Difference between revisions of "Rad Plan Minutes 2008-09-17"
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* Establish general strategy for development cycle: aggressive development or consolidation? | * Establish general strategy for development cycle: aggressive development or consolidation? | ||
::* Consolidation year would risk losing momentum and making it difficult to retain participants | ::* Consolidation year would risk losing momentum and making it difficult to retain participants | ||
− | ::* There is | + | ::* There is work to do in imaging and demand from ONC in the US and other national entities for imaging solutions compatible with EHR projects |
* Establish strategic priorities within domain | * Establish strategic priorities within domain | ||
− | + | ::* Devote entire development cycle to image-sharing issues? | |
+ | ::* Politically hot topic: meets objectives of RSNA RIC, AMA/ACR committee on MR Safety, ONC and EHR projects | ||
+ | ::* Package of XDS-I, XCA-I, PDI, Basic Image Review and Image Management Enhancements could be grouped around this theme | ||
+ | ::* Resolution: Recommend to Technical Committee to work on package of image-sharing profiles | ||
+ | |||
* Initial estimate of effort level for each proposal | * Initial estimate of effort level for each proposal | ||
::* [[Rad Plan Minutes 2008-09-03]] Include level of effort estimates for the profiles below: | ::* [[Rad Plan Minutes 2008-09-03]] Include level of effort estimates for the profiles below: | ||
::* Enhanced DICOM Objects: Medium | ::* Enhanced DICOM Objects: Medium | ||
::* XDS-I Using XDS.b Technology: Medium to High | ::* XDS-I Using XDS.b Technology: Medium to High | ||
+ | :::* Scope of development is key question: simple upgrade of XDS.a transactions to XDS.b or reworking of transfer protocols to Web services model (in coordination with DICOM WG10)? | ||
::* PDI Extensions: Low to Medium | ::* PDI Extensions: Low to Medium | ||
::* Basic Image Review: Low to Medium | ::* Basic Image Review: Low to Medium | ||
Line 33: | Line 38: | ||
::* Image Management Enhancements: no estimate provided | ::* Image Management Enhancements: no estimate provided | ||
** Identify champions and work groups for profiles where possible | ** Identify champions and work groups for profiles where possible | ||
− | |||
* Select "short list" to provide to Technical Committee | * Select "short list" to provide to Technical Committee | ||
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− | ====XDS-I | + | ====Approach to Updating XDS-I to Use XDS.b Technology==== |
* Fits with image-sharing strategy | * Fits with image-sharing strategy | ||
* Need to decide upon the scope of development | * Need to decide upon the scope of development | ||
** XDS-I and image sharing across care sites is a politically hot topic | ** XDS-I and image sharing across care sites is a politically hot topic | ||
− | |||
** Will updating XDS-I to XDS.b lead to dramatic improvement in 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 | ** Within a given PACS environment, Web access is a feature already typically available | ||
Line 52: | Line 55: | ||
** Need to assess current priority of addressing networked model vs. upgrading PDI solutions for removable media (driven by AMA, ACR concerns) | ** 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 | ** 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 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:''' 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:''' 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 flesh out and clarify use case to be addressed |
− | ::* Action Item: Planning Committee to develop coordinated view of image sharing approaches | + | ::* '''Action Item:''' Planning Committee to develop coordinated view of image sharing approaches (eg, XDS-I, XCA, PDI) |
− | |||
− | |||
− | |||
− | |||
====Mammography Workstation Bidirectional Interface==== | ====Mammography Workstation Bidirectional Interface==== | ||
* Invite Dr. Ellis and other clinical reps to convene Mammo Cmte to address this in current cycle | * Invite Dr. Ellis and other clinical reps to convene Mammo Cmte to address this in current cycle |
Revision as of 15:50, 18 September 2008
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 work to do in imaging and demand from ONC in the US and other national entities for imaging solutions compatible with EHR projects
- Establish strategic priorities within domain
- Devote entire development cycle to image-sharing issues?
- Politically hot topic: meets objectives of RSNA RIC, AMA/ACR committee on MR Safety, ONC and EHR projects
- Package of XDS-I, XCA-I, PDI, Basic Image Review and Image Management Enhancements could be grouped around this theme
- Resolution: Recommend to Technical Committee to work on package of image-sharing profiles
- 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
- Scope of development is key question: simple upgrade of XDS.a transactions to XDS.b or reworking of transfer protocols to Web services model (in coordination with DICOM WG10)?
- 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
- Select "short list" to provide to Technical Committee
- Discussion of each proposal will be limited to 5-10 minutes
Approach to Updating XDS-I to Use XDS.b Technology
- 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
- 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 (eg, XDS-I, XCA, PDI)
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