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This workshop overview discusses the access to radiology information in healthcare systems, including radiological results, images, key image notes, and easy access throughout the healthcare enterprise. It also explores DICOM query/retrieve methods and the benefits of the IHE integration profile.
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Access to Radiology Information Cor Loef Philips Medical Systems Co-Chair IHE Radiology Technical Committee
Access to Radiology Information IHE Integration profiles Scheduled Workflow Patient Informa-tion Reconci-liation Charge Posting - Presentation of Grouped Procedures Reporting Workflow Post-Processing Workflow Simple Image and Numeric Reports Consistent Presentation of Images Evidence Documents Key Image Notes Basic Security April 2003 Workshop
Overview • Context • Access Transactions • Actor Requirements April 2003 Workshop
Emergency Department Referring Physician Radiology Department – Images and Reports Remote Clinics Other Departments:- Oncology- Surgery- Neurology- Pediatrics- etc. Electronic Medical Record Access to Radiology Information Profile April 2003 Workshop
Access to Radiology Information • Access to Information Generated in Radiology: • Radiological Results ( Reports ) • Radiological Images • Image Presentations ( Display Consistency, Layout, Graphics, ... ) • Key Image Notes ( Flagged Significant Images, Physician Notes ) • Providing Easy Access Throughout the Healthcare Enterprise: • Internally to Radiology, but also • From Other Departments Such As: • Cardiology • Oncology • Operating Room / Surgery • ... • Consistent Information Access: DICOM Query/Retrieve • Provides the Premises for Enabling EMR Solutions( Electronic Medical Record ) April 2003 Workshop
Report Reader Image Display Query and Retrieve Reports Query and Retrieve Key Image Notes Query and Retrieve Images Query and Retrieve PresentationStates Image Archive Image Manager Report Repository External Report Repository Access to Radiology Information April 2003 Workshop
Query Retrieve of Images C-FIND-RQ (with matching and return keys) Image Display Image Archive C-FIND-RSP (matches with return keys) • Defines Matching keys for response filtering by Image Archive • Defines Return keys to be requested by Image Display • Defines Returned attributes by Image Archivein query responses • Defines Returned attributes required to be displayed on Image Display April 2003 Workshop
IHE Generic Keys for Query Retrieve of:- Images- GSPS- SR R = Required and the SCU shall be able to display R+ = IHE Requirement on top of DICOM April 2003 Workshop
Image Specific Query Keys April 2003 Workshop
Presentation State Specific Query Keys April 2003 Workshop
Key Image Note Specific Query Keys April 2003 Workshop
Report Specific Query Keys April 2003 Workshop
Access to Radiology Information • The relevant Query Matching and Return key are required to enable an easy search for the pertinent objects in the Radiology domain • Access to this Radiology information may also be achieved by means of these DICOM methods from other departments. However, it’s likely that web distribution standards will have an impact here. • This IHE Integration Profile is the cost effective solution for finding the pertinent information for the patient in the Radiology domain. April 2003 Workshop
Questions? Documents Available On the Web at: www.rsna.org/IHE April 2003 Workshop