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Reporting Workflow

Reporting Workflow. Rita Noumeir, Ph.D. IHE Technical Committee. Charge Posting. Collect and post timely billable procedure details. Required for workflow management. triggers. Images or ED required for content. Required for content. Reporting Workflow.

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Reporting Workflow

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  1. Reporting Workflow Rita Noumeir, Ph.D. IHE Technical Committee

  2. Charge Posting Collect and post timely billable procedure details Required for workflow management triggers Images or ED required for content Required for content Reporting Workflow Manage worklists, track status, perform & notify diagnostic reporting steps Simple Image and Numeric Reports Evidence Documents Create, store, manage, retrieve & use simple diagnostic reports with optional image links & measurements Create, store, manage, retrieve & use objects to record study evidence IHE Integration Profiles Scheduled Workflow Admit, order, schedule, manage worklists, track status, perform & notify acquisition related steps, create, store, manage, retrieve & use images Vendor Workshop, April 2003

  3. Reporting Workflow Objectives • Schedule, distribute and track the status of reporting workflow tasks using standardized mechanisms • Worklists for each task are generated and can be queried • Workitems can be performed and the resulting status known and shared Vendor Workshop, April 2003

  4. Diagnostic report workflow Output: DICOM SR Objects Image Manager & Archive OF/DSS AcquisitionModality Reporting Workflow work status update acquisition completed imagesavailable images stored acquisition completed Vendor Workshop, April 2003

  5. Actors & Transactions • No new actors • One new transaction: • Reporting Worklist Provided Vendor Workshop, April 2003

  6. Actors & Transactions 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 Vendor Workshop, April 2003

  7. Grouping • Report Manager grouped with Image Manager Performed Work Status Update (optional) DSS/OF Report Manager RWF Profile IM/IA SWF Profile Vendor Workshop, April 2003

  8. Grouping • Report Manager grouped with DSS/OF Performed Work Status Update, if needed Report Manager RWF Profile DSS/OF IM/IA SWF Profile Vendor Workshop, April 2003

  9. 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 Vendor Workshop, April 2003

  10. Reporting Tasks • The process of report creation is composed of multiple tasks: • Interpretation • Interpretation and dictation • Transcription • Verification • Review • Comparison • Coding Vendor Workshop, April 2003

  11. Verification vs Signature • Verification is considered to be different from Signature • Verification may trigger a Signature • Signature has policies attached to it. • Signature is not part of the Reporting Workflow profile Vendor Workshop, April 2003

  12. Reporting Worklist Provided • Report Creator finds out what tasks have been scheduled or assigned to it by the Report Manager Vendor Workshop, April 2003

  13. Reporting Worklist Provided C-Find-RQ Report Manager Report Creator • General Purpose Worklist SOP Class • Explicit definition of required matching and return keys for both Report Manager and Report Creator • Report Creator implements at least one of Patient Oriented or User Oriented queries C-Find-RSP Vendor Workshop, April 2003

  14. Patient's Name Patient ID Referenced Request Sequence >Accession Number >Requested Procedure ID Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator Patient Oriented Query • Worklist for a specific patient/procedure • SCU shall support all combinations of the matching keys Vendor Workshop, April 2003

  15. 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 Scheduled Human Performers Sequence >Human Performer Code Sequence >>Code Value >>Coding SchemeDesignator >Human Performer’s Name User Oriented Query • Broad worklist for a particular user being logged in on a particular station • SCU must support all combinations of the matching keys Vendor Workshop, April 2003

  16. Reporting Workitem Codes • DCMR CID 9231 Vendor Workshop, April 2003

  17. Reporting Workitem Codes • What is scheduled • GP Worklist: scheduled workitem code sequence • What is performed • GP PPS: Performed Work Item Code Sequence • What is next • GP PPS: requested subsequent workitems code sequence • Update • what is performed, what is next Vendor Workshop, April 2003

  18. Input Availability • Report Manager uses Image Availability Query to know when images are available. • Report Manager and Report Creator must be able to handle workitems with PARTIAL Image Availability in a stable way. Vendor Workshop, April 2003

  19. Input Information C-Find-RQ Report Manager Report Creator • Report Creator may retrieve Input Objects using Input Information Sequence provided in the worklist response. C-Find-RSP Retrieve Images, Evidence Documents IM/IA Vendor Workshop, April 2003

  20. Workitem Claimed N-ACTION, SPS in Progress Report Manager Report Creator • Report Creator takes ownership of the workitem • Report Manager updates its worklist and permits other worklist users to detect that this SPS has been claimed • General Purpose Scheduled Procedure Step SOP Class Vendor Workshop, April 2003

  21. Workitem PerformedProcedure Step In Progress N-CREATE, PPS in Progress • Report Creator starts work on claimed SPS • General Purpose Performed Procedure Step SOP Class • SPS and PPS relationships • Simple Case - Unscheduled Case • Append Case - Abandoned Case Report Manager Report Creator Vendor Workshop, April 2003

  22. Workitem PerformedProcedure Step Completed N-CREATE, PPS Completed • General Purpose Performed Procedure Step SOP Class • Report Creator notifies Report Manager of the PPS completion • Report Creator references any created results Report Manager Report Creator Vendor Workshop, April 2003

  23. Tasks Performed • Report Creator may carry out several steps at once. • Performed Work Item Code Sequence • General Purpose Performed Procedure Step N-SET message. Vendor Workshop, April 2003

  24. Output Generated • Report Creator sends the list of all SOP Instances in the Output Information Sequence (0040,4033) or identifies non-DICOM output in the Non-DICOM Output Code Sequence (0040,4032). • General Purpose Performed Procedure Step N-SET message. Vendor Workshop, April 2003

  25. Next Workitem • The Report Creator may suggest subsequent workitems to the Report Manager. • It is a suggestion, a hint • The requested subsequent workitems code sequence • General Purpose Performed Procedure Step N-SET message. Vendor Workshop, April 2003

  26. Workitem Completed N-ACTION, SPS Completed • General Purpose Scheduled Procedure Step SOP Class • No further PPS will be created for this SPS • Report Creator notifies the Report Manager when it completes the scheduled workitem • Report Manager updates its worklist Report Manager Report Creator Vendor Workshop, April 2003

  27. Performed Work Status Update • Report Manager informs other actors of the creation and status update of the performed reporting task • Allows the systems not managing the performed work to stay in sync Vendor Workshop, April 2003

  28. Performed Work Status Update N-CREATE, PPS in Progress • General Purpose Performed Procedure Step SOP Class • Performed Workitem Code Sequence • Requested Subsequent Workitem Code Sequence Report Manager DSS/OF IM/IA N-SET, PPS Completed Vendor Workshop, April 2003

  29. Diagnostic Reporting Use Cases • Predefined report • Workitem deferred • Direct report creation • Interpretation and dictation • Transcription • Partial completion • Verification • Double reading, Comparison, Review, Over read Vendor Workshop, April 2003

  30. 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 Vendor Workshop, April 2003

  31. Put this workitem back on the worklist. Workitem deferred • The user starts to work on the workitem and decides not to complete it. Vendor Workshop, April 2003

  32. 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. Vendor Workshop, April 2003

  33. Send report back to the transcriptionist for correction Verification • This use case has an extension when the user needs to correct the report's content by dictation Vendor Workshop, April 2003

  34. Questions? Vendor Workshop, April 2003

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