Rad Plan Minutes 2008-10-22

Attendees

• Chris Lindop (Co-chair) - GE
• Kevin O'Donnell (Co-chair) - Toshiba
• David Clunie, MD - RadPharm
• Dick Donker - Philips
• Dave Heaney - McKesson
• Mike Henderson - Eastern Informatics
• Genady Knizhnik - Agfa
• Cor Loef - Philips
• John Paganini - Guardian
• Paul Seifert - Agfa
• Niki Wirsz, PhD - Siemens
• Chris Carr - RSNA
• Nichole Drye-Mayo - RSNA

Minutes

Final Selection of 2008-09 Work Items

Attendance and Review of Voting Privileges

• Reviewed Radiology Planning Committee Roster: Quorum attained; McKesson and Eastern Informatics take part in current meeting as non-voting participants

Discussion of Voting Procedure

• Assemble slates of proposals reflecting work budget (roughly) and vote on slates

• Overview of Proposal Evaluations (See Table)

• General understanding of proposals within committee is good; discussion focused on advocacy, reasons for priority

• A. Basic Image Review

• Addresses display requirements, particularly for consumption by referring physicians
• Urgency of need has been expressed by medical societies in US
• Model for setting display requirements is established in Nuc Med and Mammo display profiles

• B. PDI Extensions

• Addresses pressing, current need in radiology
• Activity by DRG and others in compression raises political stakes of addressing the issue now

• C. XDS-I Using XDS.b technology

• Aligns radiology with direction of ITI committees and implementation projects
• Strong desire in Radiology Informatics Committee to promote this as future direction of Image Sharing

• D. Image Management Enhancements

• Provides workflow functions (delete, replace, etc.) in distributed environments
• Addresses critical needs of current installations in Multi-PACS environments
• Question about whether underlying standards are in place to efficiently address the issue; concern about misusing standards
• Possible to address current implementation requirements through other authorities (eg, Canada Health Infoway)
• Raises additional use cases for working in a hybrid SWF/XDS environment

• E. Enhanced DICOM Objects

• Underlying standards are important and well established (including prior demonstrations); proposal for profile has been under consideration for 3 years
• Profile would be basis for series of clinically specific subprofiles
• Issues of working in a mixed environment would remain out of scope
• Speed of transfers in working with large data sets is one of the key clinical benefits
• Enables higher-level interoperability among specialty applications (eg, cardiac systems)

• F. Scheduled Workflow II

• Aligns SWF with PAM profile and development path of HL7 messaging
• Optional part of proposal to add Study Ready message

• Question about whether this item is feasible; suggest as DICOM work item and address when standards available

• G. Required Profile Maintenance

Voting

• Assembled voting slates for consideration:

• #1: A, B, C, E2, F1, G (145%)
• #2: A, C, E2, G (100%)
• #3: A, B, C, G (85%)
• #4: A, B, C, F1, G (120%)
• #5: A, B, C, E2, G (110%)
• #6: A, B, C, D2, F1, G (175%)

• After two-stage run-off process, Slate #5 was selected and the following profiles were chosen for development:

• Basic Image Review
• PDI Extensions
• XDS-I Using XDS.b Technology
• Enhanced DICOM Objects - MR Diffusion, CT/MR Contrast Perfusion only

Brief Review of Radiology Image Sharing Roadmap

• Deferred to Nov. 5 tcon

Next Planning Committee Tcons/Meetings:

• Nov. 5, 10-11am Regular Committee Business; 11am-12pm Review IHE Presentations for RSNA Annual Meeting
• Dec. 2, 8:30-10:30am, Radiology Planning/Technical Committee Breakfast at RSNA 2008

Radiology Planning Committee