Integrating the Healthcare Enterprise

1. June 28-29, 2005 IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise Key Image Notes Evidence Documents Simple Image & Numeric Report

2. June 28-29, 2005 IHE Interoperability Workshop 2 Key Image Notes

3. June 28-29, 2005 IHE Interoperability Workshop 3 Key Image Notes Value Proposition There is more to teamwork than images and reports With IHE, it is possible to attach « electronic post-it™ » to images to increase informal but critical communication between: The Technologist and the Radiologist about specific examination events The Radiologist and the Technologist about image quality issues The Radiologist and other department clinicians (surgeon, orthopedist,..) The Radiologist and collegues about selecting images for conferences The Radiologist to the Referring Provider, …..etc. Query for the Images/Studies using the codes This IHE Integration Profile is the cost effective solution (increases radiology and overall efficiency) When Querying, get only the images with notes. Also referred as money shots. Don’t need to get all the images of a study at first.When Querying, get only the images with notes. Also referred as money shots. Don’t need to get all the images of a study at first.

4. June 28-29, 2005 IHE Interoperability Workshop 4 Don’t Call Us, We’ll Call You “Dave, you read that 3000 slice MR study last night. Can you highlight the 5 most important images for me” Thinking… “#$@%!%# You”, says “Sure” “Dr. Channin, I just reviewed 40 cases and marked my questions on yellow stickies. Can you review those” Tech to radiologist: “The patient wouldn’t hold still” Is there a way to associate a few choice words with an image? How about a way to associate one comment with a bunch of images? Can I tag images for QA purposes? Can technologists tag images in order to explain why images have artifactsIs there a way to associate a few choice words with an image? How about a way to associate one comment with a bunch of images? Can I tag images for QA purposes? Can technologists tag images in order to explain why images have artifacts

5. June 28-29, 2005 IHE Interoperability Workshop 5

6. June 28-29, 2005 IHE Interoperability Workshop 6

7. June 28-29, 2005 IHE Interoperability Workshop 7 Key Image Notes Titles are Coded Defined by DICOM. May be extended

8. June 28-29, 2005 IHE Interoperability Workshop 8 Evidence Documents

9. June 28-29, 2005 IHE Interoperability Workshop 9 Evidence Documents Value Proposition Measurements and coded data DICOM SR document Created by either Acquisition Modality or Evidence Creator Produced during acquisition or post-processing workflows Interpreted along with the images

10. June 28-29, 2005 IHE Interoperability Workshop 10 Evidence Documents

11. June 28-29, 2005 IHE Interoperability Workshop 11 Evidence Documents Examples Mammography CAD Chest CAD OB-Gyn Ultrasound Measurements Vascular Ultrasound Measurements Vascular Intervention Results Echocardiography Measurements

12. June 28-29, 2005 IHE Interoperability Workshop 12 Interpretation

13. June 28-29, 2005 IHE Interoperability Workshop 13 Simple Image & Numeric Report

14. June 28-29, 2005 IHE Interoperability Workshop 14 Can You Make A Report Like This? Institution Identification Patient Identification Study Identification Technique Identification Discussion The liver is normal. There is a focal area of decreased attenuation adjacent to the falciform ligt., likely representing focal fat (image 22). The spleen, both kidneys, the … are normal. Impression CT of the abdomen within normal limits Signature I should be able click on anything that is underlined or in color and get more info or images (green).I should be able click on anything that is underlined or in color and get more info or images (green).

15. June 28-29, 2005 IHE Interoperability Workshop 15 (We can’t either). What about? Discussion Comparison is made to the prior study of 4/11/99. The left paratracheal lymph node (image 8, image 11) now measures 2.5x2.7x3.1 cm increasing from 2.0x2.1x2.6 previously. No other mediastinal, upper abdominal or axillary adenopathy is identified. No focal pulmonary lesions are seen. The yadda, yadda, yadda are normal. Impression Worsening L Paratracheal adenopathy. Signature

16. June 28-29, 2005 IHE Interoperability Workshop 16

17. June 28-29, 2005 IHE Interoperability Workshop 17 Simple Image & Numeric ReportsValue Proposition Reports’ content is more than words… Based on DICOM SR Allows to include without transcription: measurements image links structured content Integrated with the imaging workflow Friendly to XML implementations Easy to export with HL7

18. June 28-29, 2005 IHE Interoperability Workshop 18 Pattern – Simple Image Report

19. June 28-29, 2005 IHE Interoperability Workshop 19 Pattern – Simple Image & Numeric Report

20. June 28-29, 2005 IHE Interoperability Workshop 20 An illustration

21. June 28-29, 2005 IHE Interoperability Workshop 21 Profile References IHE Radiology Technical Framework Volume I, Integration Profile Volume II for Transactions Key Image Note Simple Image and Numeric Report Volume III for Transactions Evidence Documents

22. June 28-29, 2005 IHE Interoperability Workshop 22 More information…. IHE Web site: http://www.ihe.net http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm Technical Frameworks Technical Framework Supplements – Trial Implementation Non-Technical Brochures : Calls for Participation IHE Fact Sheet and FAQ IHE Integration Profiles: Guidelines for Buyers IHE Connect-a-thon Results Vendor Products Integration Statements