-live review of Vol 1 content
• S4: 3:00pm-4:15pm: POCUS EBIW Extensions (POCUS) - Clinical Consult
  • This session was recorded
• S5: 4:25pm-5:10pm: POCUS EBIW Extensions (POCUS)
  • Continue line-by-line of Vol 1

Thursday, January 30, 2025

Participants: Andrei, Steve, Wim, Harald, Lynn, Salt, David K, Khaled, Kinson Ho (Tempus), TeRhonda

• A1: 8:45am-9:00am Administrative Time
• S1: 9:00am-10:30am: Cross-Community Access for Imaging (XCWIA)
  • Line by line review of Vol 1 content
• S2: 10:45am-12:15pm: Maintenance
  • Review / finalize CP-RAD-513 Intermittently Connected Modality (Steve) -- approved as Completed/Ready for Ballot
  • CP-RAD-545-03 - Refactor RAD-16 retrieve for reuse (Lynn) - review and update; still assigned
  • CP-RAD-546-02 - Refactor RAD-30 -31 for reuse (Lynn) - review and update; still assigned
• A2: 1:00pm-1:30pm: Administrative Time
  • Tentative: Quick review of Top 10 CPs assigned to Kevin
    • CP-RAD-511 Fix Template identifier for Result Trees in AIR (Kevin) - approved as Completed; ready for ballot
    • CP-RAD-512 AIR - updates to Result Tree Node specification (Kevin) - approved as Completed; ready for ballot
    • CP-RAD-494 Clarify Series Description Code Sequence in RAD-137 (Kevin) -- reassign to Andrei
• S3: 1:30pm-3:00pm: Cross-Community Access for Imaging (XCWIA) - including Checkpoint assessment
  • Finished line by line. Finished assessment (see below). Approved XC-WIA for Public Comment.
• S4: 3:15-4:45pm Maintenance
  • Agreed to pursue promoting these profiles to Final Text in this cycle. We will review the Final Text assessment at the April F2F meeting:
    • AIR (Andrei is champion)
    • DIFF (Wim is champion)
    • IID (Andrei champion)
  • Process Assigned CPs
    • CP-RAD-537 - Misleading definition for “Instances-stored” Audit Trigger (Lynn) - reviewed/updated; approved as Completed; ready for ballot
    • CP-RAD-541-01 - HL7 order messages – editorial fixes (Lynn) - reviewed/updated; approved as Completed; ready for ballot
    • CP-RAD-545-03 - Refactor RAD-16 retrieve for reuse (Lynn) - reviewed/updated; approved as Completed; ready for ballot
    • CP-RAD-546-02 - Refactor RAD-30 -31 for reuse (Lynn) - reviewed/updated; approved as Completed; ready for ballot
    • CP-RAD-547-03 - Update Radiology Audit Trail Option text for clarity (Lynn) - reviewed/updated; approved as Completed; ready for ballot
  • Process Submitted CPs
    • CP-RAD-xxx-LF-refactor RAD-50 for reuse - assigned to Lynn as CP-RAD-549
    • CP-RAD-xxx-LF-BIR-pointer-to-Vol2 - reviewed, updated, approved as Completed as CP-RAD-551
    • CP-RAD-xxx-00-IOCMrqmts in RAD-30-31 - assigned to Lynn as CP-RAD-550
• A3: 4:45pm-5:00pm: Administrative Time

Annex: XC-WIA PC-Prep Closing Assessment

• Profile Name: Cross-Community Web-based Image Access (XC-WIA)
• Did we line-by-line the entire document

• Yes

• How ready is it to go out for PC: Completely, Almost, Soonish, Hmmm

• Almost (Refactor the diagrams and the text for Use Case 2)

• Which open issues are risky, and why

• None

• Are all open issues phrased to solicit the needed information to close them?

• Think so

• Which use cases need more input

• Federated Retrieve - included the Open issue to explicitly comment on Federated Use Case

• Which issues from the Kickoff Closing Assessment are still unresolved

• Security environment is still a bit of the wild card and additional security review as PC would definitely benefit.
• Note that definitive security solutions beyond scope of the profile.

• What significant debates in PC-prep were not anticipated in the Kickoff

• None

• Review ALL "uncertainty points" in the evaluation. Are all now resolved?

• Pretty much

• Review ALL "complexity points" in the evaluation. Did each get appropriate text coverage/resolution?

• Yes.
• Were able to simplify by using the existing RAD-107 transaction in communication between the gateways and not create the RAD-X1 transaction as initially planned.

• Review the "effort points" in the evaluation. Still seems right? Need more?

• About right; no significant additional effort needed.

• How does the scope feel in terms of being a useful chunk of work? (Needs more? Just right? More than enough?)

• Just right

• How is the work fitting in the allocated bandwidth? (Time to spare? Just right? Things were left undone?)

• Just right

• Did the Breakdown of Tasks accurately reflect the work? What extra tasks arose?

• One task has been eliminated.

• Looking forward, if you had to reduce scope to hit TI, what would you drop

• Federated use case may be delayed.

• Have the promised resources manifested

• Not entirely
• Had a good input from kick-off but there were no MCWG resources at the PC meeting

• What vendors are engaged (for each actor)

• No direct engagement beyond Technical Committee participation. Sectra expressed interst in the content of the profile. The review is expected at NA Connectathon 2025.

