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

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.
IHE Cardiology

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

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

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

6. Transactions Query Reports [Rad-26] Retrieve Reports [Rad-27]
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
<Specializations or restrictions>
Retrieve Reports [Rad-27]
DICOM 2003 PS3.4: Storage SOP Class
Structured Report Export [Card-xx]
HL Chapter 7
Workitem Claimed [Rad-38]
DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class
Workitem PPS In Progress [Rad-39]
DICOM 2003 PS 3.4: General Purpose Schedule Procedure Step SOP Class
Workitem PPS Completed [Rad-40]
Workitem Completed [Rad-41]
IHE Cardiology

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
<Specializations or restrictions>
Evidence Documents Stored [Card-xx]
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]
DICOM 2003 PS 3.4: Query/Retrieve Service Class
Retrieve Evidence Documents [Rad-45]
Reporting Worklist Provided [Rad-46]
IHE Cardiology

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
IHE Cardiology

9. Echo Y2 Profile Scenarios
Workflow Event
Transactions
Originating Actor
Receiving Actor
Notes
Ordered
Placer Order Management [Rad-2]
Order Filler
DSS/OF
Filler Order Management [Rad-2]
Scheduled
Procedure Scheduled [Rad-4]
Image Manager
Report Manager
Patient Arrives and is on table
Query Modality Worklist [Rad-5]
Acquisition Modality
Start Procedure
Modality PS "In Progress" [Card-1]
PPS Manager
Indications, measurements, & procedure info would be captured on echo machine to be sent as evidence via DICOM SR
IHE Cardiology

10. Echo Y2 Profile Scenarios
Workflow
Transactions
Originating Actor
Receiving Actor
Notes
Stress ECG report, Nursing report for TEE, etc.
Creator PS "In Progress" [Card-1]
Evidence Creator
PPS 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]
Modality PS "Complete" [Rad-7]
Report Manager
PARTIAL
Creator Evidence Stored [Card-xx]
Image Archive
waveforms and/or SR templates
Storage Commitment [Card-3]
Image Manager
End Procedure
Acquisition Modality
DSS/OF
Modality Image/Evidence Stored [Card-2]
Instance Availability Notification [XXX-xx]
COMPLETE
IHE Cardiology

11. Echo Y2 Profile Scenarios
Workflow
Transactions
Originating Actor
Receiving Actor
Notes
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]
Review
Reporting Worklist Provided [Rad-46]
Report Creator
Report 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]
Performed Work Status Update [Rad-42]
DSS/OF
Query Images [Rad-14]
Image Display
Image Archive
Query Evidence Documents [Rad-44]
Retrieve Images [Rad-16]
Retrieve Evidence Documents [Rad-45]
Workitem PPS "In Progress" Rad-38]
Report
Workitem PPS "Complete" [Rad-40]
Report Submission [Rad-24]
Report Issuing [Rad-25]
Report Repository
Workitem Completed [Rad-41]
SR Export [Card-xx]
Enterprise Report Repository
IHE Cardiology

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.
Feature
In/Out
Key Image Notes
Out
Measurements and other structured data mappings (SINR)
Integrated image review and documentation In
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
IHE Cardiology

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

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