Integrating the Healthcare Enterprise Presentation and short explanation of the developmental tools Eric Poiseau Laboratoire IDM Faculté de Médecine Université de Rennes 1

February 9th 2005IHE-EU Conference Workshop Mesa Tools Software overview Software overview Download Download Installation Installation Log Return Log Return

February 9th 2005IHE-EU Conference Workshop Mesa Tools : Overview Purpose : Purpose : –Prepare systems for the connectathon –Tools are a benefit of participation –Tools are later released to the public Coverage Coverage –Do not cover all aspects of the TF –Do not guarantee compliance to standard –Provide reasonable preparation to the connectathon

February 9th 2005IHE-EU Conference Workshop Mesa Tools : Overview Sources available Sources available –Serves as an example of implementation Benefit for the IHE community Benefit for the IHE community –Feedback of users used to improve the quality of the tools However : not a commercial product However : not a commercial product

February 9th 2005IHE-EU Conference Workshop Mesa Tools : International Mallinckrodt Institute of Radiology Mallinckrodt Institute of Radiology –Radiology –IT-Infrastructure –Cardiology (with help from Teri Sippel ACC) Offis Offis –Display Consistency Tests.

February 9th 2005IHE-EU Conference Workshop Mesa Tools : International NIST : National Institute of Standards and Technology (USA) NIST : National Institute of Standards and Technology (USA) –XDS Toolkit Laboratoire IDM Laboratoire IDM –Laboratory tools

February 9th 2005IHE-EU Conference Workshop Mesa Tools : more… Available for different OS Available for different OS –Linux –Windows NT + –Solaris Bugzilla for bug management. Bugzilla for bug management. Living software Living software –Frequent update due to bug fixes

February 9th 2005IHE-EU Conference Workshop Mesa Tools : Concepts Tests are based on actor/profile Tests are based on actor/profile –Testing actor OP for integration profile SWF Peer actors simulation Peer actors simulation –Simulation of ADT and OF actors Scripts for workflow testing Scripts for workflow testing

February 9th 2005IHE-EU Conference Workshop Mesa Tools : Logs Tools output Tools output –Produces logs used by project manager as a proof of successful completion of test

February 9th 2005IHE-EU Conference Workshop MIR Mesa Tools (1/2) Libraries : MIR Dicom Toolkit Libraries : MIR Dicom Toolkit –Dicom Libraries –HL7 messages server Data sets Data sets –Sample data set Scripts sets Scripts sets –Workflow scenarii test scripts

February 9th 2005IHE-EU Conference Workshop MIR Mesa Tools (2/2) Coverage : Coverage : –Radiology Profiles (except CPI) –Cardiology Profiles –IT-Infrastructure (except XDS)

February 9th 2005IHE-EU Conference Workshop Offis : Softcopy test environment Purpose: assess whether application correctly implements Purpose: assess whether application correctly implements –the grayscale transformation chain for image display –the grayscale softcopy presentation state SOP class –display calibration according to the display GSDF Contents : Contents : –a test plan document describing tests and expected results, –a set of DICOM images (secondary capture), –a set of grayscale softcopy presentation states, –a reference implementation of a DICOM viewer, –a spreadsheet for evaluation of GSDF calibration. ca. 130 test cases (ca.100 with presentation state) ca. 130 test cases (ca.100 with presentation state)

February 9th 2005IHE-EU Conference Workshop Offis : Hardcopy Test Hardcopy Test Environment Purpose: assess whether a Print SCP correctly implements Purpose: assess whether a Print SCP correctly implements –Presentation LUT SOP Class, –GSDF calibration, –the most usual of the many layout parameters Contents: Contents: –a test plan document describing all tests and expected results, –a reference Print Client (SCU) that supports Presentation LUT, –a set of print jobs that can be transmitted to a DICOM, –a spreadsheet for evaluation of GSDF calibration, –a "softcopy" print server for visual assessment of Print SCUs. 74 test cases (transmissive and reflective media) 74 test cases (transmissive and reflective media)

February 9th 2005IHE-EU Conference Workshop NIST : XDS Toolkit Opensource implementation : Opensource implementation : –XDS Registry and Repository –Remote Log Analysis Tools –Internet available server –Ca. 50 tests for all XDS actors

February 9th 2005IHE-EU Conference Workshop IDM : Lab Testing Tools Evaluation of HL7 messages Evaluation of HL7 messages –HL7 message validator ( –Message profiles / Valid sample messages Work in progress Work in progress –Validation against Lab Message profiles –Workflow scenarii Test scripts

February 9th 2005IHE-EU Conference Workshop Future Mesa tools 2 Mesa tools 2 –Combined effort of NA, Europe and Japan –Common Framework –Should improve : Installation Installation Maintenance Maintenance Interactibility Interactibility

February 9th 2005IHE-EU Conference Workshop Developmental tools Source of information and software Source of information and software –Tools that could be used to help you understand standards used by IHE –Sources of information in the relevant domain –There might other sources not referenced here, the lists here are not intended to be exhaustive –No reference to commercial products

February 9th 2005IHE-EU Conference Workshop Tutorial – Information Ressources Dicom: Dicom: –Nema : Standard documents –David Clunie’s web page : a mine for dicom information –News group alt.image.medical HL7 HL7 –HL7 : Standard documents (restricted access) (restricted access) –Australian/NZ HL7 Tools and Utilities Dave Clunie’s equivalent for HL7 Dave Clunie’s equivalent for HL

February 9th 2005IHE-EU Conference Workshop Tutorial – Information Ressources SSL/TLS : SSL/TLS : –open source implementation of SSL and TLS – EbXML EbXML – W3C W3C –Tutorial about XML, XSL, Webservices… – NTP : The Network Time Protocol NTP : The Network Time Protocol – Kerberos Kerberos – IETF : RFC repository IETF : RFC repository –More 10 RFCs referenced by IHE Technical Frameworks –

February 9th 2005IHE-EU Conference Workshop Dicom « Free » Software Offis DCMTK Offis DCMTK MIR MIR JDicom Tiani JDicom Tiani Many more… Many more…

February 9th 2005IHE-EU Conference Workshop Sources of Dicom Images MIR ftp://wuerlim.wustl.edu/pub/dicom/images/version3/RSNA96/ MIR ftp://wuerlim.wustl.edu/pub/dicom/images/version3/RSNA96/ ftp://wuerlim.wustl.edu/pub/dicom/images/version3/RSNA96/ Sébastion Barré Sébastion Barré Philips ftp://ftp-wjq.philips.com/medical/interoperability/out/Medical_Images/ Philips ftp://ftp-wjq.philips.com/medical/interoperability/out/Medical_Images/ ftp://ftp-wjq.philips.com/medical/interoperability/out/Medical_Images/ More … More …

February 9th 2005IHE-EU Conference Workshop HL7 HAPI HAPI –HL7 API in Java – MIR Mesa tools MIR Mesa tools –Sample source code for HL7 parsing Australian Healthcare Messaging Laboratory (AHML) Australian Healthcare Messaging Laboratory (AHML) – Message validation service (v2.3.1) – Messaging Workbench (VA) Messaging Workbench (VA) –Message profiling tool – omm=conf omm=confhttp:// omm=conf

February 9th 2005IHE-EU Conference Workshop Conclusion Tools are inperfect and “work in progress” Tools are inperfect and “work in progress” Provide anyway a good preparation to the connectathon Provide anyway a good preparation to the connectathon Multiple sources of information and “codes” available Multiple sources of information and “codes” available