Rad Plan Minutes 2008-09-17

Attendees

• David Clunie, MD - RadPharm
• Chris Lindop - GE (Co-chair)
• Kevin O'Donnell - Toshiba (Co-chair)
• Paul Seifert - Agfa
• Peter Mildenberger, MD - ESR
• David Mendelson, MD - RSNA
• Jerold Wallis, MD - SNM
• Joan McMillen - RSNA
• Nichole Drye-Mayo - RSNA
• Chris Carr - RSNA

Minutes

Review of Brief Profile Proposals

• Estimate bandwidth of Technical Committee to review proposals

• • Likely to be no greater than previous cycle: limits number of complex new profiles that could be developed

• Establish general strategy for development cycle: aggressive development or consolidation?

• • Consolidation year would risk losing momentum and making it difficult to retain participants
  • There is much work to do in imaging and demand from ONC in the US and other national entities for imaging solutions compatible with EHR projects

• Initial estimate of effort level for each proposal

• Rad Plan Minutes 2008-09-03 Include level of effort estimates for the profiles below:
• Enhanced DICOM Objects: Medium
• XDS-I Using XDS.b Technology: Medium to High
• PDI Extensions: Low to Medium
• Basic Image Review: Low to Medium
• Scheduled Workflow II Phase 2: Medium to High
• Cross Community Access for Imaging (XCA-I): Low to Medium
• Mammography Workstation Bidirectional Interface: Hard to assess effort without clear definition of technical scope
• Image Management Enhancements: no estimate provided

• • Identify champions and work groups for profiles where possible
• Establish strategic priorities within domain
  • Devote entire development cycle to image-sharing issues?

• Select "short list" to provide to Technical Committee
• Discussion of each proposal will be limited to 5-10 minutes

XDS-I Using XDS.b Technology - Brief Proposal

• Fits with image-sharing strategy
• Need to decide upon the scope of development
  • XDS-I and image sharing across care sites is a politically hot topic
  • Is it a problem IHE can advance a useful solution for and achieve adoption?
  • Will updating XDS-I to XDS.b lead to dramatic improvement in adoption?
  • Within a given PACS environment, Web access is a feature already typically available
  • Add PHR use case to XDS-I?
  • Address Web services-based transfer protocol for images in coordination with DICOM WG10 and ITI?
  • Important to engage current adopters (eg, CHI and vendor adopters) to ensure that approach chosen is helpful and does not introduce incompatibility with adopted approaches: need to justify any incompatibilities introduced
  • Canadian model is to establish centralized architecture for DI: regional PACS
  • Need to assess current priority of addressing networked model vs. upgrading PDI solutions for removable media (driven by AMA, ACR concerns)
  • Need to engage referring physicians in working on practical solutions for image exchange

• Action Item: Planning Committee to engage user adopters and gather their experience
• Action Item: Planning Committee to contact vendor adopters from Connectathon results db and request their input on approaches to update profile
• Action Item: Technical Committee to assess compatibility issues raised by upgrading to XDS.b
• Action Item: Planning Committee to flesh out and clarify use case to be addressed
• Action Item: Planning Committee to develop coordinated view of image sharing approaches

PDI Extensions - Brief Proposal

• Fits with image-sharing strategy

Basic Image Review - Brief Proposal

• Fits with image-sharing strategy

Mammography Workstation Bidirectional Interface

• Invite Dr. Ellis and other clinical reps to convene Mammo Cmte to address this in current cycle

Scheduled Workflow II Phase 2 - Brief Proposal

• Consider whether it is possible to limit scope of work to moving from HL7 2.3 to 2.5 without other workflow improvement elements
• Minimum scope includes removing some options, providing identity of operator in PPS
• Defer to future cycles analysis of detailed order entry (requested by IHE-J and some US sites)
• Challenge will be allowing scope to expand in course of writing
• Chris Lindop takes responsibility for being lead author of changes

• Action Item: Chris Lindop to rewrite proposal with more limited scope

Cross Community Access for Imaging (XCA-I) - Brief Proposal

• Fits with image-sharing strategy

Image Management Enhancements - Brief Proposal

• Fits with image-sharing strategy

Vote on Proposals to go on Short List

• Action: Rad Plan Cochairs will send the Short List to Tech Cmte for feasibility and effort evaluation

Planning for RSNA

• Switch David Clunie in for Kevin O'Donnell on Tues, Dec. 2, 1:30-2:15
• Not necessary to have detailed content review session
• Schedule check-status call for Nov. 5, 11am CT

Radiology Planning Committee