1. Feb. 07-10, 2005IHE Europe Workshop 1 Integrating the Healthcare Enterprise – Radiology – Introduction to the New IHE Integration Profiles: Dr. Nikolaus Wirsz –Siemens Medical Solutions IHE Europe Committee IHE Radiology Planning Committee Portable Data for Imaging (PDI)

2. Feb. 07-10, 2005IHE Europe Workshop 2 IHE Radiology Integration Profiles Patient Info. Recon- ciliation Access to Radiology Information Consistent Present- ation of Images Basic Security - Evidence Docs Key Image Notes Simple Image & Numeric Reports Presentation of Grouped Procedures Post- Processing Workflow Reporting Workflow Charge Posting Scheduled Workflow Portable Data for Imaging NM Image NEW

3. Feb. 07-10, 2005IHE Europe Workshop 3 What Is the IHE PDI Integration Profile? Images Evidence Objects Diagnostic Reports for:  Import  Storage  Display  Printing Enables the Reliable Interchange of Patient Records on CD including: CDs that Work !

4. Feb. 07-10, 2005IHE Europe Workshop 4 Distribution of Imaging Information on CD Media CD Creator Printer Image / Report Display Media Importer John Doe CD  For use in other departments, e.g. surgery  For enterprise data interchange  For referral  For printing  For patient personal records

5. Feb. 07-10, 2005IHE Europe Workshop 5 IHE PDI – Value Proposition Get CDs that can be Created and Read Anywhere Media Interoperability Validation: – Eliminate Sources of Problems & Incompatibilities Support for Exchange of DICOM Data Optional Support for Web Data: – View of Images and Reports in a Browser Allow Import of Patient Data into the Local Information Base

6. Feb. 07-10, 2005IHE Europe Workshop 6 IHE PDI – Actors and Transactions Portable Media Creator Print Composer Report Reader Image Display Display Distribute Imaging Information on Media Media Importer

7. Feb. 07-10, 2005IHE Europe Workshop 7 IHE PDI – Media Creator Create DICOM Compliant CDROM media Create web content (optional) DICOMDIR INDEX.HTM README.TXT Directory of DICOM files IHE_PDI Directory of web files Other optional content Web content (optional) CDROM Structure:

8. Feb. 07-10, 2005IHE Europe Workshop 8 CDROM Rules – Media Identification – CDs shall have a human-readable identification on the outside of the physical medium Recommendations:  Patient Name  Media Creation Date  Name of the Originating Institution  Indication of the Content Type: “DICOM ONLY” or “DICOM PLUS WEB”

9. Feb. 07-10, 2005IHE Europe Workshop 9 Actors Interchanging DICOM Information Shall Use the STD-GEN-CD Media Storage Application Profile Non-DICOM Content Shall NOT be Placed in the DICOM Directory All DICOM File Names are Limited to Only: – 8 Characters (NO Extensions), – Uppercase Letters, – Digits and – Underscore DICOM Part 10 Compliance – Validated by the MESA Test Tools DICOM content must follow Strict ISO 9660 Level 1 Compliance Review Appendix E of the IHE Radiology 2004-2005 Supplements: Portable Data for Imaging Integration Profile CDROM Rules – DICOM Content –

10. Feb. 07-10, 2005IHE Europe Workshop 10 IHE_PDI web content corresponds exclusively to the DICOM content, although it need not represent the entire DICOM content Web content use of XHTML and JPEG formats is restricted to ensure interoperability Non-web content will not be placed in IHE_PDI directories, but may be placed in other locations on the CDROM All file names are restricted to the ISO 9660 8.3 file name CDROM Rules – Web Content –

11. Feb. 07-10, 2005IHE Europe Workshop 11 Other content will not be placed in DICOM or IHE_PDI directories, but may be placed in other locations on the CDROM Do not assume that an application on the media will automatically be launched –IHE recommends that media readers not automatically run software on the media All file names are restricted to the ISO 9660 8.3 file name e.g. “support_for_my_app.dll” would need to be “SUPPORT.DLL” or some other 8.3 name CDROM Rules – Other Optional Content –

12. Feb. 07-10, 2005IHE Europe Workshop 12 File naming conventions apply to all files on the CD including:  DICOM File Names  Non-DICOM File Names  DICOM Viewer Application Name  The name of DLLs present on the CD Failure to write ISO 9660 Level 1 CDs:  Media cannot be written using the Joliet file system  Media cannot include Rock Ridge extensions DICOMDIR must be valid – watch for:  Wrong VR for attributes  Bad lengths in elements  Bad offset calculations in DICOMDIR No Image Compression is permitted CDROM Rules – Common Issues –

