Encounter-based Imaging Workflow

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Mailing list

You can subscribe to the Radiology Encounter-based Imaging Workflow google group.

The group also has an email alias rad-ebiw@ihe.net.

Weekly Call on Friday at 12noon CT / 1pm ET

webex Meeting number (access code): 920 648 252 Meeting password: Meeting123

Recording

The following is the list of past discussions:

  • Encounter-based Imaging Workflow at Mayo Clinics, presented by Kenneth Persons Download Presentation Stream
  • Encounter-based Imaging Workflow at University of Miami, presented by Dawn Cram Download Stream
  • Encounter-based Imaging Workflow by ImageMoverMD, presented by K. Thomas Pickard Presentation Stream

Profile Proposal

The profile proposal is available at Encounter Based Imaging Workflow - Proposal.

High Level Workflow

The following high level workflow is a work-in-progress. It outlines the focus scope that we are currently trying to address. You can find the source of the diagram here PDF Visio

Encounter Based Imaging - Base Workflow - v2.png

Upcoming discussion / meeting

Date Time Details Minutes
May 2, 2017 1:00pm - 2:00pm CT webex
  • Agree that we need to narrow down the scope to bring the effort required to a manageable size
  • This profile will focus on three questions:
    • Without any prior order (i.e. not managed acquisition), how to reliably get the encounter information delivered to the modality?
    • What are the set of mandatory metadata for the captured images so that it can facilitate post-acquisition activities?
    • What method(s) should be used to assemble the metadata and image data into something that downstream systems can readily consumer? (e.g. DICOM/XDS/FHIR/etc.)

Action item for next meeting:

  • Brian Hart will lead storyboard discussion on Friday to focus on persona
  • Dawn and Kinson will extract the pain points of current practice identified in the HIMSS/SIIM whitepaper

To be discussed on Friday:

  • Possible breakout meeting at SIIM
May 5, 2017 10:00am - 11:00am CT webex
  • Agree with the four questions to focus (in the proposal wiki under 2. The Problem > Goals)
  • Agree to meet every week on Friday at 12noon CT / 1pm ET
    • Nichole from RSNA has sent out a new meeting invite
    • first meeting start on May 19
  • Agree to try to meet at SIIM for a face-to-face discussion. Use doodle poll to indicate your availability
  • Brian showed an example of using Design Thinking process to help guide identifying requirements for each persona
    • Agree to try use the model at SIIM
    • Agree to be mindful about how much time we spent
  • Agree to keep the workflow design as an open general workflow, rather than focus on specific departmental need
    • Will try to see if we can engage any specialist to help us on understanding their workflow and specific needs
May 19, 2017 12:00pm - 1:00pm CT webex
  • We will setup an gathering at SIIM on Thursday June 1 in the morning at 7am - 8am. We will see if we can have additional gathering during the conference.
  • We started mapping out a high level diagram to capture the focus scope of this profile (Thanks Brian for leading the discussion). See the draft diagram above.
  • Kinson will present the work done by this group and the future milestones at the Enterprise Imaging Workgroup Meetup at SIIM on June 1.
May 26, 2017 12:00pm - 1:00pm CT webex
  • Continue discussion
  • Confirmed meeting at SIIM on Thursday morning. Will setup webex and send out calendar invite.
Jun 1, 2017 7am - 8am SIIM Room 321 (3rd floor of David L. Lawrence Convention Center
  • Identified 3 immediate use cases: (1) Point of care / bedside US, (2) Different kinds of scope devices used in operation room, and (3) camera / phone captured photos
  • Identified that it is important to send notification back to EMR to close the loop when the data exists. Commonly use HL7 v2 messaging
  • Identified that may be important to identify the source of the data, whether it is provider acquired, or submitted by patient
  • Time may not be the reliable linkage information of images to context. E.g. multiple procedures happened simultaneously in the OR.
    • matter for consumption E.g. use surgical video afterwards
    • context is important for follow-up, not immediate assumption
  • Consider grouping with ATNA and CT for authentication and consistent time. Specific enterprise authentication such as Active Directory will not be explicitly mentioned.
  • Consider the holistic use case using the captured images for follow-up and other need, not only as evidence (e.g. for surgical procedure) and immediate consumption
Jun 9, 2017 12:00pm - 1:00pm CT webex
Jun 16, 2017 12:00pm - 1:00pm CT webex
Jun 23, 2017 12:00pm - 1:00pm CT webex
Jun 30, 2017 12:00pm - 1:00pm CT webex