1. DICOM Post-Processing and Reporting Workflow SOP Classes Bas Revet Philips Medical Systems – Interoperability Member DICOM WG 6 April 1, 2005

2. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 2 Content Purpose and Abilities Workflow Overviews DICOM Protocols Examples

3. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 3 Purpose Support of Post-Processing and Reporting in an integrated environment –Image Processing and Reconstruction –Computer Aided Detection –Interpretation, Dictation, Transcription and Verification of Report –Review and Comparison of Reports

4. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 4 Abilities To schedule and keep track of progress of Post-Processing and Reporting activities –Provide Worklists with General Purpose Worklist Management –Update status with General Purpose Performed Procedure Management Both are a super set of the Modality Worklist and Performed Procedure Management

5. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 5 Post-Processing Workflow Overview Post-Processing Worklist Retrieve Images StoreReports Measurements CAD Reports ……....……… ArchiveImages Post-Processing Procedure Step STARTED Work Item Claimed Post-Processing Procedure Step STARTED Post-Processing Procedure Step COMPLETED Post-Processing Procedure Step COMPLETED PACS 3D Workstation RIS Completed

6. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 6 Reporting Workflow Overview Reporting Worklist Work Item Claimed Reporting Procedure Step STARTED Reporting Procedure Step STARTED Store Reports Reporting Procedure Step COMPLETED Reporting Procedure Step COMPLETED RIS PACS Report Reader/Creator Retrieve Images & Evidence Documents Measurements CAD Reports ………………… Released (Completed)

7. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 7 Ouery for Workitems General Purpose Worklist SOP Class Examples of query cases: –PatientOriented Query:Worklist for a specific patient / procedure –StationOriented Query:Broad Worklist for a particular workstation –ClassOriented Query:Broad Worklist for a class of workstations (e.g. workstations for CT 3D Reconstructions) Worklist provided with workitems codes, e.g., image processing or computer aided detection RIS Workstation C-FIND-RQ C-FIND-RSP

8. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 8 Workitem Selected and Claimed N-ACTION (SPS in Progress) RIS Workstation General Purpose Scheduled Procedure SOP Class Workstation takes ownership of workitem to prevent simultaneous processing of data

9. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 9 Create Performed Procedure Step N-CREATE (PPS in Progress) RIS Workstation General Purpose Procedure Step SOP Class Notification to RIS that workitem is in progress

10. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 10 Create Performed Procedure Step N-CREATE (PPS Completed) RIS Workstation General Purpose Procedure Step SOP Class Notification to RIS that workitem is in completed Report results, material used, etc.

11. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 11 Workitem Completed N-ACTION (SPS Completed) RIS Workstation General Purpose Scheduled Procedure SOP Class Workstation report finalizing the workitem

12. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 12 Wrap Up Post-Processing Workflow (Multiple Steps) with Post-Processing Manager grouped with Image Manager RIS PACS Modality DICOM MWL DICOM Image Storage DICOM Storage Commitment DICOM MPPS CAD Station Post-Processing Station DICOM GP-WL DICOM GP-SPS DICOM GP-WL DICOM GP-SPS DICOM GP-PPS DICOM GP-PPS DICOM Storage & Commitment DICOM Q/R DICOM Storage & Commitment

13. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 13 Ouery for Reportitems General Purpose Worklist SOP Class Examples of query cases: –PatientOriented Query:Worklist for a specific patient / procedure –UserOriented Query:Worklist for a particular user Worklist provided with workitems codes for: –Interpretation –Transaction –Verification RIS Workstation C-FIND-RQ C-FIND-RSP

14. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 14 Same Messages as with Post Processing N-ACTION (SPS in Progress) RIS Reporting Workstation N-CREATE (PPS in Progress) RIS N-CREATE (PPS Completed) RIS N-ACTION (SPS Complete) RIS Reporting Workstation

15. DICOM Conference Singapore 2005Post-Processing and Reporting Workflow 15 Workflow Example RIS Reporting Workstation Reporting Worklist Provided Workitem Claimed Retrieve Images Retrieve Evidence Documents PACS Workitem PPS In Progress Workitem PPS Completed Workitem Completed Images Available Report Submission