dicom gpwl: post-processing workflow, reporting workflow
DESCRIPTION
TRANSCRIPT
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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TransactionsTransactions
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
>Coding Scheme Designator
Scheduled Procedure Step Start Date and TimeScheduled Workitem Code Sequence
>Code Value
>Coding Scheme Designator
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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
>Coding Scheme Designator
Scheduled Procedure Step Start Date and TimeScheduled Workitem Code Sequence
>Code Value
>Coding Scheme Designator
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Reporting WorkflowReporting Workflow
AbstractAbstract
Use CasesUse Cases
Actors InvolvedActors Involved
TransactionsTransactions
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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Reporting Workflow GroupingReporting Workflow Grouping
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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Reporting Workflow GroupingReporting Workflow Grouping
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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