Download ppt - DICOM GPWL: Post-Processing Workflow, Reporting Workflow

1September, 2005 What IHE Delivers

Post Processing Workflow

Reporting Workflow

IHE Workshop 2006IHE Workshop 2006

IHE Radiology EducationIHE Radiology Education

Sanjay Jain, Planning CommitteeSanjay Jain, Planning Committee

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Post-processing WorkflowPost-processing Workflow

AbstractAbstract

ActorsActors

TransactionsTransactions

GroupingGrouping

Worklist QueriesWorklist Queries

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Abstract / ScopeAbstract / Scope

Schedule, distribute and track post-Schedule, distribute and track post-processing workflow steps using processing workflow steps using standardized mechanismsstandardized mechanisms Manage worklists, Query WorklistsManage worklists, Query Worklists Track statusTrack status Perform & notify image processing & CAD stepsPerform & notify image processing & CAD steps Workitems can be performed and the resulting Workitems can be performed and the resulting

status known and sharedstatus known and shared

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Value PropositionValue Proposition

Schedule, distribute and track the status Schedule, distribute and track the status of typical post-processing workflow steps of typical post-processing workflow steps such as:such as: Computer-Aided Detection Computer-Aided Detection Clinical Analysis Image ProcessingClinical Analysis Image Processing 3-D view generation3-D view generation Quality AssuranceQuality Assurance

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Post Processing ManagerPost Processing Manager

Only one actor introduced in this profileOnly one actor introduced in this profile

Must be grouped with either DSS/Order Must be grouped with either DSS/Order Filler or Image ManagerFiller or Image Manager

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Post-Processing ManagerPost-Processing Manager

GroupedGrouped with Image Managerwith Image Manager

Post-Processing Manager

IM/IA

DSS/OF

Performed Work Status Update (optional)

PWF ProfileSWF Profile

Grouping – option 1Grouping – option 1

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Post-Processing ManagerPost-Processing Manager

Grouped with DSS/OFGrouped with DSS/OF

Post Processing

Manager

IM/IADSS/OF

PWF Profile

SWF Profile

Performed Work Status Update

Grouping – option 2Grouping – option 2

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MeasurementsCAD report……………………………… Store ImagesStore Images

Store SRStore SR

Storage Commitment

StorageCommitment

List of Images/SR

Post-ProcessingPost-ProcessingWorklistWorklist

Worklist

Workitem Claimed

PP-Performed Step Started

Workitem Completed

PP-Performed Step Completed

PP-Performed Step:

Pat Name/ID Accession #, Study UID Performed Status = Started

Post-Post-ProcessingProcessingPerformedPerformedProcedure Procedure StepStep

PP-Performed Step:

Complete List of Images/SRComplete List of Images/SR

Performed Status = Completed

Image Manager/Archive & Post Processing

Manager

OF/DSS

3-DWorkstation

Workflow: Post-Processing Manager Workflow: Post-Processing Manager grouped with Image Managergrouped with Image Manager

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TransactionTransactions based on following DICOM s based on following DICOM ServicesServices:: General Purpose WorklistGeneral Purpose Worklist General Purpose Scheduled Procedure Step General Purpose Performed Procedure Step

Storage Service ClassesStorage Service Classes Basic Text SR SOP Class Enhanced SR SOP Class Comprehensive SR SOP Class

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General Purpose WorkitemsGeneral Purpose Workitems

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AcquisitionModality

Post-Processing

ORDERA request for RadiologicalService

Radiology Department

Set of Codifiable,

Billable ActsOne or more series of images

M-Perf.Procedure

Step P1RequestedProcedure

1

ScheduledProcedure

Step B

ScheduledProcedure

Step A

Report

One or more series of images

PP-Perf.Procedure

Step P2

DICOMModality Worklist

DICOMPost-Processing Worklist

Modality & Post-Processing StepsModality & Post-Processing Steps

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Patient Oriented worklist QueryPatient Oriented worklist Query

