1. Radiology Domain Joint Technical and Planning Committee Breakfast
Tuesday, Dec 1st , 2015
8:30am -10:30am CT

2. Meeting Agenda Introductions - Co-Chairs
Introductions - Meeting Participants
Overview of IHE Radiology Profiles
Work Items Completed
New Work Items
Timelines
Promotion
Current RSNA/IHE Image Sharing Demonstration
Current IHE Educational Courses Review
IHE Financial Sustainability Model – 1 year later
Challenges/Open Discussion 2

3. Introductions 2015-2016 Committee Leadership
Radiology Planning Co-Chair:
Teri Sippel Schmidt (Karos Health)
Mike Bohl (Radiology Associates)
Radiology Technical Committee:
Kinson Ho (Agfa)
Chris Lindop (GE Healthcare)
Radiology IHE International Liason
Kevin O’Donnell (Toshiba)
Radiology Secretaries:
Chris Carr (RSNA)
Jamie Kontos (RSNA)
Nichole Drye-Mayo (RSNA) 3

4. Final Text Radiology Profiles (23)
Workflow
Patient Info. Reconciliation
Scheduled Workflow
Charge Posting
Reporting Workflow
Import Reconciliation Workflow
Post-Processing Workflow
Content NM
Image
Mammo-graphy Image
Evidence Document
Radiation Exposure Monitoring
Simple Image & Numeric Reports
Presentation
Presentation of
Grouped Procedures
Key Image Notes
Consistent Presentation
of Images
Image
Fusion
MAMMO image is a content profile similar to NM Image.
Defined actors are:
Acquisition modality
Image manager
Image display
Print composer
Print server
Most of the « work » is on the image display side. Other actors are merely required to support existing IHE transaction (including sometimes some modifications) and/or generate data according to a defined set of DICOM attributes.
Infrastructure
Portable Data for Imaging
Teaching Files & Clinical Export
Access to Radiology Information
Cross-Community Access for Imaging
Cross-Enterprise Document Sharing for Imaging.b
Image Object Change Management
Charge Posting
Audit Trail & Node Authentication – Radiology

5. Trial Implementation Rad Profiles (22)
The Management of Radiology Report Templates (MRRT) – revised 2014
Invoke Image Display (IID) – published 2013
Cross-Enterprise Document Reliable Interchange of Images (XDR-I) – updated 2014
Portable Data for Imaging Extensions (PCI) – published 2009
Image Object Change Management Extension (IOCM) – revised 2014
Mobile Access to Health Documents for Imaging (MHD-I) – published 2014
Multiple Image Manager/Archive – revised 2012
Web based Image Capture – published 2015
Clinical Decision Support – Order Appropriteness Tracking – published 2015
Mammography Acquisition Workflow (MAWF) – revised 2010
Post-Acquisition Workflow (PAWF) – published 2012
Import Reconciliation Workflow.b (IRWF.b) – published 2012
Scheduled Workflow.b (SWF.b) – revised 2015 (w/ Enterprise Identity Option)
Radiology Remote Read Workflow (RRR-WF) – published 2015
Stereotactic Mammography Image (SMI) – published 2013
Image Fusion (FUS) – published 2006
Basic Image Review (BIR) -revised 2012
CT/MR Perfusion Imaging(PERF) – revised 2014
MR Diffusion Imaging(DIFF) – published 2009
Chest X-Ray CAD (CXCAD) – published 2010
Digital Breast Tomosynthesis (DBT) – published 2014
Nuclear Medicine with Cardiac option – published 2007
Infrastructure
Profiles:
Workflow
Profiles:
Presentation & Content Profiles: 6

6. New Profiles Published in 2015
Technical Framework Supplements released by the Technical Committee for Trial Implementation:
Web Image Capture Profile (WIC)
Remote Read for Radiology Workflow Profile
Clinical Decision Support for Order Appropriateness Tracking Profile (CDS-OAT)
Enterprise Identity, SWF.b Option (EIO)
Technical Framework Change Proposal and Maintenance
Continuing effort:
IHE-J updates (Change Proposals and National Extensions)
IHE PCC Cross-Domain Collaboration:
Guideline Accountable Ordering (GAO) in conjunction with CDS-OAT

