Rad Tech Minutes 2011-12-07 to 2011-12-09

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Wednesday, Dec. 7, 2011: 8:30 am - 5:00 pm

08:30-09:00: Welcome, Agenda review
09:00-01:00: Management of Radiology Reporting Templates
01:00-02:00: Lunch
02:00-05:00: Foreign Exam Management

Attendees

  • Curtis Langlotz
  • Chris Lindop
  • David Heaney
  • Kinson Ho
  • Kevin O'Donnell
  • Paul Morgan
  • Antje Schroeder
  • Jerry Wallis
  • Carter Yates
  • David Clunie
  • Alexis Tzannes
  • Peter Kuzmak
  • Lynn Fellhofer
  • Marius Petruc
  • Chris Carr
  • La Shawn Edwards

Management of Radiology Reporting Templates

  • Review of the presentation (at link, when document available)
    • Template structure
    • Attributes of a template
    • Attributes for fields
    • Template fields
    • Attributes for pick list items
    • Examples for merge fields to be added:
      • Information from Dose SR
      • Glucose levels for PET Studies
      • Creatinin levels for contrast CT studies
  • Decision on scope of the work item:
    • value add is in defining the payload(structure of the template) , rather than the transfer mechanism.
    • will be a whitepaper
  • Next steps:
    • Include further details into the whitepaper
    • Generate an xml example for a template and share that with reporting system vendors to receive some feedback
  • Next discussion at January f2f meeting (Dr. Langlotz is available Jan. 18).

Foreign Exam Managment

  • For now has been worked on in two different aspects:
    • Automation of Import Reconcilliation Workflow - Peter Kuzmak
    • Management of the exam (reading, archiving, distribution) - Dave Heaney
  • IRWF extensions:
    • Initial focus on importing priors
    • Addtional information needed in this use case includes Patient information, type of exam, authority for placing the order and location of patient.
    • VA implementation checks for existing studie and only imports delta
    • Open issues:
      • How to handle other patient ids (use of other patient id sequence)?
      • For querying the procedure information: Do we need two actors (Radiology Procedure Supplier, Radiology Procedure Modifier Supplier) and two transactions? Could we re-use functionality defined in the ITI Shared Value Sets (SVS) Profile?
      • Could the ordering provider re-use funtionaltiy defined in the ITI Personal Whitepages Profile (PWP)?
      • Do we need to specify different import mechanisms (media, xd*)?
      • Do we need a named option to map outside procedures to internal procedures?
      • Could the Importer actor take the role of the Order Placer, if we then added order placer to order placer communication
      • Since the VA approach does a check whether the object exist, how should modified instances be handled? Use the IOCM paradigm that SOP instances with the same UID have equivalent content.
    • STILL HAVE TO ADD DISCUSSION ABOUT Rad-XXX-6 vs Rad 3 vs PIR
  • Foreign Exam Management:
    • Workflow for reading foreign exams: There is an existing order for importing the foreign exam, the importer needs to create a work item to read the study.
    • Workflow for handling archiving/deleting foreign studies at the image manager: The importer uses the Archive Requested flag in the MPPS message to indicate what the expected behavior is.
    • Complete deletion of any study record from the system won't be covered by IHE, that should be system /database responsibility
    • Further distribution of foreign studies to a specific user or system needs to take into account access priviledges and needs to provide an Instance Availability Notification, which also needs to be sent out upon receiving imported instances.
    • Open Issues
      • STILL NEED TO ADD
  • Action item: Peter and Dave to combine the two documents into one

Thursday, Dec. 8, 2011: 8:30 am - 5:30 pm

08:30-10:30: Cross Enterprise Reliable Document Exchange for Imaging
10:30-12:30: Unified Post Processing Workflow with Application Hosting
12:30-01:30: Lunch
01:30-03:30: Foreign Exam Management
03:30-05:30: TF Maintenance

Attendees

  • Chris Lindop
  • David Heaney
  • Kinson Ho
  • Kevin O'Donnell
  • Paul Morgan
  • Antje Schroeder
  • David Clunie
  • Alexis Tzannes
  • Peter Kuzmak
  • Lynn Fellhofer
  • Marius Petruc
  • Chris Carr
  • Harry Solomon
  • La Shawn Edwards

Friday, Dec. 9, 2011: 8:00 am - 4:00 pm

08:00-09:30: Cross Enterprise Screening Mammography Workflow white paper
09:30-12:30: Unified Post Processing Workflow with Application Hosting
12:30-13:30: Lunch
13:30-15:00: Cross Enterprise Reliable Document Exchange for Imaging
15:00-16:00: AoB, Scheduling for next meetings/tcons, wrap up

Radiology Technical Committee