Worklist for a specific Worklist for a specific patient/procedurepatient/procedure

SCU shall support all SCU shall support all combinations of the combinations of the matching keysmatching keys

Patient's Name

Patient ID

Referenced Request Sequence

>Accession Number

>Requested Procedure ID

Scheduled Workitem Code Sequence>Code Value

>Coding Scheme Designator

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StationStation Oriented Worklist Query Oriented Worklist Query

Broad worklist for Broad worklist for a a particular workstationparticular workstation

SCU must support all SCU must support all combinations of the combinations of the matching keysmatching keys

General Purpose Scheduled Procedure Step Status

Scheduled Station Name Code Sequence

>Code Value


Scheduled Procedure Step Start Date and TimeScheduled Workitem Code Sequence

>Code Value


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ClassClass Oriented Worklist Query Oriented Worklist Query

Broad worklist for a Broad worklist for a particular class of particular class of workstationsworkstations

SCU must support all SCU must support all combinations of the combinations of the matching keysmatching keys

General Purpose Scheduled Procedure Step Status

Scheduled Station Name Code Sequence

>Code Value


Scheduled Procedure Step Start Date and TimeScheduled Workitem Code Sequence

>Code Value


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Reporting WorkflowReporting Workflow

AbstractAbstract

Use CasesUse Cases

Actors InvolvedActors Involved


GroupingGrouping

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Diagnostic Reporting Use CasesDiagnostic Reporting Use Cases

Predefined reportPredefined report

Workitem deferredWorkitem deferred

Direct report creationDirect report creation

Interpretation and dictationInterpretation and dictation

TranscriptionTranscription

Partial completionPartial completion

Verification Verification

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Predefined reportPredefined report

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

The results are normalI will also verify the report

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Task deferredTask deferred

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

Put this task back on the worklist.

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Partial CompletionPartial Completion

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

Bad data quality! New acquisition is required

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VerificationVerification

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

Send report back to the transcriptionist for correction

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Abstract / ScopeAbstract / Scope

Workflow Profile addresses the need to Workflow Profile addresses the need to schedule, distribute and track the status schedule, distribute and track the status of the reporting workflow tasks such asof the reporting workflow tasks such as InterpretationInterpretation TranscriptionTranscription VerificationVerification

Worklists for each of these tasks are Worklists for each of these tasks are generated and can be queriedgenerated and can be queried

Report format neutral (DICOM SR, Report format neutral (DICOM SR, HL7/CDA, XML, PDF, etc.)HL7/CDA, XML, PDF, etc.)

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Reporting Workflow ActorsReporting Workflow Actors

Report ManagerReport Manager

Report CreatorReport Creator

Report ReaderReport Reader

Department System Scheduler/Order FillerDepartment System Scheduler/Order Filler

PPS ManagerPPS Manager

Image Manager/Image ArchiveImage Manager/Image Archive

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Transaction DiagramTransaction Diagram

Report Manager

Report Creator/Reader

IM/IA

PPS Manager

DSS/OFReporting Worklist Provided

Workitem Claimed

MPPS Completed

Image Availability

Procedure Scheduled

Procedure Update

P. Work Status Update

Workitem PPS in Progress

Workitem PPS Completed

Workitem Completed

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Reporting Workflow GroupingReporting Workflow Grouping

Report Manager not grouped with neither Report Manager not grouped with neither IM nor DSSIM nor DSS

Report Manager

IM/IA

DSS/OF

Performed Work Status Update

RWF Profile

SWF Profile

SWF Profile

Performed Work Status Update, if needed

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Report Manager grouped with Image Report Manager grouped with Image ManagerManager

Report Manager

IM/IA

DSS/OF

Performed Work Status Update (optional)

RWF ProfileSWF Profile

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Report Manager grouped with DSS/OFReport Manager grouped with DSS/OF

Report Manager

IM/IADSS/OF

RWF Profile

SWF Profile

Performed Work Status Update, if needed

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