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IHE Cardiology Echo Profile Year 2 1/1/05 Version 0.1.

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Presentation on theme: "IHE Cardiology Echo Profile Year 2 1/1/05 Version 0.1."— Presentation transcript:

1 IHE Cardiology Echo Profile Year 2 1/1/05 Version 0.1

2 IHE Cardiology Page 2 Echo Y2 Profile Problem Statement The year two Echo profile addresses the need to track various reporting tasks for TTE, TEE, and Stress Echo. These reporting tasks include interpretation, dictation, transcription, verification, revision, and coding. While there may be differences in Cardiology from Radiology, IHE-Rad’s RWF, ED, and SINR are very applicable and provide a foundation to work from. Similar to year 1, a majority of this profile will a combination of several IHE-Rad profiles along with some adjustments to suite the Cardiology differences. This provides a proven framework to build on.

3 IHE Cardiology Page 3 Echo Y2 Profile Diagram   Pt. Registration [Rad-1]  Patient Update [Rad-12] Pt. Registration [Rad-1]  Patient Update [Rad-12]   Placer Order Management [Rad-2]  Filler Order Management [Rad-3] ADT Modality Image/Evidence Stored [Card-2] Storage Commitment [Card-3]   Query Modality Worklist [Rad-5] Performed Procedure Step Manager  Modality PS in Progress [Card-1]  Modality PS Completed [Rad-7]  Modality PS in Progress [Card-1]  Modality PS Completed [Rad-7]  Modality PS in Progress [Card-1]  Modality PS Completed [Rad-7] Order Placer Acquisition Modality Image Manager Image Archive DSS/ Order Filler Procedure Scheduled [Rad-4] Performed Work Status Update [Rad-42] Procedure Update [Rad-13] Report Creator Evidence Creator  Query Images [Rad-14]  Retrieve Images [Rad-16] Image Display  Query Evidence Documents [Rad-44]  Retrieve Evidence Documents [Rad-45] Report ManagerReport Repository Enterprise Report Repository External Report Repository Report Reader  Evidence Documents Stored [Card-xx] Storage Commitment [Rad-10]  Query Reports [Rad-26] Retrieve Reports [Rad-27]   Report Issuing [Rad-25]  SR Export [Card-xx]  Report Submission [Rad-24]  Query Reports [Rad-26]  Retrieve Reports [Rad-27]  Query Reports [Rad-26]  Retrieve Reports [Rad-27]    Procedure Scheduled [Rad-4] Procedure Updated [Rad-13] Patient Update [Rad-12]   Reporting WL Provided [Rad-46] Workitem Claimed [Rad-38]      Workitem Completed [Rad-41] Workitem PPS In Progress [Rad-39] Workitem PPS Completed [Rad-40] Modality PS Completed [Rad-7]  Instance Availability Notification [XXX-xx] NOTE: Needs lots of cleaning up + split in to simplified phases Blue indicates year 2 work 

4 IHE Cardiology Page 4 Actors DSS/OF Same as in current Cardiology TF 1:2.3 PPS Manager Same as in current Cardiology TF 1:2.3 Image Archive Same as in current Cardiology TF 1:2.3 Report Manager Same as in current Radiology TF 1:2.2 Report Repository Same as in current Radiology TF 1:2.2 Report Reader Same as in current Radiology TF 1:2.2 Report Creator Same as in current Radiology TF 1:2.2 Evidence Creator Same as in current Radiology TF 1:2.2 Enterprise Repository Same as in current Radiology TF 1:2.2 External Repository Same as in current Radiology TF 1:2.2

5 IHE Cardiology Page 5 Transactions Procedure Scheduled [Rad-4] Same as in current Radiology TF 1:2.3 HL Chapters 2-4 Procedure Update [Rad-13] Same as in current Radiology TF 1:2.3 HL Chapters 2,4 Modality Procedure Step Completed [Rad-7] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Modality Performed Procedure Step SOP Class DICOM 2003 PS 3.16: DCMR Context Groups (Normative) Storage Commitment [Rad-10] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Storage Commitment Push Model SOP Class Instance Availability Notification [xxx-xx] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Instance Availability Notification SOP Class Report Submission [Rad-24] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Storage SOP Class DICOM 2003 PS 3.16: Content Mapping Resource Report Issuing [Rad-25] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Storage SOP Class DICOM 2003 PS 3.16: Content Mapping Resource

6 IHE Cardiology Page 6 Transactions Query Reports [Rad-26] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Query/Retrieve Service Class DICOM 2003 PS 3.16: Content Mapping Resource Retrieve Reports [Rad-27] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Query/Retrieve Service Class DICOM 2003 PS3.4: Storage SOP Class DICOM 2003 PS 3.16: Content Mapping Resource Structured Report Export [Card-xx] HL Chapter 7 DICOM 2003 PS3.4: Storage SOP Class DICOM 2003 PS 3.16: Content Mapping Resource Workitem Claimed [Rad-38] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class Workitem PPS In Progress [Rad-39] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class Workitem PPS Completed [Rad-40] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class Workitem Completed [Rad-41] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class

