Mammography Reporting Workflow - Brief Proposal

1. Proposed Workitem: <initial working name for profile/whitepaper/etc>

• Proposal Editor: <Richard L. Ellis, M.D.>
• Editor: <TPA>
• Date: N/A (Wiki keeps history)
• Version: N/A (Wiki keeps history)
• Domain: <Radiology: Mammography>

remove this tag [[Category:DomainAbbreviation]] remove this tag too

2. The Problem

<a)Screening mammography recall examination abnormality demarcated on the 5 MP monitor should be automaticality transfered back to the breast imaging reporting system and the technologist's patient recall sheet without requiring the radiologists to demarcate the same abnormality again within these two reporting/information systems; b) if no abnormality is identified at the conclusion of the hanging protocol review and final screening mammography iterpretation, an automatic normal report should be generated instead of requiring the manual development of a normal screening mammography report within the breast imaging reporting system; and c) upon completetion of an interpreted normal screening mammography examination, the next screening mammography case within the screening mammography worklist should be automatically loaded on the 5 MP monitors for interpretation without requiring the manual selection of the next case from the screening mammography worklist. Summarize the integration problem. What doesn’t work, or what needs to work.>

3. Key Use Case

<a)Once a screening mammography recall examination abnormatity is demarcated on the 5 MP monitor, the abnormality and its corresponding locations should be automatically transfered back via a bidirectional interface to the breast imaging reporting system and the technologist's patient recall sheet either as a thumbnail print or information uploaed into a universal breast diagram; b) if not abnormality is identified at the conclusion of the hanging protocol review and final screening mammography iterpretation, an automatic normal report should be generated instead of requiring the manual development of a normal screening mammography report within the breast imaging reporting system by imploying a normal templated report, and c) upon completetion of the interpreted normal screening mammography examination, the next screening mammography case within the screening mammography worklist,which is in CASHS is automatically loaded on the 5 MP monitors for interpretation, eliminating the need to manually select the next case for review from the worklist.>

4. Standards & Systems

<Breast imaging clinical workstations, reporting systems, and PACS systems >

<TBA>

5. Discussion

<The purpose of a bidirectional interface between the breast imaging clinical workstation, reporting system, and PACS is to increase the end user (ie, radiologists, breast imaging support staff) efficiciency and performance metrics within screening mammmography. Anticipated in the future is greater centralization of screening mammography interpretation resulting in a larger volume of examinations per radiologist for interpretion each year. Include additional discussion or consider a few details which might be useful for the detailed proposal.>

<Through RSNA IHE Mammography, vendor representatives, radiologists, and appropriate information techhologists could help establish the requirements for bidirectional interface amoungst the clinical workstation, reporting sytem, and PACS so that a universal bidiretional interface profile could be created. This requested profile meets the mission of RSNA IHE. Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.>

<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>

<What are some of the risks or open issues to be addressed?>

<This is the brief proposal. Try to keep it to 1 or at most 2 pages>