13. Feb. 07-10, 2005IHE Europe Workshop 13 Carefully follow the guidelines of the Technical Framework with regards to the files: README.TXT INDEX.HTM CDROM Rules – Format of REAME.TXT and INDEX.HTM Files –

14. Feb. 07-10, 2005IHE Europe Workshop 14 CDROM Rules – Components of README.TXT Institution: This disk was created by: The Radiological Society of North America (RSNA) 820 Jorie Boulevard, Oak Brook, IL 60523 Media Creator Application: This disk was created using: OFFIS DICOM Toolkit (DCMTK), version 3.5.3. (for the DICOMDIR file)... Vendor_X Software (for rendering Web Option data) … Contact Information: If you have any questions about how this disk or the data on it were generated, please contact: Chris Carr Director of Informatics, RSNA 820 Jorie Boulevard, Oak Brook, IL 60523 ph: (630)368-3739 fax: (630)571-7837 email: carr@rsna.org Web: www.rsna.org/ihe  Site Configurable Information  Release Information Media Organization: DICOM composite objects are located in the folder DICOM. Subfolders within the DICOM folder represent different sources of images. PDI Web Option data is located in the folder IHE_PDI. This disk conforms to the IHE Portable Data for Imaging (PDI) Integration Profile. For details on this specification, please refer to Volume 1, Chapter 15 & Volume 3, Section 47 of the IHE Radiology Technical Framework, available at: http://www.rsna.org/IHE This disk also conforms to the DICOM General Purpose CD-R Interchange Profile. For details on this specification, please refer to Part 10 & Part 11, Annex D of the DICOM Standard, available at: http://medical.nema.org/  Site Configurable Information  Release Information Note: Taken from RSNA 2004 PDI Demo CD

15. Feb. 07-10, 2005IHE Europe Workshop 15 CDROM Rules – Components of INDEX.HTM PDI - IHE Portable Data for Imaging RSNA 2004 Demonstration This is a sample CD containing data ….. Institution/Privacy... Web Content - Reports and Images The following are web viewable versions of DICOM Reports and Images on this disk. Vendor_A CR Vendor_B (XR )Vendor_B (XR )…. Additional Data What is PDI? - An Overview of IHE Portable Data for Imaging Manifest of Importable Data This section should contain a list, or a link to a list, of all DICOM SOP instances on this disk that can be imported by a Media Importer Actor. DICOM Viewer This CD does not contain a DICOM viewer application. If it did, this section would contain a link to that viewer and a discussion of operating system requirements. README File For technical details about this disk and contact information for the source, see: README.TXTREADME.TXT Acknowledgements Disclaimers The data is for demonstration purposes only and not for diagnostic imaging. …  Site Configurable Title  Site Configurable Generic Information  Generated Information on CD Content and Links  Application Specific Information  Information of DICOM VIEWER  Link to README.TXT  Other Site Configurable Information

16. Feb. 07-10, 2005IHE Europe Workshop 16 All receiving / reading actors shall indicate to the user when they find DICOM instances that are not supported It is recommended that viewers not automatically run software found on the media (for security reasons) Media Importers shall support reconciliation of key attributes (e.g. local Patient ID, Accession #) Media Importer shall be grouped with at least one of the following actors:  Evidence Creator  Acquisition Modality  Image Manager/Image Archive  Report Creator  Report Manager  Report Repository More IHE PDI Rules – Actor Behavior –

17. Feb. 07-10, 2005IHE Europe Workshop 17 RSNA 2004 – IHE PDI Test & Demonstration

18. Feb. 07-10, 2005IHE Europe Workshop 18 References: IHE Europe:http://www.IHE-Europe.org IHE Main Web Site:http://www. IHE.net Questions ?

19. Feb. 07-10, 2005IHE Europe Workshop 19 ~ Additional Slides ~

20. Feb. 07-10, 2005IHE Europe Workshop 20 Example of Invalid IHE PDI File System isoinfo -l -d -i /home/smm/mesa_v/PDI/vendor-iso- images/myCompany.ISO CD-ROM is in ISO 9660 format System id: Volume id: IHE Volume set id: Publisher id: Data preparer id: Application id: Copyright File id: Abstract File id: Bibliographic File id: Volume set size is: 1 Volume set seqence number is: 1 Logical block size is: 2048 Volume size is: 222206 Joliet with UCS level 3 found NO Rock Ridge present  File System must be written without the use of the Joliet File System