Rad Plan Minutes 2008-09-17
Revision as of 16:24, 18 September 2008 by Chrisdcarr (talk | contribs) (→Review of [[Radiology_Proposals_2008-2009#Brief_Proposals|Brief Profile Proposals]])
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; include all the image-sharing profiles in Technical Committee review process
- 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): no estimate provided
- Mammography Workstation Bidirectional Interface: Hard to assess effort without clear definition of technical scope
- Image Management Enhancements: no estimate provided
Approach to Updating XDS-I to Use XDS.b Technology
- 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
- Action Item: Chris Carr to contact Dr. Ellis and rest of Mammography Subcommittee to encourage them to consider work on this profile
Approach to Addressing 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
Vote on Proposals to go on Short List
- Forward all profiles except Mammo Bidirectional Interface to Radiology Technical Committee
- Version of SWFII forwarded should be scoped down as described above
- Action: Rad Plan Co-chairs 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
- Action Item: Schedule check-status call for Nov. 5, 11am CT
Next Tcon
- To be scheduled via email