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RSNA 2011 Image Sharing Demonstration

RSNA 2011 Image Sharing Demonstration. Transaction Sequence Diagram Nov 21st, 9am CDT, 2011. RSNA 2011 Image Sharing Demo 0: Set Up PHR Scenarios: ADT, Order, and “Prior” and new Image Acquisition. 080: “DICOM C-Store “prior” and aorta images. Geneva: John Perry’s Amazing Demo Tool.

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RSNA 2011 Image Sharing Demonstration

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  1. RSNA 2011 Image Sharing Demonstration Transaction Sequence Diagram Nov 21st, 9am CDT, 2011

  2. RSNA 2011 Image Sharing Demo0: Set Up PHR Scenarios: ADT, Order, and “Prior” and new Image Acquisition 080: “DICOM C-Store “prior” and aorta images Geneva: John Perry’s Amazing Demo Tool 001: “Patient” Registers (trigger) 050: ORM RAD-4 -current 010: ORM RAD-4 – prior and aorta 020: ORU; “prior” and Aorta report Modality: Siemens CT 210: For demo, pre-create PHR Account and Demonstrator pulls down Prior images and report Reporting Software: Nuance PIX Mgr 030: ADT ITI-8 Report Creator PHR: LifeImage Document Registry 230: Registry Stored Query [ITI-18] PHR: Dell 040: ADT ITI-8 “prior” Edge Server: NIBIB/RSNA PHR: itMD PHR: DICOM Grid 110: prior images and report submission DSS/OF: Candelis RIS 091: “Patient” Request Info (trigger Priors move) 060: ORM Document Repository 240: Retrieve Document Set [ITI-43] 070: ORM Document/ Image Document Consumer 100: DICOM C-Move Prior images IM/IA/TCE Export Select/Mgr: Candelis Image Storage/ Image Document Source 250: Retrieve Document [RAD-69] Image Document Source Note: “Prior” images and report must NOT be deleted on RIS, PACS, or PHRs since the data and accounts will be reused from demo to demo. Clearinghouse Cloud: Life Image REM Dose Reporter/Register TCE Receiver: MIRC

  3. RSNA 2011 Image Sharing Demo1: PHR- Create and Submit Current Images and Report Geneva: John Perry’s Amazing Demo Tool 130: DICOM C-Store “current” images/ Dose SR/ Storage Commit Modality: Siemens CT 110: Patient arrives At scanner 120: DMWL for “current” image codes 140: MPPS Reporting Software: Nuance PIX Mgr Report Creator 150: Launch API From reading worklist; 160: HL7 2.3 ORU report PHR: LifeImage PHR: LifeImage Document Registry 170: Give patient the ID Number (trigger) DSS/OF: Candelis RIS PHR: Dell Edge Server: NIBIB/RSNA PHR: itMD 195: Register DocumentSet PHR: DICOM Grid 180: DICOM C-Move Document Repository 190: current Report and Image submission Document/ Image Document Consumer IM/IA/TCE Export Select/Mgr: Candelis Image Storage/ Image Document Source Image Document Source Clearinghouse: Life Image REM Dose Reporter/Register: TCE Receiver: MIRC

  4. RSNA 2011 Image Sharing Demo2: PHR Review of Current Case (Note: PHR account created well in advance of “prior” case) Geneva: John Perry’s Amazing Demo Tool Modality: Siemens CT 210: Patient logs in to PHR Account and uses EdgeServer Token – Exam ID In patientID to pull Current case Reporting Software: Nuance PIX Mgr PHR: LifeImage PHR: LifeImage Document Registry 230: Registry Stored Query [ITI-18] DSS/OF: Candelis RIS PHR: Dell Edge Server: NIBIB/RSNA PHR: itMD PHR: DICOM Grid Document Repository 240: Retrieve Document Set [ITI-43] Document/ Image Document Consumer DSS/OF/IM/IA/TCE Export Select/Mgr: Candelis Image Storage/ Image Document Source 250: Retrieve Document [RAD-69] Image Document Source Clearinghouse: Life Image Note: “Current” images and report (only) must be deleted on RIS, PACS, and PHRs after each demo to be reused with existing “priors”. REM Dose Reporter/Register: TCE Receiver: MIRC

  5. RSNA 2011 Image Sharing Demo3A: Site to Site TransferSee slide 0: Set up; include Aorta Case also with Prior; not shown here Geneva: John Perry’s Amazing Demo Tool Modality: Siemens CT PIX Mgr Reporting Software: Nuance 220: Trigger? Document Registry PHR: Local Folder viewer DSS/OF: Candelis RIS Edge Server: NIBIB/RSNA Document Repository Image Storage/ Image Document Source Document/ Image Document Consumer DSS/OF/IM/IA/TCE Export Select/Mgr: Candelis Clearinghouse: Life Image Image Document Source REM Dose Reporter/Register: TCE Receiver: MIRC Edge Server v2: NIBIB/RSNA 230: Registry Stored Query [ITI-18] 240: Retrieve Document Set [ITI-43] 250: Retrieve Document [RAD-69]

