1. September, 2005What IHE Delivers 1 Chris Lindop, GE Healthcare Co-chair IHE Radiology Planning Cmte IHE Radiology - 2007 Update

2. 2Agenda Scope of the Domain, Sponsors  Radiology, Nuclear Medicine, Mammography Domain Status  Connectathon Results  Existing Profiles Current Plan  Plan for 2007  Review of New Profile Use Case, Value/Benefit, Scope, Standards Use Case, Value/Benefit, Scope, Standards More Information  How to join, Who to Contact, How to Contribute  How to Buy, Recap of Radiology Users Handbook

3. 3 IHE Radiology Scope:  Radiology including Nuclear Medicine & Mammography  Imaging and Departmental Information Systems Including Modalities, RIS, PACS, Workstations, Displays Printers Established 1998 (first IHE domain) Sponsor: RSNA

4. 4 IHE Radiology - Achievements Now entering 9th year  Robust Vendor Participation at Connectathons  Over 200 IHE Integration Statements published  Over 1000 Actors in Radiology implemented  IHE Profiles appearing in User Purchasing Processes Have addressed basic radiology workflows  Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials Have addressed imaging content handling  Measurements, CAD Results, NM, Mammo, Presentation States, Reports, Key Image Notes Have addressed distribution of imaging information  on CDs, to enterprise, to EHRs, keeping Audit Trails

5. 5 Radiology Profiles Access to Radiology Information - Consistent Presentation of Images Evidence Document Key Image Notes Simple Image & Num Reports Presentation of Grouped Procedures Post- Processing Workflow Reporting Workflow Charge Posting Patient Info. Reconciliation Scheduled Workflow Portable Data for Imaging NM Image Mammo Image Audit Trail & Node Authentication – Radiology Option Image Fusion Teaching Files & Clinical Export Import Recon- ciliation Workflow Cross-Enterprise Document Sharing for Imaging

6. 6 2007 Connectathon Status North American Connectathon 2007  16-20 January 2007, Oakbrook, IL  77 Vendors, 164 products IHE-J Connectathon 2006  5-9 February 2007, Tokyo, Japan  36 Vendors, 60 systems European Connectathon 2007  20-26 April 2007, Berlin, Germany  72 Vendors, 120 products China Connectathon 2007  TBA

7. 7 Demonstrations & Presentations - NA North America Radiological Society of North America - RSNA 2006  2006. November 26-30 Chicago, IL IHE Users Conference  2006 January 16, Chicago, IL, HIMSS - HIMSS 2007  2007 February 25-Mar 1 New Orleans, LA Society for Breast Imaging  2007.05.09-12 Hollywood, FL SIIM 2007 (formally SCAR)  2007.06.07-10 Providence, RI AHRA 2007  2007.07.08-12 Orlando, FL

8. 8 Demos & Presentations EU/Asia Japan  JRC 2007 2007 April 13-15, Yokohama, Japan China  China PACS Conference 2006 June 02, Shanghai Europe  DRK Deutscher Röntgenkongress 2007 2007 May 16-19, Berlin

9. 9 Radiology - Deployment Top implemented Profiles  Scheduled Workflow 282 Actors successfully implemented for Connectathons  Consistent Presentation of Images 173 Actors successfully implemented for Connectathons  Portable Data for Imaging 157 Actors successfully implemented for Connectathons  Cross-Enterprise Document Sharing, for Imaging 58 Actors successfully implemented for Connectathons

10. 10 Scheduled Workflow Profile Registration Orders Placed Orders Filled Film Folder Image Manager & Archive Film Lightbox report Report Repository Diagnostic Workstation Modality acquisition in-progress acquisition completed images printed Acquisition Modality

11. 11 How the image is prepared: How it appears later: Grayscale Calibration & Presentation State Original Image Window Level Flip Zoom Area Of Interest Annotate Transformations Are Lost Original Image Area Of Interest Prepared Image Original Image Consistent Presentation of Images

12. 12 Media Creator Printer [Media Reader] Image Display [Media Reader] PACS [Media Importer] John Doe CD DICOM Data Web Data (Optional) DICOM PC Browser Web Data Required to cleanup Patient ID, Acc#, etc. Portable Data for Imaging

13. 13 XDS-I to access Radiology Reports and Images Hospital Imaging Center Physician Practice Between Radiology and : Between Radiology and : I maging specialistsI maging specialists Non-imaging cliniciansNon-imaging clinicians PACS Y PACS Z Radiology -to- Radiology Radiology -to- Physicians Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information !

14. 14 IHE Radiology Current Activities/Direction IHE Clinical Deployment  Mammography Users Handbook (2007) Development  Content Integration Profile Radiologist-Technologists Communication (RTC)  National Extensions Japan, Spain, Canada, others Strategic/Planning  Reporting 2.0 Whitepaper for 2008/09  IHE Integration Profile Adoption Review  HL-7 Versioning/Re-factoring

15. 15 IHE Radiology – Plan for 2007 Development Schedule:Development Schedule: New Profile Selection:Oct 2006New Profile Selection:Oct 2006 Issue Public Comment version: Mar 20 2007Issue Public Comment version: Mar 20 2007 Public Comment Due:April 20 2007Public Comment Due:April 20 2007 Issue Trial Implementation version: May 2007Issue Trial Implementation version: May 2007 IHE WorkshopJun 2007IHE WorkshopJun 2007 RSNA Demo: Nov 2007RSNA Demo: Nov 2007 IHE Connectathon: Jan 2008IHE Connectathon: Jan 2008 HIMSS Demo:Feb 2008HIMSS Demo:Feb 2008 New Profile For 2007New Profile For 2007 Radiologist/Technologist CommunicationRadiologist/Technologist Communication

16. 16 Radiologist – Technologist Communication Profile Use Case 1  Radiologist provides: Graphical Markups on Image, indicating geographic location of specific physiology Specific Acquisition Protocol and planning information  Technologist uses: Marked up image and the Specified Acquisition Protocol to plan and perform new acquisition Use Case 2  Technologist provides: Graphical Markups on Image, indicating specific physiology Specific question regarding retake necessity and protocol  Radiologist uses: Specific question and marked up image to advise Technologist on retake and specific protocol

17. 17 Radiologist – Technologist Communication Profile Mechanism : DICOM, (OID selection is in progress) Point –to-point DICOM C-Store Benefits : Full fidelity Images for re-plan, if necessary Acquisition Protocol request readable by Non- imaging systems Non-imaging documents, for re-plan, if necessary Extensible to Workflow Enablement

18. 18 Participating Vendors  Implement IHE Profiles in your products  Test your products at the IHE Connectathon  Publish IHE Integration Statements Users  Learn about the IHE Profiles  Include specific IHE Profiles in your RFPs IHE Process  Review Draft Profiles during Public Comment phase  Participate on Committees Radiology Planning Committee: –Kevin O’Donnell (Toshiba) & Chris Lindop (GE Healthcare) Radiology Technical Committee: –Cindy Levy ( Cedara) & Ellie Avraham (Kodak) Chris Carr (RSNA) – ihe@rsna.org

19. 19 IHE Website: www.IHE.net Frequently Asked Questions User Handbooks & Introductory Materials Integration Profiles in Technical Frameworks:  Cardiology  IT Infrastructure  Laboratory  Patient Care Coordination  Radiology Connectathon Results Vendor Product Integration Statement Links Participation in Committees & Connectathons

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