• When will we have sample data/objects

• N/A

• Who should specifically be targeted for Public Comment feedback

• Vendors with experience of establishing cross-community data exchange; security experts

• Was the profile where it needed to be at the start of the PC meeting (See "PC Prep Meeting" above), if not what was the gap

• Yes

• Was the profile where it needed to be at the end of the PC meeting, if not what was the gap

• yes

• How many tcons would you like between now and PC Publication

• 0

• Do you need any tcons before TI Prep Meeting

• Maybe 1 to review early comments.

Friday, January 31, 2025

Participants: Andrei, Steve, Wim, Harald, Lynn, Antje, Marc, David, Khaled, TeRhonda

• A1: 8:45am-9:00am Administrative Time
• S1: 9:00am-10:45am Results Assessment for Imaging (AIRAI) - including AIRAI_Checkpoint_Assessment
  • review/refine open issues
• A1: 10:45am-11:15 Administrative Time
  • Tcon scheduling
  • Deliver to mary dates:
    • XC-WIA - Feb 13
    • POCUS - Feb 17
    • Ask for publication of POCUS and XCWIA for Feb 21 with PC Due Mar 24
    • AIRAI - Feb 24
  • Also schedule Feb RAD presentation for Vienna Connectathon education/recruiting and identify presenters
    • Here is are draft slides, starting with the 2024 version
• S2: 11;15am-1:00pm POCUS EBIW Extensions (POCUS) - including POCUS_PC_Checkpoint_Assessment THEN Maintenance as time allows

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

==> Process Submitted CPs:

link to Submitted folder on Google Drive

• CP-RAD-xxx-LF-refactor RAD-50 for reuse
• CP-RAD-xxx-LF-editorial-updates-2025
• CP-RAD-xxx-LF-BIR-pointer-to-Vol2
• CP-RAD-xxx-00-IOCMrqmts in RAD-30-31

==> Process Assigned CPs:

link to Assigned folder on Google Drive

Top ten CPs

• The top tens:
  • CP-RAD-474 Extensions to RAD-106 for IMR (Kinson)
  • CP-RAD-494 Clarify Series Description Code Sequence in RAD-137 (Kevin) -- reassign to Andrei
  • CP-RAD-500 RAD-137 clarify request/response (Kevin)
  • CP-RAD-511 Fix Template identifier for Result Trees in AIR (Kevin) - approved as Completed; ready for ballot
  • CP-RAD-512 AIR - updates to Result Tree Node specification (Kevin) - approved as Completed; ready for ballot

Other Assigned CPs ready for discussion:

• 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-305-04 - 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-463 Add RDSR Display option in REM (Kevin)
• CP-RAD-478-01 - Out-of-Date DICOM References (Lynn)
• CP-RAD-493-00 - ARI Ambiguity (Lynn)
• CP-RAD-513 - Intermit Connected Mod (Steve)
• CP-RAD-537 - Misleading definition for “Instances-stored” Audit Trigger (Lynn) - reviewed/updated; approved as Completed; ready for ballot
• CP-RAD-541-01 - HL7 order messages – editorial fixes (Lynn) - reviewed/updated; approved as Completed; ready for ballot
• CP-RAD-545-03 - Refactor RAD-16 retrieve for reuse (Lynn) - reviewed/updated; approved as Completed; ready for ballot
• CP-RAD-546-02 - Refactor RAD-30 -31 for reuse (Lynn) - reviewed/updated; approved as Completed; ready for ballot
• CP-RAD-547-03 - Update Radiology Audit Trail Option text for clarity (Lynn) - reviewed/updated; approved as Completed; ready for ballot

==> Determine timeline for next ballot

Link to Completed folder

• CPs ready in ballot folder (Andrei/RadTech):
  • CP-RAD-364 Clarify IID
  • CP-RAD-423 Add specificity to IOCM (unreject)
  • CP-RAD-511 Fix Template Identifier for Result Trees in AIR
  • CP-RAD-512 AIR: Updates to Result Tree Node specificatoin
  • CP-RAD-513 SWF.b: Clarify Intermittently Connected Modality behavior in RAD-10
  • CP-RAD-536 Add missing audit triggers for RAD-107 and RAD-129
  • CP-RAD-537 Misleading definition for 'Instances-stored' Audit Trigger
  • CP-RAD-541 HL7 Order Messages - editorial fixes
  • CP-RAD-542 Typo in Table 4.20-2
  • CP-RAD-544 Replace reference to NMI Review Option with MPR option
  • CP-RAD-545 Refactor RAD-16 for easier reuse
  • CP-RAD-546 Refactor RAD-30 and RAD-31 for easier reuse
  • CP-RAD-547 Update Radiology Audit Trail Option text for clarity
  • CP-RAD-548 Inconsistencies in grouping rqmts for PDI profile
  • CP-RAD-551 Clarify links from BIR to Vol 2 sections
• Prepare CP Ballot announcement (TeRhonda): Week of Feb 3
• Ballot announcement sent (TeRhonda): Week of Feb 3
• Ballot closed; votes/comments due: - Fri Mar 7
• Ballot resolution meeting (RadTech): Week of April F2F

==> For 2024-25 cycle -- Profiles for potential Final Text, Deprecation, or Retirement (advocate)

See notes in Assessment of RAD profiles sheet

• Targets for Final Text promotion:
  • AIR (Andrei) - plan for Final Text Eval at April face-to-face
  • DIFF (Wim) - plan for Final Text Eval at April face-to-face
  • IID (Andrei) - plan for Final Text Eval at April face-to-face
  • 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)