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Post Processing Workflow Reporting Workflow

This workshop from IHE Radiology Education in 2006 focuses on planning and implementing a robust post-processing workflow system for radiology practices. It covers scheduling, tracking, and managing post-processing steps efficiently. Various actors involved are discussed, along with the transactions and grouping mechanisms used in this workflow. The workshop aims to enhance efficiency in managing post-processing tasks and reporting in radiology departments.

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Post Processing Workflow Reporting Workflow

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  1. Post Processing WorkflowReporting Workflow IHE Workshop 2006 IHE Radiology Education Sanjay Jain, Planning Committee

  2. Post-processing Workflow • Abstract • Actors • Transactions • Grouping • Worklist Queries

  3. Abstract / Scope • Schedule, distribute and track post-processing workflow steps using standardized mechanisms • Manage worklists, Query Worklists • Track status • Perform & notify image processing & CAD steps • Workitems can be performed and the resulting status known and shared

  4. Value Proposition • Schedule, distribute and track the status of typical post-processing workflow steps such as: • Computer-Aided Detection • Clinical Analysis Image Processing • 3-D view generation • Quality Assurance

  5. Post Processing Manager • Only one actor introduced in this profile • Must be grouped with either DSS/Order Filler or Image Manager

  6. Groupedwith Image Manager Post-Processing Manager Grouping – option 1 Performed Work Status Update (optional) DSS/OF Post-Processing Manager PWF Profile IM/IA SWF Profile

  7. Grouped with DSS/OF Post-Processing Manager Grouping – option 2 Performed Work Status Update Post Processing Manager IM/IA DSS/OF SWF Profile PWF Profile

  8. Workitem Claimed Worklist Post-ProcessingWorklist Measurements CAD report ……………………………… PP-Performed Step Started Store ImagesStore SR OF/DSS 3-D Workstation StorageCommitment List of Images/SR Storage Commitment Post-Processing Performed Procedure Step Workitem Completed PP-Performed Step: Performed Status = Started PP-Performed Step: Pat Name/ID Accession #, Study UID Performed Status = Completed Complete List of Images/SR Workflow: Post-Processing Manager grouped with Image Manager PP-Performed Step Completed Image Manager/Archive & Post Processing Manager

  9. Transactions • Transactions based on following DICOM Services: • General Purpose Worklist • General Purpose Scheduled Procedure Step • General Purpose Performed Procedure Step • Storage Service Classes • Basic Text SR SOP Class • Enhanced SR SOP Class • Comprehensive SR SOP Class

  10. General Purpose Workitems

  11. DICOMModality Worklist ScheduledProcedure Step A Report ScheduledProcedure Step B One or more series of images One or more series of images DICOMPost-Processing Worklist M-Perf.Procedure Step P1 PP-Perf.Procedure Step P2 AcquisitionModality Post-Processing Modality & Post-Processing Steps Radiology Department ORDER A request for RadiologicalService Set of Codifiable, Billable Acts Requested Procedure 1

  12. Worklist for a specific patient/procedure SCU shall support all combinations of the matching keys Patient's Name Patient ID Referenced Request Sequence >Accession Number >Requested Procedure ID Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator Patient Oriented worklist Query

  13. Broad worklist for a particular workstation SCU must support all combinations of the matching keys General Purpose Scheduled Procedure Step Status Scheduled Station Name Code Sequence >Code Value >Coding Scheme Designator Scheduled Procedure Step Start Date and Time Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator Station Oriented Worklist Query

  14. Broad worklist for a particular class of workstations SCU must support all combinations of the matching keys General Purpose Scheduled Procedure Step Status Scheduled Station Name Code Sequence >Code Value >Coding Scheme Designator Scheduled Procedure Step Start Date and Time Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator Class Oriented Worklist Query

  15. Reporting Workflow • Abstract • Use Cases • Actors Involved • Transactions • Grouping

  16. Diagnostic Reporting Use Cases • Predefined report • Workitem deferred • Direct report creation • Interpretation and dictation • Transcription • Partial completion • Verification

  17. The results are normal I will also verify the report Predefined report • The user chooses a report from a list of pre-configured draft reports

  18. Put this task back on the worklist. Task deferred • The user selects the task and decides not to perform it

  19. Bad data quality! New acquisition is required Partial Completion • The user begins the task and then decides that this task cannot be completed at this moment

  20. Send report back to the transcriptionist for correction Verification • The user may need to correct the report's content by dictation

  21. Abstract / Scope • Workflow Profile addresses the need to schedule, distribute and track the status of the reporting workflow tasks such as • Interpretation • Transcription • Verification • Worklists for each of these tasks are generated and can be queried • Report format neutral (DICOM SR, HL7/CDA, XML, PDF, etc.)

  22. Reporting Workflow Actors • Report Manager • Report Creator • Report Reader • Department System Scheduler/Order Filler • PPS Manager • Image Manager/Image Archive

  23. Procedure Scheduled Procedure Update DSS/OF Reporting Worklist Provided Report Creator/ Reader Report Manager P. Work Status Update PPS Manager Workitem Claimed Workitem PPS in Progress MPPS Completed IM/IA Workitem PPS Completed Workitem Completed Image Availability Transaction Diagram

  24. Reporting Workflow Grouping • Report Manager not grouped with neither IM nor DSS Performed Work Status Update DSS/OF Report Manager RWF Profile Performed Work Status Update, if needed SWF Profile IM/IA SWF Profile

  25. Reporting Workflow Grouping • Report Manager grouped with Image Manager Performed Work Status Update (optional) DSS/OF Report Manager RWF Profile IM/IA SWF Profile

  26. Reporting Workflow Grouping • Report Manager grouped with DSS/OF Performed Work Status Update, if needed Report Manager RWF Profile DSS/OF IM/IA SWF Profile

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