Integrating the Healthcare Enterprise International

1. Integrating the Healthcare EnterpriseInternational 9/8/2012

2. Radiology Chris Lindop – IHE Radiology Committee Co-chair 9/8/2012

3. IHE Radiology Agenda Radiology Domain Overview Profiles & Technical Frameworks Established Profiles New Profiles developed in 2009-2011 How to Participate IHE International Membership Planning & Technical Committees Connectathons & Demonstrations Q&A Session 9/8/2012 2

4. IHE Radiology Overview Established: 1998 Scope : Workflow & dataflow related to radiology systems, including mammography & nuclear medicine Sponsor : Radiological Society of North America (RSNA) Royal Australian New Zealand College of Radiology (RANZCR) Supported by many local radiology societies Participation: IHE Radiology Profiles implemented & tested by 200+ companies from 25+ countries 9/8/2012 3

5. Profiles & Technical Frameworks Technical Framework & Supplements http://www.ihe.net/Technical_Framework/index.cfm#radiology Radiology Profile Library http://wiki.ihe.net/index.php?title=Profiles#IHE_Radiology_Profiles One line descriptions link to one page overviews 2008 Webinar Series- http://www.ihe.net/Events/webinars2008.cfm 2009 Webinar Series- http://www.ihe.net/Events/webinars2009.cfm 2010 Webinar Series- http://www.ihe.net/Events/webinars2010.cfm 2011 Webinar Series- http://www.ihe.net/Events/webinars2011.cfm IHE User Handbooks: Radiology & Mammography http://www.ihe.net/Resources/handbook.cfm Profile Selection, Business Case, Legacy Considerations, and more 9/8/2012 4

6. Established Profiles Existing Profiles with High Uptake Scheduled Workflow (SWF) Order & acquisition workflow ADT, HIS, RIS, PACS, Modality, Workstation “Backbone of Radiology” Electronic orders, worklists, dataflow, tracking Avoid manual entry, custom interfaces “Close the loop” Value proposition Reduce errors Improve throughput Reduce costs 9/8/2012 5 Patient Info Reconciliation (PIR) Patient identity changes ADT, HIS, RIS, PACS “Second half of SWF” Propogate and coordinate demographic changes Keep all systems on the same page Value proposition Reduce errors Improve throughput Reduce costs HL7 and DICOM form the basis of the specification. Profiles document the consensus way to use those standards and map between them.HL7 and DICOM form the basis of the specification. Profiles document the consensus way to use those standards and map between them.

7. Established Profiles Existing Profiles with High Uptake Portable Data for Imaging (PDI) DICOM CD/DVD/USB PACS, Modality, Workstation “Actually compatible media” Tighter specs, C-Thon testing Encryption options Value proposition Reliable access to Clinical data Fewer repeat studies Less time wasted 9/8/2012 6 XDS for Imaging (XDS-I.b) Share Images, reports on network PACS, Workstation, Registry, Repository, EMR “XDS for Imaging” XDS infrastructure Adaptations for 1000 image datasets Value proposition Like CDs but faster, interactive Fewer repeat studies Reliable access to Clinical data

8. Established Profiles Existing Profiles with High Uptake Consistent Pres. of Images (CPI) Consistent presentation across different devices PACS, Printers, Workstations “You see what I see” Calibrate & manage contrast Preserve geometry (flip, pan, zoom) Value proposition Fewer errors Less effort 9/8/2012 7 Mammography Img. (MAMMO) Consistent acquisition, recording and display Modality, PACS, Display, CAD “Do mammo properly” Handle mammo specific data & reading Incorporate MQSA requirements Value proposition Fewer errors Improve throughput Reduce costs Note: No magic. Just coordinating so we all use DICOM the same way.Note: No magic. Just coordinating so we all use DICOM the same way.

9. Established Profiles Existing Profiles with High Uptake Radiation Exposure Monitoring (REM) Export radiation exposure details in a standard format Modality, PACS, RIS, Workstation, Registry “Facilitate Dose QA” DICOM Dose SR objects Technique, geometry & standard metrics Archiving, Analysis, Registry submission Value proposition Process improvement Easier access to more data 9/8/2012 8

10. Established Profiles Import Reconciliation Workflow (IRWF) Manage image import and match to local ids and demographics Mammo Acq. Workflow (MAWF) Manage mammo acquisition, QC and retakes Post-Processing WF (PPWF) Worklists for CAD, 3D, etc. Reporting Workflow (RWF) Worklists for reporting 9/8/2012 9 Teaching File & Clinical TrialExport (TCE) Flag, annotate & automatically anonymize and route images Audit Trail & Node Auth. (ATNA) Track access to PHI, improve network security Rad Option on ITI ATNA Profile Charge Posting (CHG) Inform billing of procedure details and changes

11. Established Profiles Nuclear Medicine Image (NMI) Consistently create & display NM images and result screens CT/MR Perfusion Imaging (PERF) Consistently create & display Enhanced DICOM MR Diffusion Imaging (DIFF) Consistently create & display Enhanced DICOM Evidence Documents (ED) Record and exchange digital measurements (Echo, OB, etc.) 9/8/2012 10 Key Image Note (KIN) Flag & annotate images for QC, referring, surgery, etc. Simple Img. & Num. Rpt. (SINR) Diagnostic reports with images and measurements in DICOM SR Present. Group Procedures(PGP) Manage single scan for multiple reports (Head-Chest-Abd CT) Image Fusion (FUS) Record & display registrations and fused display parameters (PET/CT)

12. New & Recent Integration Profiles 9/8/2012 11 Scheduled Workflow – HL7 v2.5.1 Option (SWF-2.5.1) Image Object Change Management (IOCM) Cross-Community Access for Imaging (XCA-I) Multiple Image Manager/Archive (MIMA) Basic Image Review (BIR)