  6. RSNA 2011 Image Sharing Demo3B: Site to Site TransferSee slide 0: Set up; include Aorta Case also with Prior; not shown here Geneva: John Perry’s Amazing Demo Tool Modality: Siemens CT PIX Mgr Reporting Software: Nuance 220: Trigger? Document Registry PHR: Local Folder viewer DSS/OF: Candelis RIS Edge Server: NIBIB/RSNA Document Repository Image Storage/ Image Document Source Document/ Image Document Consumer DSS/OF/IM/IA/TCE Export Select/Mgr: Candelis Clearinghouse: Life Image Image Document Source REM Dose Reporter/Register: TCE Receiver: MIRC Edge Server v2 lifeIMAGE 230: Registry Stored Query [ITI-18] 240: Retrieve Document Set [ITI-43] 250: Retrieve Document [RAD-69]

  7. RSNA 2011 Image Sharing Demo4: Set Up REM/TCE Scenarios: ADT, Order, and new Image Acquisition 080: “DICOM C-Store “prior” images Geneva: John Perry’s Amazing Demo Tool 001: “Patient” Registers (trigger) 050: ORM RAD-4 -current 040: ORM RAD-4 -current Modality: Siemens CT 210: For demo, pre-create PHR Account and Demonstrator pulls down Prior images and report Reporting Software: Nuance PIX Mgr 030: ADT ITI-8 Report Creator PHR: LifeImage Document Registry 230: Registry Stored Query [ITI-18] PHR: Dell 040: ADT ITI-8 “prior” Edge Server: RSNA/NIBIB PHR: itMD PHR: DICOM Grid DSS/OF: Candelis RIS Document Repository 240: Retrieve Document Set [ITI-43] 070: ORM Document/ Image Document Consumer IM/IA/TCE Export Select/Mgr: Candelis Image Storage/ Image Document Source 250: Retrieve Document [RAD-69] Image Document Source Note: “Prior” images and report must NOT be deleted on RIS, PACS, or PHRs since the data and accounts will be reused from demo to demo. Clearinghouse Cloud: Life Image REM Dose Reporter/Register TCE Receiver: MIRC

  8. RSNA 2011 Image Sharing Demo5: REM/TCE Create and Submit Current Images and Report Geneva: John Perry’s Amazing Demo Tool 130: DICOM C-Store “current” images/ Dose SR/ Storage Commit Modality: Siemens CT 110: Patient arrives At scanner 120: DMWL for “current” image codes 140: MPPS Reporting Software: Nuance PIX Mgr Report Creator 150: Launch API From reading worklist; 160: HL7 2.3 ORU report PHR: LifeImage PHR: LifeImage Document Registry DSS/OF: Candelis RIS PHR: Dell Edge Server: NIBIB/RSNA PHR: itMD PHR: DICOM Grid Document Repository Document/ Image Document Consumer IM/IA/TCE Export Select/Mgr: Candelis Image Storage/ Image Document Source Image Document Source Clearinghouse: Life Image REM Dose Reporter/Register: TCE Receiver: MIRC Note: an attendee may want to still see the info Propogated to the PHRs so this should still be an option, Just not part of normal flow for this demo.

  9. RSNA 2011 Image Sharing Demo6: TCE Demo – Trigger is Radiologist viewing images Geneva: John Perry’s Amazing Demo Tool Modality: Siemens CT Reporting Software: Nuance PIX Mgr Report Creator PHR: LifeImage PHR: LifeImage Document Registry DSS/OF: Candelis RIS PHR: Dell Edge Server: NIBIB/RSNA PHR: itMD PHR: DICOM Grid Document Repository Document/ Image Document Consumer DSS/OF/IM/IA/TCE Export Select/Mgr: Candelis 400: Radiologist Viewing images At PACS Image Storage/ Image Document Source Image Document Source Clearinghouse: Life Image 410: Export Instances [RAD-53] REM Dose Reporter/Register TCE Receiver: MIRC 420: review teaching files

  10. RSNA 2011 Image Sharing Demo7: REM Demo – PACS Auto-Trigger to send DOSE SRs Geneva: John Perry’s Amazing Demo Tool Modality: Siemens CT Reporting Workstation PIX Mgr Document Source PHR: LifeImage PHR: LifeImage Document Registry DSS/OF: Candelis RIS PHR: Dell Edge Server: NIBIB/RSNA PHR: itMD PHR: DICOM Grid 400: PACS Auto resends DOSE SRs to REM Reg Upon reciept of SR From CT scanner Document Repository Document/ Image Document Consumer DSS/OF/IM/IA/TCE Export Select/Mgr: Candelis Image Storage/ Image Document Source TCE Receiver Image Document Source Clearinghouse: Life Image 520: Query and Retrieve DOSE [RAD-53] 510: C-Store DOSE SRs REM Dose Reporter: Siemens; Upenn Radiance REM Dose Reporter: Aware REM Dose Reporter: ACR 540: review dose 540: review dose 540: review dose

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