Sanjay Jain

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Post Processing Workflow Reporting Workflow
Sanjay Jain Cerner Corporation Co-Chair Radiology
Planning Committee
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IHE Radiology Integration Profiles
Charge Posting
Scheduled Workflow
Admit, Order, Schedule
Patient Information Reconciliation
Collect and post timely billable procedure details
Manage worklists, track status, perform
notify acquisition related step,
Presentation of Grouped Procs
Teaching Files Clinical Trials Export
Manage individual procedure image subsets from a
multi-procedure acquisition for viewing
reporting
Reconcile worklists, status, and data objects for
unknown patients and demographics changes
create, store, manage, retrieve use images
Consistent Presentation of Images
Simple Image and Numeric Reports
Evidence Documents
Key Image Notes
Manage, retrieve use objects to record study
evidence
Create, store, manage, retrieve use objects to
flag significant images
Manage simple diagnostic reports with optional
images, measurements
Manage, retrieve use objects for hardcopy and
softcopy grayscale presentation states
XDS for Imaging - Sharing of Imaging Information
across health enterprises
Access to Radiology Information - Consistent
access to images and reports
Portable Data for Imaging - Consistent access to
images and reports on CD Media
ITI ATNA Radiology Option (Replaces Basic
Security)
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Post-processing WorkflowAbstract / Scope

• Schedule, distribute and track post-processing
  workflow steps using standardized mechanisms
• Manage worklists, track status, perform notify
  image processing CAD steps
• Worklists for each task are generated and can be
  queried
• Workitems can be performed and the resulting
  status known and shared

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Post-processing WorkflowValue Proposition

• Schedule, distribute and track the status of
  typical post-processing workflow steps
• such as Computer-Aided Detection
• Image Processing.

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Post-processing WorkflowActors

• Post-Processing Manager
• transactions
• Worklist Provided
• Workitem Claimed
• Workitem PPS In Progress
• Workitem PPS Completed
• Workitem Completed
• Performed Work Status Update
• Evidence Documents Stored
• Query Evidence Documents
• Retrieve Evidence Documents

• Standards Used
• DICOM 3.0

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Post-Processing Manager Grouping option 1

• Grouped with Image Manager

Performed Work Status Update (optional)
Post-Processing Manager
DSS/OF
PWF Profile
IM/IA
SWF Profile
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Post-Processing Manager Grouping option 2

• Grouped with DSS/OF

Performed Work Status Update
Post Processing Manager
IM/IA
DSS/OF
SWF Profile
PWF Profile
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Post-processing WorkflowPost-Processing Manager
grouped with Image Manager
PP-Performed Step Completed
Image Manager/Archive Post Processing Manager
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Modality and Post-Processing Steps
Radiology Department
ORDER A request for RadiologicalService
Set of Codifiable, Billable Acts
Requested Procedure 1
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Patient Oriented Query

• Worklist for a specific patient/procedure
• SCU shall support all combinations of the
  matching keys

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Station Oriented Query

• Broad worklist for a particular workstation
• SCU must support all combinations of the matching
  keys

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Class Oriented Query

• Broad worklist for a particular class of
  workstations
• SCU must support all combinations of the matching
  keys

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IHE Radiology Integration Profiles
Charge Posting
Scheduled Workflow
Admit, Order, Schedule
Patient Information Reconciliation
Collect and post timely billable procedure details
Manage worklists, track status, perform
notify acquisition related step,
Presentation of Grouped Procs
Teaching Files Clinical Trials Export
Manage individual procedure image subsets from a
multi-procedure acquisition for viewing
reporting
Reconcile worklists, status, and data objects for
unknown patients and demographics changes
create, store, manage, retrieve use images
Consistent Presentation of Images
Simple Image and Numeric Reports
Evidence Documents
Key Image Notes
Manage, retrieve use objects to record study
evidence
Create, store, manage, retrieve use objects to
flag significant images
Manage simple diagnostic reports with optional
images, measurements
Manage, retrieve use objects for hardcopy and
softcopy grayscale presentation states
XDS for Imaging - Sharing of Imaging Information
across health enterprises
Access to Radiology Information - Consistent
access to images and reports
Portable Data for Imaging - Consistent access to
images and reports on CD Media
ITI ATNA Radiology Option (Replaces Basic
Security)
14
Reporting WorkflowAbstract / 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

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Reporting Workflow Actors

• Report Manager
• Report Creator
• Report Reader
• Department System Scheduler/Order Filler
• PPS Manager
• Image Manager/Image Archive

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Reporting WorkflowTransaction Diagram
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Reporting Workflow Grouping

• Report Manager not grouped with neither IM nor DSS

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

• Report Manager grouped with Image Manager

Performed Work Status Update (optional)
Report Manager
DSS/OF
RWF Profile
IM/IA
SWF Profile
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Reporting Workflow Grouping

• Report Manager grouped with DSS/OF

Performed Work Status Update, if needed
Report Manager
RWF Profile
IM/IA
DSS/OF
SWF Profile
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Diagnostic Reporting Use Cases

• Predefined report
• Workitem deferred
• Direct report creation
• Interpretation and dictation
• Transcription
• Partial completion
• Verification

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Predefined report

• The user chooses a report from a list of
  pre-configured draft reports

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Task deferred

• The user selects the task and decides not to
  perform it

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Partial Completion

• The user begins the task and then decides that
  this task cannot be completed at this moment

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Verification

• The user may need to correct the report's content
  by dictation

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More information.

• IHE Web sites www.ihe.net
• Technical Frameworks, Supplements
• Fill in relevant supplements and frameworks
• 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

Questions?