Rad Plan Minutes 2009-09-03

Attendees

• Kinson Ho, Agfa
• Michael Planchart, Riverain Medical
• Peter Maton, Riverain Medical
• Lynn Felhofer, IHE Technical Project Manager
• Patricia Katzman, Aware
• John Paganini, Guardian Technologies
• Antje Schroder, Siemens
• David Clunie, RadPham
• Chris Lindop, GE
• Kevin O'Donnell, Toshiba
• Cor Loef, Philips
• Paul Seifert, Agfa
• David Mendelson, MD, RSNA
• Joan McMillen, RSNA
• Nichole Drye-Mayo, RSNA
• Chris Carr, RSNA

Topics

1) First Review of Brief Profile Proposals with Authors

• Cardiac Imaging and Multi-Stack Spine Imaging
  • Implementations of Enhanced DICOM Objects (like last year's Perfusion and Diffusion profiles)
  • Cardiology domain needs to be consulted on Cardiac Imaging proposal
  • Adoption of previous enhanced objects profiles has not been widespread so far
  • Need to identify

• Imaging Object Change Management
  • Changes made to image studies across and within enterprises create multiple copies that may change and diverge
  • Many additional questions are raised by cross-enterprise information exchange
  • In coordination with DICOM work, provide use cases for DICOM to address
  • Goal is to develop white paper this year for profile development in current year,
  • Kinson Ho and Genady Knizhik volunteer to be editors of white paper

• Scheduled Workflow 2.0
  • Proposes many updates to SWF based on changes in HL7 transactions
  • Opportunity to clarify and extend SWF transactions, including use of MPPS
  • Physician Order Entry is related to SWF, but should be addressed as a separate profile in coordination with ITI (Kevin O'Donnell will post a separate proposal for this topic)
  • Includes ordering codes such as RadLex Chargemaster and JJ1017
  • Chris Lindop willing to act as profile editor

• Presentation of Processed Images
  • Currently there is no consistent way for modalities (that create overlays) and post-processing systems to make their compound image objects available for display and storage
  • Example of Mammo CAD SR shows the downside of profiling "one true way" for post-processing of a given image type: existing solutions taking different approaches will merely ignore the profile
  • Burden on receiving systems (PACS, displays) to handle multiple post-processing types: one approach would be to create table of allowed approaches that receiving systems would be required to support
  • Another approach might create a display profile that sets baseline for the different approaches an image display needs to support
  • Proposal includes three separate approaches: 1) simple overlay images, 2) compound objects such as annotations, 3) on-demand processing of pre-processed images where post-processing does not get stored in PACS
  • Michael Planchart willing to act as proposal editor

• DICOM Encoded Image Profile
  • Might be subsumed into Presentation of Processed Images profile
  • Don Mimlitch will be asked to work with Michael Planchart

• Diagnostic Imaging Repository Actor
  • Consensus is that some parts of this proposal could be folded into Change Management white paper
  • Ask author, David Heaney to clarify proposal to indicate what parts might be distinct proposal and what parts are covered by Change Management

• Data Retention
  • How policies about retaining and deleting images are implemented in a distributed environment
  • Might also be made part of the Change Management white paper; identify deficiencies in XDS-I model
  • May involve coordination with ITI to address synchronization, change management issues

• Action Item: Profile authors to submit any revisions prior to 2009-09-16 teleconference to make short list of proposals to be developed into detailed proposals

2) IHE Radiology Communications Strategy 2010

• Presentations at RSNA, HIMSS, SIIM, AHRA, AMA/AANS and other annual meetings
  • Committee members should participate in developing imaging scenario for HIMSS Showcase
  • SIIM Call for Abstracts closes Sept. 11
    • Meeting takes place June 3-6 in Minneapolis
    • General topics around IHE may be covered by Dr. Channin's SIIM U course
    • Action Item: Chris Carr to contact David Channin about his presentation plans for SIIM
    • Kevin O'Donnell, Chris Carr and Chris Lindop will draft abstract if it appears there is a gap in IHE materials in SIIM program
• Action Item: David and Kevin contact AANS about BIR demonstration interest
  • NA Connectathon Trial Implementation Profile Promotion
    • Applications due Sept. 30; if communication to industry is to be effective, it has to go out soon
• Action Item: Chris Carr will schedule teleconference for Sept. 9 to continue discussion of communication issues

3) 2010 Calendar Review

• See Radiology Domain Page for timeline dates

4) Topics deferred for future discussion:

• Cross-domain report, impacts to Radiology
• Board report, impacts to Radiology
• Technical Committee report, 2009 Trial Implrmentation Profile readiness for Final text: Technical Committee Minutes 2009.09.02
• www.ihe.net radiology content review

• • 2009-09-16: Teleconference to develop short list of profile proposals

Need to update Plan Cmte Roster to show voting privileges

Radiology Planning Committee