7. 2015-2016 IHE Radiology New Profiles Selected for Development
The Radiology Planning Committee approved the following profile development work items for the Technical Committee:
Rad TF Maintenance – (40% estimated effort)
Cross-Enterprise Read for Imaging – (40% estimated effort)
REM for Radiopharmaceutical Imaging – (20% estimated effort) 8

8. 2015-2016 IHE Radiology Timeline
IHE Profile Cycle Stages
Membership
Status (Voting)
Open Date
Close Date
Learn More
Call for Proposal
Open
July, 2015
15 Aug 2015
Proposal Selection
Closed
n/a
6 Oct 2015
IHE Profiles drafted in IHE Committees
Dec, 2015
Feb 5-8, 2016
Public Comment
mid Feb 2016
mid March 2016
Trial Implementation Published
May 2016
IHE Connectathon Dates
2017 (TBA)
Dates are subject to change
Please check wiki.ihe.net and click on Radiology 9

9. 2015-2016 Connectathon Schedule
IHE Connectathons
Membership
Status
Open Date
Close Date
Learn More
IHE NA Connectathon
(Cleveland, OH)
Open
Jan 25, 2016
Jan 29, 2016
IHE Europe Conectathon
(Bochum, Germany)
April 11, 2016
April 15, 2016
IHE Japan
(Asakusa, Tokyo)
Sept 13,
2016
Sept 17,
Other IHE country connectathons

10. Review of RSNA/IHE Image Sharing Demonstration South Building #1336
The demonstration will be based on the following key developments in radiology informatics:
Structured reporting using RSNA RadReport reporting templates, RadLex terminology and the IHE MRRT profile
Radiology clinical decision support
Communication of actionable findings to referring physicians
Efficient management of imaging protocols
Patient-focused image sharing through the RSNA Image Share network, a pilot project funded by the National Institute of Biomedical Imaging and Bioengineering
South Bldg, Booth #1345 regular show floor hours, demonstrations every 30 minutes

11. Review of IHE Educational Sessions
IHE Workflow Efficiency from Acquisition to the Report
Sunday, November 29 – 2:00 – 3:30pm
Room S501ABC
IHE Clinical Solutions for Interoperability – Imaging and Beyond: IHE and HIE does the Order Matter?
Monday, November 30 – 10:30am – 12:30pm
Using IHE Profiles and Plan for Medical Imaging
Wednesday, December 2 – 8:30 – 10:00am
Interoperability and Integration – from HL7, DICOM, IHE, to SOA
Thursday, December 3 – 12:30 – 2:00pm

12. IHE Validation Luncheon
Monday, November 30 – 12:30-1:30pm
Room S104C
Feedback?

13. Financial Sustainability Model – first year
In effect, October 1, 2015, must be IHE member to vote
Move towards 70% self-sustaining model
Proposed future revenues to IHE International:
tiered participation fees (Lg $1500/yr, Med/Sm $500/yr, not for profit $350/yr)
fees for national deployment
connectathon
Over 3 years, RSNA and HIMSS reducing financial support (20%, 40%, 70%)

14. Financial Sustainability Model – first year
As of Nov 25, 2015, for IHE Radiology Planning Committee:
Twelve vendors paid and meet voting privileges
Seven organizations or clinical groups paid and meet voting privileges
As of Nov 25, 2015, for IHE Radiology Technical Committee:
Eight vendors (same vendors) paid and meet voting privileges

15. Plans for promotion – 2016-2017 cycle
Interest in new profiles:
Determine date for New Profile Submission soon (date: early August, 2016)
Promotional slides – SIIM presenters (June, 2016)
Tweet through RSNA and Radiology Informatics Committee
ECR?
JCR?
Interest in committee participation:
Clinical users
Additional vendor representation

16. Challenges Financial sustainability
Need additional clinical input for Planning Committee, especially on direction
Too many profiles still in Trial Implementation stage
Too many outstanding TF Change Proposals (defects)
Increase user participation and feedback
IHE Rad incorporate additional Enterprise Imaging activities or new domain?
Global user participation
Education plan
Promotion

17. Thank you for your attention
Questions? Thoughts?