7 IHE Cardiology Page 7 Transactions Performed Work Status Update [Rad-42] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class Evidence Documents Stored [Card-xx] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Storage Service Class; Basic Text SR SOP Class; Enhanced SR SOP Class; Comprehensive SR SOP Class DICOM Supplement 72: Echocardiography Procedure Report Query Evidence Documents [Rad-44] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Query/Retrieve Service Class Retrieve Evidence Documents [Rad-45] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: Query/Retrieve Service Class Reporting Worklist Provided [Rad-46] Same as in current Radiology TF 1:2.3 DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class

8 IHE Cardiology Page 8 Echo Y2 Profile Scenarios Scenario 1: Report Manager and Image Manager grouped in one system Scenario 2: Report Manager and DSS/OF grouped in one system Scenario 3: Report Creator and Image Display grouped in one system Scenario 4: Report Manager is a separate system

9 IHE Cardiology Page 9 Echo Y2 Profile Scenarios Workflow EventTransactionsOriginating Actor Receiving ActorNotes Ordered Placer Order Management [Rad-2]Order FillerDSS/OF Filler Order Management [Rad-2]DSS/OFOrder Filler Scheduled Procedure Scheduled [Rad-4]DSS/OFImage Manager Procedure Scheduled [Rad-4]DSS/OFReport Manager Patient Arrives and is on tableQuery Modality Worklist [Rad-5]Acquisition ModalityDSS/OF Start Procedure Modality PS "In Progress" [Card-1]Acquisition ModalityPPS Manager Indications, measurements, & procedure info would be captured on echo machine to be sent as evidence via DICOM SR Modality PS "In Progress" [Card-1]PPS ManagerImage Manager Modality PS "In Progress" [Card-1]PPS ManagerDSS/OF

10 IHE Cardiology Page 10 Echo Y2 Profile Scenarios WorkflowTransactionsOriginating Actor Receiving ActorNotes Stress ECG report, Nursing report for TEE, etc. Creator PS "In Progress" [Card-1]Evidence CreatorPPS Manager Synch up with Stress Echo work as this is both an acquisition modality and evidence creator depending on the step in the workflow. The exact location of this event in this workflow is not precise, but suggesting another evidence creator in the workflow Creator PS "Complete" [Rad-7]Evidence CreatorPPS Manager Modality PS "Complete" [Rad-7]PPS Manager Report ManagerPARTIAL Creator Evidence Stored [Card-xx]Evidence CreatorImage Archivewaveforms and/or SR templates Storage Commitment [Card-3]Evidence Creator Image Manager End Procedure Modality PS "Complete" [Rad-7] Acquisition ModalityPPS Manager Modality PS "Complete" [Rad-7]PPS Manager Image Manager Modality PS "Complete" [Rad-7]PPS ManagerDSS/OF Modality PS "Complete" [Rad-7]PPS Manager Report ManagerPARTIAL Modality Image/Evidence Stored [Card- 2] Acquisition ModalityImage Archive Storage Commitment [Card-3] Acquisition Modality Image Manager Instance Availability Notification [XXX-xx]Image Archive Report ManagerCOMPLETE

11 IHE Cardiology Page 11 Echo Y2 Profile Scenarios WorkflowTransactions Originating ActorReceiving ActorNotes View Historical Reports Query Reports [Rad-26]Report Reader Report Repository/External Report Repository This step could occur anywhere in the workflow Retrieve Reports [Rad-27]Report Reader Report Repository/External Report Repository Review Reporting Worklist Provided [Rad-46]Report CreatorReport Manager Preliminary reports can be created in this part of the workflow. Similar to Radiology’s workflow. Need to review the subtleties for differences. Workitem Claimed [Rad-38]Report CreatorReport Manager Performed Work Status Update [Rad-42]Report ManagerDSS/OF Query Images [Rad-14]Image DisplayImage Archive Query Evidence Documents [Rad-44]Image DisplayImage Archive Retrieve Images [Rad-16]Image DisplayImage Archive Retrieve Evidence Documents [Rad-45]Image DisplayImage Archive Workitem PPS "In Progress" Rad-38]Report CreatorReport Manager Report Workitem PPS "Complete" [Rad-40]Report CreatorReport Manager Report Submission [Rad-24]Report CreatorReport Manager Report Issuing [Rad-25]Report ManagerReport Repository Workitem Completed [Rad-41]Report CreatorReport Manager SR Export [Card-xx]Report Manager Enterprise Report Repository

12 IHE Cardiology Page 12 In Scope / Out of Scope The scope of this profile is to deal with the workflow surrounding procedural documentation for echocardiography. Specific content mapping is not addressed in this profile. FeatureIn/Out Key Image NotesOut Measurements and other structured data mappings (SINR)Out Integrated image review and documentationIn Note: list functionality especially at borders of what is included/excluded – i.e., included features that could reasonably be descoped by the Technical Committee, or excluded features that could be included

13 IHE Cardiology Page 13 Phased Approach Workflow outside of content mapping should constitute phase 1.

14 IHE Cardiology Page 14 Open Issues 1.Key Image Notes 2.Nursing notes for TEE 3.Workflow surrounding content mapping among the various documents. (e.g. evidence document on image display to physician report on report creator) 4.Dictation vs. SR


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